Exhibit 10.10

                       TRIGGER EVENT CASH BONUS AGREEMENT
                       ----------------------------------

      THIS TRIGGER EVENT CASH BONUS AGREEMENT (the "Agreement"), is made by and
between Skilled Healthcare Group Inc., a Delaware corporation (the "Company"),
and Mark Wortley ("Executive"), effective as of April 30, 2005, and is made part
of that certain Amended and Restated Employment Agreement between Executive and
Hallmark Rehabilitation GP, LLC, a Delaware limited liability company and
subsidiary of the Company, dated March 8, 2004 (the "Employment Agreement").

                                   ARTICLE I.
                                  DEFINITIONS
                                  -----------

      Whenever the following terms are used in this Agreement they shall have
the meaning specified below unless the context clearly indicates to the
contrary. The masculine pronoun shall include the feminine and neuter, and the
singular the plural, where the context so indicates.

      Section 1.1 "Affiliated Entities" shall mean Skilled Healthcare LLC and
any entity that is controlled by and consolidated with in the financial
statements of either the Company or Skilled Healthcare LLC.

      Section 1.2 "Applicable Conversion Ratio" is the Conversion Ratio that is
tied to the specific Terminal Equity Value and is used to determine the Then
Effective Ownership Percentage. The Conversion Ratios as they relate to the
varying Terminal Equity Values are set forth on Schedule A hereof.

      Section 1.3 "Asset Sale" shall mean the date of closing for the sale of
all or substantially all of the assets of the Company and its Affiliated
Entities.

      Section 1.4 "Board" shall mean the Board of Directors of the Company, as
constituted from time to time.

      Section 1.5 "Cash Bonus" shall have the meaning ascribed to it in Section
2.1 hereof.

      Section 1.6 "Cause" shall have the mean ascribed to it in the Employment
Agreement.

      Section 1.7 "Credit Facilities" shall have the meaning ascribed to it in
Section 2.5 hereof.

      Section 1.8 "Disability" shall have the meaning ascribed to it in the
Employment Agreement.

      Section 1.9 "Maximum Bonus Equivalent" for Executive, shall mean 4,439.
Maximum Bonus Equivalent is intended to generally represent the number of shares
of Common Stock or its equivalents that Executive would have been granted to
obtain the equivalent value of

the maximum Cash Bonus for a Trigger Event. For purposes of the calculation of
Total Shares of Common Stock Outstanding, Executive's Maximum Bonus Equivalent,
plus all other Maximum Bonus Equivalents granted to other employees of the
Company shall be included.

      Section 1.10 "IPO" shall mean the date that the closing of a public
offering pursuant to an effective registration statement under the Securities
Act of 1933, as amended, covering the offer and sale of Common Stock for the
account of the Company to the public occurs and the Common Stock becomes listed
or quoted on a national security exchange or in the NASDAQ National Market
Quotation System.

      Section 1.11 "Period of Employment" shall mean September 1, 2002 through
and including August 31, 2007.

      Section 1.12 "Qualifying Termination of Service" shall mean termination of
Executive's employment with the Company and Affiliated Entities by reason of
Executive's death or Disability or any termination of Executive by the Company
and any Affiliated Entity without Cause. In addition to the termination of
Executive by the Company and any Affiliated Entity without Cause, as defined in
Section 1.6, Executive shall be deemed to have been terminated by the Company
without Cause if Executive resigns from the Company during the Period of
Employment as a result of (i) a relocation of Executive's principal place of
employment to greater than 75 miles from its current location, (ii) a material
diminution of his Base Salary, and/or (iii) a material diminution in his duties
and/or responsibilities, in each case without Executive's consent. For purposes
under circumstances defined under Section 5.4 of the preceding sentence "Base
Salary" shall have the meaning ascribed to it in the Employment Agreement. The
Board, in its reasonable good faith discretion, shall determine the effect of
all matters and questions relating to a Termination of Service, including
without limitation whether a Termination of Service is a Qualifying Termination
of Service. In the event that the Executive disagrees with such Board's
determination, then such matter shall be resolved pursuant to Section 21 of the
Employment Agreement.

      Section 1.13 "Stock Sale" shall mean the date as of which at least a
majority of the Company's then outstanding common stock is sold in a single
transaction or series of substantially related transactions and, unless
otherwise approved by the Board, the consideration paid is cash or marketable
securities.

      Section 1.14 "Termination of Service" shall mean termination of
Executive's employment with the Company and its Affiliated Entities for any
reason. The Board, in its discretion, shall determine the effect of all matters
and questions relating to a Termination of Service, including, without
limitation, whether a Qualifying Termination of Service has occurred.

      Section 1.15 "Terminal Equity Value" shall mean: (i) in the case of an
IPO, the equity value of the Company's outstanding common stock determined based
on the public offering price of the Company's common stock in the IPO and the
number of shares of common stock outstanding immediately prior to the IPO; (ii)
in the case of a Stock Sale, the equity value of the Company's outstanding
common stock determined based on the net proceeds distributable in respect of
the common stock of the Company that is sold in the Stock Sale and the number of

shares of common stock outstanding; and (iii) in the case of an Asset Sale, the
aggregate net proceeds that are or would be distributable in respect of all
outstanding common stock of the Company assuming that the Company paid off its
debt and preferred stock and debt securities, and liquidated on the Asset Sale,
and assuming that any right, warrant or option to acquire any common stock of
the Company entitled to be exercised is converted immediately prior to the
distribution.

      Section 1.16 "Then Effective Ownership Percentage" shall have the meaning
and shall be determined as set forth in Section 3.1 and 3.2, and Schedule A
hereof. The Then Effective Ownership Percentage varies with the Terminal Equity
Value and the Total Shares of Common Stock Outstanding. The maximum Then
Effective Ownership Percentage is 0.333% for a Terminal Equity Value of $375
million or more.

      Section 1.17 "Total Shares of Common Stock Outstanding" shall mean the
total number of shares of Class A Common Stock outstanding immediately prior to
the Trigger Event and without giving effect to the Trigger Event, including (i)
all shares of Class A Common Stock issuable upon exercise or conversion of any
then outstanding options, warrants and Class B Common Stock, plus (ii) the
aggregate Maximum Bonus Equivalents of all employees, including Executive.

      Section 1.18 "Trigger Event" shall mean any of (i) an Asset Sale, (ii) an
IPO, or (iii) a Stock Sale, in each case with a Terminal Equity Value equal to
$175 million or more.

      Section 1.19 "Vested Bonus Equivalent" shall have the meaning ascribe to
it in Section 3.2 hereof.

                                   ARTICLE II.
                     CASH BONUS PAYABLE UPON A TRIGGER EVENT
                     ---------------------------------------

      Section 2.1 Cash Bonus
      ----------- ----------

      Subject to Sections 2.2, 2.3 and 2.4, on the date of the closing of a
Trigger Event, the Company shall pay to Executive a cash bonus ("Cash Bonus")
equal to the product of (a) the sum of the Terminal Equity Value of the Company,
plus the aggregate cash dividends paid by the Company on shares of its common
stock prior to the Trigger Event, multiplied by (b) Executive's Then Effective
Ownership Percentage (as determined pursuant to Section 3.1 or 3.2, as
applicable). For purposes of determining the Cash Bonus, Executive's Then
Effective Ownership Percentage is prorated between the Terminal Equity Values.

      Executive understands and agrees that issuances by the Company after April
30, 2005 of shares, options, warrants or other rights to acquire shares of Class
A Common Stock or any Bonus Equivalents will reduce Executive's Then Effective
Ownership Percentage and thus likely will result in a reduction in any Cash
Bonus payable.

      Section 2.2 Escrow/Holdback
      ----------- ---------------

      In the event any part or all of the consideration payable to the Company
or its stockholders in connection with a Trigger Event is paid into escrow or
subject to holdback provisions, a portion or all of the Cash Bonus payable to
Executive shall similarly be subject to such escrow or holdback provisions, in
the same percentage as the escrowed amount relates to such total consideration.
Thus, if 2% of the consideration payable to the Company (or its stockholders) in
the Trigger Event is placed in escrow, then 2% of the Cash Bonus shall be placed
the Company into escrow; the portion of the Cash Bonus so escrowed shall be paid
to Executive only if and to the extent the escrowed or withheld Trigger Event
consideration is released and paid to the Company (or its stockholders, as
applicable). The terms of any Trigger Event escrow or holdback provisions shall
govern the terms of the Company's right to withhold a portion of the Cash Bonus
provided hereby.

      Section 2.3 No Cash Bonus
      ----------- -------------

      (a) Termination of Employment or Employment Period. In the event prior to
the Trigger Event there is a Termination of Service that is not a Qualifying
Termination of Service, no Cash Bonus will be paid or payable to Executive, and
this agreement shall cease to be of any further force or effect. In the event
the Period of Employment expires prior to the Trigger Event, no Cash Bonus will
be paid or payable to Executive, and this agreement shall cease to be of any
further force or effect. Thus, if Executive resigns, is terminated for Cause or
the Period of Employment terminates and is not extended, prior to a Trigger
Event, then no Cash Bonus or other form of consideration shall be paid. In the
event of a Qualifying Termination of Service, no Cash Bonus will be paid or
payable unless, until and only to the extent a Trigger Event occurs.

      (b) Stock Sale, IPO or Asset Sale with a Terminal Equity Value less than
$175 million. In the event of a Stock Sale, IPO or Asset Sale with a Terminal
Equity Value of less than $175 million, no Cash Bonus will be paid or payable to
Executive, and this agreement shall cease to be of any further force or effect.

      Section 2.4 Insufficient Funds
      ----------- ------------------

      In the event the Company does not have sufficient funds to pay the Cash
Bonus or such payment would violate any of the provisions of any of the
Company's existing or future credit facilities or indentures (collectively, the
"Credit Facilities") then in effect, or the rights and preferences of preferred
stock then outstanding, or any applicable law, then to the extent necessary to
comply with the Credit Facilities, the preferred stock or applicable law, the
Company shall make periodic payments toward the obligation herein to the maximum
allowable under such restrictions up the amount of the obligation plus interest
charges on amounts paid more than 45 days after the Trigger Event, but in no
event in amounts less than a comparable amount paid pari-passu with any equity
payment made pursuant to a Trigger Event. Interest charges applicable herein
shall be on the unpaid balance of the obligation at the then-current Applicable
Federal Rate.

                                  ARTICLE III.
            DETERMINATION OF THEN EFFECTIVE OWNERSHIP PERCENTAGE AND
            --------------------------------------------------------
                              TERMINAL EQUITY VALUE
                              ---------------------

      Section 3.1 Trigger Event During Period of Employment.
      ----------- -----------------------------------------
      In the event of a Trigger Event during the Period of Employment,
Executive's Then Effective Ownership Percentage shall equal the product of:

            -     the quotient of (x) Executive's Maximum Bonus Equivalent
                  divided by (Y) the Total Shares of Common Stock Outstanding;

            -     multiplied by, the Applicable Conversion Ratio for the
                  Terminal Equity Value for such Trigger Event.

The Bonus Payments based on Terminal Equity Values and Then Effective Ownership
Percentages as of April 30, 2005 are set forth on Schedule A attached hereto.

      Section 3.2 Trigger Event following a Qualifying Termination of Service.
      ----------- -----------------------------------------------------------

      In the event of a Trigger Event following a Qualifying Termination of
Service, Executive's Then Effective Ownership Percentage shall equal the product
of:

            -     the quotient of (x) the Vested Bonus Equivalent divided by (Y)
                  the Total Shares of Common Stock Outstanding;

            -     multiplied by, the Applicable Conversion Ratio for the
                  Terminal Equity Value.

For purposes of this Section 3.2, "Vested Bonus Equivalent" means 2,950 as of
April 30, 2005, plus an additional 92 credited on the last day of each full
calendar month (except for the last calendar month, which credit shall be for
109) elapsed from April 30, 2005 and ending with and including the earlier of
(i) last full calendar month prior to the month in which the Qualifying
Termination of Service occurs or (ii) August 31, 2006. In no event, however,
shall the Vested Bonus Equivalent exceed the Maximum Bonus Equivalent (i.e.,
4,439).

For purposes of this Section 3.2, the Terminal Equity Value shall be determined
as of the date of the Qualifying Termination of Service. If a Trigger Event
occurs within nine months following the Qualifying Termination of Service,
however, the Terminal Equity Value as of the Trigger Event (and not the Terminal
Equity Value as of the Qualifying Termination of Service) shall be used to
determine the Applicable Conversion Ratio.

      Section 3.3 Determination of Terminal Equity Value
      ----------- --------------------------------------

      The Board shall determine the Terminal Equity Value, and for purposes of
an a Asset Sale, the Board shall assume that the Company is a willing seller and
sold its assets to a willing purchaser. The Terminal Equity Value shall be
determined as of the Trigger Event, except in the case of a Qualifying
Termination of Service, in which case the Terminal Equity

Value shall be determined as of the date of the Qualifying Termination of
Service. If a Trigger Event occurs within nine months following the Qualifying
Termination of Service, however, the Terminal Equity Value as of the Trigger
Event (and not the Terminal Equity Value as of the Qualifying Termination of
Service) shall be used to determine the Cash Bonus. The Board shall provide
prompt written notice to Executive of such valuation.

      If Executive disagrees with such valuation by the Board, Executive may, by
written notice to the Board no later than 10 days after Executive is notified of
the Board's determination of Terminal Equity Value, elect to have a nationally
recognized valuation firm conduct a separate determination of such Terminal
Equity Value. Any valuation firm selected must complete its determination within
75 days of its engagement and must base its determination upon the applicable
factor(s) identified in the definition of Terminal Equity Value. Executive shall
initially select a nationally recognized valuation firm to conduct the
determination. The Company must approve or deny the valuation firm selected by
Executive within 15 business days, which approval shall not be unreasonably
withheld. If the Company denies Executive's proposed valuation firm, Executive
can select an alternate firm and the Company will have 10 business days to
reasonably approve or deny such selection. If the Company denies Executive's
second proposed valuation firm, Executive can select a third firm and the
Company will have 5 business days to reasonably approve or deny such selection
provided, however, that if the Company denies 3 nationally recognized valuation
firms selected by Executive, Executive can require the Company to choose one of
the 3 nominated firms within 5 business days, and if the Company does not select
a firm Executive may select one of such firms. The Company shall be deemed to
have approved any selection by Executive if it does not provide an approve or
deny response within the specified time period.

      Following the determination of Terminal Equity Value by the valuation
firm, the Company and Executive will have a 3 week period to mutually agree that
the Terminal Equity Value will be the average or some other permutation of the
Board's determination and the valuation firm's determination. If the Company and
Executive do not agree to a Terminal Equity Value based on those two
determinations within 3 weeks, the valuation firm and the Company will choose a
second nationally recognized valuation firm by each proposing 3 candidates to
the Company and Executive simultaneously within two weeks, and any candidate
appearing on both lists will be selected (if more than one candidate appears on
both lists the final selection will be determined by chance (i.e., flipping a
coin)). If no candidate appears on both lists, the process will be repeated
until a common candidate is found or the Company, in its sole discretion, can
select any firm previously submitted by Executive. The second valuation firm
will have 75 days to complete its determination of Terminal Equity Value (and if
not completed the average of the Company's and the fast valuation firm's
determinations will be used). After the second valuation firm completes its
determination, the Terminal Equity Value used will be the average of the two
determinations that are closest in value from among the three determinations
(the Board's, the first valuation firm's, and the second valuation firm's).

      The Company will pay the costs of the first valuation firm, except that
the Company shall be entitled to reimbursement from Executive for such costs if
the first valuation firm's valuation is within 5% of the Board's valuation. The
Company and Executive will

equally share the costs of the second valuation firm, if needed. If the Company
is entitled to reimbursement from Executive for any costs in accordance with the
preceding two sentences, the Company may offset all or a portion of the amount
owing to the Company by Executive against any amount (including, without
limitation, any amount of compensation) otherwise payable to Executive. The
Company and Executive shall be bound by the final determination of Terminal
Equity Value pursuant to this Section 3.3.

      Section 3.4 Revisions to Applicable Conversion Ratios and Terminal Equity
      ----------- -------------------------------------------------------------
      Value Thresholds
      ----------------

      The Company and Executive shall negotiate in good faith revisions to the
Applicable Conversion Ratios and the Terminal Equity Value thresholds, as
applicable, in the event of any acquisitions, dispositions, combinations,
mergers, consolidation, reorganization or similar corporate transaction that is
reasonably expected to materially affect the Terminal Equity Value of the
Company.

                                   ARTICLE IV.
                                 MISCELLANEOUS
                                 -------------

      Section 4.1 Administration
      ----------- --------------

      The Board shall have the power to interpret this Agreement and to adopt
such rules for the interpretation and application of this Agreement as are
consistent herewith and to interpret, amend or revoke any such rules. All
actions taken and all interpretations and determinations made by the Board in
good faith, shall be made consistent with those made or applicable to the
Company's other senior management shareholders, and shall be final and binding
upon Executive, the Company and all other interested persons. No member of the
Board shall be personally liable for any action, determination, or
interpretation made in good faith.

      Section 4.2 Notices
      ----------- -------

      Any notice or other communication given pursuant to this Agreement shall
be in writing and shall be personally delivered, sent by overnight courier or
express mail, or mailed by first class certified or registered mail, postage
prepaid, return receipt requested as follows:

      (a) if to the Company:

      Skilled Healthcare Group, Inc.
      Attention: Board of Directors
      27442 Portola Parkway,
      Suite 200
      Foothill Ranch, California 92610

      With copy to:

      Heritage Partners, Inc.
      30 Rowes Wharf, Suite 300
      Boston, MA 02110
      Attn: Mark J. Jrolf

      (b) if to Executive:

      Mr. Mark Wortley
      3816 Spring Mountain Road
      Fort Smith, AR 72916

      Either party may change its address set forth above by written notice
given to the other party in accordance with the foregoing. Any notice shall be
effective when personally delivered, 2 business days after being delivered to
overnight courier or express mail, or 5 business days after by first class
certified or registered mail, postage prepaid, return receipt requested.

      Section 4.3 Titles
      ----------- ------

      Titles are provided herein for convenience only and are not to serve as a
basis for interpretation or construction of this Agreement.

      Section 4.4 Governing Law
      ----------- -------------

      This Agreement and the legal relations hereby created between the parties
hereto shall be governed by and construed under and in accordance with the laws
of the State of California, without regard to choice of law provisions thereof.

      Section 4.5 Amendments
      ----------- ----------

      No amendment or waiver of this Agreement or any term, covenant, or
condition hereof shall be binding upon the party against whom enforcement of
such amendment or waiver is sought unless it is made in writing and signed by or
on behalf of such party. Failure to insist upon strict compliance with any of
the terms, covenants, or conditions hereof shall not be deemed a waiver of such
term, covenant, or condition, nor shall any waiver or relinquishment of, or
failure to insist upon strict compliance with, any right or power hereunder at
any one or more times be deemed a waiver or relinquishment of such right or
power at any other time or times.

      Section 4.6 Assignment
      ----------- ----------

      This Agreement is personal in its nature and neither of the parties hereto
shall, without the consent of the other, assign or transfer this Agreement or
any rights or obligations hereunder; provided, however, that, in the event of a
merger, consolidation, or transfer or sale of all or substantially all of the
assets or stock of the Company with or to any other individual(s)

or entity, this Agreement shall be binding upon and inure to the benefit of such
successor and such successor shall discharge and perform all the promises,
covenants, duties, and obligations of the Company hereunder.

      IN WITNESS WHEREOF, this Agreement has been executed and delivered by the
parties hereto as of May________, 2005.

                                                 SKILLED HEALTHCARE GROUP, INC.
                                                 a Delaware corporation



                                                 By  /s/ Boyd Hendrickson
                                                     ---------------------------
                                                     Boyd Hendrickson
                                                     Chief Executive Officer

EXECUTIVE

/s/ Mark Wortley
- ------------------------
Mark Wortley

                                   SCHEDULE A
                                   ----------

                                                                      BONUS
                                                                      -----
                                                                PAYMENT BASED ON
                                                                ----------------
                                           THEN EFFECTIVE        THEN EFFECTIVE
                                           --------------        --------------
                           APPLICABLE        OWNERSHIP             OWNERSHIP
                           ----------        ---------             ---------
                           CONVERSION     PERCENTAGE AS OF      PERCENTAGE AS OF
                           ----------     ----------------      ----------------
 TERMINAL EQUITY VALUE       RATIO            4/30/05                4/30/05
 ---------------------       -----            -------                -------

     $175,000,000            0.250             0.083%               $145,250
     $200,000,000            0.344             0.115%               $230,000
     $225,000,000            0.438             0.146%               $328,500
     $250,000,000            0.531             0.177%               $442,500
     $275,000,000            0.625             0.208%               $572,000
     $300,000,000            0.719             0.240%               $720,000
     $325,000,000            0.813             0.271%               $880,750
     $350,000,000            0.906             0.302%             $1,057,000
     $375,000,000            1.000             0.333%             $1,248,750

Then Effective Ownership Percentage is prorated between the Terminal Equity
Values.

The Terminal Equity Value shall be determined as of the Trigger Event, except in
the case of a Qualifying Termination of Service, in which case the Terminal
Equity Value shall be determined as of the date of the Qualifying Termination of
Service. If a Trigger Event occurs within nine months following the Qualifying
Termination of Service, however, the Terminal Equity Value as of the Trigger
Event (and not the Terminal Equity Value as of the Qualifying Termination of
Service) shall be used to determine the Cash Bonus.

Then Effective Ownership Percentage as of 4/30/05 is based on 1,332,938 Total
Shares of Common Stock Outstanding, which includes 1,193,587 shares of Class A
Common Stock, an aggregate of 17,768 Maximum Bonus Equivalents of Executive and
Mr. King, 65,731 shares of Class B Common Stock held by Messrs. Hendrickson,
Lynch and Rapp, 5,475 employee options and 50,377 warrants. The Then Effective
Ownership Percentage and Bonus Payment will decrease in accordance with the
terms of this agreement in the event of the issuance of any shares of Class A
Common Stock, or any rights to acquire Class A Common Stock, or any Bonus
Equivalents.