Maxim Healthcare Services Inc

The agency failed to include all required elements in the clinical record.

The agency failed to ensure services and treatments were provided as ordered by a physician for 1 of 3 active patient records receiving Certified Nurse Aide (CNA) services (Patient #3).

The agency failed to ensure services and treatments were provided in accordance with physician's orders for 2 of 2 patients reviewed receiving private duty nursing (PDN) services (Patient #1 and #3).

The agency failed to ensure wound care treatments were administered by agency staff only as ordered by a physician for 2 of 4 patients reviewed who had wound care ordered (Patients #3 and #8).

The agency failed to ensure a registered nurse (RN) or other appropriate skilled professional familiar with the patient, the patient's plan of care and the written patient care instructions made an onsite visit to the patient's home no less frequently than every 14 days to conduct home care aide…

The agency failed to ensure care was provided according to each patient's individualized written plan of care, in conformance with physician orders, for 2 of 2 patients receiving private duty nursing (PDN) services reviewed (Patients #1 and #3).