Maxim Healthcare Services Inc

The agency failed to ensure their emergency P&P and plan included a process for cooperation and collaboration with tthe regional emergency preparedness officials.

The agency failed to ensure the emergency preparedness P&P and plan included procedures to inform the state and local emergency officials about the patients in need of evacuation from their residences due to an emergency situation.

The agency failed to ensure the emergency preparedness communication plan was reviewed and updated every two years to include the names and contact information of entities who provided services under agreement, patient's physician, and volunteers, creating the increased risk of not addressing the…

The agency failed to ensure the emergency preparedness communication plan included the contact information of the federal, state, and tribal emergency preparedness staff and other sources of assistance.

The agency failed to ensure the emergency preparedness communication plan included the information related to the alternate means of communicating with the staff, federal, state, regional and local emergency management agencies, creating the risk of not being able to communicate to meet the…

The agency failed to ensure four of seven sampled patients (Patients 1, 4, 5, and 6) were provided with care and services as per the written POCs, creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the initial comprehensive assessment was completed accurately and consistently with the patient's immediate needs for one of seven sampled patients (Patient 7).

The HHA failed to ensure the medication profiles were updated to reflect the current medications three of seven sampled patients (Patients 3, 4, and 5).

The agency failed to ensure the updated comprehensive assessments were completed within the last five days of every 60 days for one of seven sampled patients (Patients 1), creating the risk of not addressing the care needs for these patients.

The agency failed to ensure the comprehensive assessment was completed within the 48 hours of the patient return to home from a hospital admission of 24 hours for one of seven sampled patients (Patient 6), creating the risk of not addressing the care needs for this patient.

The agency failed to ensure the POC included individualized plan for the specific interventions, measurable outcomes and goals identified for two of seven sampled patients (Patients 4 and 6), creating the risk of not addressing the care needs for these patients.

The agency failed to ensure the SN provided treatment only as ordered by the physician for three of the seven sampled patients (Patients 2, 6, and 7), creating a risk for not providing consistent quality care to these patients.

The agency failed to ensure the SN notified and coordinated with the physician the changes in condition for two of seven sampled patients (Patients 6 and 7), creating the risk of not addressing the care needs for these patients.

The agency failed to provide the written instructions on the SN visit schedule for one of seven sampled patients (Patient 4), creating the risk of not providing the necessary information to this patient.

The agency failed to ensure the SN provided care and services in accordance with the POC for three of seven sampled patients (Patients 2, 3, and 7), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's skilled staff prepared the accurate and complete clinical notes for two of seven sampled patients (Patients 1 and 6), creating the increased risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the responsibility for the day-to-day operations by not implementing the agency's P&P as evidenced by: * The agency failed to ensure the written agreements for one contractor (Contractor 1) included the required elements for the contract as per Title 22. * The agency…

The agency failed to complete and send the discharge summary to the primary care physician within five days from the discharge order for one of seven sampled patients (Patient 6).

The agency failed to ensure the emergency preparedness plan included the strategies for the emergency events identified by the risk assessment, creating the potential risk of not providing the necessary care and services to the patients during the emergency events.

The agency failed to develop the communication plan to include contact information for Federal, State, tribal, regional, or local emergency preparedness staff, creating the risk of not able to contact or request for assistance in the emergency events.

The agency failed to ensure the emergency preparedness communication plan included the method for sharing information and medical documentation for the agency's patients with other health providers to maintain the continuity of care, creating the increased risk of not providing appropriate…

The agency failed to ensure the initial training in emergency preparedness was provided to all of the staff including volunteers.

The agency failed to ensure the patients received care and services as per the written POCs for six of seven sampled patients (Patients 1, 2, 3, 4, 5 and 6), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the clinical records were complete and accurate for six of seven sampled patients (Patients 1, 2, 3, 4, 5, and 7), creating the risk of substandard care provided to these patients as their clinical information was not complete and accurate.

The agency failed to ensure the grievance was thoroughly investigated as per the agency's P&P for one nonsampled patient (Patient A), creating the risk of violating the patient's rights and not providing quality of care and services to this patient.

The agency failed to ensure the initial assessment visit was conducted within 48 hours after referral for one of seven sampled patients (Patient 1), creating the risk of not providing the necessary care and services to this patient timely.

The agency's RN failed to complete the initial comprehensive assessments in a timely manner, consistent with the patient's immediate needs, but no later than 5 calendar days after the SOC date for one of seven sampled patients (Patient 1), creating the risk of not identifying and addressing the…

The agency failed to ensure the review of the medications included all of the patient's current medications to identify any potential adverse effects and drug reactions for one of seven sampled patients (Patient 7).

The agency failed to ensure the updated comprehensive assessments were completed within the last five days of every 60 days for two of seven sampled patients (Patients 1 and 6), creating the risk of not addressing the care needs for these patients.

The agency failed to ensure the POC included specific information related to the GT flushing for one of seven sampled patients (Patient 5), creating the risk of not addressing the care needs for this patient.

The agency failed to ensure the agency's RN provided supervision to the SN to ensure quality of care and services provided for three of seven sampled patients (Patients 2, 3, and 5), creating the risk of a substandard healthcare outcome to these patients.

The agency's Administrator failed to be responsible for the day-to-day operations as the agency's P&Ps related to grievance and patient care were not implemented, creating the risk of not addressing the staff's concerns.