Extendicare Health and Rehab
950 South St. Andrews Street, Dothan, AL 36302 · Houston County · 170 certified beds · avg 158 residents/day · certified since Apr 18, 1978
Part of chain: NOLAND HEALTH (10 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 18, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 18, 2022 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jun 18, 2022 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jun 18, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jul 18, 2019 | F · Potential for harm, facility-wide | The facility did not honor residents' right to manage their own money and financial affairs. |
| Jul 18, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 18, 2019 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 18, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 2, 2018 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 2, 2018 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 2, 2018 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 2, 2018 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 0 | F |
| 2019 | 4 | 0 | F |
| 2022 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.88 | 4.43 | 3.95 | top 24% in Alabama; top 15% in the U.S. |
| Registered Nurse hours | 0.66 | 0.74 | 0.69 | bottom 39% in Alabama; top 40% in the U.S. |
| Weekend total nurse staffing | 4.00 | 3.73 | 3.50 | top 29% in Alabama; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.36 | 0.48 | top 21% in Alabama; top 37% in the U.S. |
| Total nursing staff turnover (%) | 52.6 | 46.9 | 45.8 | bottom 32% in Alabama; bottom 30% in the U.S. |
| RN turnover (%) | 52.8 | 39.5 | 42.9 | bottom 24% in Alabama; bottom 31% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.42, RN 0.60, weekend 3.63. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adamson, Michele | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Britton, Isaac | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Estep, Barbara | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Estep, Barbara | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2024 |
| Estep, Barbara | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2025 |
| Estep, Barbara | Individual | ADP of the SNF | NOT APPLICABLE | 01/07/2025 |
| Ford, Shenika | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2024 |
| Goff, Robert | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Hall, Matthew | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2024 |
| Morriss, Jesse | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2024 |
| Nelson, Debra | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Noland Health Services, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/03/2025 |
| Noland Health Services, INC | Organization | Trustee of the SNF | NOT APPLICABLE | 07/01/2024 |
| Noland Health Services, INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/07/2025 |
| Renda, Nicholas | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2024 |
| Renda, Nicholas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2025 |
| Renda, Nicholas | Individual | ADP of the SNF | NOT APPLICABLE | 01/03/2025 |
| Smith, George | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Waggoner, James | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Warren Averett LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/03/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How are residents' personal funds handled here, and what records can families review?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Wesley Place on Honeysuckle | 2.7 mi | Dothan, AL | ★★☆☆☆ | 2/5 | |
| Westside Terrace Health & Rehabilitation Center | 4.4 mi | Dothan, AL | ★★★★☆ | 4/5 | |
| Graceville Rehabilitation by Harborview | 18.4 mi | Graceville, FL | ★★★★☆ | 4/5 | |
| Hartford Health Care | 18.7 mi | Hartford, AL | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015152.