Maxim Healthcare Services Inc

The agency failed to ensure the risk assessment was accurate and include strategies for addressing emergency events identified by the risk assessment.

The agency failed to ensure the emergency preparedness P&P included the use of volunteers in an emergency or other emergency staffing strategies including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to ensure the initial training for the emergency preparedness P&P (Policy and Procedure) was provided to all of the staff including volunteers.

The agency failed to ensure the patients received care and services as per the written POCs for six of seven sampled patients (Patients 1, 2, 3, 4, 5, and 6 ), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the clinical records were complete and accurate for four of seven sampled patients (Patients 2, 3, 4, and 5), creating the risk of substandard care provided to these patients as their clinical information was not complete and accurate.

The agency failed to ensure the patient and PCG were advised of the availability of the toll-free state hotline established by the State for three of seven sampled patients (Patients 3, 4, and 5), creating the risk of violating the patient's rights to be informed of the availability of the state…

The agency's RN failed to complete the initial comprehensive assessments in a timely manner, consistent with the patient's immediate needs, no later than 5 calendar days after the SOC date for two of seven sampled patients (Patients 5 and 7), creating the risk of not identifying and addressing the…

The agency failed to ensure the review of the medications included all of the patient's current medications to identify any potential adverse effects and drug reactions for two of seven sampled patients (Patients 4 and 5).

The agency failed to ensure the updated comprehensive assessments were completed within the last five days of every 60 days for four of seven sampled patients (Patients 1, 2, 5, and 6), creating the risk of not addressing the care needs for these patients.

The agency failed to ensure the POC included specific information related to the patient's medication for one of seven sampled patients (Patient 1), creating the risk of not addressing the care needs for this patient.

The agency failed to ensure the SN coordinated care with the physician for three of seven sampled patients (Patients 2, 3, and 7), creating the risk of not providing the necessary care and services to these patients.

The agency failed to provide the written instructions outlining the SN visit schedule for one of seven sampled patients (Patient 5), creating the risk of not providing the necessary information to this patient.

The agency failed to ensure the agency's RN provided supervision tthe SN to ensure quality of care and services provided for four of seven sampled patients (Patients 1, 4, 5, and 6), creating the risk of substandard healthcare outcomes to these patients.

The agency's Administrator failed to be responsible for the day-to-day operations as the agency's P&P and state regulatory requirements regarding the employee health for one employee (LVN 3), creating the increased risk of having unqualified staff provided care to the patients.

The agency failed to ensure the completed discharge summary was sent to the primary care practitioner after discharge from the HHA within five business days of the discharge date for one of two sampled discharged patients (Patient 1), creating the risk of not providing the necessary care and…