Tyler's Retreat At Iron Bridge
TYLER'S RETREAT AT IRON BRIDGE in CHESTER, VA — inspection on August 13, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited TYLER'S RETREAT AT IRON BRIDGE in CHESTER, VA for a deficiency under regulatory tag F-F0628 during a complaint investigation conducted on 2025-08-13.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of TYLER'S RETREAT AT IRON BRIDGE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
Federal health inspectors cited TYLER'S RETREAT AT IRON BRIDGE in CHESTER, VA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-13.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of TYLER'S RETREAT AT IRON BRIDGE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
Federal health inspectors cited TYLER'S RETREAT AT IRON BRIDGE in CHESTER, VA for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2025-08-13.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of TYLER'S RETREAT AT IRON BRIDGE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
Federal health inspectors cited TYLER'S RETREAT AT IRON BRIDGE in CHESTER, VA for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2025-08-13.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of TYLER'S RETREAT AT IRON BRIDGE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.