OMEGA HEALTHCARE INVESTORS, INC.
                           900 Victors Way, Suite 350
                            Ann Arbor, Michigan 48108




                                  May 11, 2000


First Chicago Trust Company
525 Washington Blvd., 3rd Floor
Suite 4660
Jersey City, New Jersey 07310

Attention:  Corporate Actions Administrator


                     Re: Amendment No. 1 to Rights Agreement


Ladies and Gentlemen:

         Pursuant  to  Section  27  of  the  Rights   Agreement   (the   "Rights
Agreement"),  dated as of May 12, 1999, between Omega Healthcare Investors, Inc.
(the "Company"),  and First Chicago Trust Company, as rights agent, the Company,
by  resolution  adopted  by its Board of  Directors,  hereby  amends  the Rights
Agreement as follows:

          1.   Section 1 of the Rights Agreement is hereby amended by adding the
               following new subsection to Section 1:

                  "`Investment  Agreement' shall mean the Investment  Agreement,
                  dated as of May __,  2000,  by and  between  the  Company  and
                  Explorer  Holdings,   L.P.,  a  Delaware  limited  partnership
                  (`Purchaser')."

                  "`Stockholders Agreement' shall mean the Stockholders
                  Agreement to be entered into by Purchaser
                  and the Company pursuant to the Investment Agreement'."

          2.   Section 1 of the Rights Agreement is hereby amended by adding the
               following  sentence at the end of the  definition  of  "Acquiring
               Person":

                  "Notwithstanding  any other provision hereof,  (i) in no event
                  will  Purchaser  (together  with its  successors,  assigns and
                  Permitted   Transferees   (as  defined  in  the   Stockholders
                  Agreement),  and  their  respective  successors,  assigns  and
                  Permitted Transferees,  `Authorized Holder'),  individually or
                  together with any other Person in which Authorized Holder has,
                  directly or  indirectly,  an  ownership  interest  (such other
                  Persons,  `Related Companies'),  or any Affiliate,  Associate,
                  director,  officer, employer, partner, member or other related
                  Person   of   Authorized   Holder   or   a   Related   Company
                  (collectively,   a  `Related   Person'  and,   together   with
                  Authorized Holder and the Related Companies,  `Acquiror'),  be
                  deemed to be an "Acquiring  Person" for purposes  hereof,  nor
                  shall  a  Distribution  Date,  a  Stock  Acquisition  Date,  a
                  Triggering  Event  or any  other  event  hereunder  occur as a
                  result of Acquiror's Beneficial Ownership of Common Stock (any
                  such event, an `Acquiror  Triggering Event') acquired pursuant
                  to the Investment  Agreement and in accordance  with the terms
                  of the Stockholders  Agreement and (ii) no Acquiror Triggering
                  Event  will be deemed to have  occurred  unless  and until (A)
                  Acquiror  shall have received  written notice from the Company
                  that,  notwithstanding  the foregoing,  the Board of Directors
                  has determined that Acquiror  constitutes an Acquiring  Person
                  hereunder and, within 30 calendar days after receipt of notice
                  of such  determination  from the Company,  Acquiror  shall not
                  have divested  itself of Common Stock,  cured any breach under
                  the   Stockholders   Agreement   resulting  in  such  Acquiror
                  Triggering  Event or taken such other action as it determines,
                  after  consultation  with counsel,  is sufficient,  so that an
                  Acquiror  Triggering  Event  is no  longer  continuing  or (B)
                  during  any  period  of  twelve  consecutive  calendar  months
                  commencing  on the  date  the  Permitted  Transferee  acquired
                  Beneficial   Ownership  of  Common   Stock   pursuant  to  the
                  Stockholders Agreement, such Permitted Transferee who would be
                  an Acquiring  Person but for the preceding  sentence  acquired
                  Beneficial Ownership of more than 2% of the outstanding Common
                  Stock."

          3.   Section 1 of the Rights Agreement is hereby amended by adding the
               following new sentence at the end of that Section:

                  "Notwithstanding  anything in this  Agreement to the contrary,
                  Acquiror shall not be deemed an Acquiring Person and none of a
                  Distribution  Date, a Stock  Acquisition Date, or a Triggering
                  Event  shall be deemed to occur or to have  occurred,  and the
                  Rights will not become separable, distributable,  unredeemable
                  or exercisable, in each such case, by reason or as a result of
                  the  approval,   execution  or  delivery  of  the   Investment
                  Agreement or the consummation of the transactions contemplated
                  by the Investment  Agreement  (including,  without limitation,
                  the  consummation  of  the  Additional  Equity  Financing  (as
                  defined in the Investment Agreement))."

          4.   The Rights  Agreement  shall not  otherwise  be  supplemented  or
               amended  by  virtue  of  this  Amendment  No.  1  to  the  Rights
               Agreement, but shall remain in full force and effect.

          5.   Capitalized terms used without other definition in this Amendment
               No. 1 to the  Rights  Agreement  shall be used as  defined in the
               Rights Agreement.

          6.   This Amendment No. 1 to the Rights  Agreement  shall be deemed to
               be a contract  made under the laws of the State of  Maryland  and
               for all purposes shall be governed by and construed in accordance
               with the laws of such State  applicable  to  contracts to be made
               and  performed  entirely  within  such  State,  except that those
               provisions  of  this  Amendment  No.  1 to the  Rights  Agreement
               affecting  the rights,  duties and  responsibility  of the Rights
               Agent shall be governed by and construed in  accordance  with the
               laws of the State of Illinois.

          7.   This  Amendment No. 1 to the Rights  Agreement may be executed in
               any number of counterparts  and each of such  counterparts  shall
               for all  purposes  be  deemed  to be an  original,  and all  such
               counterparts  shall  together  constitute  but one  and the  same
               instrument.

          8.   This Amendment No. 1 to the Rights  Agreement  shall be effective
               as of, and  immediately  prior to, the  execution and delivery of
               the  Investment  Agreement,  and  all  references  to the  Rights
               Agreement  shall,  from and  after  such  time,  be  deemed to be
               references to the Rights Agreement as amended hereby.

          9.   Exhibits A and B to the Rights  Agreement shall be deemed amended
               in a manner  consistent  with this  Amendment No. 1 to the Rights
               Agreement.

                                                      Very truly yours,

                                                OMEGA HEALTHCARE INVESTORS, INC.


                                           By:   /s/ Essel W. Bailey, JR.
                                                 ------------------------
                                                 Name:  Essel W. Bailey, Jr.
                                                 Title: Chief Executive Officer

Accepted and agreed to as of the effective time specified above:

FIRST CHICAGO TRUST COMPANY



By:  /s/ Craig Broomfield
     --------------------
      Name:  Craig Broomfield
      Title: Senior Account Manager