Maxim Healthcare in Fresno, CA

Pros

• Maxim Healthcare offers an excellent in-home ABA service.
• Maxim clinicians tailor personalized care plans and regularly adjust them to keep patient care well-supported.
• Maxim provides 24/7 communication and reliably addresses inquiries and expectations.
• The Maxim team helps families keep loved ones at home with flexible, supportive care.
• Garden consistently goes above and beyond to support families with professionalism and compassion.
• Trina provides outstanding respite support for child clients.
• Natalie has been a trusted guide for families navigating autism and ADHD.
• Maxim nurses and caregivers are patient, professional, and dedicated to quality care.
• Arthur is patient, caring, and goes the extra mile as a homecare nurse.
• Maxim is a strong place for career growth with thorough training and opportunities for advancement.
• Briana and Katie Grisgby are praised as friendly, responsive recruiters who support staff well.
• Jacquie delivers empathic ABA therapy and has helped Kamryn thrive.

Cons

• They claim the pay is very low and the caregivers are extremely unreliable.
• They describe Maxim Fresno as the worst place ever, with staff who are immature and unprofessional.
• They allege racial bias and racism among employees, including accusations against a specific worker and supervisor.
• They say the ABA program trains BTs poorly, leading to inadequate care, and that the company lied about insurance coverage and reduced hours.
• They report that management is unresponsive and communication is lacking, with missed or canceled appointments.
• They claim a staff member filed false reports with children's services against them.
• They warn others not to use Maxim’s services and say they would not recommend the company.

Review

Maxim Healthcare Fresno is best suited for families who want a single in-home provider to cover a wide spectrum of needs, from skilled nursing and respite care to autism-focused ABA therapy, while keeping a loved one in the home environment. It works for households that prize flexible scheduling, direct 24/7 communication, and the potential to coordinate private insurance approvals without juggling multiple vendors. When a family needs a long-term home-based solution with a robust service menu and the possibility of a stable, nurse-led care team, Maxim can deliver meaningful continuity and relief.

That said, some families will want to consider alternatives. Several reviews flag inconsistent staffing and reliability concerns, including caregivers who don’t show up as scheduled or who are perceived as disengaged. There are reports of payroll and administrative friction, plus complaints about communication lapses or unfulfilled promises from leadership. A proportion of reviewers allege serious issues around professionalism and cultural sensitivity, including racial bias in some interactions. These realities mean that for families who require unwavering staffing consistency, impeccable administrative follow-through, or a pristine conduct record, other local options may offer a smoother experience.

The strongest advantages lie in the breadth and depth of in-home services. For children and adults where ABA, especially in-home ABA, is a priority, Maxim has produced impressive outcomes in some cases, parents describe dramatic gains in communication, daily living skills, and reduced anxiety when the right therapist is in the home. The 24/7 communication channel and the ability to adapt care plans on the fly are real assets, particularly for complex medical needs that evolve over time. The network includes skilled nurses who can manage ventilators, seizures, wound care, and other high-acuity tasks, as well as respite and behavioral care that supports families during stressful weeks. When clinicians are aligned with a family’s goals, those positive, tangible benefits can offset many logistical hiccups.

Those benefits must be weighed against real drawbacks. Staffing reliability remains a core concern, with some families reporting repeated scheduling disruptions and turnover that interrupts consistency, especially for ABA and respite services. Publicized complaints about management responsiveness and follow-through, whether around scheduling, billing, or program adjustments, can undermine trust during a transition period. Notably, several reviews describe troubling experiences with some staff members and their conduct, including allegations of discrimination and unprofessional behavior. For households relying on steady, culturally sensitive caregivers and a tightly coordinated care plan, these risks elevate the importance of rigorous intake processes, strict performance standards, and ongoing oversight.

The favorable elements do offset the drawbacks in scenarios where a dependable core team can be sustained and where care coordination is well-executed. When Maxim connects a family with a dedicated nurse or BT who remains consistent over time, the advantages compound: highly personalized in-home care, rapid responsiveness to urgent changes, and the ability to keep a loved one at home rather than in facility-based care. The testimonials highlighting individual caregivers who go above and beyond, whether coordinating with schools, advocating for families, or delivering compassionate, patient-centered care, underscore the real difference a committed team can make. In those cases, the combination of hands-on clinical skill and empathetic partnership with families stands apart from more fragmented offerings.

For families evaluating Maxim against alternatives, a practical due-diligence checklist matters. Confirm whether the service area truly covers your county or neighborhood and ask for a stable point person, a case manager or dedicated supervisor, who will be your family’s main contact. Request recent client references and ask about staff tenure and turnover rates, especially for ABA services and respite care. Probe how the agency handles complaints and what corrective steps look like in practice. Clarify the guarantees around 24/7 communication, appointment punctuality, and continuity of care during staff transitions. Finally, design a short-term pilot period, four to six weeks, to measure how well the care plan translates into daily routines, communication quality, and tangible progress toward goals.

Ultimately, Maxim Healthcare Fresno represents a considerable and actionable option for families prioritizing home-based, multi-service care with strong ABA potential and skilled nursing capacity. It can be a powerful fit when a stable, long-term caregiver team can be established and expectations for communications and accountability are clearly defined upfront. If those conditions cannot be met, or if past experiences with staffing reliability or conduct leave lingering concerns, exploring alternatives with proven consistency, robust oversight, and proven track records in equity and professionalism is prudent. In either path, a disciplined commissioning phase, clear goals, explicit service guarantees, and ongoing review, will determine whether home-based Maxim care becomes a durable, life-enhancing arrangement or a costly, frustrating detour.

This part of Fresno, California boasts a range of amenities that cater to seniors looking for convenience and accessibility. With several pharmacies located within close proximity, accessing medications and healthcare services is convenient. Additionally, there are various restaurants offering a diverse selection of dining options, as well as physician offices providing medical care. The presence of reputable hospitals in the vicinity ensures easy access to quality healthcare facilities. Places of worship are also within reach for those seeking spiritual fulfillment. For leisure activities, there are theaters nearby for entertainment and cafes for social gatherings. Overall, this area offers a blend of essential services and recreational opportunities making it an attractive option for senior living.

Pharmacies

• CVS Pharmacy (0.1 miles)
• Walgreens (1 miles)
• Pharmatron (1.3 miles)
• Rite Aid (1.6 miles)
• Walgreens (1.6 miles)
• Save Mart Supermarkets (1.7 miles)
• CVS Pharmacy (1.9 miles)

Restaurants

• The Cheesecake Factory (0.3 miles)
• Chick-Fil-A (0.4 miles)
• Taco Bell (0.9 miles)
• In-N-Out Burger (1.1 miles)
• Rally's (1.1 miles)
• The Train Depot (1.1 miles)
• The Old Spaghetti Factory (1.3 miles)

Physicians

• Paramjit S. Fagoora, MD - Clear Vision Medical Center (0.4 miles)
• SleepQuest - Central Valley Patient Service Center (0.5 miles)
• Neuro Pain Medical Center (1 miles)
• Ketsana Vilaysane (1.2 miles)
• Advanced Medical Imaging (1.3 miles)
• O'hanasian Dr Don Optometrists (1.8 miles)
• Nephrology Associates (1.9 miles)

Hospitals

• Childrens Hospital Central California (1.1 miles)
• Saint Agnes Medical Center (2 miles)
• Kaiser Permanante (2.3 miles)
• VA Central California Health Care System (2.5 miles)
• Va Hospital (2.5 miles)

Places of Worship

• St Paul Newman Center (1.3 miles)
• St Anthony of Padua (1.3 miles)
• First Church Of God (1.5 miles)
• Free Grace Church (2.2 miles)
• St Paul's United Methodist Church (2.6 miles)

Theaters

• Regal Manchester - Fresno (1.9 miles)
• Maya Cinemas Fresno 16 (2.6 miles)
• Regal Edwards Fresno Screenx, 4Dx & Imax (2.8 miles)

Cafes

• Collect Coffee Bar (2.6 miles)
• Dutch Bros (2.6 miles)
• J Pot Mini Hot Pot & Bar (2.7 miles)

Parks

• Woodward Park (3 miles)