Extendicare Real Estate Investment Trust 6-K Extendicare U.S. Subsidiary EHSI Completes US$500 Million Mortgage Loan and US$120

Exhibit 99.4

NEWS RELEASE

FOR IMMEDIATE RELEASE

October 19, 2006

Extendicare Announces Third Quarter News Release and Conference Call Information

MARKHAM, ONTARIO - Extendicare Inc. (TSX: EXE.A and EXE; NYSE: EXE.A) will release its 2006 third quarter financial results on Tuesday, November 7, 2006. The Company will hold a conference call on Wednesday, November 8, 2006 at 10:00 a.m. (ET) to discuss its results for the third quarter.

Following its release on November 7, 2006, the Company will post a copy of the press release on its website, in addition to an update of its supplemental information package found under the Investor Information/Investor Documents/Supplemental Information section of its website at www.extendicare.com.

The November 8, 2006, conference call will be webcast live and archived in the Investor Information section of Extendicare’s website. The toll-free number for the live call is 1-866-898-9626. Local callers please dial 416-340-2216. A taped rebroadcast will be available approximately two hours following the live call on November 8, 2006, until midnight on November 24, 2006. To access the rebroadcast, dial 1-800-408-3053. Local callers please dial 416-695-5800. The conference ID number is 3200048.

Scheduled speakers for the Company on the conference call include: Phil Small, President and Chief Executive Officer; Richard Bertrand, Senior Vice-President and Chief Financial Officer; and Christopher Barnes, Manager, Investor Relations.

Extendicare is a major provider of long-term care and related services in North America. Through its subsidiaries, Extendicare operates 438 nursing and assisted living facilities in North America, with capacity for over 34,700 residents. As well, through its operations in the United States, Extendicare offers medical specialty services such as subacute care and rehabilitative therapy services, while home health care services are provided in Canada. The Company employs 38,100 people in North America.

For further information, contact:

Extendicare Inc.

Christopher Barnes

Manager, Investor Relations

Telephone: (905) 470-5483

Fax: (905) 470-4003

Visit Extendicare’s Website @ www.extendicare.com

-30-