Elder Care Record

Virginia › Chesterfield County › Chester

Tyler'S Retreat At Iron Bridge

12001 Iron Bridge Rd, Chester, VA 23831

CCN 495401 · For-profit, corporation · 90 certified beds · chain Saber Healthcare Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 90 beds, Tyler'S Retreat At Iron Bridge serves Chester in Chesterfield County, Virginia and has taken Medicare and Medicaid residents since 2010.

CMS gives it 3 of 5 stars overall, equal to the Virginia median; the health inspection rating is 3, staffing 2 and quality measures 4.

Inspectors recorded 45 health deficiencies across the three most recent survey cycles (4, 17, 24 by cycle, most recent first), none at the actual-harm level. That is 50.0 per 100 beds, more than the state median of 34.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.8 hours per resident per day (0.8 RN), close to the Virginia median of 3.4; nursing staff turnover is 50.0%.

45health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.8nurse hours per resident per daystate median 3.4
96%occupancy (residents ÷ beds)87 residents a day

Compared with county, state and nation

MeasureThis facilityChesterfield Co. medianVirginia medianUS average
Overall star rating3333.0
Health citations, 3 cycles45483228.7
Citations per 100 beds50.045.034.526.8
Total nurse hours per resident day3.83.83.43.9
RN hours per resident day0.80.60.50.7
Nursing staff turnover50.0%50.0%48.3%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (5 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)4
Cycle 217
Cycle 324

Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Aug 2025, 19 Jan 2023.

Severity mix: D ×38 E ×6 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
13 Aug 2025F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard survey18 Sep 2025
13 Aug 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation18 Sep 2025
13 Aug 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey18 Sep 2025
13 Aug 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey18 Sep 2025
12 Jun 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation16 Jul 2024
12 Jun 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation16 Jul 2024
12 Jun 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation16 Jul 2024
12 Jun 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation16 Jul 2024
12 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation16 Jul 2024
12 Jun 2024F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint investigation16 Jul 2024
17 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation9 Nov 2023
17 Oct 2023F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation9 Nov 2023
19 Jan 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey14 Feb 2023
19 Jan 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey14 Feb 2023
19 Jan 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey14 Feb 2023
19 Jan 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey14 Feb 2023
19 Jan 2023F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey14 Feb 2023
19 Jan 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey14 Feb 2023
19 Jan 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey14 Feb 2023
19 Jan 2023F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey14 Feb 2023
19 Jan 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey14 Feb 2023
19 Jan 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 Feb 2023
19 Jan 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey14 Feb 2023
19 Jan 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey14 Feb 2023
19 Jan 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DStandard survey14 Feb 2023
19 Jan 2023F0760Ensure that residents are free from significant medication errors.DStandard survey14 Feb 2023
19 Jan 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey14 Feb 2023
19 Jan 2023F0880Provide and implement an infection prevention and control program.DStandard survey14 Feb 2023
19 Jan 2023F0732Post nurse staffing information every day.CStandard survey14 Feb 2023
5 Aug 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey10 Sep 2021
5 Aug 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey10 Sep 2021
5 Aug 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey10 Sep 2021
5 Aug 2021F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey10 Sep 2021
5 Aug 2021F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey10 Sep 2021
5 Aug 2021F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey10 Sep 2021
5 Aug 2021F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey10 Sep 2021
5 Aug 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey10 Sep 2021
5 Aug 2021F0641Ensure each resident receives an accurate assessment.DStandard survey10 Sep 2021
5 Aug 2021F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey10 Sep 2021
5 Aug 2021F0675Honor each resident's preferences, choices, values and beliefs.DStandard survey10 Sep 2021
5 Aug 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Sep 2021
5 Aug 2021F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey10 Sep 2021
5 Aug 2021F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey10 Sep 2021
5 Aug 2021F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey10 Sep 2021
5 Aug 2021F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey10 Sep 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.85 h
Nurse aides2.11 h
LPN0.97 h
RN0.77 h
Weekend total3.38 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 50.0%, RNs 45.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityVirginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay5.4%13.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay9.4%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.1%14.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.9%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.2%13.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Chesterfield Healthcare Group, Inc.. Chain: Saber Healthcare Group (126 facilities).

OrganisationRole in the CMS recordInterestSince
Saber Governance LLCOperational/managerial controlNOT APPLICABLE03/01/2019
Shg Management LLCOperational/managerial controlNOT APPLICABLE09/01/2019
Bundle Tenant LLCAdp of the snfNOT APPLICABLE01/28/2026
Citrin Cooperman Advisors LLCAdp of the snfNOT APPLICABLE01/13/2010
Saber Governance LLCAdp of the snfNOT APPLICABLE09/01/2019
Saber Healthcare Group LLCAdp of the snfNOT APPLICABLE01/13/2010
Shg Management LLCAdp of the snfNOT APPLICABLE09/01/2019
Tcf National BankAdp of the snfNOT APPLICABLE07/19/2019
Walker & Associates PcAdp of the snfNOT APPLICABLE01/13/2010

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Chesterfield County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
The Haven At Brandermill WoodsMidlothian60545711.7—30 Mar 2023
The Laurels of Bon AirBon Air1243226350.8—7 Jan 2026
Health Care Center Lucy CorrChesterfield2162234822.2—7 Feb 2023
The Laurels of Willow CreekMidlothian1202235445.0—13 Sep 2023

All 5 facilities in Chesterfield County

Questions and answers

How many deficiencies has Tyler'S Retreat At Iron Bridge been cited for?

45 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.

Has Tyler'S Retreat At Iron Bridge been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Tyler'S Retreat At Iron Bridge compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.

Who operates Tyler'S Retreat At Iron Bridge?

It is part of the Saber Healthcare Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Saber Governance LLC and Shg Management LLC. Individual owners and managers are not listed on this site.

When was Tyler'S Retreat At Iron Bridge last inspected?

The most recent survey or investigation in the CMS record is dated 13 Aug 2025; the most recent standard health survey was 13 Aug 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.