| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01G011 | (X3) Date Survey Completed 03/19/2021 |
| Name of Provider or Supplier Rainbow Omega, Inc, | Street Address, City, State 202 Hope Drive, Eastaboga, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| W0000 | A recertification survey and focused infection control surveys were conducted by Healthcare Management Solutions, LLC on behalf of the Alabama Department of Public Health (ADPH), Division of Health Care Facilities. An unannounced on-site Recertification survey (2EZHI1) was conducted at the Davis/Orman Intermediate Care Facility from March 16, 2021 to March 19, 2021. There were no citations at the Condition Level. This facility is not in substantial compliance with 42 CFR 483, Subpart I, Requirements for Intermediate Care Facilities for Individuals with Intellectual Disabilities as evidenced by Standard level deficiencies being cited. |