CareSentinel

Federal Nursing-Home Survey Record

TYLER'S RETREAT AT IRON BRIDGE

CCN 495401 · 12001 IRON BRIDGE RD, CHESTER, VA, 23831

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does TYLER'S RETREAT AT IRON BRIDGE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), TYLER'S RETREAT AT IRON BRIDGE (CCN 495401), in CHESTER, VA, has federal inspection findings on its record.

In its current inspection cycle, CMS cited the facility for 4 deficiencies; the most serious carries scope/severity E on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2025-08-13. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.

Below is this facility's federal survey record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with CMS.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 3  ·  CMS state average: 3.0

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-08-13
CURRENT CYCLE
F700S/S E

Try 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.

2025-08-13
CURRENT CYCLE
F628S/S D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2025-08-13
CURRENT CYCLE
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2025-08-13
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

41 citations from earlier inspection cycles — historical, not current (expand)
2024-06-12
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-06-12
HISTORICAL
F710S/S D

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

2024-06-12
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2024-06-12
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-06-12
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-06-12
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-10-17
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-10-17
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2023-01-19
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-01-19
HISTORICAL
F623S/S E

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2023-01-19
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2023-01-19
HISTORICAL
F727S/S D

Have 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.

2023-01-19
HISTORICAL
F622S/S D

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

2023-01-19
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2023-01-19
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2023-01-19
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2023-01-19
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2023-01-19
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2023-01-19
HISTORICAL
F661S/S D

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

2023-01-19
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2023-01-19
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-01-19
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-01-19
HISTORICAL
F578S/S D

Honor 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.

2023-01-19
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2023-01-19
HISTORICAL
F732S/S C

Post nurse staffing information every day.

2021-08-05
HISTORICAL
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2021-08-05
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2021-08-05
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2021-08-05
HISTORICAL
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2021-08-05
HISTORICAL
F607S/S D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2021-08-05
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2021-08-05
HISTORICAL
F622S/S D

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

2021-08-05
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2021-08-05
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2021-08-05
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2021-08-05
HISTORICAL
F675S/S D

Honor each resident's preferences, choices, values and beliefs.

2021-08-05
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2021-08-05
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2021-08-05
HISTORICAL
F700S/S D

Try 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.

2021-08-05
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2021-08-05
HISTORICAL
F758S/S D

Implement 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.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with CMS. Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Have a concern about care at TYLER'S RETREAT AT IRON BRIDGE?

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Step 1 of 3 · What happened

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