A scathing Monroe County grand jury report into a wide-ranging narcotics theft scandal centering around the county fire department’s air ambulance program — leading to four indictments — sharply criticizes county officials for lacking “integrity and accountability” and fostering a “caustic and cronyistic environment.”

Former Monroe County Administrator Roman Gastesi became the latest official in the Florida Keys to face a criminal charge as prosecutors announced his indictment on a felony charge by a grand jury.

A former Monroe County Fire Rescue chief flight nurse for the Trauma Star helicopter program has been arrested on accusations that she was stealing narcotics, the Monroe County Sheriff’s Office announced Tuesday.