When the cast flew to the sky and fell to the ground because of the explosion (when Spanky died), Ling-Ling falls to the ground, Foxxy land on top of Ling-Ling, Xandir landed on Foxxy with his face in between her legs, and Captain Hero falls on Xandir's butt. If you listen closely, you can hear Xandir sucking on something while Captain Hero and Foxxy watch him. It actually turns out that Xandir was sucking Foxxy's private front before he got up.
In this episode, it is found out that Alzheimers disease was made up by old people to escape from their families, but in the episode "Clum Babies", Wooldoor heals Farmel Alfalfa's Alzheimers by using a clum baby. Farmer Alfalfa then remembered everything, proving against Toot's subplot in this episode.
Vajoana: Who are you wearing? Who are you wearing? Can we talk? No! My daughter doesn't wanna play fetch!
Wooldoor: Sorry fellas, we can't show you Clara's pink sink. Don't blame us, blame the FCC, which stands for "faggotty cock-blocking clan-fuckers". Wheeeeeeeeee!
(Clara is walking by the pool, depressed)
Clara: Ever since my evil stepmother turned my vagina into a monster, I've felt like people were disgusted by me and my Octopussoir.
(the entire kingdom sees baby Clara and Octopussoir comes out)
Random Man: Oh my God! (everyone barfs)
Clara: I had to give up my dream of being Miss Toddler Beauty Queen after they added the thong competition.
Octopussoir: Hi Bob!
(Clara tries to hide Octopussoir, but all the toddlers barf)
Clara: Even the time I visited the circus was a total disaster.
Ringmaster: Step right up and see the amazing Never Vomits Guy!
Octopussoir: I gotta see this. (the Never Vomits Guy and the ringmaster barf)
Never Vomits Guy: Sorry.
(Clara is walking on a beach)
Clara: Why, oh why, can't I have a normal temple of chastity?
Clara (to Wooldoor): You fix my crotch stigmata right now, or I'll sue.
Wooldoor: Go head. I'll just contersue.
Clara: Well, then I'll hire the smartest Jew in Jewtown!
Wooldoor: Well, then I'll hire the smartest Jew in the Jew-S.A.!
Clara: Well, then I'll hire the smartest Jew in the Jew-niverse!
Wooldoor (gasps): You'd really hire Abe Goldblatt from Space Shuttle 34?
Toot You mean.. if I fake the Alzheimer's, I could even crap anywhere I want?
Old Woman: That's right Toot. It's just like living on a Japanese school girl.
Old Man: So you see, Mrs. Toot, you must never reveal our secret or we'll have to leave this place and contribute to society.
Wooldoor: Relax, Clara. Lots of pussies have freckles, like Ron Howard.
(Spanky gets on Toot's scooter)
Spanky: Hey look. I'm an old person.
(He tries to start it up)
Spanky: Hey! Whats wrong with this thing?
Boba Fett: (on the phone) The Fat Pig has been eliminated.
Xandir: You know what I was thinking? I think we should throw Toot a surprise birthday party.
Captain Hero: Well if we're going to be saying our thoughts out loud now, I've been thinking of paying a prostitute to shove bowling pins up my ass.
The cast gives Toot the well known optical illusion the Rubin Vase as a gift.
Look hard: When Toot is standing on the diving board, one of her shoes drops into the pool. When it pans back to Toot, she has both shoes on again.
When Toot is climbing back into the seniors center, after the walker incident, she has three arms.
Look hard: When Toot is running out of the bathroom, she has hooves, a tail, and the USDA stamp of approval.
Ling Ling had no dialogue in this episode.
"Giggi", the slang term for vagina is used again. It was last used in "Clara's Dirty Little Secret".
Jimmy Kimmel voices the main male old person, using the exact same voice as the character Elmer Higgins from Crank Yankers.
Look hard When the "tenants" of the senior center are first introduced, many of them are acting pretty bizarro. For instance, there is a man trying to eat his own foot, and a woman eating from a bedpan like it's soup.
The animation of the Foxxy 5 van flying though the air after being blown up and with it crashing through the window were computer animated.
The show Extreme Vaginal Makeover is a parody of Extreme Makeover.
Boba Fett kills Spanky with a bomb intended for Toot seeing as he matches the "fat pig" description. This marks the second time in the series that someone has mistaken Spanky for Toot, the first time in Dirty Pranking 2.
This is the first time that Clara's "Octopussoir" has been mentioned since it's introduction back in Clara's Dirty Little Secret.
"An important lesson was learned that day in Wisteria lane..."
This is an allusion to the Desperate Housewives who live in Wisteria Lane.
The scene where the Octopussoir is killing the doctors and nurses in the background while Wooldoor is performing the initial surgery on Clara is a reference to the movie Spider-Man 2.
Foxxy: Oh my God, Clara's vagina is killin' those old bastards!
This is a reference to Comedy Central's own South Park, in which Stan shouts, "Oh my God, they killed Kenny!" followed by Kyle responding, "You bastards!" whenever Kenny is killed.
A man dressed as Napoleon Bonaparte appears in the nursing home.
Boba Fett: The people at the old folks home hire Boba Fett from the movie The Empire Strikes Back as an assassin.
Who Framed Roger Rabbit: Clara's vagina kills the old people with laughter in the same manner that Eddie Vallant killed the toon weasels in this movie.
Taxi: As Clara rides the taxi, a melody plays that imitates the Taxi theme.
The Dukes of Hazzard: you can see the confederate flag on the roof of the Foxxy 5 van. The horn plays the first 10 notes of the song "Dixie". These are trademarks of The Dukes of Hazzard.
Joan Rivers: She is known for having a lot of cosmetic surgery. She also used to be a standup comedian.
Episode Title: Alzheimer's That Ends Well.
This is a reference to the phrase "All's Well That Ends Well."