Federal inspection record · CMS data as of October 1, 2026
Extendicare Health And Rehab
950 South St. Andrews Street, Dothan, AL · (334) 793-1177
- Certified beds
- 170
- Residents per day
- 156
- Ownership
- For-Profit
- Chain
- Noland Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 18, 1978
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Extendicare Health And Rehab carries 34 inspection points. That is fewer than 28% of Alabama's 223 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Alabama: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–3 pts
- 4★ 3–12 pts
- 3★ 12–23 pts
- 2★ 23–46 pts
- 1★ over 46 pts
Bars show every rated home in Alabama by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service4E
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care3D
- D
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.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights1F
- F
Honor the resident's right to manage his or her financial affairs.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2022-06-18
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2019-07-18
4 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2018-08-02
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 27 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
4 h 27 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.4 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better | 100.0% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better | 100.0% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 5.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.1 pts better | 1.4% | 1.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 8.1% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts better | 18.2% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.3 pts better | 12.0% | 21.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.5 pts better | 0.0% | 0.5% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsenedAbout the same | 11.0% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.1 pts worse | 15.6% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 1.4% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.3 pts worse | 4.5% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.7 pts worse | 14.9% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 3.2% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.8 pts better | 99.4% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts better | 11.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.8% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts better | 98.5% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts worse | 27.0% | 24.4% | 23.4% |
·
Who owns and runs it
43 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Adamson, Michele | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Adamson, Michele | Corporate Director · Individual | 0% | 10 facilities |
| Blackwell, Crystal | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Blackwell, Crystal | Adp Of The SNF · Individual | 0% | 10 facilities |
| Britton, Isaac | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Britton, Isaac | Corporate Director · Individual | 0% | 10 facilities |
| Champion Rehab Resources, LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Estep, Barbara | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Estep, Barbara | Corporate Director · Individual | 0% | 10 facilities |
| Estep, Barbara | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Estep, Barbara | Adp Of The SNF · Individual | 0% | 10 facilities |
| Ford, Shenika | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Ford, Shenika | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ford, Shenika | Adp Of The SNF · Individual | 0% | 1 facilities |
| Goff, Robert | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Goff, Robert | Corporate Director · Individual | 0% | 10 facilities |
| Hall, Matthew | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Hall, Matthew | Adp Of The SNF · Individual | 0% | 21 facilities |
| Kenwright, Karen | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Kenwright, Karen | Adp Of The SNF · Individual | 0% | 10 facilities |
| Knight, Carol | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Knight, Carol | Corporate Director · Individual | 0% | 10 facilities |
| Morriss, Jesse | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Morriss, Jesse | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nelson, Debra | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Nelson, Debra | Corporate Director · Individual | 0% | 10 facilities |
| Noland Health Services, Inc | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Noland Health Services, Inc | Adp Of The SNF · Organization | 0% | 10 facilities |
| Noland Pharmacy LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Renda, Nicholas | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Renda, Nicholas | Corporate Director · Individual | 0% | 10 facilities |
| Renda, Nicholas | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Renda, Nicholas | Adp Of The SNF · Individual | 0% | 10 facilities |
| Rivers, Shanna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rivers, Shanna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shunnara, Jennifer | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Shunnara, Jennifer | Adp Of The SNF · Individual | 0% | 10 facilities |
| Southern Clinic Pc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Urban, Kelley | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Urban, Kelley | Adp Of The SNF · Individual | 0% | 10 facilities |
| Waggoner, James | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Waggoner, James | Corporate Director · Individual | 0% | 10 facilities |
| Warren Averett LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6E
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Have an enclosure around a vertical opening shaft.
- D
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
Services4E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems2E
- D
Ensure proper usage of power strips and extension cords.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1D
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
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- J
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