EXHIBIT 3.43


                          CERTIFICATE OF INCORPORATION
                                       OF
                            EXTENDICARE HOMES, INC.


         1. The name of the Corporation shall be Extendicare Homes, Inc.

         2. The address of its registered office in the State of Delaware is 306
South State Street, in the City of Dover, County of Kent. The name of its
registered agent at such address is the United States Corporation Company.

         3. The nature of the business or purpose 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.

         4. The total number of shares of stock which the corporation shall have
authority to issue is one thousand (1,000) and the par value of each of such
shares is One Dollar ($1.00) amounting in the aggregate to One Thousand Dollars
($1,000.00).

         5. The name and mailing address of the incorporator is as follows:

                     NAME                              MAILING ADDRESS
                     ----                              ---------------

                Dennis Howarth                         33 North LaSalle Street
                                                       Chicago, Illinois 60602

         6. The corporation is to have perpetual existence.

         7. In furtherance and not in limitation of the powers conferred by
statute, the board of directors is expressly authorized to make, alter or repeal
the by-laws of the corporation.

         8. The number of directors shall be such as from time to time may be
fixed by, or in the manner provided in, the by-laws. Elections of directors need
not be by written ballot unless the by-laws of the corporation shall so provide.

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