SNF
EXTENDICARE HEALTH AND REHAB
CCN: 015152 · DOTHAN, AL 36302 · Houston County
Inspection > 2 years ago
Overview
- Address
- 950 SOUTH ST. ANDREWS STREET, DOTHAN, AL 36302
- Phone
- 3347931177
- Certified beds
- 170
- Avg daily residents
- 158 (93% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1978-04-18
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.87 | 3.50 | 5.37 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.66 | 0.61 | 0.73 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.17 | 0.78 | 1.29 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.04 | 2.11 | 3.35 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.83 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.03 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.87
hrs / resident / day
RN (weekend)
0.46
hrs / resident / day
Total nurse (adjusted, weekend)
4.27
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
41.7%
annual
RN turnover
48.4%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.24
higher acuity than avg
Case-Mix Index Ratio
0.90
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2022-06-18 | 4 | 4 | 0 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2019-07-18 | 4 | 4 | 0 | 40 | 1 | 40 |
Total weighted health score
34.0
lower is better
Deficiencies (12)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
12 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0700 | 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 | 2022-06-18 | 2022-07-25 |
| 0758 | 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. | E | 2022-06-18 | 2022-07-25 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-06-18 | 2022-07-25 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-06-18 | 2022-07-25 |
| 0567 | Honor the resident's right to manage his or her financial affairs. | F | 2019-07-18 | 2019-08-06 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-07-18 | 2019-08-05 |
| 0761 | 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 | 2019-07-18 | 2019-08-09 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-07-18 | 2019-08-09 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2018-08-02 | 2018-08-29 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2018-08-02 | 2018-09-04 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2018-08-02 | 2018-08-28 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2018-08-02 | 2018-09-05 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 4.2% Medicaid 72.8% Other 23.0%
Operating performance
Operating Margin
1.2%
Total Margin
8.3%
Occupancy Rate
87.4%
Cost per Resident Day
$34
Revenue & costs
Net Patient Revenue
$16.6M
Total Costs
$1.9M
Net Income
$1.5M
Balance sheet
Total Assets
$9.3M
Total Liabilities
$1.1M
Fund Balance
$8.2M
Current Ratio
4.21
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NOLAND HEALTH
- Chain ID
374- Facilities in chain
- 10
- Legal business name
- NOLAND EXTENDICARE, LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.4
Staffing
3.9
QM
2.9
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| NOLAND HEALTH SERVICES, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/01/2024 |
| NOLAND HEALTH SERVICES, INC | OPERATIONAL/MANAGERIAL CONTROL | since 01/03/2025 |
Owner / manager individuals (13)
| Name | Role | Association |
|---|---|---|
| ESTEP, BARBARA | OPERATIONAL/MANAGERIAL CONTROL | since 01/03/2025 |
| RENDA, NICHOLAS | OPERATIONAL/MANAGERIAL CONTROL | since 01/03/2025 |
| ADAMSON, MICHELE | CORPORATE DIRECTOR | since 07/01/2024 |
| BRITTON, ISAAC | CORPORATE DIRECTOR | since 07/01/2024 |
| GOFF, ROBERT | CORPORATE DIRECTOR | since 07/01/2024 |
| NELSON, DEBRA | CORPORATE DIRECTOR | since 07/01/2024 |
| SMITH, GEORGE | CORPORATE DIRECTOR | since 07/01/2024 |
| WAGGONER, JAMES | CORPORATE DIRECTOR | since 07/01/2024 |
| MORRISS, JESSE | CONTRACTED MANAGING EMPLOYEE | since 07/01/2024 |
| ESTEP, BARBARA | W-2 MANAGING EMPLOYEE | since 07/01/2024 |
| FORD, SHENIKA | W-2 MANAGING EMPLOYEE | since 07/01/2024 |
| HALL, MATTHEW | W-2 MANAGING EMPLOYEE | since 07/01/2024 |
| RENDA, NICHOLAS | W-2 MANAGING EMPLOYEE | since 07/01/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $34 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 4.21 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 72.8% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 4.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,490,163 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $16,575,458 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 87.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 1.2% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $9,319,016 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,853,878 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $8,211,130 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,107,886 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 8.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.28619 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.35286 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.72839 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.36744 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.26839 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 158.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.77765 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.11347 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.61296 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.50407 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.08847 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.5 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.9 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 374 | Chain ID |
| Provider Information | Chain Name | NOLAND HEALTH | Chain Name |
| Provider Information | City/Town | DOTHAN | City/Town |
| Provider Information | CMS Certification Number (CCN) | 015152 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Houston | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1978-04-18 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 31.2112 | Latitude |
| Provider Information | Legal Business Name | NOLAND EXTENDICARE, LLC | Legal Business Name |
| Provider Information | Location | 950 SOUTH ST. ANDREWS STREET,DOTHAN,AL,36302 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -85.39 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | Y | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 170 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 10 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.24134 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.90105 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 950 SOUTH ST. ANDREWS STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | EXTENDICARE HEALTH AND REHAB | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 340 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 4 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2022-06-18 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 4 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-07-18 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 40 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 40 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.45603 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 48.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.82838 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.16731 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.04297 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.02543 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.66106 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.87134 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | AL | State |
| Provider Information | Telephone Number | 3347931177 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.87387 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 41.7 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 34.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 36302 | ZIP Code |