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Exhibit 32.1
CERTIFICATION PURSUANT TO 18 U.S.C. SEC. 1350
(Section 906 of the Sarbanes — Oxley Act of 2002)
In connection with the filing by Five Star Quality Care, Inc. (the “Company”) of the Quarterly Report on Form 10-Q for the quarter ended March 31, 2010 (the “Report”), each of the undersigned hereby certifies, to the best of his knowledge:
1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
| /s/ Bruce J. Mackey Jr. |
| Bruce J. Mackey Jr. |
| President and Chief Executive Officer |
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| /s/ Paul V. Hoagland |
| Paul V. Hoagland |
| Treasurer and Chief Financial Officer |
Date: May 4, 2010