Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
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)
W0274 MGMT OF INAPPROPRIATE CLIENT BEHAVIOR
CFR(s): 483.450(b)(1)

The facility must develop and implement written policies and procedures that govern the management of inappropriate client behavior.


This STANDARD is not met as evidenced by:
Based on interview and review of the facility's policy manual, the facility failed to develop written policies and procedures that govern the management of inappropriate behavior. This systemic failure affected all 15 clients who resided at the facility.

Findings include:

Review of the facility's policy and procedures manual located in the conference room revealed no documented evidence the facility developed a policy that governed the management of inappropriate client behavior.

During an interview on 10/02/25 at 1:07 PM, when asked if the facility had a behavior management policy that included the use of a functional behavior assessment in the development of behavior management programs, a hierarchy of least to most intrusive measures, and the incorporation of behavior management programs into the IPP, the facility Director stated "No."

Based on interview and review of the facility's policy manual, the facility failed to develop written policies and procedures that govern the management of inappropriate behavior. This systemic failure affected all 15 clients who resided at the facility.

Findings include:

Review of the facility's policy and procedures manual located in the conference room revealed no documented evidence the facility developed a policy that governed the management of inappropriate client behavior.

During an interview on 10/02/25 at 1:07 PM, when asked if the facility had a behavior management policy that included the use of a functional behavior assessment in the development of behavior management programs, a hierarchy of least to most intrusive measures, and the incorporation of behavior management programs into the IPP, the facility Director stated "No."