TYLER'S RETREAT AT IRON BRIDGE
TYLER'S RETREAT AT IRON BRIDGE, in CHESTER, Virginia, holds 90 certified beds and has been certified for Medicare and Medicaid since 2010-01-13, averaging 86.6 residents a day.
Has TYLER'S RETREAT AT IRON BRIDGE been cited for violations?
CMS lists 45 health-inspection deficiencies for TYLER'S RETREAT AT IRON BRIDGE since 2021-08-05, 12 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2025-08-13.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-08-13 | F0700 | 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. | E |
| 2025-08-13 | F0628, F0695, F0697 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2024-06-12 | F0580, F0656, F0658, F0677, F0684, F0710 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D |
| 2023-10-17 | F0656, F0692 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough food/fluids to maintain a resident's health. | D |
| 2023-01-19 | F0623, F0656 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2023-01-19 | F0578, F0580, F0622, F0657, F0658, F0661, F0686, F0689, F0695, F0698, F0727, F0760, F0842, F0880 | 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2023-01-19 | F0732 | Post nurse staffing information every day. | C |
| 2021-08-05 | F0656, F0657, F0812 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2021-08-05 | F0558, F0607, F0609, F0622, F0623, F0641, F0655, F0675, F0689, F0695, F0700, F0757, F0758 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Honor each resident's preferences, choices, values and beliefs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. | D |
How is TYLER'S RETREAT AT IRON BRIDGE staffed?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.84747 | 3.75779 |
| Total nursing staff turnover (%) | 50.0 | 48.1 |
| Average number of residents per day | 86.6 | 99.5 |
Who owns TYLER'S RETREAT AT IRON BRIDGE, and what chain is it in?
TYLER'S RETREAT AT IRON BRIDGE is registered with CMS as For profit - Corporation, operates under the legal business name CHESTERFIELD HEALTHCARE GROUP, INC. and belongs to the SABER HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | VOLPE, BENJAMIN, WEISBERG, WILLIAM | since 03/01/2019 |
| CORPORATE OFFICER | NICOLUZAKIS, GREGORY, VOLPE, BENJAMIN, WEISBERG, WILLIAM | since 03/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | SABER GOVERNANCE LLC, SHG MANAGEMENT LLC, HOLMES, ANDREA, HOPKINS, JOSEPH | since 03/01/2019 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | WEISBERG, WILLIAM | since 01/28/2026 |
| ADP OF THE SNF | BUNDLE TENANT LLC, CITRIN COOPERMAN ADVISORS LLC, MS CHESTERFIELD LP, SABER GOVERNANCE LLC, SABER HEALTHCARE GROUP LLC, SHG MANAGEMENT LLC, TCF NATIONAL BANK, WALKER & ASSOCIATES PC, HOLMES, ANDREA, HOPKINS, JOSEPH, MUGHAL, AMJAD, NICOLUZAKIS, GREGORY, VOLPE, BENJAMIN, WEISBERG, WILLIAM | since 01/13/2010 |
Were you or a family member harmed at TYLER'S RETREAT AT IRON BRIDGE?