Nursing homeActive
Extendicare Health And Rehab
950 South St. Andrews Street, Dothan, AL 363023347931177170 certified beds · 158 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
—
none on file
Last survey
2022-06-18
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Alabama Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2022-06-18 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2019-07-18 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2018-08-02 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Alabama Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-25Record 015152-20220618-F700
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-25Record 015152-20220618-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-25Record 015152-20220618-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-07-25Record 015152-20220618-F812
F567Honor the resident's right to manage his or her financial affairs.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-08-06Record 015152-20190718-F567
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-05Record 015152-20190718-F686
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-09Record 015152-20190718-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-08-09Record 015152-20190718-F812
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-08-29Record 015152-20180802-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-09-04Record 015152-20180802-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2018-08-28Record 015152-20180802-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-09-05Record 015152-20180802-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.60
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day4.42
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours3.63
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover53%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover53%
Facility
Alabama
National
Alabama 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Alabama | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.2% | 5.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.0% | 21.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.5% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.6% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.2% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.0% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 18.8% | 24.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Estep, Barbara Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Noland Health Services, Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Renda, Nicholas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Adamson, Michele Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Britton, Isaac Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Estep, Barbara Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Estep, Barbara Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Estep, Barbara Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ford, Shenika Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Goff, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hall, Matthew Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Morriss, Jesse Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Nelson, Debra Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Noland Health Services, Inc Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Noland Health Services, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Renda, Nicholas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Renda, Nicholas Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Smith, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Waggoner, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Warren Averett LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Noland Health — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Alabama.
No county cost figures on file for Houston.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Wesley Place On Honeysuckle Dothan | 2.7 mi | 2024-03-23 | 152 |
| Westside Terrace Health & Rehabilitation Center Dothan | 4.4 mi | 2022-07-29 | 000 |
| Graceville Rehabilitation By Harborview Graceville | 18.4 mi | 2026-02-26 | 030 |
| Hartford Health Care Hartford | 18.7 mi | 2023-12-14 | 230 |
| Oakview Manor Health Care Center Ozark | 21.3 mi | 2023-07-13 | 000 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |