Maxim Healthcare Services Inc

The facility's Emergency Plan did not include, or address, the use of volunteers during an emergency.

The facility's Emergency Plan failed to include alternate means of communicating with facility staff, federal, state, tribal, regional, and local emergency management agencies if telephones failed during an emergency.

The agency failed to conform to the physician's plan of care, when staff did not provide aspiration precautions for two of seven sampled patients (Patient 1 and 2) during gastrostomy feedings (G-tube), by raising the patients' head of bed at least 30°. (G-Tube feeding is a method of administering…

The agency's plan of care for one of seven sampled patients ( Patient 6 ) failed to indicate frequency of intermittent nursing visits.

The agency failed to provide Licensed Vocational Nurse (LVN) or Registered Nurse (RN) services, per physician order, in three of seven sampled patients' plan of care (Patient 2, 3 and 5).