Oasis At The Conch Republic Nursing And Rehab
OASIS AT THE CONCH REPUBLIC NURSING AND REHAB in KEY WEST, FL — inspection on September 16, 2025.
Found 1 citation. 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.
Inspection Findings
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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