EXHIBIT 3.41

                          CERTIFICATE OF INCORPORATION
                                       OF
                        EXTENDICARE HEALTH NETWORK, INC.


                  FIRST: The name of the Corporation is Extendicare Health
Network, Inc.

                  SECOND: The address of the registered office in the State of
Delaware is No. 100 West Tenth Street, in the City of Wilmington, County of New
Castle. The name of its registered agent at such address is The Corporation
Trust Company.

                  THIRD: The nature of the business or purposes to be conducted
or promoted is to engage in any lawful act or activity for which corporations
may be organized under the General Corporation Law of Delaware and to possess
and exercise all the powers and privileges granted by the General Corporation
Law of Delaware.

                  FOURTH: The total number of shares of stock which the
corporation shall have authority to issue is Two Thousand (2,000); all of such
shares shall be without par value.

                  FIFTH: The name and mailing address of the incorporator is
Phillip M. Cohen, 1714 West Bruce Street, Milwaukee, Wisconsin 53204.

                  SIXTH: The corporation is to have perpetual existence.

                  SEVENTH: The corporation reserves the right to amend, alter,
change or repeal any provisions contained in this certificate of incorporation,
in the manner now or hereafter prescribed by statute, and all rights conferred
upon stockholders are granted subject to this reservation.