| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01G011 | (X3) Date Survey Completed 10/08/2025 |
| 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) |
| KS700 | Operating Features - Other CFR(s): NFPA 101 Operating Features - Other List in the REMARKS section any LSC Section 32.7 and 33.7 Operating Features requirements that are not addressed by the provided K-tags, but are deficient. This information, along with the applicable Life Safety Code or NFPA standard citation, should be included on Form CMS-2567. This STANDARD is not met as evidenced by: Based on review of documentation, the facility failed to maintain the testing of the diesel generator per the requirements of: 2012 NFPA 99, 6.5.4.1.1.2, 6.4.4.1.1.3, and 6.5.4.2 2010 NFPA 110, 1.3, 8.4.2, 8.4.2.3, and 8.3.8 This deficiency affects 1 of 1 generator. Findings include: During a tour of the facility, the facility failed to provide documentation on the following: 1. Testing the diesel generator: i. Once monthly for a minimum of 30 minutes under one of the following conditions: a. Operating temperature conditions at not less than 30% of the nameplate kW rating b. Loading that maintains the minimum exhaust gas temperature OR ii. Provide an annual 1.5-hour supplemental load test at not less than 50% of the EPS nameplate kW rating for 30 continuous minutes and at not less 75% of the EPS nameplate KW rating for one continuous hour for a total test duration of not less than 1.5 continuous hours. 2. To have a fuel quality test performed at least annually using tests approved by ASTM standards. A member of the maintenance staff was present when this deficiency was identified. |