| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01G011 | (X3) Date Survey Completed 07/13/2023 |
| 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) |
| KS511 | Utilities - Gas and Electric CFR(s): NFPA 101 Utilities - Gas and Electric Equipment using gas or related gas piping complies with NFPA 54, National Fuel Gas Code, electrical wiring and equipment complies with NPFA 70, National Electric Code. 32.2.5.1, 33.2.5.1, 9.1.1, 9.1.2 This STANDARD is not met as evidenced by: Based on review of documentation, the facility failed to maintain the testing of the emergency generator per the requirements of: 2012 NFPA 101, 33.2.5.1, 9.1.2, and 9.1.3.1 2010 NFPA 110, 8.3.7.1, and 8.3.8 This deficiency affects 1 of 1 generators. Findings include: During a tour of the facility, the facility failed to provide documentation of the following: 1. Monthly conductance testing on the facility's emergency generator's maintenance-free battery for the past 12 months 2. A fuel quality test was performed within the past twelve months using tests approved by ASTM standards. A member of the maintenance staff was present when this deficiency was identified. |