Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
1/5
Health inspection rating (on-site)
inspected Jun 27, 2024
4
Serious findings on record
most recent Mar 15, 2024
$195,071
Fines, last 3 years
3.80
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Mar 15, 2024 · F-0578 · triggered by a complaint
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 22, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, isolated · Mar 15, 2024 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 22, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, pattern · Oct 26, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 27, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Oct 26, 2023 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 27, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaintF-0689
F · Potential for more than minimal harm, widespread
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaintF-0812
E · Potential for more than minimal harm, pattern
The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaintF-0761
View all 21 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Sep 16, 2025
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 26, 2025
F · Potential for more than minimal harm, widespread
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Jun 26, 2025
E · Potential for more than minimal harm, pattern
The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Jun 26, 2025
E · Potential for more than minimal harm, pattern
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jun 26, 2025
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jun 27, 2024
F · Potential for more than minimal harm, widespread
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 27, 2024
E · Potential for more than minimal harm, pattern
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jun 27, 2024
E · Potential for more than minimal harm, pattern
The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Jun 27, 2024
E · Potential for more than minimal harm, pattern
The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. · F-0680
Jun 27, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Jun 27, 2024
D · Potential for more than minimal harm, isolated
The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Mar 15, 2024
▲ J · Immediate jeopardy, isolated
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint · F-0578
Mar 15, 2024
▲ J · Immediate jeopardy, isolated
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint · F-0678
Oct 26, 2023
▲ K · Immediate jeopardy, pattern
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Oct 26, 2023
▲ K · Immediate jeopardy, pattern
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Sep 15, 2022
E · Potential for more than minimal harm, pattern
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Sep 15, 2022
E · Potential for more than minimal harm, pattern
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Sep 15, 2022
E · Potential for more than minimal harm, pattern
The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700
Sep 15, 2022
D · Potential for more than minimal harm, isolated
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Sep 15, 2022
D · Potential for more than minimal harm, isolated
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Apr 1, 2021
D · Potential for more than minimal harm, isolated
The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations:
1
Serious citations (G–L):
0
2022
All citations:
5
Serious citations (G–L):
0
2023
All citations:
2
Serious citations (G–L):
2
2024
All citations:
8
Serious citations (G–L):
2
2025
All citations:
5
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2021
1
0
D
2022
5
0
E
2023
2
2
K ▲
2024
8
2
J ▲
2025
5
0
F
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Feb 18, 2024
Fine
$5,125
Feb 18, 2024
Fine
$9,159
Oct 26, 2023
Fine
$180,787
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityFlorida averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
3.80
Florida average:
4.03
U.S. average:
3.95
Registered Nurse hours
This facility:
0.87
Florida average:
0.76
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.58
Florida average:
3.68
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Florida avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
3.80
4.03
3.95
bottom 43% in Florida; top 48% in the U.S.
Registered Nurse hours
0.87
0.76
0.69
top 29% in Florida; top 22% in the U.S.
Weekend total nurse staffing
3.58
3.68
3.50
top 45% in Florida; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.71
0.53
0.48
top 20% in Florida; top 16% in the U.S.
Total nursing staff turnover (%)
51.8
41.4
45.8
bottom 23% in Florida; bottom 32% in the U.S.
RN turnover (%)
67.7
46.0
42.9
bottom 13% in Florida; bottom 13% in the U.S.
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.23, RN 0.74, weekend 3.05.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.23 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Oasis at the Conch Republic Nursing and Rehab. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
Also worth asking anywhere
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities
This is the only Medicare-certified nursing home within 40 miles. The nearest other one is Oasis at the Keys Nursing and Rehab in Tavernier, FL — 81 miles away in a straight line.
Straight-line distance is not travel distance. The road route is longer, and in some regions there is no road. Check the actual journey before ruling this option in or out.
Other facilities in the same county
CMS records place this facility in Monroe, FL — 2 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 106089.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — Oasis at the Conch Republic Nursing and Rehab
5860 W Junior College Rd, Key West, FL 33040 · (305) 296-4888
Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $195,071
Most serious findings on record:
▲ Mar 15, 2024 (F-0578, Immediate jeopardy, isolated): The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
▲ Mar 15, 2024 (F-0678, Immediate jeopardy, isolated): The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
▲ Oct 26, 2023 (F-0600, Immediate jeopardy, pattern): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Questions for the administrator:
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
While you're there, notice:
☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)
Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 106089 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)