EXHIBIT 99.6


                                  INSTRUCTIONS

          INSTRUCTIONS TO REGISTERED HOLDER AND/OR PARTICIPANTS IN DTC
                             FROM BENEFICIAL OWNER
                                       OF
                          9 1/2% SENIOR NOTES DUE 2010


        THE EXCHANGE OFFER WILL EXPIRE AT 5:00 P.M., NEW YORK CITY
     TIME, ON ___________________, 2002, UNLESS THE OFFER IS EXTENDED.


To Registered Holder and/or Participants in The Depository Trust Company:

         The undersigned hereby acknowledges receipt of the Prospectus dated
____________, 2002 (the "Prospectus") of Extendicare Health Services, Inc., a
Delaware corporation (the "Company"), and the accompanying Letter of Transmittal
(the "Letter of Transmittal"), that together constitute the Company's offer (the
"Exchange Offer") to exchange its 9 1/2% Senior Notes due 2010 (the "New Notes")
which have been registered under the Securities Act of 1933, as amended (the
"Securities Act"), for all of its outstanding registered 9 1/2% Senior Notes due
2010 (the "Old Notes"). Capitalized terms used but not defined herein have the
meanings ascribed to them in the Prospectus.

         This will instruct you, the registered holder and/or Participants in
The Depository Trust Company, as to the action to be taken by you relating to
the Exchange Offer with respect to the Old Notes held by you for the account of
the undersigned.

         The aggregate principal amount of Old Notes held by you for the account
of the undersigned is (fill in amount):

                   $__________ of the outstanding 9 1/2% Senior Notes due 2010.

         With respect to the Exchange Offer, the undersigned hereby instructs
you (check appropriate box):

|_|      TO TENDER the following Old Notes held by you for the account of the
         undersigned (insert principal amount of Old Notes to be tendered, if
         less than all):

                   $__________ of the outstanding 9 1/2% Senior Notes due 2010.

|_| NOT TO TENDER any Old Notes held by you for the account of the undersigned.

         If the undersigned instructs you to tender Old Notes held by you for
the account of the undersigned, it is understood that you are authorized to
make, on behalf of the undersigned (and the undersigned, by its signature below,
hereby makes to you), the representations and warranties contained in the Letter
of Transmittal that are to be made with respect to the undersigned as a
beneficial owner, including but not limited to the representations, that (i) the
undersigned is not an "affiliate" of the Company, (ii) any New Notes to be
received by the undersigned are being acquired in the ordinary course of its
business, and (iii) the undersigned has no arrangement or understanding with any
person to participate in a distribution (within the meaning of the Securities
Act) of New Notes to be received in the Exchange Offer. If the undersigned is a
broker-dealer that will receive New Notes for its own account in exchange for
Old Notes, it represents that the Old Notes to be exchanged for New

Notes were acquired by it as a result of market-making activities or other
trading activities and acknowledges that it will deliver a prospectus in
connection with any resale of such New Notes; however, by so acknowledging and
by delivering a prospectus, the undersigned will not be deemed to admit that it
is an "underwriter" within the meaning of the Securities Act.



                                    SIGN HERE
Name of Beneficial Owner(s)
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Signature(s)
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Name(s) (please print)
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Address
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Telephone Number
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Taxpayer Identification or Social Security No.
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Date
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