Exhibit 99.6


                                  INSTRUCTIONS

        INSTRUCTIONS TO REGISTERED HOLDER AND/OR PARTICIPANTS IN DTC
                              FROM BENEFICIAL OWNER

                                       OF

                    6 7/8% SENIOR SUBORDINATED NOTES DUE 2014

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           THE EXCHANGE OFFER WILL EXPIRE AT 5:00 P.M., NEW YORK CITY
            TIME, ON __________, 2004, UNLESS THE OFFER IS EXTENDED.
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To Registered Holder and/or Participants in The Depository Trust Company:

      The undersigned hereby acknowledges receipt of the Prospectus dated
__________, 2004 (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 6?% Senior Subordinated Notes due 2014 (the
"New Notes") which have been registered under the Securities Act of 1933, as
amended (the "Securities Act"), for all of its outstanding registered 6?% Senior
Subordinated Notes due 2014 (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 6?% Senior Subordinated Notes due 2014.

      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 6?% Senior Subordinated Notes due 2014.

[ ]   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.

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                                    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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