Extendicare Health And Rehab
Dothan, Houston County, Alabama · CCN 015152 · For-profit (Corporation) · part of Noland Health (10 facilities, chain average 2.7 stars)
CMS rates Extendicare Health And Rehab 2 of 5 overall as of August 2026. 170 certified beds, 158 residents a day on average. 12 citations on record from the current inspection cycles; no fines on record.
On record
- No health inspection in more than two years, by CMS’s own flag.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 4.4241 hours per resident per day |
|---|---|
| Registered nurses | 0.60292 hours per resident per day |
| Weekend total | 3.62601 hours per resident per day |
| Nursing staff turnover | 52.6% (registered nurses 52.8%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2022-06-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-07-25 |
| 2022-06-18 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-07-25 |
| 2022-06-18 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-25 |
| 2022-06-18 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-25 |
| 2019-07-18 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · tag F0567 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2019-08-06 |
| 2019-07-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2019-08-09 |
| 2019-07-18 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-05 |
| 2019-07-18 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-09 |
| 2018-08-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2018-08-28 |
| 2018-08-02 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-08-29 |
| 2018-08-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-09-04 |
| 2018-08-02 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-09-05 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Noland Health Services, Inc. Organization | adp of the snf | — | 2025-01-07 |
| Warren Averett LLC Organization | adp of the snf | — | 2025-01-03 |
| Noland Health Services, Inc. Organization | operational/managerial control | — | 2025-01-03 |
| Noland Health Services, Inc. Organization | trustee of the snf | — | 2024-07-01 |
| Estep, Barbara Individual | adp of the snf | — | 2025-01-07 |
| Renda, Nicholas Individual | adp of the snf | — | 2025-01-03 |
| Morriss, Jesse Individual | contracted managing employee | — | 2024-07-01 |
| Adamson, Michele Individual | corporate director | — | 2024-07-01 |
| Britton, Isaac Individual | corporate director | — | 2024-07-01 |
| Goff, Robert Individual | corporate director | — | 2024-07-01 |
| Nelson, Debra Individual | corporate director | — | 2024-07-01 |
| Smith, George Individual | corporate director | — | 2024-07-01 |
| Waggoner, James Individual | corporate director | — | 2024-07-01 |
| Estep, Barbara Individual | managing control - governing body | — | 2024-07-01 |
| Estep, Barbara Individual | operational/managerial control | — | 2025-01-03 |
| Renda, Nicholas Individual | operational/managerial control | — | 2025-01-03 |
| Estep, Barbara Individual | w-2 managing employee | — | 2024-07-01 |
| Ford, Shenika Individual | w-2 managing employee | — | 2024-07-01 |
| Hall, Matthew Individual | w-2 managing employee | — | 2024-07-01 |
| Renda, Nicholas Individual | w-2 managing employee | — | 2024-07-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Extendicare Health And Rehab.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Houston County.