Maxim Healthcare Services Inc

The agency failed to complete the initial assessment visit within 48 hours of referral, or within 48 hours of the patients return home, or on the physician-ordered start of care date, for four (4) of seven (7) clinical records (CR#4 - CR#7).

The agency failed to complete the initial assessment visit within 48 hours of referral, or within 48 hours of the patients return home, or on the physician-ordered start of care date, for four (4) of seven (7) clinical records (CR#1, CR#3, CR#4, CR#7).

The agency failed to ensure a discharge summary was completed and sent to the primary care practitioner, per policy, for one (1) of seven (7) clinical records (CR#6).

The agency failed to ensure that everyone entering the health care facility is screened and triaged for COVID-19 for one (1) of one (1) observations (Observation #1).

The agency failed to ensure an individualized plan of care, including all of the required elements, per policy, was established for one (1) of seven (7) clinical records (CR#6).