Nursing homes › Virginia › Tyler'S Retreat at Iron Bridge
12001 Iron Bridge Rd, Chester, VA 23831 · 8047061023 · 90 certified beds
Per CMS filings, this facility is affiliated with Saber Healthcare Group, a group operating 127 facilities in 6 states. Group record: average rating 2.9/5, 12 abuse citation icons, 3 facilities on the Special Focus list, $3,344,418 in federal fines. This facility rates above its group average (2.9/5).
Total nurse staffing: 3.85 (Virginia median: 3.45). RN hours: 0.77. Weekend total: 3.38. Nursing staff turnover: 50%.
All-time on record: 45 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-13 | 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 | Health | corrected 2025-09-18 |
| 2025-08-13 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-09-18 |
| 2025-08-13 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-09-18 |
| 2025-08-13 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-09-18 |
| 2024-06-12 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-07-16 |
| 2024-06-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-07-16 |
| 2024-06-12 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-07-16 |
| 2024-06-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-07-16 |
| 2024-06-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-07-16 |
| 2024-06-12 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | complaint | corrected 2024-07-16 |
| 2023-10-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-11-09 |
| 2023-10-17 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2023-11-09 |
| 2023-01-19 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2023-02-14 |
| 2023-01-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-02-14 |
| 2023-01-19 | 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. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | 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. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | 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. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-02-14 |
| 2023-01-19 | Post nurse staffing information every day. | C | Health | corrected 2023-02-14 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| VOLPE, BENJAMIN | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2019 |
| WEISBERG, WILLIAM | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2019 |
| NICOLUZAKIS, GREGORY | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2019 |
| VOLPE, BENJAMIN | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2019 |
| WEISBERG, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2019 |
| SABER GOVERNANCE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2019 |
| SHG MANAGEMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/01/2019 |
| HOLMES, ANDREA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/17/2025 |
| HOPKINS, JOSEPH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/08/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 495401. Corrections: data@carerecords.org.