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Nursing HomeMedicaid Investigative

Oasis at the Keys Nursing and Rehab

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

48 High Point Road, Tavernier, FL 33070120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 42 Google reviews

5
4
3
2
1
Oasis at the Keys Nursing and Rehab Nursing Home in Tavernier, FL — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • High RN turnover (57%)

Bottom 25% in FL · Meets national RN staffing standard · $6,857 in fines

Source: Medicare data

What this means for your family

The facility's physical therapy and nursing teams are frequently praised for their dedication, making it a strong candidate for short-term rehab. However, given the serious reports of medication delays and hygiene neglect, we strongly advise families to conduct unannounced visits and monitor medication administration closely.

Google Reviews

Google Reviews

42 reviews analyzed
Oasis at the Keys receives polarized feedback, with many families praising the facility's cleanliness, friendly staff, and effective physical therapy programs. However, significant concerns exist regarding inconsistent medication management, slow response times for basic hygiene needs, and serious allegations of neglect and poor communication. Families should carefully weigh the positive reports of attentive nursing against the critical accounts of staffing shortages and hygiene issues.

Quality Themes

Tap a score for details
Food8.0Staff6.0Clean5.0Activities8.0Meds2.0MemoryN/AComms5.0ValueN/A

Strengths

  • Attentive and compassionate nursing staff
  • Effective physical and speech therapy
  • Clean and well-maintained facility
  • Professional and welcoming atmosphere

Concerns

  • Inconsistent medication administration and scheduling (mentioned by 2 reviewers)
  • Slow response times for toileting and hygiene assistance (mentioned by 2 reviewers)
  • Allegations of poor facility hygiene and cleanliness issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.72024(12)4.92025(19)4.02026(14)

Distribution

5
29
4
3
3
0
2
0
1
6

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the management is very active in responding to feedback; how does the team use resident and family input to improve daily care?
  • 2What specific protocols are in place to ensure medication is administered accurately and on a consistent schedule every day?
  • 3How do you manage staffing during shift changes to ensure residents receive timely assistance with hygiene and toileting needs?
  • 4With the high ratings for your therapy services, how do you coordinate physical and speech therapy into a resident's daily routine?
  • 5What steps does the housekeeping team take to maintain a high standard of cleanliness and comfort in the resident rooms?
  • 6Can you tell us about the types of social activities or group outings organized to keep residents engaged with one another?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff and therapist were professional, encouraging, and genuinely invested in the recovery of our Mom. Communication was clear and consistent, and the facility was always clean and organized.

Rehab patient's family · 2026★★★★★

I must give a special shout out to the physical therapy department without them. I would not be walking today so here is a special shout out to Michele and Tiffany.

Rehab patient · 2025★★★★★

This facility mishandled my father’s care from the transfer from hospital to the following day when I walked him out. Didn’t give medication or antibiotics for hand infection.

Long-term resident's family · 2026☆☆☆☆
Source: 42 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.80hrs
OK
Registered nurses for medical care
Total Nursing
3.33hrs
81%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

4

measures

Worse Than Avg

7

measures

Mixed Results

6

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.9%
Worse than Avg
Here
28.9%
US
19.5%
FL
15.0%
Monroe
14.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
14.4%
FL
9.1%
Monroe
16.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
93.4%
FL
98.1%
Monroe
86.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
FL
4.1%
Monroe
9.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.9%
Mixed vs Avgs
Here
20.9%
US
19.4%
FL
11.5%
Monroe
23.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility17.9%
Worse than Avg
Here
17.9%
US
15.3%
FL
10.6%
Monroe
16.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.4%
Mixed vs Avgs
Here
92.4%
US
81.8%
FL
94.8%
Monroe
72.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility83.3%
Mixed vs Avgs
Here
83.3%
US
79.7%
FL
94.7%
Monroe
72.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.0%
Worse than Avg
Here
5.0%
US
1.6%
FL
1.5%
Monroe
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Near state avg (7.3)
6 complaint-triggered
$6,857 in fines

This facility shows a concerning pattern of recurring issues across multiple areas, with families having filed complaints that triggered inspections. The most frequent problems involve fire safety systems, medication management, and care planning, with some issues like fire alarm maintenance and emergency power systems appearing repeatedly across surveys from 2020 to 2024. While all deficiencies show correction dates, the persistence of similar safety and care concerns suggests ongoing operational challenges that families should carefully evaluate.

Jan 14, 2025Complaint
1
0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Apr 26, 2024Routine
9
0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0352ModerateCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761MinorCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Apr 26, 2024Complaint
5
0851ModerateCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0636MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0636MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jun 30, 2022Routine
22
0281ModerateCorrected

Egress Deficiencies

Install proper backup exit lighting.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521ModerateCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814ModerateCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0680ModerateCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0730ModerateCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0929MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0676MinorCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0790MinorCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

0825MinorCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Nov 20, 2020Routine
23
0880SevereCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0835ModerateCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0035ModerateCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761ModerateCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0929ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0865ModerateCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0881ModerateCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0882ModerateCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0711ModerateCorrected

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

0803ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0919ModerateCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0225MinorCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0557MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Federal Penalties

Fine

Apr 26, 2024

$6,857

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oasis at the Keys Nursing and Rehab

Organization Type

for profit

Ownership & Management

Owners

Crystal Health Opco Holdings LLC

Owner · Organization

100%

Frankel, Jonathan

Owner (parent company)

Hirsch, Joseph

Owner (parent company)

Soskin, Moshe

Owner (parent company)

Key personnel

Frankel, JonathanManaging Control - Governing BodyHirsch, JosephManaging Control - Governing BodyFrankel, JonathanOfficer / DirectorHirsch, JosephOfficer / DirectorSoskin, MosheOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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