Extendicare Health and Rehab
Nursing Home, Assisted Living, Memory Care, Nursing Care & Respite Care · Alabama, AL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Extendicare Health and Rehab

Nursing Home, Assisted Living, Memory Care, Nursing Care & Respite Care · Alabama, AL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Extendicare Health and Rehab accepts Medicare, Medicaid, and private pay.

Inspection History

In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.

Since 2018 · 8 years of data 12 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Alabama state average
Overall vs. AL average 0 Worse No metrics in this bucket. 2 Better Metrics better than Alabama average:
• Total deficiencies (29% below)
• Deficiencies per year (29% below)
Latest Inspection June 13, 2022 Routine

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityAL Averagevs. AL Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1217 This facility has 29% fewer total deficiencies than a typical Alabama nursing home (12 vs. AL avg 17).↓ 29% better
Deficiencies per year Info Average deficiencies per year since 2018. 1.52.1 This facility has 29% fewer deficiencies per year than a typical Alabama nursing home (1.5 vs. AL avg 2.1).↓ 29% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • June 13, 2022 inspection found 4 deficiencies including medication errors, lack of physician orders for bed rails, psychotropic medication monitoring failures, and unsanitary kitchen conditions.
  • July 18, 2019 complaint investigation substantiated misappropriation of $948 from 23 residents, plus failures in wound care, controlled medication security, and food sanitation.
  • August 2, 2018 routine inspection cited 4 deficiencies involving oxygen tubing replacement, incomplete medication destruction documentation, food handling, and hand hygiene lapses during wound care.

Health Inspection History

Inspections since 2018
Total health inspections 3

Alabama average 2.9


Last Health inspection on Jun 2022

Total health citations
12 Rank #90 / 136Health citations — State benchmarkedThis home is ranked 90th out of 136 homes in Alabama. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 136 AL facilities. Lower citation counts earn a better rank.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Alabama average 10.4

Citations per inspection
4 Rank #93 / 136Citations per inspection — State benchmarkedThis home is ranked 93rd out of 136 homes in Alabama. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 136 facilities with citation data. Lower is better.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Alabama average 3.46


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 12 citations resulted from standard inspections.

Breakdown of citation severity (last 8 years)
Critical health citations
0
100% better than Alabama average

Alabama average: 0.7


Serious health citations
0
100% better than Alabama average

Alabama average: 0.2

0 critical citations Alabama average: 0.7

0 serious citations Alabama average: 0.2

12 moderate citations Alabama average: 9.1

0 minor citations Alabama average: 0.4
Citations history (last 8 years)
Nutrition moderate citation Jun 18, 2022
Corrected

Pharmacy moderate citation Jun 18, 2022
Corrected

Pharmacy moderate citation Jun 18, 2022
Corrected

Quality of Care moderate citation Jun 18, 2022
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 258
Employees 239
Contractors 19
Staff to resident ratio 2.06 : 1
32% more staff per resident than Alabama average
Alabama average ratio: 1.56 : 1 Alabama average ratio: 1.56 : 1See full Alabama ranking
Avg staff/day 106
Average shift 7.8 hours
0% compared with Alabama average
Alabama average: 7.9 hours Alabama average shift: 7.9 hoursSee full Alabama ranking
Total staff hours (quarter) 76,032

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 25 RN Staff are full-time employees. No contractors work on this role. 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 46 LPN Staff are full-time employees. No contractors work on this role. 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 120 CNA Staff are full-time employees. No contractors work on this role. 120
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

4.2%

3,198 contractor hours this quarter

Speech Language Pathologist: 6 Physical Therapy Aide: 5 Physical Therapy Assistant: 3 Qualified Social Worker: 2 Occupational Therapy Aide: 1 Respiratory Therapy Technician: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant120012040,55792100%8
Licensed Practical Nurse4604615,80192100%8.5
Registered Nurse250257,08392100%7.6
Nurse Aide in Training340343,7648997%6.4
Clinical Nurse Specialist5051,9186975%7.9
Speech Language Pathologist0661,1526874%6.4
RN Director of Nursing3039446470%8
Physical Therapy Aide0557488289%5.6
Occupational Therapy Aide1126166470%6.1
Mental Health Service Worker1014886166%8
Nurse Practitioner1014725964%8
Dietitian1014676166%7.7
Administrator1014485661%8
Other Dietary Services Staff1014156470%6.5
Physical Therapy Assistant0333846470%6
Respiratory Therapy Technician0113706267%6
Qualified Social Worker0223436065%5.5
Medical Director011652628%2.5
120 Certified Nursing Assistant
% of Days 100%
46 Licensed Practical Nurse
% of Days 100%
25 Registered Nurse
% of Days 100%
34 Nurse Aide in Training
% of Days 97%
5 Clinical Nurse Specialist
% of Days 75%
6 Speech Language Pathologist
% of Days 74%
3 RN Director of Nursing
% of Days 70%
5 Physical Therapy Aide
% of Days 89%
2 Occupational Therapy Aide
% of Days 70%
1 Mental Health Service Worker
% of Days 66%
1 Nurse Practitioner
% of Days 64%
1 Dietitian
% of Days 66%
1 Administrator
% of Days 61%
1 Other Dietary Services Staff
% of Days 70%
3 Physical Therapy Assistant
% of Days 70%
1 Respiratory Therapy Technician
% of Days 67%
2 Qualified Social Worker
% of Days 65%
1 Medical Director
% of Days 28%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.4
39% worse than Alabama average

Alabama average: 8.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.4
20% worse than Alabama average

Alabama average: 14.5

Long-stay resident measures
Above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.3%
54% worse than Alabama average

Alabama average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.6%
22% worse than Alabama average

Alabama average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 11.3%
17% better than Alabama average

Alabama average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.9%
46% worse than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.1%
15% better than Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 8.9%
227% worse than Alabama average

Alabama average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.0%
103% worse than Alabama average

Alabama average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
40% better than Alabama average

Alabama average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.5%
39% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than Alabama average

Alabama average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Alabama average

Alabama average: 94.8%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.84
8% better than Alabama average

Alabama average: 2.00

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.79
56% better than Alabama average

Alabama average: 1.79

Short-stay resident measures
Average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.6%
17% better than Alabama average

Alabama average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.2%
44% better than Alabama average

Alabama average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
25% better than Alabama average

Alabama average: 80.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 27.2%
11% worse than Alabama average

Alabama average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.8%
32% better than Alabama average

Alabama average: 11.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Alabama average

Alabama average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 42.4%
21% worse than Alabama average

Alabama average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.4%
19% better than Alabama average

Alabama average: 50.6%

Breakdown by payment type

Medicare

38% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

46% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 125
Medicare
8
6.4% of residents
Medicaid
85
68% of residents
Private pay or other
32
25.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Voluntary non-profit community
Operated by a church.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$16.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$196.6K
Voluntary non-profit community Operated by a church.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$16.6M Rank #16 / 135Revenue — State benchmarkedThis home is ranked 16th out of 135 homes in Alabama. Shows this facility's annual revenue compared to the Alabama average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$196.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.3M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #7 / 135Payroll — State benchmarkedThis home is ranked 7th out of 135 homes in Alabama. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$10.5M 63.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #32 / 133Payroll % — State benchmarkedThis home is ranked 32nd out of 133 homes in Alabama. Shows payroll as a percentage of revenue versus the Alabama average. Well-run Alabama facilities typically land around 54–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$16.4M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
321 total

Coverage residents most often arrive under.

Medicare 38%
Private pay 46%
Medicaid 16%
Discharges
452 total

Coverage residents most often leave under.

Medicare 28%
Private pay 50%
Medicaid 22%

Places of interest near Extendicare Health and Rehab

Address 0.0 miles from city center Info Estimated distance in miles from Dothan's city center to Extendicare Health and Rehab's address, calculated via Google Maps.

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Address

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-20%
4.91
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50.6%
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AL AVG 45%
Rank #85 / 133
15381
Kirkwood By the River
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AL
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Facility 46
AL AVG 90
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100.0%
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5.10
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8
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William Widman
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Facility 49.9%
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Rank #90 / 133
15457
Plantation Manor Retirement Community
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AL
MC
Mccalla
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Facility 103
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Facility 4.26
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Cassie Ball
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Galleria Woods
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AL
IL
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24
Facility 24
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Extendicare Health and Rehab
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AL
MC
NC
RC
Dothan
170
Facility 170
AL AVG 90
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Facility 87.4%
AL AVG 80.8%
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5.34
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12
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-161-
67
Facility 67
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-
$16.6M
Facility $16.6M
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$10.5M
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63.5%
Facility 63.5%
AL AVG 45%
Rank #32 / 133
15152

Financial Assistance for
Nursing Home in Alabama

Extendicare Health and Rehab is located in Dothan, Alabama.
Here are the financial assistance programs available to residents in Alabama.

Get Financial aid guidance

Elderly and Disabled Waiver

Alabama Medicaid E&D Waiver

Age 65+ or disabled
General Alabama resident, Medicaid-eligible, requires nursing home-level care but can live in community with support.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
AL

Must be assessed by a nurse for nursing home-level care need.

Benefits
In-home personal care (4-6 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care (~$50/day avg.) Home-delivered meals Case management

Alabama Respite for Caregivers Program

Alabama Respite (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General Alabama resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
AL

Focus on rural caregivers; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$50/day) Short-term facility care (up to 5 days)

SenioRx Prescription Assistance Program

AL SenioRx

Age 55+
General Alabama resident, chronic illness requiring daily medication, not fully covered by other drug plans.
Income Limits ~$3,000/month individual, varies by AAA
Asset Limits Not strictly enforced; income-focused.
AL

High ROI; saved $43.5M for 6,825 participants in FY 2022.

Benefits
Prescription cost reduction (avg. $6,300/year savings per participant) Medication management support

Weatherization Assistance Program (WAP)

AL WAP

Age 60+ priority
General Alabama resident, own or rent home, low-income status.
Income Limits (2025) ~$2,510/month 200% of poverty level, individual
Asset Limits Not applicable; income-driven.
AL

Prioritizes seniors and disabled; limited annual funding.

Benefits
Insulation Weather stripping HVAC repairs (avg. $500-$1,000 in annual energy savings)

Section 202 Supportive Housing for the Elderly

AL Section 202

Age 62+
General Alabama resident, very low income, able to live independently with support.
Income Limits (2025) ~$1,500/month 50% of area median income, individual, varies by county
Asset Limits $10,000 individual, excludes home if owned
AL

High demand in urban areas like Birmingham; limited units statewide.

Benefits
Subsidized rent (30% of income, e.g., $300-$500/month) On-site services (housekeeping, transportation, ~$200/month value)

Alabama CARES Program

AL CARES

Age
General Caregivers of Alabama residents aged 60+ needing assistance with 3+ daily activities; no age limit for caregivers.
Income Limits No strict limit; cost-sharing based on recipient’s income e.g., ~$2,500/month threshold
Asset Limits Not applicable; focus on need.
AL

Prioritizes caregivers with greatest economic/social need; complements respite programs like AL Lifespan Respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplemental supplies (e.g., $200/year avg.)

Frequently Asked Questions about Extendicare Health and Rehab

Is Extendicare Health and Rehab in a walkable area?

Extendicare Health and Rehab has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Extendicare Health and Rehab?

Extendicare Health and Rehab's occupancy is 87%.

Who is the administrator of Extendicare Health and Rehab?

Shenika Ford is the administrator of Extendicare Health and Rehab.

How many beds does Extendicare Health and Rehab have?

Extendicare Health and Rehab has 170 beds.

What is the address of Extendicare Health and Rehab?

Extendicare Health and Rehab is located at 950 South St. Andrews Street, PO Box 1246.

What is the phone number of Extendicare Health and Rehab?

(334) 793-1177 will put you in contact with the team at Extendicare Health and Rehab.

What county is Extendicare Health and Rehab located in?

Extendicare Health and Rehab is in Houston County.

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