Maxim Healthcare Services Inc

The agency failed to provide the services as written in the individualized plan of care in 4 of 7 clinical records reviewed.

The agency failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases in 1 of 2 home visits (#1) The findings include: Review of agency policy titled "Hand Hygiene" revised 9/7/2016 stated " ...Hand…

The agency failed to provide infection control education to direct care staff.

The agency failed to assign the home health aide to patients with written patient care instructions in 1 of 1 home visits with the home health aide in a total sample of 7 clinical records reviewed.

The governing body failed to assume responsibility of the agency's personnel records and criminal background screening.

The agency failed to safeguard the clinical record, its contents and the information contained therein from loss or unauthorized use.

The agency failed to ensure the patient was informed of the change in the plan of care related to the frequency of skilled nursing visits in 1 of 3 records receiving skilled nursing services in a total sample of 7 clinical records reviewed.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health, psychosocial, functional and cognitive status in 1 of 2 clinical records reviewed with a home visit.

The home health agency failed to review all medications the patient is currently using in order to identify any potential adverse effects and drug reactions in 1 of 2 home visits conducted in a total sample of 7 clinical records reviewed.

The agency failed to individualize the plan of care to include all medications, supplies and equipment and patient-specific interventions and education in 1 of 2 home visits conducted.

The agency failed to promptly alert the physician to changes in the patient's condition or needs that suggest the plan of care should be altered in 1 of 2 home visits in a total sample of 7 clinical records reviewed.

The home health agency failed to integrate services with other agencies providing care to the patient to assure identification of patient needs and factors that could affect patient safety and treatment effectiveness in 1 of 1 active records receiving services from other agencies in a total sample…

The home health aide provided services that were not included in the plan of care in 1 of 1 home visits with a home health aide in a total sample of 7 clinical records reviewed.

The home health aide failed to report changes in the patient's condition to a registered nurse or other appropriate skilled professional in 2 of 4 records reviewed with home health aide services in a total sample of 7 clinical records reviewed.