AMENDMENT NO. 1 TO LOAN AGREEMENT


     AMENDMENT  NO.  1 TO LOAN  AGREEMENT  (this  "First  Amendment"),  made and
executed this 15th day of August, 2000, by and among:

     OMEGA   HEALTHCARE   INVESTORS,   INC.  and  certain  of  its  subsidiaries
(individually, a "Borrower" and collectively, the "Borrowers"),

     The Banks that have executed the signature pages hereto (individually,
a "Bank" and collectively, the "Banks"); and

     FLEET BANK,  N.A., a national banking  association,  as Agent for the Banks
(in such capacity, together with its successors in such capacity, the "Agent").

                             PRELIMINARY STATEMENTS

     (A) The Borrowers have entered into a certain Loan Agreement dated June 15,
2000  (hereinafter  referred to as the "Loan  Agreement") with the Agent and the
Banks; and

     (B) The Borrowers have requested that the Banks and the Agent amend certain
provisions of the Loan Agreement,  and the Banks and the Agent are willing to do
so, all on the terms and conditions hereinafter set forth;

     NOW, THEREFORE, in consideration of the agreements and provisions contained
herein, the parties hereto hereby agree as follows:

     1.  Definitions.  Capitalized  terms used but not otherwise  defined herein
shall have the meanings ascribed to such terms in the Loan Agreement.

     2. Certain  Amendments to the Loan Agreement.  The Loan Agreement is hereby
amended as follows:

          2.1.  The  following  definitions  are  added  to  Article  1 in their
     appropriate alphabetic locations:

          (a) "'New Provident Loan Agreement': that certain Loan Agreement dated
     on or about August 11, 2000 among Omega,  certain of its Subsidiaries,  the
     lenders party thereto and The Provident Bank, as Agent for such lenders, as
     the same may hereafter be amended from time to time during the term of this
     Agreement."

          (b) "'1999  Provident  Loan  Agreement':  that certain Loan  Agreement
     dated March 31, 1999 between Omega and The Provident  Bank, as the same has
     been amended from time to time through the date of the 1999  Provident Loan
     Agreement."

          (c)  "'Provident/Sterling  Note':  that certain  Promissory Note dated
     July  1,2000  executed  by  Sterling  Acquisitions  Corp.  in  favor of The
     Provident Bank."

          2.2.  Subsection  2.6(e)  (Payment  of  Loans;  Voluntary  Changes  in
     Commitment;  Mandatory  Repayments) of the Loan Agreement is hereby amended
     by deleting  the period at the end of such  subsection  and  inserting  the
     following

                  ", except that the  Borrower may use the proceeds of the loans
                  to be made by The  Provident  Bank and the other lenders party
                  thereto under the New Provident Loan Agreement (i) in order to
                  repay in full all of the  Indebtedness  outstanding  under (A)
                  the 1999 Loan Agreement and (B) the  Provident/Sterling  Note,
                  and (ii) as otherwise  permitted pursuant to the New Provident
                  Loan Agreement."

          2.3. Subsection 7.1(f)  (Indebtedness) of the Loan Agreement is hereby
     deleted in its entirety and the following is substituted therefor:

                           "(f)  Indebtedness,  the  terms  of which  shall  not
                  require any principal  payments thereon prior to the Revolving
                  Credit   Commitment   Termination   Date,   other   than   the
                  Indebtedness  constituting  the Revolving  Loan B under and as
                  defined in the New Provident Loan  Agreement,  as in effect on
                  the date hereof."

          2.4.  Subsection  7.5(b)(i)  (Redemptions;  Distributions) of the Loan
     Agreement  is  hereby   deleted  in  its  entirety  and  the  following  is
     substituted therefor:

               "(i)  Omega  may  declare  and make  dividend  payments  or other
               distributions  payable solely (A) in its common stock; and (B) in
               kind to  Explorer  Holdings,  L.P.  in  respect  of the  Series C
               Convertible  Preferred Stock of Omega as  contemplated  under the
               Investment Agreement;"

          2.5.  Section  7.12  (Use of  Cash) of the Loan  Agreement  is  hereby
     amended by deleting the portion of such Section  beginning with  subsection
     (c)(ii)  thereof  through  the end of such  Section  and  substituting  the
     following therefor:

               "(ii) any loan or loans made by The  Provident  Bank  pursuant to
               the New  Provident  Loan  Agreement,  and (d) for  uses  that are
               otherwise specifically permitted by this Agreement."

     3.  Representations  and  Warranties.  In order to induce the Banks and the
Agent to enter  into  this  First  Amendment,  each of the Loan  Parties  hereby
represents and warrants to the Banks and the Agent, as to itself with respect to
the Loan Documents to which it is a party, that:

          3.1 No  Default.  After  giving  effect to this  First  Amendment,  no
     Default or Event of Default shall have occurred or be continuing.

          3.2 Existing Representations and Warranties. As of the date hereof and
     after  giving  effect to this  First  Amendment,  each and every one of the
     representations  and  warranties  set forth in the Loan Documents are true,
     accurate  and  complete in all  respects and with the same effect as though
     made on the date hereof, and each is hereby  incorporated herein in full by
     reference as if restated herein in its entirety,  except for changes in the
     ordinary  course of business which are not prohibited by the Loan Agreement
     (as amended  hereby) and which do not,  either singly or in the  aggregate,
     have a Material Adverse Effect.

          3.3 Authority; Enforceability. (i) The execution, delivery and
performance  by  each  Loan  Party  of  this  First  Amendment  are  within  its
organizational  powers and have been duly  authorized  by all  necessary  action
(corporate  or  otherwise)  on the part of each  Loan  Party,  (ii)  this  First
Amendment  is the  legal,  valid and  binding  obligation  of each  Loan  Party,
enforceable against each Loan Party in accordance with its terms, and (iii) this
First  Amendment and the execution,  delivery and performance by each Loan Party
thereof does not:  (A)  contravene  the terms of any Loan  Party's  organization
documents, (B) conflict with or result in any breach or contravention of, or the
creation of any Lien under, any document  evidencing any contractual  obligation
to which any Loan Party is a party or any order,  injunction,  writ or decree to
which any Loan Party or its property is subject,  or (C) violate any requirement
of law.

     4. Reference to and Effect Upon the Loan Agreement.

          4.1  Effect.  Except  as  specifically  set  forth  herein,  the  Loan
     Agreement  and the other  Loan  Documents  shall  remain in full  force and
     effect  in  accordance  with  their  terms  and  are  hereby  ratified  and
     confirmed.

          4.2 No Waiver; References.  The execution,  delivery and effectiveness
     of this First Amendment  shall not operate as a waiver of any right,  power
     or remedy of the Agent or any Bank under the Loan Agreement, nor constitute
     a waiver of any provision of the Loan Agreement, except as specifically set
     forth  herein.  Upon  the  effectiveness  of  this  First  Amendment,  each
     reference in:

               (i)  the  Loan  Agreement  to  "this   Agreement",   "hereunder",
               "hereof", "herein" or words of similar import shall mean and be a
               reference to the Loan Agreement as amended hereby;

               (ii) the other Loan Documents to the "Loan  Agreement" shall mean
               and be a reference to the Loan Agreement as amended hereby; and

               (iii) the Loan Documents to the "Loan  Documents" shall be deemed
               to include this First Amendment.

     5. Miscellaneous.

          5.1 Expenses.  The Loan Parties agree to pay the Agent upon demand for
     all reasonable expenses,  including reasonable attorneys' fees and expenses
     of the Agent,  incurred by the Agent in  connection  with the  preparation,
     negotiation and execution of this First Amendment.

          5.2. Law. THIS FIRST  AMENDMENT  SHALL BE CONSTRUED IN ACCORDANCE WITH
     AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK.

          5.3  Successors.  This First  Amendment shall be binding upon the Loan
     Parties,  the  Banks and the Agent  and  their  respective  successors  and
     assigns,  and shall inure to the benefit of the Loan Parties, the Banks and
     the Agent and the successors and assigns of the Banks and the Agent.

          5.4 Execution in Counterparts. This First Amendment may be executed in
     any number of  counterparts  and by  different  parties  hereto in separate
     counterparts,  each of which when so executed and delivered shall be deemed
     to be an original and all of which taken together shall  constitute one and
     the same instrument.

                           [Signature Page to Follow]






         IN WITNESS WHEREOF, the parties hereto have caused this First Amendment
to be  executed  and  delivered  by their  respective  officers  thereunto  duly
authorized as of the date first written above.

                                                   OMEGA HEALTHCARE
                                                     INVESTORS, INC.
                                                   DELTA INVESTORS I, LLC
                                                   DELTA INVESTORS II, LLC
                                                   JEFFERSON CLARK, INC.
                                                   NRS VENTURES, L.L.C.
                                                   OHI (CLEMMONS), INC.
                                                   OHI (FLORIDA), INC.
                                                   OHI (GREENSBORO), INC.
                                                   OHI (ILLINOIS), INC.
                                                   OHI (IOWA), INC.
                                                   OHI (KANSAS), INC.
                                                   OHI OF TEXAS, INC.
                                                   OMEGA (KANSAS), INC.
                                                   OS LEASING COMPANY
                                                   STERLING ACQUISITION CORP.
                                                   STERLING ACQUISITION CORP. II

                                                   By /s/ SUSAN A. KOVACH
                                                          ----------------

         Susan A. Kovach, as an executive  officer of all of the  aforementioned
entities, has executed this Loan Agreement and intending that all entities above
named are bound and are to be bound by the one  signature as if she had executed
this Loan Agreement separately for each of the above named entities.















            Signature Page to First Amendment to Loan Agreement among
       Omega Healthcare Investors, Inc., and certain of its Subsidiaries,
             the Banks party thereto, and Fleet Bank, N.A. as Agent


                                              FLEET BANK, N.A., as Agent
                                              and as a Bank


                                              By:  /s/  CHRISTIAN J. COVELLO
                                                  -----------------------------
                                                  Name: Christian J. Covello
                                                       ------------------------
                                                  Title: Vice President
                                                       ------------------------


                                              DRESDNER BANK AG, NEW YORK BRANCH
                                              and GRAND CAYMAN BRANCH

                                              By:  /s/  DEBRA RITZLER
                                                  -----------------------------
                                                  Name: Debra Ritzler
                                                        -----------------------
                                                  Title:Assistant Vice President
                                                        -----------------------


                                              By:   /s/  CHARLES M. O'SHEA
                                                  ------------------------------
                                                  Name:  Charles M. O'Shea
                                                        ------------------------
                                                  Title: Vice President
                                                         -----------------------


                                              HARRIS TRUST AND SAVINGS BANK

                                              By:   /s/ MICHAEL J. JOHNSON
                                                  ------------------------------
                                                  Name: Michael J. Johnson
                                                       -------------------------
                                                  Title:Vice President
                                                       -------------------------


                                              BANK ONE, MICHIGAN

                                              By:   /s/ MARCIA F. VENTURA
                                                  ------------------------------
                                                  Name: Marcia F. Fentura
                                                        ------------------------
                                                  Title:First Vice President
                                                        ------------------------


                                              FOOTHILL INCOME TRUST, L.P.
                                              By FIT-GP, LLC

                                              By:    /s/ M. E. STEARNS
                                                  -----------------------------
                                                  Name:  M. E. Stearns
                                                        ------------------------

                                                  Title:  Managing Member
                                                        ------------------------


            Signature Page to First Amendment to Loan Agreement among
       Omega Healthcare Investors, Inc., and certain of its Subsidiaries,
             the Banks party thereto, and Fleet Bank, N.A. as Agent







                                              MICHIGAN NATIONAL BANK

                                              By:   /s/ DRAGA PALINCAS
                                                 ------------------------------
                                                 Name:  Draga Palincas
                                                       ------------------------
                                                 Title: Vice President
                                                       ------------------------


                                              LASALLE BANK NATIONAL ASSOCIATION

                                              By:  /s/  JOSEPH N. LAZEWSKI
                                                  ---------------------------
                                                  Name: Joseph N. Lazewski
                                                        ----------------------
                                                  Title:Loan Officer
                                                        ----------------------


                                               BHF (USA) CAPITAL CORPORATION

                                               By:     /s/ RICHARD CAMERON
                                                   ----------------------------
                                                   Name:   Richard Cameron
                                                         ----------------------
                                                   Title:  Vice President
                                                         ----------------------

                                               By:   /s/ HANS J. SCHOLZ
                                                   ----------------------------
                                                   Name: Hans J. Scholz
                                                         ----------------------
                                                   Title:Vice President
                                                         ----------------------


                                               KBC N.V.


                                               By:    /s/ ROBERT SNAUFFER
                                                   ----------------------------
                                                   Name:  Robert Snauffer
                                                         ----------------------
                                                   Title: First Vice President
                                                         ----------------------


                                               By:   /s/ KATHERINE S. MCCARTHY
                                                   ----------------------------
                                                   Name: Katherine S. McCarthy
                                                         ----------------------
                                                   Title:Vice President
                                                         ----------------------







            Signature Page to First Amendment to Loan Agreement among
       Omega Healthcare Investors, Inc., and certain of its Subsidiaries,
             the Banks party thereto, and Fleet Bank, N.A. as Agent