Maxim Healthcare Services, Inc

The agency failed to ensure the coordination of care with all agencies providing services for one patient (#3), out of 6 active clinical records reviewed.

The agency failed to ensure the patient's medical and nursing needs were met in the patients' place of residence for 2 of 9 clinical records reviewed for patients who were unable to receive adequate home nursing care by licensed staff (see G 0570 below) and failed to ensure Licensed Nurses reported…

The skilled nurses failed to follow the plan of care for 3 of 9 patients' medical records reviewed (see G 0710).

The facility failed to ensure the two of services were administered under the organizational structure as required per home health agency requirements.

The agency failed to provide requested home health aide (HHA) services for 1 patient (#2) of 9 clinical records reviewed.

The agency failed to ensure that the patient's right to be advised of the state toll free hotline number, the contact number, the hours of operation, and its purpose was understood and easily accessible to the patient / patient representatives for 4 of 9 skilled clinical records reviewed (#1, #3…

The agency failed to ensure Licensed Nurses [LN] reported changes to the physician for 1 (#11) out of 9 patients' medical records reviewed.

The agency failed to coordinate care among the different disciplines / entities providing care to 1 of 1 closed patient records reviewed for cares provided by outside agencies, including a patient (#1) receiving physical therapy from an outside therapy service.

The facility failed to ensure the skilled nurses followed the plan of care for 3 of 9 patient records reviewed (#s 1, 4, and 5).

The agency failed to consult the physician for modifications to the individualized plans of care.

The agency failed to follow the plan of care (POC) established by the physician for 2 patients (#'s 7 and 10) out of 10 sampled patients.

The agency failed to ensure all the required information for the state home health hot line was provided to patients (based on a census of 51).

The agency failed to ensure the initial assessment visit was held within 48 hours of referral, or within 48 hours of the patient's return home, for 3 patients (#'s 3, 8 and 9) out of 10 reviewed.