Maxim Healthcare Services Inc

The facility failed to ensure one of seven sampled patients (Patient 1) medication profile was reconciled.

The facility failed to ensure physicians are notified when the prescribed hours of visitation is not met for three out of seven sampled patients (Patients 1, 4 and 5) This facility failure had the potential to ineffective care due to insufficient nursing visitation hours.

The agency failed to ensure qualified personnel were employed when two of seven sampled employees Registered Nurse Supervisors (RN Sups 1 and 2) did not have a written health assessment completed, a prerequisite for employment for employees with direct patient contact.

The home health agency's (HHA's) governing body failed to assume full authority and responsibility for the management, and operations of the HHA's contracted medical social worker (MSW) and physical therapy (PT) services.

The agency failed to ensure the minimum number of skilled nursing hours ordered by the physician were provided for four of seven sampled patients (P3, P4, P5, and P6).

The home health agency (HHA) failed to retain overall responsibility for contracted services when the current physical therapy and medical social workers contracts dated 2011, did not specify how HHA's supervision will occur.