Maxim Healthcare Services Inc

The home health agency failed to follow the physician's ordered Plan of Care (POC) by failing to ensure that patients received the ordered number of skilled nursing hours for 1 of 5 active patients reviewed, (#2).

The home health agency failed to provide quality nursing staff to meet the ordered number of hours for skilled care for 4 of 5 active patients reviewed, (#1, #3, #2, #4) The findings include: Record review for sampled patient #1 revealed the patient plan of care, for certification period 11/4/2019…

The agency failed to follow the plan of care regarding skilled nursing visits for 3 of 3 sampled clients (#1, #2, #3), and failed to consult the client's physician regarding the missed visits.

The agency failed to communicate missed visits and changes in delivery of services as indicated on the clients' plan of care to the client's physician for 3 of 3 sampled clients (#1, #2, #3).

The Director of Nursing (DON) failed to ensure professional standards of practice were maintained by failing to ensure all staff were trained and qualified to use medical equipment required by clients for 2 of 3 sampled clients (#2, #3).