AMENDMENT NO. 2 TO LOAN AGREEMENT

     AMENDMENT  NO. 2 TO LOAN  AGREEMENT  (this  "Amendment  No.  2"),  made and
entered into effective the 31st day of December, 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,  as amended by that certain  Amendment No. 1 to Loan  Agreement  dated
November 30, 2000 (hereinafter referred to, as amended, 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 "LIBOR  Margin"  contained in Article 1, Section
     1.2, is hereby  deleted in its  entirety and the  following is  substituted
     therefor:

          "LIBOR  Margin" means one of the following  percentages,  depending on
     the Leverage Ratio,  as determined by Agent as of the Computation  Date for
     the immediately preceding fiscal quarter:

              Leverage Ratio                                     LIBOR Margin
              --------------                                     ------------
              Greater than or equal to 5.0:1                         3.75%
              Greater  than or  equal  to  4.5:1,  but less          3.50%
               than 5.0:1
              Greater  than or  equal  to  4.0:1,  but less          3.25%
               than 4.5:1
              Less than 4.0:1                                        3.00%

          2.2 The definition of "Prime Margin" contained in Article 1,
Section 1.2, is hereby  deleted in its entirety and the following is substituted
therefor:

          "Prime  Margin" means one of the following  percentages,  depending on
     the Leverage Ratio,  as determined by Agent as of the Computation  Date for
     the immediately preceding fiscal quarter:

              Leverage Ratio                                     Prime Margin
              --------------                                     ------------
              Greater than or equal to 5.0:1                         2.75%
              Greater than or equal to 4.5:1, but                    2.50%
               less than 5.0:1
              Greater than or equal to 4.0:1, but                    2.25%
               less than 4.5:1
              Less than 4.0:1                                        2.00%


          2.3 Section 7.9 (Financial Covenants) of the Loan Agreement is amended
     by deleting  subparagraph  (a)(v) thereof in its entirety and  substituting
     the following provision therefor:

                  "A Leverage  Ratio of (A) not greater  than  5.50:1.00  on and
                  from  December 31, 2000 through and  including  September  29,
                  2001; (B) not greater than 5.25:1.00 on and from September 30,
                  2001 and through and including March 30, 2002; (C) not greater
                  than  5.00:1.00  on and from  March  31,  2002 to and  through
                  September  29,  2002;  and (D) not greater  than  4.75:1.00 on
                  September 30, 2002 and thereafter."

     3.  Representations and Warranties.  In order to induce the Lenders and the
Agent  to  enter  into  this  Amendment  No.  2,  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  Amendment  No. 2, 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  Amendment  No. 2, 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  Amendment  No.  2 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 Amendment
     No.  2 is the  legal,  valid  and  binding  obligation  of  each  Borrower,
     enforceable  against each Borrower in accordance with its terms,  and (iii)
     this  Amendment No. 2 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  Amendment No. 2 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 Amendment No.
     2, 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 Amendment No. 2.

     5.  Additional  Optional  Changes.  Within  ninety (90) days  following the
execution  hereof,  the  Borrowers  may choose to further  modify  their  credit
relationship with the Agent and the Lenders by adding  sufficient  Facilities as
Real Property  Collateral  such that,  following such  additions,  (i) Aggregate
EBITDAR  shall be not less than  $24,450,000.00  and (ii) the ratio of aggregate
rental  payments  made with respect to all  Facilities  serving as Real Property
Collateral to the sum of all interest  payable on the  Obligations  shall,  on a
four fiscal  quarter  basis,  be not less than  2.00-to-1.00.  Such  addition of
Facilities as Real  Property  Collateral  shall be made in  accordance  with the
requirements  set  forth  in  Section  3.5 of the  Loan  Agreement,  and must be
completed  before the  expiration  of said ninety (90) day period.  In the event
that the Borrowers choose to make such modification in the credit  relationship,
and comply  with the  requirements  of  Section  3.5 of the Loan  Agreement  and
herein, the "LIBOR Margin" and the "Prime Margin" shall be modified as follows:

          "LIBOR  Margin" means one of the following  percentages,  depending on
     the Leverage Ratio,  as determined by Agent as of the Computation  Date for
     the immediately preceding fiscal quarter:



            Leverage Ratio                                         LIBOR Margin
            --------------                                         ------------
            Greater  than or  equal to  5.25:1,  but less             3.50%
             than 5.5:1
            Greater  than or  equal  to  5.0:1,  but less             3.25%
             than 5.25:1
            Greater  than or  equal  to  4.5:1,  but less             3.00%
             than 5.0:1
            Greater  than or  equal  to  4.0:1,  but less             2.75%
             than 4.5:1
            Less than 4.0:1                                           2.50%

          "Prime  Margin" means one of the following  percentages,  depending on
     the Leverage Ratio,  as determined by Agent as of the Computation  Date for
     the immediately preceding fiscal quarter:








            Leverage Ratio                                          Prime Margin
            --------------                                          ------------
            Greater than or equal to 5.25:1,  but less than             2.50%
             5.5:1
            Greater  than or equal to 5.0:1,  but less than             2.25%
             5.25:1
            Greater  than or equal to 4.5:1,  but less than             2.00%
             5.0:1
            Greater  than or equal to 4.0:1,  but less than             1.75%
             4.5:1
            Less than 4.0:1                                             1.50%

Any modification of the credit relationship  between the Borrowers and the Agent
and the Lenders shall be formalized by a written amendment to the Loan Agreement
(containing  such  provisions as the Agent shall deem  appropriate)  at the time
such  modification  is made.  If the Borrowers do not elect to modify the credit
relationship  as set forth herein,  or fail to comply with the  requirements  of
Section  3.5 of the  Loan  Agreement  and  those  set  forth  herein,  then  the
provisions of this Amendment shall continue in fill force and effect.

     6. Miscellaneous.

          6.1 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 Amendment No. 2.

          6.2 Law. THIS  AMENDMENT  NO. 2 SHALL BE CONSTRUED IN ACCORDANCE  WITH
     AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF OHIO.

          6.3  Successors.  This  Amendment  No.  2 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.

          6.4 Execution in Counterparts. This Amendment No. 2 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.

     IN WITNESS WHEREOF,  the parties hereto have caused this Amendment No. 2 to
be executed and delivered by their respective officers thereunto duly authorized
effective as of the date first written above.

                                         LENDERS AND AGENT:

                                         THE PROVIDENT BANK, as Lender and Agent


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

                                         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
                                             -----------------------------------





                    [Signatures continued on following page.]





                                         BORROWERS:

                                         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
Borrower,  has  executed  this  Amendment  No. 2 and  intending  that all of the
Borrowers  above named are bound and are to be bound by the one  signature as if
(s)he had executed this  Amendment No. 2 separately  for each of the above named
Borrowers.