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Maxim Healthcare Services, Inc

(626) 962-645331 Rancho Camino Dr., Floor 2, Pomona, CA 91766
CMS Certification Number 053113 · Proprietary · Medicare-certified since 10/24/2016
15deficiencies since 2018
2serious
2inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2025-01-16

· Complaint · 4 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The Home Health Agency (HHA) failed to ensure interventions for patient/caregiver teaching on checking placement prior to gastrostomy (G-tube, an opening into the stomach from the abdominal wall, made surgically for the introduction of food) feeding, was implemented in accordance with the plan of…

Source: CMS Form 2567, inspection 2025-01-16, tag G0572 · view on CMS
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Minor Within 48 Hours Of The Patient'S Return

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to update the comprehensive assessment (in-person clinical assessment of the patient's physical, functional, mental, psychosocial, and cognitive status to identify the needs of the patient and…

Source: CMS Form 2567, inspection 2025-01-16, tag G0548 · view on CMS
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Minor Plan Of Care Must Include The Following

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to develop an individualized plan of care (POC) that included problems, goals and interventions for one of seven sampled patients (Patient 2), who had a diagnosis of epilepsy (a chronic brain…

Source: CMS Form 2567, inspection 2025-01-16, tag G0574 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The Home Health Agency (HHA) failed to notify the physician for one of seven sampled patients (Patient 4) of a change of condition.

Source: CMS Form 2567, inspection 2025-01-16, tag G0590 · view on CMS
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Inspection 2023-11-03

· Complaint · 11 deficiencies · CMS source report (PDF)
Serious Patient Rights

The Home Health Agency (HHA) failed to ensure the Condition of Participation (conditions that health care organizations must meet in order to begin and continue participating in the Medicare [a federal health insurance for people 65 or older, and some people under 65 with certain disabilities or…

Source: CMS Form 2567, inspection 2023-11-03, tag G0406 · view on CMS
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Serious Organization And Administration Of Services

The Home Health Agency failed to ensure the Condition of Participation (conditions that health care organizations must meet in order to begin and continue participating in the Medicare [a federal system of health insurance for people over 65 years of age and for certain younger people with…

Source: CMS Form 2567, inspection 2023-11-03, tag G0940 · view on CMS
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Minor text mentions immediate jeopardy Be Free From Abuse

The home health agency failed to ensure one of seven sampled patients (Patient 1) had the right to be free from physical abuse by failing to: 1. Ensure Patient 1 was free from physical abuse from Licensed Vocational Nurse 1 (LVN 1).

Source: CMS Form 2567, inspection 2023-11-03, tag G0430 · view on CMS
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Minor Mistreatment, Neglect Or Abuse

The home health agency failed to conduct an complaint investigation regarding mistreatment and physical abuse (the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish.

Source: CMS Form 2567, inspection 2023-11-03, tag G0482 · view on CMS
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Minor Document Complaint And Resolution

The home health agency (HHA) failed to document the alleged abuse (the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish.

Source: CMS Form 2567, inspection 2023-11-03, tag G0484 · view on CMS
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Minor Immediate Reporting Of Abuse By All Staff

The home health agency failed to report an alleged abuse (the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish.

Source: CMS Form 2567, inspection 2023-11-03, tag G0488 · view on CMS
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Minor A Review Of All Current Medications

The home health agency failed to update the medication profile (the lists of medication a patient is taking and had used) to reflect the patient's current medications for one of seven sampled patients (Patient 4).

Source: CMS Form 2567, inspection 2023-11-03, tag G0536 · view on CMS
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Minor Only As Ordered By A Physician

The home health agency failed to ensure the physician’s treatment order to cleanse the gastric tube (a tube surgically inserted into the stomach for medications and nutrition administration) were followed for three of 7 sampled patients (Patient 1, Patient 2, and Patient 6).

Source: CMS Form 2567, inspection 2023-11-03, tag G0580 · view on CMS
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Minor Patients Receive Education And Training

The home health agency failed to ensure caregiver training, instructions or health teaching was provided to the caregiver on how to administer gastric tube (GT, a tube surgically inserted into the stomach to administer nutrition and medications) feeding for one out of seven patients, (Patient 4).

Source: CMS Form 2567, inspection 2023-11-03, tag G0610 · view on CMS
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Minor Responsible For All Day-To-Day Operations

Failed to ensure the allegation of abuse (the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish.

Source: CMS Form 2567, inspection 2023-11-03, tag G0948 · view on CMS
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Minor In Accordance With Current Clinical Practice

The home health agency (HHA) failed to: 1. Implement its policy and procedure on Abuse (the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish.

Source: CMS Form 2567, inspection 2023-11-03, tag G0984 · view on CMS
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