Maxim Healthcare Services settled for $100,000 (plus prior $28,269.50 repayment) after continuing to document home health aide services in the same manner deemed insufficient by state auditors even after an administrative appeals decision upheld the deficiency findings.

Maxim Healthcare Services (New Hampshire) — Ongoing Insufficient Documentation

Outcome: Settled for $100,000 after continuing to document home health services in the same manner found insufficient by state auditors, even after an administrative appeal confirmed the deficiency and ordered prior repayment of $28,269.50.

Maxim Healthcare Services, a national home health agency operating in New Hampshire, was found by the state Department of Health and Human Services audit to have maintained insufficient documentation of home health aide services — specifically in a manner that did not meet state Medicaid program requirements.

An administrative appeals decision in May 2022 upheld the audit findings and ordered Maxim to repay $28,269.50. Rather than correcting its documentation practices going forward, Maxim "continued to document services in the same manner deemed insufficient" — perpetuating the deficiency rather than remediating it. The agency also did not pursue judicial review of the adverse appeals decision.

This pattern of continuing inadequate practices after an administrative determination of deficiency represents an aggravated compliance failure. The New Hampshire Attorney General negotiated a $100,000 settlement (in addition to the prior $28,269.50 repayment) announced April 28, 2025.

Primary Source: Home Health Agency To Pay $100,000 In Settlement Over Incomplete Patient Care Records