Maxim Healthcare Services Inc

The home health agency failed to establish an effective process for the provision of care and services through the Plan of Care and Medical Supervision for 7 of 8 sampled pediatric patients (#1, #2, #3, #4, #5, #6, #7).

B Based on medical record review and interviews, the home health agency failed to provide skilled nursing visits as ordered by the physician for a total of 71 shifts during a review period of 3/7/21 to 5/4/21 for 7 of 8 sampled patients reviewed (#1, #2, #3, #4, #5, #6, #7); failed to assess vital…

The home health agency failed to implement effective action plans to correct identified quality deficiencies related to missed skilled nursing visits for 2 of 2 periods reviewed, (1/1/20 to 12/31/20 and 1/1/21 to 3/31/21).

The home health agency failed to ensure an individualized plan of care for 1 of 7 sampled patients (#1) by failing to include wound/dressing treatment orders.

The home health agency failed to ensure wound care/dressing treatments were administered only as ordered by the patient's physician for 1 of 7 sampled patients (#1).

The home health agency failed to ensure skilled nursing staff alerted the physician of missed skilled nursing visits or missed hours for 1 of 7 sampled patients (#2).