Every finding on record at Maxim Healthcare Services, Inc.

An unannounced onsite complaint investigation was conducted 6/28/2021 at Maxim Health Care Services in Madison, WI or complaint #WI00040895. The complaint was unsubtantiated and one related citation was issued. The agency was found to be in compliance with the Medicare Conditions of Participation for Home Health 42 CFR 484. The citation issued is standard level or below.

HHA can no longer meet the patient's needs CFR(s): 484.50(d)(1) The transfer or discharge is necessary for the patient's welfare because the HHA and the physician or allowed practitioner, who is responsible for the home health plan of care agree that the HHA can no longer meet the patient's needs, based on the patient's acuity. The HHA must arrange a safe and appropriate transfer to other care entities when the needs of the patient exceed the HHA's capabilities; This ELEMENT is not met as evidenced by: Based on record review and interview, the agency staff failed to give a 10-day notice to those patients that required it in 1 of 6 (Patient #10) patients that required a discharge notice out of a total of 10 discharged medical records reviewed. Findings include: Review of policy "Discharge" last revised 4/9/2021 revealed, "5.1.2 For Certified Home Health Offices. 6.1.1 A 48-hour advance notification of discharge (or state required minimum if greater) shall be provided to the patient/client and/or legal representative, and appropriate parties, in writing, prior to discharge from service." Review of Patient #10's discharge medical record "Plan of Care" revealed #10 was admitted to the agency on 4/23/2018 with diagnoses of Crohn's Disease of small intestine and Irritable bowel syndrome. Review of letter by agency to Patient #10 dated 8/7/2020 revealed "Re: NOTICE OF DISCHARGE EFFECTIVE AS OF 8/9/2020". Patient #10 was discharged 8/9/2020 due to agency not able to provide needed care (infusions) Written notice of discharge was not given at least 10 days in advance of discharge. An interview was conducted with C at 12:30 p.m. on 6/28/2021. C confirmed the above findings. "I'm not sure what happened there."