Maxim Healthcare Services

The Home Health Agency (HHA) failed to ensure physician ordered medications were administered, prompt notification to the physician and HHA administrative staff.

The Home Health Agency (HHA) failed to ensure the Administrator demonstrated responsibility for all day-to-day operations and the Director of Nursing (DON) failed to provide supervision of all personnel who provided direct patient care to ensure ordered medications were consistently…

The home health agency (HHA) Clinical Manager/Director of Nursing (DON) failed to provide supervision of all personnel who provided direct patient care to ensure ordered medications were consistently available/administered and failed to ensure timely escalation/physician notification when ordered…

The HHA failed to ensure drugs, services, and treatments were administered only as ordered by the physician as evidenced by medication therapy not being administered as ordered due to lack of medication availability and lack of agency oversight to ensure administration in accordance with the…

The Home Health Agency failed to promptly alert the physician to changes in the patient’s condition or needs that suggested outcomes were not being achieved and/or that the plan of care should be altered, as evidenced by failure to timely notify the physician/allowed practitioner when ordered…

The home health agency (HHA) failed to provide services as per the physician's plan of care for 1 of 6 sampled patients reviewed (Patient#1).

The Home Health Agency(HHA) failed to ensure a home health aide met qualification requirements prior to furnishing home health aide services, as evidenced by the HHA assigning a home health aide to provide home health aide services without documentation of a successfully completed qualifying…

The home health agency failed to ensure that the administrator was responsible for the day-to-day operations of the agency, such as being responsible for the oversight of the office quality management system and organize and direct the ongoing functions of the office.

The HHA failed to ensure that the patient’s representative was informed and agreed to the Plan of Care changes for 1 of 3 sampled patients reviewed as evidenced by the lack of written evidence that the patient’s representative was informed, participated and agreed with the reduction of the Skilled…

The HHA failed to ensure that patient’s physician was notified of the Plan of Care changes for 1 of 3 sampled patients reviewed as evidenced by the lack of a written supplemental physician's order or a communication note to the physician notifying the physician of the reduction of the skilled…

The Home Health Agency (HHA) failed to maintain infection control measures to prevent potential cross contamination during the wound care observation for 1 of 1 sampled patients during a home visit for wound care.

The HHA failed to ensure that their patients receive services as per the Physician's Plan of Care for 2 of 7 sampled patients (Patient #2 and #5).

The Home Health Agency failed to follow physicians' orders for drugs and treatments for 3 of 5 sampled patients (Patient #1, #2 and #3).

The Home Health Agency (HHA) failed to ensure the patient’s plan of care documented current information for 2 of 5 sampled patients who received home visits as evidenced by interviews with the patients during a home visit who stated they were not taking the medications listed on the revised plan of…

The Home Health Agency failed to: Ensure that the physician's orders were followed (G0580); Ensure coordination of care related to the patient's Physical, Occupatinal and Respiratory Therapy services provided in the home (G0600); Ensure communication amongst all physicians involved in the patient's…

The HHA failed to coordinate the care delivery for 1 of 3 sampled patients as evidenced by the lack of coordination of care for the Occupational and Respiratory Therapy services provided to the patient (Patient #1).

The HHA's staff failed to provide care and services necessary for 1 of 3 patients as evidenced by the patient's Occupational Therapist, the patient's Respiratory Therapist and the HHA's staff, who were furnishing services to the patient, placed the patient, who has a tracheostomy, face down on…

The Home Health Agency (HHA) failed to follow the physician's orders for 1 of 3 sampled patients as evidenced by placing a patient with a tracheostomy, face down on their abdomen for approximately 54 minutes, without a physician's order, and without Oxygen Therapy and monitoring of the patient's…

The Home Health Agency (HHA) failed to communicate with all of the patient’s physicians for 1 of 3 sampled patients as evidenced by the lack of communication amongst the persons providing care and services to the HHA's patient including Occupational and Respiratory Therapists; as evidenced by the…

Based record review and interview, it was determined that the Home Health Agency (HHA) failed to integrate all of the physician's orders for 1of 3 sampled patients as evidenced by the lack of documentation related to the type, frequency and duration of the patient's Physical, Occupational and…

The Home Health Agency (HHA) failed to integrate all services for 1of 3 sampled patients as evidenced by the lack of documentation of the frequency, duration and type of therapy provided by the patient's Physical, Occupational and Respiratory Therapists to the patient and the HHA failed to…

The Home Health Agency failed to timely coordinate with the pharmacy and/or physician services regarding IV antibiotic dosing that required laboratory monitoring and to timely notify the physician of missed visits and missed antibiotic dosages for 1 of 8 sampled patients (Patient #1).