Oasis At The Conch Republic Nursing And Rehab
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Fire/EMS (Emergency Medical Services), so there would be a whole process involved. She said she was not sure how he got the code, and he was the only one that she knew of that comes and goes that late.On 9/16/25 at 12:04 p.m., in an interview the Director of Nursing (DON) said no family member should have the code to get in or out the door. She said it was not policy to have the code handed out and if that had been
the case, they needed to change it. The DON said if a family member is visiting after hours, they should ring
the doorbell to get in or get a staff member to let them out.On 9/16/25 the facility provided list of 5 residents (including Resident #2) who were identified as elopement risk and wore a wander alert bracelet. On 9/16/25 at 11:16 a.m., observation of residents with wander alert bracelets with the ADON revealed Resident #2 did not have a wander guard on. Resident #2 was unable to say where the wander alert bracelet was when asked.On 9/16/25 review of the clinical record for Resident #2 revealed no documentation verifying the wander alert bracelet was on and functioning. On 9/16/25 at 12:04 p.m., in an interview the DON said the placement and functioning of the wander alert bracelets should be checked every day. She said there was no official wander alert policy, or policy for checking it during shift change. On 9/16/25 at 12:04 p.m., in an
interview the ADON said wander alert bracelets placement and functioning should be documented on the Treatment Administration Record (TAR) daily. She said she recently found out that the box to document the wander alert bracelets had somehow dropped off the TARS and they hadn't been documented on. She said
she could not say how long the documentation of the wander alert bracelets had been missing from the TARS.On 9/16/25 at 2:30 p.m., in an interview the Administrator said they were working on changing the codes to the doors, and no family members should have the codes to the doors. The Assistant Administrator was present during the interview and said all residents at risk for elopement should have their wander alert bracelets on and should be monitored daily by staff.
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OASIS AT THE CONCH REPUBLIC NURSING AND REHAB in KEY WEST, FL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 KEY WEST, FL, (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 OASIS AT THE CONCH REPUBLIC NURSING AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.