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Complaint Investigation

Tyler's Retreat At Iron Bridge

August 13, 2025 · Chester, VA · 12001 Iron Bridge Rd
Citations 4
CMS Rating 3/5
Beds 90
Provider ID 495401
Healthcare Facility
Tyler's Retreat At Iron Bridge
Chester, VA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0628
Resident Rights Deficiencies
Potential for More Than Minimal Harm

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.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHESTER, VA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from TYLER'S RETREAT AT IRON BRIDGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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