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                                                                    Exhibit 10.8

                    AMENDMENT TO PURCHASE AND SALE AGREEMENT

This Amendment to Purchase and Sale Agreement ("Amendment") amends that certain
Purchase and Sale Agreement (the "Agreement") by and between The Hillsdale
Group, L.P., a California limited partnership ("Seller"), and ARV Assisted
Living, Inc., a California corporation ("Buyer), dated as of February 12, 1998.
All capitalized terms not defined herein shall have the same definition as in
the Agreement.

7.   Section 1.3.1 is amended to state as follows: "On the Effective Date, Buyer
     shall deliver to Escrow Holder (as defined below), by wire transfer, the
     sum of Fourteen Million Dollars ($14,000,000.00) (the "Full Deposit"). On
     March 16, 1998, Escrow Holder shall, upon receipt of written instructions
     from Buyer and Seller, release to Seller the sum of Four Million Dollars
     ($4,000,000) (the "Released Deposit"), to be credited against the Purchase
     Price, and shall retain the balance (the "Deposit Balance") in Escrow. (As
     used herein, the term "Deposit" shall refer to the Full Deposit through
     March 16, 1998 and the Deposit Balance thereafter.) If the purchase and
     sale contemplated by this Agreement is consummated, then the Full Deposit
     shall be credited against the Purchase Price and the Deposit Balance shall
     be paid to Seller at the Closing. If the purchase and sale contemplated by
     this Agreement fails to occur, Escrow Holder shall remit the Deposit
     Balance to Seller or Buyer, as appropriate, in accordance with the
     provisions of this Agreement. In the event the purchase and sale
     contemplated by this Agreement fails to occur due to any reason other than
     a breach by Buyer giving rise to liquidated damages pursuant to Section
     8.2.1 below, Seller shall remit to Buyer the Released Deposit. The Escrow
     Holder shall be authorized to invest the Full Deposit in such reasonable
     manner as Buyer may direct (subject to Seller's reasonable approval) so
     long as the Released Deposit is available for release to Seller on March
     16, 1998; provided, however, that from and after March 16, 1998, the Escrow
     Holder shall invest the Deposit Balance only in such manner as will allow
     Escrow Holder to disburse the Deposit on two (2) days' notice. Due to the
     magnitude of the Deposit, the parties agree that all interest or other
     earnings thereon shall not become part of the Deposit, but shall be either
     applied to the Purchase Price or refunded and disbursed to Buyer regardless
     of the party who becomes entitled to the Deposit pursuant to any other
     provisions of this Agreement.

8.   Section 2.3 of the Agreement is hereby amended to state as follows: "The
     Closing shall occur (and Escrow shall close) on or before April 16, 1998
     (the "Closing Date")."

9.   Section 5.10 of the Agreement is hereby amended to state as follows: "Buyer
     and Seller shall, at the Closing, enter into an agreement on terms
     reasonably satisfactory to both parties (the "Post-Closing Operating
     Management or Lease Agreement") whereby Seller agrees to manage some or all
     of the Facilities for Buyer after the Closing. Said agreement shall
     terminate on May 16, 1998 and shall provide for a management fee of
     $167,000, payable at the Closing. Facility level Employees shall remain in
     the employ of Seller until the management of each such Facility (which may
     occur at different times during the month) is transferred to Buyer
     whereupon Buyer shall hire said Employees."

10.  The second to last sentence of Section 8.1.3(c) shall be changed from the
     following: "If Buyer so terminates the 3-Agreements, the Deposit and all
     interest accrued thereon shall be returned to Buyer" to the following: "If
     Buyer so terminates the 3-Agreements, the Deposit Balance and all interest
     accrued thereon shall be returned to Buyer by Escrow Holder and the
     Released Deposit shall be returned to Buyer by Seller."

11.  This Amendment may be executed in counterparts, each of which shall be
     deemed an original, but all of which, taken together, shall constitute one
     and the same instrument.
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12.  Except as amended herein, the Agreement shall remain in full force and
     effect.

IN WITNESS WHEREOF, the parties have executed this Amendment as of this 2nd day
of March, 1998.

"HILLSDALE"             The Hillsdale Group, L.P.,
                        a California limited partnership

                           By: Hillsdale Advisors, L.L.C., its general partner

                               By: Fremont Group, L.L.C., its managing member 

                                        By: /s/ Mark H. Simpson
                                            ------------------------------------
                                        Name: Mark H. Simpson
                                              ----------------------------------
                                        Its: Managing Director
                                             -----------------------------------




"BUYER":                 ARV Assisted Living, Inc.
                         a California corporation


                         By: /s/ Sheila M. Muldoon
                             ---------------------------------------
                             Sheila M. Muldoon, Vice President