| 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) |
| W0129 | PROTECTION OF CLIENTS RIGHTS CFR(s): 483.420(a)(7) The facility must ensure the rights of all clients. Therefore, the facility must provide each client with the opportunity for personal privacy. This STANDARD is not met as evidenced by: Based on observation, interview, record review, and review of the facility's policy, the facility failed to ensure video/audio live feed monitoring and/or recording was not used in place of staff supervision for one of eight sampled clients (Client (C) 5). C5 had a live feed video monitor in his/her bedroom which violated the client's right to privacy. Findings include: Review of the facility's policy titled, "Board of Directors Policy on Resident Rights," revised 08/2022, revealed, ". . . 6. Each resident shall have the right to privacy, which promotes the quality of life. Limitations to privacy rights shall pertain only to the individual ' s care, treatment, and habilitation as determined by program director in accordance with resident rights policy . . ." Review of C5's "Individual Program Plan (IPP)," dated 08/20/25 and provided by the facility, revealed the client was a 44 year old client who was admitted to the facility on 08/06/14 with diagnoses which included Wolf-Hirschhorn Syndrome, profound intellectual disabilities and epilepsy. The IPP also revealed, ". . . Right Assessment: It has been assessed that [C5's Name] does not understand [his/her] rights and would not be able to advocate for [himself/herself] in the event [his/her] rights were violated in some way . . . Any recommendations for goals relating to rights: none at this time . . . Limitations of Rights: . . . 11. The right to privacy. Why is this limitation being recommended? [C5's Name] has a live time monitor in [his/her] room to monitor for safety due to brittle bones-to help staff be aware of [his/her] safety needs . . ." There was no documented evidence of a behavior plan to address the right restriction nor any evidence of a restoration plan to restore the right. Observation on 10/01/25 at 11:50 AM of C5's bedroom revealed a live video monitoring system. During an interview on 10/04/25 at 9:15 AM, the facility Director confirmed there was no right restoration plan in place for C5's privacy restriction. The Director stated it was suggested by C5's father. The facility Director also confirmed there was no physical support plan in place either. Based on observation, interview, record review, and review of the facility's policy, the facility failed to ensure video/audio live feed monitoring and/or recording was not used in place of staff supervision for one of eight sampled clients (Client (C) 5). C5 had a live feed video monitor in his/her bedroom which violated the client's right to privacy. Findings include: Review of the facility's policy titled, "Board of Directors Policy on Resident Rights," revised 08/2022, revealed, ". . . 6. Each resident shall have the right to privacy, which promotes the quality of life. Limitations to privacy rights shall pertain only to the individual ' s care, treatment, and habilitation as determined by program director in accordance with resident rights policy . . ." Review of C5's "Individual Program Plan (IPP)," dated 08/20/25 and provided by the facility, revealed the client was a 44 year old client who was admitted to the facility on 08/06/14 with diagnoses which included Wolf-Hirschhorn Syndrome, profound intellectual disabilities and epilepsy. The IPP also revealed, ". . . Right Assessment: It has been assessed that [C5's Name] does not understand [his/her] rights and would not be able to advocate for [himself/herself] in the event [his/her] rights were violated in some way . . . Any recommendations for goals relating to rights: none at this time . . . Limitations of Rights: . . . 11. The right to privacy. Why is this limitation being recommended? [C5's Name] has a live time monitor in [his/her] room to monitor for safety due to brittle bones-to help staff be aware of [his/her] safety needs . . ." There was no documented evidence of a behavior plan to address the right restriction nor any evidence of a restoration plan to restore the right. Observation on 10/01/25 at 11:50 AM of C5's bedroom revealed a live video monitoring system. During an interview on 10/04/25 at 9:15 AM, the facility Director confirmed there was no right restoration plan in place for C5's privacy restriction. The Director stated it was suggested by C5's father. The facility Director also confirmed there was no physical support plan in place either. |