| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01G011 | (X3) Date Survey Completed 10/04/2025 |
| 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 was conducted by Healthcare Management Solutions, LLC on behalf of the Alabama Department of Public Health, Bureau of Health Provider Standards. An unannounced on-site Focused Fundamental Recertification Survey (HSRU11) conducted a the above-named ICF/IID facility from 09/30/25 to 10/04/25 resulted in noncompliance with the Conditions of Participation 483.410 Governing Body & Management, 483.420 Client Protections, 483.430 Facility Staffing, 483.440 Active Treatment Services, and 483.450 Client Behavior & Facility Practices respective to applicable CoP under 42 CFR 483, Subpart 1 and the following standard-level deficiencies listed below. On 10/02/24 Immediate Jeopardies were identified and the survey team moved to Full Survey. On 10/02/24 at 8:15 PM, the Facility Director was notified that Immediate Jeopardies were identified at: 483.410 Governing Body & Management (W102), 483.420 Client Protections (W122), 483.430 Facility Staffing (W158), 483.440 Active Treatment Services (W195), and 483.450 Client Behavior & Facility Practices (W266). On 10/04/25 at 2:35 PM, the facility presented acceptable plans of removal for the Immediate Jeopardies. On 10/04/25 at 6:15 PM, the Facility Director was notified that the Immediacies had been removed. A Recertification Survey was conducted by Healthcare Management Solutions, LLC on behalf of the Alabama Department of Public Health, Bureau of Health Provider Standards. An unannounced on-site Focused Fundamental Recertification Survey (HSRU11) conducted a the above-named ICF/IID facility from 09/30/25 to 10/04/25 resulted in non-compliance with the Conditions of Participation 483.410 Governing Body & Management, 483.420 Client Protections, 483.430 Facility Staffing, 483.440 Active Treatment Services, and 483.450 Client Behavior & Facility Practices respective to applicable CoP under 42 CFR 483, Subpart 1 and the following standard-level deficiencies listed below. On 10/02/24 Immediate Jeopardies (IJ) were identified and the survey team moved to Full Survey. On 10/02/24 at 8:15 PM, the Facility Director was notified that Immediate Jeopardies were identified at: 483.410 Governing Body & Management (W102), 483.420 Client Protections (W122), 483.430 Facility Staffing (W158), 483.440 Active Treatment Services (W195), and 483.450 Client Behavior & Facility Practices (W266). Th IJ began on 03/18/25 and was removed on 10/04/25. On 10/04/25 at 2:35 PM, the facility presented acceptable plans of removal for the Immediate Jeopardies. On 10/04/25 at 6:15 PM, the Facility Director was notified that the Immediacies had been removed. |