Tyler's Retreat at Iron Bridge in Chester, VA has an overall 3-star rating. Staffing is below the federal benchmark (3.67 vs 4.1 hours per resident per day), while health inspections are 3 stars, quality measures are 4 stars, and there were no fines in the last 24 months.
Last inspection: August 13, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6657.
Staffing detail
Registered nurses
0.79
Licensed practical nurses
0.86
Nurse aides
2.01
Weekend nursing
3.32
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 56%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.8%Worsening
Residents with a fall causing major injury
8%Worsening
Residents with pressure ulcers (bedsores)
2%Improving
Residents with a urinary tract infection
1.6%Improving
Residents who lost too much weight
4.8%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10%Improving
Residents whose ability to walk got worse
14.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
21.3%Worsening
Short-stay residents newly given an antipsychotic
0.2%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
20.1%Worsening
Residents with depressive symptoms
21.6%Worsening
Long-stay residents given the seasonal flu vaccine
88.4%Steady
Long-stay residents given the pneumonia vaccine
24.8%Improving
Short-stay residents given the seasonal flu vaccine
33.5%Steady
Short-stay residents given the pneumonia vaccine
18%Improving
What the inspectors found
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2023 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited January 2023 — limited pattern, potential for harm.
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F-Tag 623 — 42 CFR §483.15 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2021 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2021 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 6 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of SABER HEALTHCARE GROUP · 126 homes · 3 stars avg
Occupancy
86.4 residents on an average day (96% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 16 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.