Please see other updates.

To Our Valued Clients, Family Members, and Stakeholders:

As we continue to work towards a new normal, this Stakeholder Update provides some information on the current status of the COVID-19 impact on our environments. We remain focused every day on the health and safety of our clients, employees, and our broader community.

I am happy to report that for more than a month, there have not been any positive cases of COVID-19 amongst any of our clients or employees. The team remains vigilant in following needed precautions, ongoing staff education, information sharing, and securing needed personal protective equipment.

Systematic Testing

As noted in the last Stakeholder Update, testing has become more readily available. Rainbow has expanded the number of individuals tested, including a weekly selection of homes in different geographic areas to systematically test clients.  In the event we identify any asymptomatic clients or employees, this process will allow us to implement isolation measures quickly, reducing the risk of further exposure to others.

We will continue efforts to test on a systematic basis, and we will trace and isolate any individual testing positive to help keep everyone safe. Should there be a positive case, appropriate people will be notified.

Resuming Therapy

Rainbow has developed and implemented a thorough COVID-19 Preparedness and Response Plan to ensure we have the mechanisms in place to help protect employees and clients. Teams have customized procedures site-by-site following guidance provided by the CDC, OSHA, local health departments, and the Michigan Department of Health and Human Services.

Under these new standards, our outpatient therapy centers are up and running, offering clients most of the therapy services available prior to March, including vocational services and training opportunities. Some hours of operations have been modified to allow for social distancing and lower numbers of people on site at the same time. Telehealth services continue to be available and have proved very successful as many clients prefer the convenience and reduce the need for transportation. Our focus remains protecting those who are most vulnerable, while ensuring individuals receive the care necessary to preserve their health and safety and thrive in rehabilitation goals.


During this time of operating through a pandemic provides additional challenges. Individuals in need of rehabilitation or long-term care do not always have the luxury of putting care on hold. Considering this, Rainbow has taken several steps to address concerns, prepare, and ensure program accessibility for clients, employees, and guests alike. Below are a few of those additional steps.

  • Telehealth has been added to provide treatment to reduce in-person contact
  • Virtual Tours are now available for individuals and families to see the programs
  • Education on infection control for employees, clients, and the broader community have been implemented and are taking place to allay fears, focus on fact, and increase personal control over the situation
  • Rehab Transportation remained open during the shut down to provide essential transportation services, and is now in full operations with screening, cleaning, and masking protocols
  • Our Outpatient Centers have continued to expand the types of commercial insurances accepted to ensure our therapy services are available based on your coverage, as well as making available post-COVID rehabilitation for those in need
  • Technology investments have been made in several areas to ensure virtual physician appointments, ongoing care meetings, and visitation all take place uninterrupted
  • In-person treatment is being scheduled to provide separate space or times for residential and outpatient clients
  • Personal protective equipment has been purchased in quantities to ensure we are prepared


With the beautiful summer weather, we are encouraging safe visits between families and clients. Under the Governor’s Executive Orders, residential homes are currently prohibited from allowing visitors into the home. Additionally, CDC guidance continues to discourage in-person visitors. Although we cannot invite visitors into the home, ‘window visits’ give families the option to come by the house, but not come into the house, for a safe visit near a designated window. ‘Window visits’ must be pre-scheduled, shorter in length, socially distanced, and will require masks and screening by all participants. Please talk with the Residential Manager to schedule a window visit or if you have questions. Rainbow has also added technology devices at all locations to ensure you can connect via telephone, or video chat through Skype, FaceTime, Zoom, or Facebook. Assistance is available if you are having difficulty connecting; please let our team members know and we can help get you connected.

Enhanced safety procedures at our Outpatient Centers include:

  • Health screenings are completed before entry via telephone and then again upon entry, including use of touch-less thermometers for further assessment
  • Nursing staff are available to triage anyone who presents with symptoms to educate and provide referrals for further care
  • Masks are provided and worn by all clients and staff
  • Additional personal protective equipment (PPE) is readily available and utilized whenever deemed necessary
  • Clients are asked to wash and sanitize their hands frequently along with our employees
  • Social distancing measures have been implemented wherever possible
  • Sanitation procedures for all facilities and between treatments have been enhanced
  • Our Infection Control team continues surveillance and monitoring of all Rainbow environments and tracking of any individuals who present with symptoms

Updates on recent Governor issued Executive Orders relating to long-term care facilities

  • Order 2020-151, issued July 14, 2020, extends the State of Emergency and the Stay at Home order until August 11, 2020. 
    • Rainbow will continue to provide telehealth services and essential in-person therapy services at the Residential Sites for those most vulnerable. Additionally, we will continue in-person therapy for residential clients and outpatient clients at the Outpatient Centers where appropriate.
  • Order 2020-148, issued July 13, 2020, extends protections for residents and employees of long-term care facilities through until August 10, 2020. 
    • Rainbow continues to comply with the requirements of this order, focusing on the safety of residents and employees, and the overall preparedness of the company.
  • Order 2020-136, issued June 26, 2020, extends the previous order which temporarily restricts visitors to residential care facilities through July 24, 2020. 
    • Rainbow continues to make client / family communication available and encouraged through FaceTime and other video and phone means so we can all stay connected. Additionally, ‘window visits’ are available where safe.

Thank you for your continued support. We will continue to keep you updated. Please do not hesitate to contact your Rainbow Case Manager or Rainbow Administration with your comments or questions. We will get through this.

One Team – Together,

Bill Buccalo

President and CEO