The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — limited pattern, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
OASIS AT THE CONCH REPUBLIC NURSING AND REHAB
KEY WEST, FL · Medicare-certified · 120 beds
Needs attention
For-profit
1 of 5 overall
1 of 5 stars overall, with a 1-star health inspection rating and an attention flag for the lowest overall rating. Staffing is rated 4 stars, but reported nurse staffing is 3.32 hours per resident per day versus the 4.1 federal benchmark; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3187 hrs/resident/day
Quality measures
Last inspection: September 16, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3187.
Staffing detail
- Registered nurses
- 0.97
- Licensed practical nurses
- 0.19
- Nurse aides
- 2.15
- Weekend nursing
- 3.16
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.2%Worsening
Residents with a fall causing major injury
4.5%Worsening
Residents with pressure ulcers (bedsores)
5.6%Improving
Residents with a urinary tract infection
1.5%Improving
Residents who lost too much weight
5.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.6%Worsening
Residents whose ability to walk got worse
11.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
9.6%Improving
Short-stay residents newly given an antipsychotic
2.1%Improving
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
16.9%Worsening
Residents with depressive symptoms
1.4%Improving
Long-stay residents given the seasonal flu vaccine
84.4%Steady
Long-stay residents given the pneumonia vaccine
95.8%Improving
Short-stay residents given the seasonal flu vaccine
67.7%Steady
Short-stay residents given the pneumonia vaccine
76.2%Improving
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited October 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: K
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 578 — 42 CFR §483.10 — S/S: J
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited March 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $195,071 in total fines.
- $9,159
Federal fine
Feb 18, 2024
- $5,125
Federal fine
Feb 18, 2024
- $180,787
Federal fine
Oct 26, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 99.5 residents on an average day (83% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 15 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.