Every finding on record at Maxim Healthcare Services Inc

During the Recertification survey conducted January 9-12, 2023 at Maxim Healthcare Services, a home health agency, Emergency Preparedness was reviewed. The agency is in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 484.22, Condition of Participation for Home Health Agencies.

A recertification survey was conducted January 9-12, 2023 at Maxim Healthcare Services. The agency was not in compliance with Code of Federal Regulations (CFR) 42, Part 484.22, Condition of Participation for Home Health Agencies.

Provide services in the plan of care CFR(s): 484.75(b)(3) Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care; This ELEMENT is not met as evidenced by: Based on record review and interviews, 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). A record review for sampled patient #2 revealed the patient’s plan of care, for certification periods 10/8/2022 to 12/6/20222 and 12/7/2023 to 2/4/2023, stated that patient #2 should receive 100-168 hours of skilled nursing services per week. A review of a computer-generated report, provided by the Administrator, revealed that the actual skilled nursing hours received by the was as follows: 11/13/22-11/19/22 36.21 hours, 11/19/22-/11/26/22 60.47 hours, 11/29/22-12/3/22 81.83 hours, 12/4/22-12/10/22 80.27 hours, 12/11/22-12/17/22 85 hours, 12/18/22-12/24/22 84.25 hours, 12/25/22-12/31/22 64.35 hours and 1/1/23-1/7/23 58.00 hour. On 1/11/2023 at approximately 3:45 PM, an interview was conducted with patient #2’s family caregiver who stated that there was not always a nurse available for the evening and night shifts, and there have been some days where patient #2 had not received services at all. On 1/12/2023 at approximately 10:22 AM, an interview was conducted with the agency administrator who confirmed the above hours for patient #2 and confirmed they were not able to meet the staffing requirements due to a lack of qualified skilled nurses.