AMENDMENT NO. 1 TO LOAN AGREEMENT
                        ---------------------------------

     AMENDMENT  NO.  1 TO LOAN  AGREEMENT  (this  "First  Amendment"),  made and
executed this 20th day of November, 2000, by and among:

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

     The lenders that have executed the signature pages hereto (individually,  a
"Lender" and collectively, the "Lenders"); and

     THE PROVIDENT BANK, an Ohio banking  corporation,  as Agent for the Lenders
(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 August
11, 2000  (hereinafter  referred to as the "Loan  Agreement") with the Agent and
the Lenders; and

     (B) The  Borrowers  have  requested  that the  Lenders  and the Agent amend
certain  provisions  of the Loan  Agreement,  and the  Lenders 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  definition of "Funded  Indebtedness"  contained in Article 1,
     Section  1.2,  is hereby  deleted  in its  entirety  and the  following  is
     substituted therefor:

                           ""Funded  Indebtedness"  means  as  of  any  date  of
                  determination,  all  Indebtedness for borrowed money (which in
                  any  event  does not  include  accounts  payable  and  accrued
                  liabilities) of Omega on a consolidated  basis  including,  in
                  any event, the Loans."

          2.2 Section 7.9 (Financial Covenants) of the Loan Agreement is amended
     by adding the  following  sentence  as a new  paragraph  (e) in and to such
     Section:

                  " (e)  For  purposes  of  computing  the  financial  covenants
                  contained  in Section  7.9,  there shall be excluded  from the
                  calculation  of  "EBITDA"  and  "Adjusted  EBITDA"  a one time
                  charge  of  $4,664,861,  incurred  by Omega  during  the third
                  quarter of 2000, in connection  with  severance and consulting
                  costs arising from the  consummation  of certain  transactions
                  contemplated by the Investment Agreement."

     3.  Representations and Warranties.  In order to induce the Lenders and the
Agent  to  enter  into  this  First  Amendment,  each  of the  Borrowers  hereby
represents and warrants to the Lenders 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  Borrower  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  Borrower,  (ii) this First
     Amendment  is the legal,  valid and binding  obligation  of each  Borrower,
     enforceable  against each Borrower in accordance with its terms,  and (iii)
     this First  Amendment and the execution,  delivery and  performance by each
     Borrower  hereof  does not:  (A)  contravene  the  terms of any  Borrower'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 Borrower is a party or
     any order, injunction, writ or decree to which any Borrower 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  Lender  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 Borrowers 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 SECOND  AMENDMENT  SHALL BE CONSTRUED IN ACCORDANCE WITH
     AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF OHIO.

          5.3 Fee. In the event that the Lenders  execute and deliver this First
     Amendment,  the  Borrowers  shall pay to the Agent for the  benefit of each
     Lender that  executes and delivers  this First  Amendment a  non-refundable
     amendment  fee equal to the  product of (a) 0.05%  (i.e.,  5 basis  points)
     multiplied  by (b) the  Revolving  Loan A Commitment  or  Revolving  Loan B
     Commitment of such Lender as of Monday, November 20, 2000.

          5.4  Successors.  This  First  Amendment  shall  be  binding  upon the
     Borrowers,  the Lenders and the Agent and their  respective  successors and
     assigns,  and shall inure to the benefit of the Borrowers,  the Lenders and
     the Agent and the successors and assigns of the Lenders and the Agent.

          5.5 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.











                         [Signatures on following page.]


         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.

                                        THE PROVIDENT BANK, as Lender and Agent

                                        By: /s/ STEVEN J. BLOEMER
                                            -----------------------------------
                                        Its: Vice President
                                             ----------------------------------
                                        Printed: Steven J. Bloemer
                                                -------------------------------

                                        ONE VALLEY BANK

                                        By: /s/ TIMOTHY PAXTON
                                           ------------------------------------
                                        Its:   Senior Vice President
                                           ------------------------------------

                                        GREAT AMERICAN INSURANCE COMPANY

                                         By: /s/ RONALD C. HAYES
                                            -----------------------------------
                                         Its: Assistant Vice President
                                            -----------------------------------

                                        GREAT AMERICAN LIFE INSURANCE COMPANY

                                         By: /s/ MARK F. MUETHING
                                            -----------------------------------
                                         Its:    Executive Vice President
                                            -----------------------------------


                                        OMEGA HEALTHCARE INVESTORS, INC.
                                        STERLING ACQUISITION CORP.
                                        DELTA INVESTORS I, LLC

                                        By: /s/ SUSAN A. KOVACH
                                           -------------------------------------
                                        Its: Vice President, General Counsel
                                           -------------------------------------
                                             and Secretary
                                           -------------------------------------

             Susan A. Kovach,   as  an   executive   officer   of   all  of  the
aforementioned  entities,  has executed this First  Amendment and intending that
all of the  entities  above  named  are  bound  and are to be  bound  by the one
signature as if (s)he had executed this First  Amendment  separately for each of
the above named entities.