EXHIBIT 2.3








                                LEASE AGREEMENT,

                          dated as of October 25, 2002,

                                  by and among

                            SNH CHS PROPERTIES TRUST,

                                  AS LANDLORD,

                                       AND

                                  FVE-CHS LLC,

                                    AS TENANT




                                TABLE OF CONTENTS

                                                                            Page
ARTICLE 1  DEFINITIONS.........................................................1
           1.1  "Additional Charges"...........................................1
           1.2  "Additional Rent"..............................................1
           1.3  "Affiliated Person"............................................1
           1.4  "Agreement"....................................................2
           1.5  "Applicable Laws"..............................................2
           1.6  "Award"........................................................2
           1.7  "Base Net Patient Revenues"....................................2
           1.8  "Base Year"....................................................3
           1.9  "Business Day".................................................3
           1.10  "Capital Addition"............................................3
           1.11  "Capital Expenditure".........................................3
           1.12  "Change in Control"...........................................3
           1.13  "Claim".......................................................4
           1.14  "Code"........................................................4
           1.15  "Commencement Date"...........................................4
           1.16  "Condemnation"................................................4
           1.17  "Condemnor"...................................................4
           1.18  "Consolidated Financials".....................................4
           1.19  "Date of Taking"..............................................4
           1.20  "Default".....................................................4
           1.21  "Disbursement Rate"...........................................4
           1.22  "Distribution"................................................5
           1.23  "Easement Agreement"..........................................5
           1.24  "Encumbrance".................................................5
           1.25  "Entity"......................................................5
           1.26  "Environment".................................................5
           1.27  "Environmental Obligation"....................................5
           1.28  "Environmental Notice"........................................5
           1.29  "Event of Default"............................................5
           1.30  "Excess Net Patient Revenues".................................5
           1.31  "Extended Term"...............................................5
           1.32  "Facility"....................................................6
           1.33  "Facility Mortgage"...........................................6
           1.34  "Facility Mortgagee"..........................................6
           1.35  "Financial Officer's Certificate".............................6
           1.36  "Fiscal Year".................................................6
           1.37  "Five Star"...................................................6
           1.38  "Fixed Term"..................................................6
           1.39  "Fixtures"....................................................6
           1.40  "FSQ".........................................................6
           1.41  "GAAP"........................................................6
           1.42  "Government Agencies".........................................6
           1.43  "Guarantor"...................................................7
           1.44  "Guaranty"....................................................7
           1.45  "Hazardous Substances"........................................7

                             -i-



                       TABLE OF CONTENTS
                          (continued)
                                                                            Page

           1.46  "Immediate Family"............................................8
           1.47  "Impositions".................................................8
           1.48  "Incidental Documents"........................................9
           1.49  "Indebtedness"................................................9
           1.50  "Insurance Requirements"......................................9
           1.51  "Interest Rate"...............................................9
           1.52  "Land"........................................................9
           1.53  "Landlord"....................................................9
           1.54  "Landlord Default"............................................9
           1.55  "Landlord Liens"..............................................9
           1.56  "Lease Year".................................................10
           1.57  "Leased Improvements"........................................10
           1.58  "Leased Intangible Property".................................10
           1.59  "Leased Personal Property"...................................10
           1.60  "Leased Property"............................................10
           1.61  "Legal Requirements".........................................10
           1.62  "Lien".......................................................11
           1.63  "Manager"....................................................11
           1.64  "Management Agreement".......................................11
           1.65  "Minimum Rent"...............................................11
           1.66  "Net Patient Revenues".......................................11
           1.67  "Notice".....................................................12
           1.68  "Officer's Certificate"......................................12
           1.69  "Overdue Rate"...............................................12
           1.70  "Overland Park Property".....................................12
           1.71  "Parent".....................................................12
           1.72  "Permitted Encumbrances".....................................12
           1.73  "Permitted Liens"............................................13
           1.74  "Permitted Use"..............................................13
           1.75  "Person".....................................................13
           1.76  "Pledge of Membership Interests Agreement"...................13
           1.77  "Property"...................................................13
           1.78  "Provider Agreements"........................................13
           1.79  "Records"....................................................13
           1.80  "Regulated Medical Wastes"...................................13
           1.81  "Relevant Environmental Laws"................................13
           1.82  "Rent".......................................................13
           1.83  "SEC"........................................................13
           1.84  "Security Agreement".........................................13
           1.85  "State"......................................................13
           1.86  "Subordinated Creditor"......................................14
           1.87  "Subordination Agreement"....................................14
           1.88  "Subsidiary".................................................14
           1.89  "Successor Landlord".........................................14
           1.90  "Tenant".....................................................14
           1.91  "Tenant's Personal Property".................................14

                                      -ii-

                       TABLE OF CONTENTS
                          (continued)
                                                                            Page

           1.92  "Term".......................................................14
           1.93  "Third Party Payor Programs".................................14
           1.94  "Third Party Payors".........................................14
           1.95  "Unsuitable for Its Permitted Use"...........................15
           1.96  "Work".......................................................15
ARTICLE 2  LEASED PROPERTY AND TERM...........................................15
           2.1  Leased Property...............................................15
           2.2  Condition of Leased Property..................................16
           2.3  Fixed Term....................................................17
           2.4  Extended Term.................................................17
ARTICLE 3  RENT...............................................................17
           3.1  Rent..........................................................17
           3.2  Late Payment of Rent, Etc.....................................22
           3.3  Net Lease.....................................................23
           3.4  No Termination, Abatement, Etc................................23
ARTICLE 4  USE OF THE LEASED PROPERTY.........................................24
           4.1  Permitted Use.................................................24
           4.2  Compliance with Legal/Insurance Requirements and Ground
                   Leases, Etc.                           ....................25
           4.3  Compliance with Medicaid and Medicare Requirements............26
           4.4  Environmental Matters.........................................26
ARTICLE 5  MAINTENANCE AND REPAIRS............................................28
           5.1  Maintenance and Repair........................................28
           5.2  Tenant's Personal Property....................................29
           5.3  Yield Up......................................................30
           5.4  Management Agreement..........................................30
ARTICLE 6  IMPROVEMENTS, ETC..................................................31
           6.1  Improvements to the Leased Property...........................31
           6.2  Salvage.......................................................31
ARTICLE 7  LIENS..............................................................32
           7.1  Liens.........................................................32
           7.2  Landlord's Lien...............................................32
ARTICLE 8  PERMITTED CONTESTS.................................................33
ARTICLE 9  INSURANCE AND INDEMNIFICATION......................................34
           9.1  General Insurance Requirements................................34
           9.2  Waiver of Subrogation.........................................34
           9.3  Form Satisfactory, Etc........................................34
           9.4  No Separate Insurance; Self-Insurance.........................35
           9.5  Indemnification of Landlord...................................35
ARTICLE 10 CASUALTY...........................................................36
           10.1  Insurance Proceeds...........................................36
           10.2  Damage or Destruction........................................36
           10.3  Damage Near End of Term......................................38
           10.4  Tenant's Property............................................38

                                     -iii-

                       TABLE OF CONTENTS
                          (continued)
                                                                            Page

           10.5  Restoration of Tenant's Property.............................38
           10.6  No Abatement of Rent.........................................39
           10.7  Waiver.......................................................39
ARTICLE 11 CONDEMNATION.......................................................39
           11.1  Total Condemnation, Etc......................................39
           11.2  Partial Condemnation.........................................39
           11.3  Abatement of Rent............................................40
           11.4  Temporary Condemnation.......................................41
           11.5  Allocation of Award..........................................41
ARTICLE 12 DEFAULTS AND REMEDIES..............................................41
           12.1  Events of Default............................................41
           12.2  Remedies.....................................................44
           12.3  Tenant's Waiver..............................................45
           12.4  Application of Funds.........................................45
           12.5  Landlord's Right to Cure Tenant's Default....................45
ARTICLE 13 HOLDING OVER.......................................................46
ARTICLE 14 LANDLORD DEFAULT...................................................46
ARTICLE 15 PURCHASE RIGHTS....................................................47
ARTICLE 16 SUBLETTING AND ASSIGNMENT..........................................47
           16.1  Subletting and Assignment....................................47
           16.2  Required Sublease Provisions.................................49
           16.3  Permitted Sublease...........................................50
           16.4  Sublease Limitation..........................................50
ARTICLE 17 ESTOPPEL CERTIFICATES AND FINANCIAL STATEMENTS.....................51
           17.1  Estoppel Certificates........................................51
           17.2  Financial Statements.........................................51
           17.3  General Operations...........................................52
ARTICLE 18 LANDLORD'S RIGHT TO INSPECT........................................53
ARTICLE 19 EASEMENTS..........................................................53
           19.1  Grant of Easements...........................................53
           19.2  Exercise of Rights by Tenant.................................53
           19.3  Permitted Encumbrances.......................................54
ARTICLE 20 FACILITY MORTGAGES.................................................54
           20.1  Landlord May Grant Liens.....................................54
           20.2  Subordination of Lease.......................................54
           20.3  Notice to Mortgagee and Superior Landlord....................56
ARTICLE 21 ADDITIONAL COVENANTS OF TENANT.....................................56
           21.1  Prompt Payment of Indebtedness...............................56
           21.2  Conduct of Business..........................................56
           21.3  Maintenance of Accounts and Records..........................56
           21.4  Notice of Litigation, Etc....................................57
           21.5  Indebtedness of Tenant.......................................57
           21.6  Distributions, Payments to Affiliated Persons, Etc...........58

                                      -iv-


           21.7  Prohibited Transactions......................................58
           21.8  Liens and Encumbrances.......................................58
           21.9  Merger; Sale of Assets; Etc..................................59
           21.10  Bankruptcy Remote Entities..................................59
           21.11  Net Worth...................................................59
ARTICLE 22 ARBITRATION........................................................59
ARTICLE 23 MISCELLANEOUS......................................................60
           23.1  Limitation on Payment of Rent................................60
           23.2  No Waiver....................................................61
           23.3  Remedies Cumulative..........................................61
           23.4  Severability.................................................61
           23.5  Acceptance of Surrender......................................61
           23.6  No Merger of Title...........................................61
           23.7  Conveyance by Landlord.......................................62
           23.8  Quiet Enjoyment..............................................62
           23.9  No Recordation...............................................62
           23.10  Notices.....................................................62
           23.11  Construction................................................63
           23.12  Counterparts; Headings......................................64
           23.13  Applicable Law, Etc.........................................64
           23.14  Right to Make Agreement.....................................64
           23.15  Attorneys' Fees.............................................64
           23.16  Nonliability of Trustees....................................65
           23.17  Overland Park Representations and Warranties................65


                                      -v-


                                 LEASE AGREEMENT

         THIS LEASE  AGREEMENT is entered  into as of October 25,  2002,  by and
between (i) SNH CHS Properties  Trust, a Maryland real estate  investment trust,
as landlord  ("Landlord"),  and (ii) FVE-CHS LLC, a Delaware  limited  liability
company, as tenant ("Tenant").

                              W I T N E S S E T H :

         WHEREAS,  Landlord  owns  the  nine  (9)  Properties  (this  and  other
capitalized  terms used and not  otherwise  defined  herein  having the meanings
ascribed to such terms in Article 1)  described  on Exhibits  A-1 - A-9 attached
hereto and made a part hereof; and

         WHEREAS,  Landlord  wishes to lease the Properties to Tenant and Tenant
wishes to lease the Properties from Landlord,  all subject to and upon the terms
and conditions herein set forth;

         NOW,  THEREFORE,  in  consideration  of  the  mutual  covenants  herein
contained  and other good and  valuable  consideration,  the mutual  receipt and
legal sufficiency of which are hereby  acknowledged,  Landlord and Tenant hereby
agree as follows:

                                   ARTICLE 1

                                  DEFINITIONS

         For all  purposes  of this  Agreement,  except as  otherwise  expressly
provided or unless the context otherwise requires, (a) the terms defined in this
Article shall have the meanings assigned to them in this Article and include the
plural as well as the singular,  (b) all accounting terms not otherwise  defined
herein shall have the meanings assigned to them in accordance with GAAP, (c) all
references in this  Agreement to  designated  "Articles,"  "Sections"  and other
subdivisions are to the designated Articles,  Sections and other subdivisions of
this  Agreement,  and (d) the words  "herein,"  "hereof,"  "hereunder" and other
words of  similar  import  refer  to this  Agreement  as a whole  and not to any
particular Article, Section or other subdivision.

         1.1  "Additional  Charges"  shall have the  meaning  given such term in
Section 3.1.3.

         1.2 "Additional Rent" shall have the meaning given such term in Section
3.1.2(a).

         1.3 "Affiliated  Person" shall mean, with respect to any Person, (a) in
the  case of any  such  Person  which  is a  partnership,  any  partner  in such
partnership,  (b) in the case of any such  Person  which is a limited  liability
company,  any member of such company,  (c) any other Person which is a Parent, a
Subsidiary, or a Subsidiary of a Parent with respect to such Person or to one or
more of the Persons  referred to in the  preceding  clauses (a) and (b), (d) any

other Person who is an officer,  director, trustee or employee of, or partner in
or member of, such Person or any Person  referred  to in the  preceding  clauses
(a),  (b) and (c),  and (e) any other  Person  who is a member of the  Immediate
Family of such Person or of any Person referred to in the preceding  clauses (a)
through (d).

         1.4 "Agreement" shall mean this Lease Agreement, including Exhibits A-1
through  A-9 hereto,  as it and they may be amended  from time to time as herein
provided.

         1.5  "Applicable  Laws"  shall  mean  all  applicable  laws,  statutes,
regulations,  rules, ordinances,  codes, licenses, permits and orders, from time
to time in existence,  of all courts of competent  jurisdiction  and  Government
Agencies, and all applicable judicial and administrative and regulatory decrees,
judgments and orders, including common law rulings and determinations,  relating
to injury to, or the protection of, real or personal property or human health or
the  Environment,   including,   without   limitation,   all  valid  and  lawful
requirements of courts and other  Government  Agencies  pertaining to reporting,
licensing,  permitting,  investigation,  remediation  and removal of underground
improvements  (including,  without  limitation,  treatment or storage tanks,  or
water,  gas or oil wells),  or  emissions,  discharges,  releases or  threatened
releases of Hazardous Substances, chemical substances,  pesticides, petroleum or
petroleum products,  pollutants,  contaminants or hazardous or toxic substances,
materials  or wastes  whether  solid,  liquid or  gaseous  in  nature,  into the
Environment,  or relating to the  manufacture,  processing,  distribution,  use,
treatment,  storage, disposal,  transport or handling of Hazardous Substances or
Regulated  Medical  Wastes,   underground   improvements   (including,   without
limitation,  treatment  or  storage  tanks,  or  water,  gas or oil  wells),  or
pollutants,  contaminants or hazardous or toxic substances, materials or wastes,
whether solid, liquid or gaseous in nature.

         1.6 "Award" shall mean all  compensation,  sums or other value awarded,
paid or  received  by virtue of a total or  partial  Condemnation  of any of the
Leased  Property  (after  deduction  of all  reasonable  legal  fees  and  other
reasonable costs and expenses,  including,  without  limitation,  expert witness
fees, incurred by Landlord, in connection with obtaining any such award).

         1.7 "Base  Net  Patient  Revenues"  shall  mean,  with  respect  to any
Property,  Net Patient  Revenues at such  Property for the Base Year,  provided,
however,  that in the event that,  with  respect to any Lease  Year,  or portion
thereof,  for  any  reason  (including,   without  limitation,   a  casualty  or
Condemnation) there shall be a reduction in the number of units available at the
Facility  located at such Property or in the services  provided at such Facility
from the number of such units or the services  provided during the Base Year, in
determining Additional Rent payable with respect to such Property for such Lease
Year, Base Net Patient  Revenues with respect to the affected  Property

                                      -2-


shall  be  reduced  as  follows:  (a) in the  event of the  termination  of this
Agreement with respect to any Property pursuant to Article 10, 11 or 12, all Net
Patient  Revenues  for  such  Property  for the  period  during  the  Base  Year
equivalent to the period after the termination of this Agreement with respect to
such Property  shall be subtracted  from Base Net Patient  Revenues;  (b) in the
event of a partial  closing of such Facility  affecting the number of units,  or
the services provided,  at such Facility,  Net Patient Revenues  attributable to
units or services at such Facility shall be ratably allocated among all units in
service at such Facility during the Base Year and all such Net Patient  Revenues
attributable  to units no longer in service  shall be  subtracted  from Base Net
Patient Revenues throughout the period of such closing;  and (c) in the event of
any other  change in  circumstances  affecting  any  Facility,  Base Net Patient
Revenues shall be equitably adjusted in such manner as Landlord and Tenant shall
reasonably  agree.  It is understood  and agreed that Base Net Patient  Revenues
shall be calculated  separately for each Property and shall not be determined on
an aggregate basis for the Leased Property.

         1.8 "Base Year" shall mean the 2004 calendar year.

         1.9 "Business Day" shall mean any day other than Saturday,  Sunday,  or
any other day on which banking institutions in The Commonwealth of Massachusetts
are authorized by law or executive action to close.

         1.10 "Capital  Addition" shall mean, with respect to any Property,  any
renovation,   repair  or  improvement  to  such  Property,  the  cost  of  which
constitutes a Capital Expenditure.

         1.11  "Capital  Expenditure"  shall  mean any  expenditure  treated  as
capital in nature in accordance with GAAP.

         1.12 "Change in Control" shall mean (a) the  acquisition by any Person,
or two or more Persons acting in concert,  of beneficial  ownership  (within the
meaning  of Rule  13d-3 of the  SEC) of 9.8% or  more,  or  rights,  options  or
warrants to acquire 9.8% or more, of the  outstanding  shares of voting stock or
other voting  interests of Tenant or any  Guarantor,  as the case may be, or the
power to direct the management and policies of Tenant or any Guarantor, directly
or indirectly,  (b) the merger or  consolidation of Tenant or any Guarantor with
or into any other Person (other than the merger or  consolidation  of any Person
into  Tenant or any  Guarantor  that does not  result in a Change in  Control of
Tenant or such Guarantor under clauses (a), (c) or (d) of this definition),  (c)
any one or more  sales  or  conveyances  to any  Person  of all or any  material
portion of its assets  (including  capital  stock or other equity  interests) or
business of Tenant or any  Guarantor,  as the case may be, or (d) the cessation,
for any reason,  of the individuals who at the beginning of any twenty-four (24)
consecutive month period  (commencing on the date hereof)  constituted the board
of directors of Tenant or any Guarantor  (together with any

                                      -3-

new directors  whose election by such Board or whose  nomination for election by
the  shareholders of Tenant or such Guarantor,  as the case may be, was approved
by a vote of a majority  of the  directors  then still in office who were either
directors at the  beginning of any such period or whose  election or  nomination
for election was  previously  so approved) to constitute a majority of the board
of directors of Tenant or any Guarantor then in office.

         1.13 "Claim" shall have the meaning given such term in Article 8.

         1.14 "Code"  shall mean the  Internal  Revenue Code of 1986 and, to the
extent applicable, the Treasury Regulations promulgated thereunder, each as from
time to time amended.

         1.15 "Commencement Date" shall mean the date of this Agreement.

         1.16 "Condemnation"  shall mean, with respect to any Property,  (a) the
exercise of any  governmental  power with respect to such  Property,  whether by
legal proceedings or otherwise, by a Condemnor of its power of condemnation, (b)
a  voluntary  sale or transfer  of such  Property by Landlord to any  Condemnor,
either under threat of condemnation or while legal  proceedings for condemnation
are  pending,  or (c) a taking or  voluntary  conveyance  of all or part of such
Property,  or any interest therein, or right accruing thereto or use thereof, as
the  result  or in  settlement  of any  condemnation  or  other  eminent  domain
proceeding affecting such Property,  whether or not the same shall have actually
been commenced.

         1.17 "Condemnor" shall mean any public or quasi-public  Person,  having
the power of Condemnation.

         1.18 "Consolidated Financials" shall mean, for any Fiscal Year or other
accounting period of Five Star, annual audited and quarterly unaudited financial
statements of Five Star prepared on a consolidated basis,  including Five Star's
consolidated  balance sheet and the related statements of income and cash flows,
all  in  reasonable   detail,   and  setting  forth  in  comparative   form  the
corresponding figures for the corresponding period in the preceding Fiscal Year,
and prepared in accordance with GAAP throughout the periods reflected.

         1.19 "Date of Taking"  shall mean,  with respect to any  Property,  the
date the Condemnor has the right to possession of such Property,  or any portion
thereof, in connection with a Condemnation.

         1.20 "Default"  shall mean any event or condition which with the giving
of notice and/or lapse of time would ripen into an Event of Default.

1.21 "Disbursement  Rate" shall mean an annual rate of interest,  as of the date
of determination, equal to the greater of (i) the

                                      -4-


Interest  Rate and (ii) the per  annum  rate  for ten (10)  year  U.S.  Treasury
Obligations  as  published in The Wall Street  Journal  plus four hundred  (400)
basis points.

         1.22  "Distribution"  shall mean (a) any  declaration or payment of any
dividend (except  ordinary cash dividends  payable in common stock of Tenant) on
or in respect of any  shares of any class of  capital  stock of Tenant,  (b) any
purchase, redemption, retirement or other acquisition of any shares of any class
of capital stock of a corporation,  (c) any other  distribution on or in respect
of any shares of any class of capital stock of a  corporation  or (d) any return
of capital to shareholders.

         1.23  "Easement  Agreement"  shall mean any  conditions,  covenants and
restrictions,  easements, declarations,  licenses and other agreements which are
Permitted Encumbrances and such other agreements as may be granted in accordance
with Section 19.1.

         1.24  "Encumbrance"  shall have the meaning  given such term in Section
20.1.

         1.25  "Entity"   shall  mean  any   corporation,   general  or  limited
partnership,   limited  liability  company  or  partnership,  stock  company  or
association,  joint venture,  association,  company, trust, bank, trust company,
land trust, business trust, cooperative,  any government or agency, authority or
political subdivision thereof or any other entity.

         1.26  "Environment"  shall mean soil,  surface  waters,  ground waters,
land, stream, sediments, surface or subsurface strata and ambient air.

         1.27 "Environmental  Obligation" shall have the meaning given such term
in Section 4.4.1.

         1.28  "Environmental  Notice" shall have the meaning given such term in
Section 4.4.1.

         1.29  "Event of  Default"  shall  have the  meaning  given such term in
Section 12.1.

         1.30  "Excess Net Patient  Revenues"  shall mean,  with  respect to any
Property,  with respect to any Lease Year, or portion thereof, the amount of Net
Patient Revenues for such Property for such Lease Year, or portion  thereof,  in
excess of Base Net Patient Revenues for such Property for the equivalent  period
during the Base Year.

         1.31 "Extended  Term" shall have the meaning given such term in Section
2.4.

                                      -5-

         1.32 "Facility"  shall mean, with respect to any Property,  the skilled
nursing/intermediate  care/independent living/assisted living/special care/group
home facility being operated or proposed to be operated on such Property.

         1.33 "Facility  Mortgage"  shall mean any  Encumbrance  placed upon the
Leased Property, or any portion thereof, in accordance with Article 20.

         1.34  "Facility  Mortgagee"  shall  mean  the  holder  of any  Facility
Mortgage.

         1.35 "Financial Officer's  Certificate" shall mean, as to any Person, a
certificate of the chief executive  officer,  chief  financial  officer or chief
accounting officer (or such officers'  authorized designee) of such Person, duly
authorized,  accompanying the financial  statements  required to be delivered by
such Person  pursuant to Section  17.2,  in which such officer shall certify (a)
that such statements have been properly prepared in accordance with GAAP and are
true,  correct and  complete in all  material  respects  and fairly  present the
consolidated  financial  condition of such Person at and as of the dates thereof
and the results of its and their operations for the periods covered thereby, and
(b),  in the event  that the  certifying  party is an  officer of Tenant and the
certificate  is being given in such  capacity,  certify that no Event of Default
has occurred and is continuing hereunder.

         1.36 "Fiscal  Year" shall mean the  calendar  year or such other annual
period designated by Tenant and approved by Landlord.

         1.37 "Five Star" shall mean Five Star  Quality  Care,  Inc., a Maryland
corporation, and its permitted successors and assigns.

         1.38 "Fixed  Term"  shall have the  meaning  given such term in Section
2.3.

         1.39  "Fixtures"  shall  have the  meaning  given  such term in Section
2.1(d).

         1.40  "FSQ"  shall mean FSQ,  Inc.,  a  Delaware  corporation,  and its
permitted successors and assigns.

         1.41  "GAAP"  shall  mean  generally  accepted  accounting   principles
consistently applied.

         1.42  "Government  Agencies" shall mean any court,  agency,  authority,
board (including,  without limitation,  environmental  protection,  planning and
zoning), bureau, commission, department, office or instrumentality of any nature
whatsoever of any governmental or  quasi-governmental  unit of the United States
or any State or any county or any political subdivision of any of the foregoing,
whether
                                      -6-


now or hereafter in  existence,  having  jurisdiction  over Tenant or the Leased
Property or any portion thereof or any Facility operated thereon.

         1.43  "Guarantor"  shall  mean  Five  Star  and each  and  every  other
guarantor  of  Tenant's   obligations  under  this  Agreement,   and  each  such
guarantor's successors and assigns.

         1.44  "Guaranty"  shall  mean  any  guaranty  agreement  executed  by a
Guarantor in favor of Landlord  pursuant to which the payment or  performance of
Tenant's  obligations  under this  Agreement are  guaranteed,  together with all
modifications, amendments and supplements thereto.

         1.45 "Hazardous Substances" shall mean any substance:

                  (a) the presence of which  requires or may  hereafter  require
         notification,  investigation or remediation under any federal, state or
         local statute, regulation, rule, ordinance, order, action or policy; or

                  (b)  which  is or  becomes  defined  as a  "hazardous  waste",
         "hazardous  material"  or  "hazardous   substance"  or  "pollutant"  or
         "contaminant"  under  any  present  or future  federal,  state or local
         statute, regulation, rule or ordinance or amendments thereto including,
         without   limitation,   the   Comprehensive   Environmental   Response,
         Compensation  and  Liability  Act (42 U.S.C.  et seq.) and the Resource
         Conservation and Recovery Act (42 U.S.C.  section 6901 et seq.) and the
         regulations promulgated thereunder; or

                  (c)  which  is   toxic,   explosive,   corrosive,   flammable,
         infectious, radioactive, carcinogenic, mutagenic or otherwise hazardous
         and is or becomes  regulated  by any  governmental  authority,  agency,
         department,  commission, board, agency or instrumentality of the United
         States,  any state of the United States,  or any political  subdivision
         thereof; or

                  (d) the  presence  of which  on the  Leased  Property,  or any
         portion  thereof,  causes or materially  threatens to cause an unlawful
         nuisance  upon the  Leased  Property,  or any  portion  thereof,  or to
         adjacent  properties or poses or materially  threatens to pose a hazard
         to the Leased  Property,  or any portion  thereof,  or to the health or
         safety of  persons  on or about the  Leased  Property,  or any  portion
         thereof; or

                  (e) without limitation,  which contains gasoline,  diesel fuel
         or other petroleum hydrocarbons or volatile organic compounds; or

                                      -7-


                  (f)  without   limitation,   which  contains   polychlorinated
         biphenyls (PCBs) or asbestos or urea formaldehyde foam insulation; or

                  (g) without  limitation,  which contains or emits  radioactive
         particles, waves or material; or

                  (h) without limitation, constitutes Regulated Medical Wastes.

         1.46  "Immediate  Family" shall mean,  with respect to any  individual,
such  individual's  spouse,  parents,  brothers,  sisters,  children (natural or
adopted),    stepchildren,    grandchildren,    grandparents,    parents-in-law,
brothers-in-law, sisters-in-law, nephews and nieces.

         1.47  "Impositions"  shall mean,  collectively,  all taxes  (including,
without limitation,  all taxes imposed under the laws of any State, as such laws
may be amended from time to time, and all ad valorem,  sales and use, or similar
taxes as the same relate to or are imposed upon Landlord, Tenant or the business
conducted upon the Leased Property), assessments (including, without limitation,
all assessments for public improvements or benefit,  whether or not commenced or
completed  prior to the date hereof),  ground rents  (including any minimum rent
under any ground lease, and any additional rent or charges  thereunder),  water,
sewer or other rents and charges, excises, tax levies, fees (including,  without
limitation,  license, permit,  inspection,  authorization and similar fees), and
all  other  governmental  charges,  in each case  whether  general  or  special,
ordinary or extraordinary, foreseen or unforeseen, of every character in respect
of the Leased Property or the business  conducted  thereon by Tenant  (including
all  interest  and  penalties  thereon due to any failure in payment by Tenant),
which at any time  prior to,  during or in  respect  of the Term  hereof  may be
assessed  or  imposed  on or in  respect  of or be a lien  upon  (a)  Landlord's
interest in the Leased Property,  (b) the Leased Property or any part thereof or
any rent therefrom or any estate,  right, title or interest therein,  or (c) any
occupancy, operation, use or possession of, or sales from, or activity conducted
on, or in  connection  with the  Leased  Property  or the  leasing or use of the
Leased Property or any part thereof by Tenant;  provided,  however, that nothing
contained  herein  shall be  construed  to  require  Tenant  to pay and the term
"Impositions"  shall not  include  (i) any tax based on net  income  imposed  on
Landlord,  (ii) any net revenue tax of  Landlord,  (iii) any  transfer  fee (but
excluding  any  mortgage or similar tax  payable in  connection  with a Facility
Mortgage)  or other tax  imposed  with  respect to the sale,  exchange  or other
disposition by Landlord of the Leased Property or the proceeds thereof, (iv) any
single  business,  gross receipts tax,  transaction  privilege,  rent or similar
taxes as the same relate to or are imposed  upon  Landlord,  (v) any interest or
penalties imposed on Landlord as a result of the failure of Landlord to file any
return or report  timely and in the

                                      -8-


form  prescribed  by law or to pay any tax or  imposition,  except to the extent
such  failure is a result of a breach by Tenant of its  obligations  pursuant to
Section  3.1.3,  (vi) any  impositions  imposed on Landlord that are a result of
Landlord  not being  considered a "United  States  person" as defined in Section
7701(a)(30) of the Code,  (vii) any  impositions  that are enacted or adopted by
their express terms as a substitute for any tax that would not have been payable
by Tenant  pursuant  to the terms of this  Agreement  or (viii) any  impositions
imposed as a result of a breach of covenant or representation by Landlord in any
agreement  governing  Landlord's  conduct  or  operation  or as a result  of the
negligence or willful misconduct of Landlord.

         1.48  "Incidental  Documents"  shall mean any  Guaranty,  the  Security
Agreement, the Pledge of Membership Interests Agreement, any pledge issued by an
assignee or transferee pursuant to Section 16.1 and any other security agreement
executed by an assignee or transferee pursuant to Section 16.1.

         1.49   "Indebtedness"   shall  mean  all  obligations,   contingent  or
otherwise,  which in  accordance  with GAAP should be reflected on the obligor's
balance sheet as liabilities.

         1.50  "Insurance  Requirements"  shall mean all terms of any  insurance
policy required by this Agreement and all requirements of the issuer of any such
policy and all orders,  rules and regulations and any other  requirements of the
National  Board of Fire  Underwriters  (or any  other  body  exercising  similar
functions) binding upon Landlord, Tenant, any Manager or the Leased Property.

         1.51 "Interest Rate" shall mean ten percent (10%) per annum.

         1.52 "Land" shall have the meaning given such term in Section 2.1(a).

         1.53 "Landlord" shall have the meaning given such term in the preambles
to this Agreement and shall also include its permitted successors and assigns.

         1.54  "Landlord  Default"  shall  have the  meaning  given such term in
Article 14.

         1.55  "Landlord  Liens"  shall  mean  liens on or  against  the  Leased
Property or any  payment of Rent (a) which  result from any act of, or any claim
against,  Landlord or any owner of a direct or  indirect  interest in the Leased
Property  (other than the lessor under any ground lease affecting any portion of
the Leased  Property),  or which  result from any  violation  by Landlord of any
terms of this  Agreement,  or (b) which result from liens in favor of any taxing
authority  by reason of any tax owed by Landlord or any fee owner of a direct or
indirect interest in the Leased Property (other than the lessor under

                                      -9-

any ground  lease  affecting  any  portion of the  Leased  Property);  provided,
however,  that "Landlord Lien" shall not include any lien resulting from any tax
for which Tenant is obligated to pay or indemnify  Landlord  against  until such
time as Tenant  shall have  already  paid to or on behalf of Landlord the tax or
the required indemnity with respect to the same.

         1.56 "Lease Year" shall mean any Fiscal Year or portion  thereof during
the Term.

         1.57 "Leased  Improvements"  shall have the meaning  given such term in
Section 2.1(b).

         1.58 "Leased  Intangible  Property" shall mean all agreements,  service
contracts,  equipment  leases,  booking  agreements  and other  arrangements  or
agreements affecting the ownership, repair, maintenance,  management, leasing or
operation of the Leased Property, or any portion thereof, to which Landlord is a
party;  all books,  records  and files  relating  to the  leasing,  maintenance,
management  or  operation  of  the  Leased  Property,  or any  portion  thereof,
belonging to Landlord;  all transferable or assignable permits,  certificates of
occupancy,  operating permits,  sign permits,  development rights and approvals,
certificates,  licenses,  warranties and guarantees,  rights to deposits,  trade
names,  service marks,  telephone  exchange  numbers  identified with the Leased
Property, and all other transferable intangible property,  miscellaneous rights,
benefits  and  privileges  of any kind or character  belonging to Landlord  with
respect to the Leased Property.

         1.59 "Leased Personal  Property" shall have the meaning given such term
in Section 2.1(e).

         1.60  "Leased  Property"  shall  have the  meaning  given  such term in
Section 2.1.

         1.61  "Legal  Requirements"  shall  mean all  federal,  state,  county,
municipal and other governmental  statutes,  laws, rules,  orders,  regulations,
ordinances,  judgments, decrees and injunctions affecting the Leased Property or
the maintenance,  construction,  alteration or operation thereof, whether now or
hereafter  enacted  or in  existence,  including,  without  limitation,  (a) all
permits,  licenses,  authorizations,  certificates of need,  authorizations  and
regulations necessary to operate any Property for its Permitted Use, and (b) all
covenants,   agreements,   restrictions  and   encumbrances   contained  in  any
instruments at any time in force  affecting any Property,  including those which
may (i) require  material  repairs,  modifications  or  alterations in or to any
Property  or  (ii)  in any  way  materially  and  adversely  affect  the use and
enjoyment  thereof,  but  excluding  any  requirements  arising  as a result  of
Landlord's status as a real estate investment trust.

                                      -10-


         1.62  "Lien"  shall  mean  any  mortgage,  security  interest,  pledge,
collateral assignment, or other encumbrance,  lien or charge of any kind, or any
transfer of property  or assets for the  purpose of  subjecting  the same to the
payment of  Indebtedness  or performance of any other  obligation in priority to
payment of its general creditors.

         1.63 "Manager" shall mean,  with respect to any Property,  the operator
or  manager  under any  Management  Agreement  from time to time in effect  with
respect to such Property, and its permitted successors and assigns.

         1.64  "Management  Agreement" shall mean, with respect to any Property,
any operating or management  agreement  from time to time entered into by Tenant
with respect to such Property in accordance  with the  applicable  provisions of
this  Agreement,  together with all  amendments,  modifications  and supplements
thereto.

         1.65  "Minimum  Rent"  shall mean an amount  equal to Six  Million  Two
Hundred Eighty-Five Thousand and 00/100 Dollars ($6,285,000) per annum.

         1.66 "Net Patient  Revenues"  shall mean, with respect to any Property,
for each Fiscal Year during the Term,  all revenues and receipts  (determined on
an accrual basis and in all material  respects in accordance with GAAP) of every
kind  derived  from  renting,  using and/or  operating  such  Property and parts
thereof,  including,  but not limited to: all patient,  client or resident rents
and revenues received or receivable for the use of or otherwise by reason of all
units, beds and other facilities  provided,  meals served,  services  performed,
space or  facilities  subleased or goods sold on such  Property,  or any portion
thereof,  including,  without  limitation,  any other  arrangements  with  third
parties  relating to the possession or use of any portion of such Property;  and
proceeds,  if any, from business interruption or other loss of income insurance;
provided,  however,  that Net Patient  Revenues shall not include the following:
revenue  from  professional  fees or  charges  by  physicians  and  unaffiliated
providers of services, when and to the extent such charges are paid over to such
physicians and unaffiliated  providers of services, or are separately billed and
not included in  comprehensive  fees;  contractual  allowances  (relating to any
period  during  the  Term)  for  billings  not  paid  by or  received  from  the
appropriate governmental agencies or third party providers; allowances according
to GAAP for uncollectible  accounts,  including credit card accounts and charity
care or other administrative  discounts;  all proper patient billing credits and
adjustments  according  to GAAP  relating  to health care  accounting;  provider
discounts  for hospital or other  medical  facility  utilization  contracts  and
credit card discounts;  any amounts  actually paid by Tenant for the cost of any
federal,  state or local  governmental  programs imposed specially to provide or
finance indigent patient care; federal,  state or municipal excise,  sales, use,
occupancy  or  similar  taxes  collected  directly  from  patients,  clients

                                      -11-


or  residents  or included as part of the sales price of any goods or  services;
insurance proceeds (other than proceeds from business interruption or other loss
of income insurance);  Award proceeds (other than for a temporary Condemnation);
revenues  attributable to services  actually provided off-site or otherwise away
from such Property,  such as home health care, to persons that are not patients,
clients or  residents  at such  Property;  revenues  attributable  to child care
services provided primarily to employees of such Property; any proceeds from any
sale of such  Property  or from the  refinancing  of any debt  encumbering  such
Property; proceeds from the disposition of furnishings, fixture and equipment no
longer necessary for the operation of the Facility located thereon; any security
deposits and other advance deposits,  until and unless the same are forfeited to
Tenant or applied for the purpose for which they were  collected;  and  interest
income from any bank  account or  investment  of Tenant.  It is  understood  and
agreed  that Net  Patient  Revenues  shall  be  calculated  separately  for each
Property  and shall  not be  determined  on an  aggregate  basis for the  Leased
Property.

         1.67  "Notice"  shall mean a notice  given in  accordance  with Section
23.10.

         1.68  "Officer's  Certificate"  shall mean a  certificate  signed by an
officer  or other duly  authorized  individual  of the  certifying  Entity  duly
authorized by the board of directors or other  governing  body of the certifying
Entity.

         1.69  "Overdue  Rate"  shall  mean,  on any date,  a per annum  rate of
interest equal to the lesser of fifteen  percent (15%) and the maximum rate then
permitted under applicable law.

         1.70  "Overland  Park  Property"  shall  mean  that  Property  known as
Overland  Park Place and located at 6555 West 75th  Street,  Overland  Park,  KS
66204, as more particularly  described in Exhibit A-9 attached hereto and made a
part hereof.

         1.71 "Parent" shall mean, with respect to any Person,  any Person which
owns  directly,  or indirectly  through one or more  Subsidiaries  or Affiliated
Persons,  twenty percent (20%) or more of the voting or beneficial  interest in,
or otherwise has the right or power (whether by contract,  through  ownership of
securities or otherwise) to control, such Person.

         1.72 "Permitted Encumbrances" shall mean, with respect to any Property,
all rights, restrictions, and easements of record set forth on Schedule B to the
applicable  owner's or leasehold title insurance  policy issued to Landlord with
respect to such Property,  plus any other  encumbrances as may have been granted
or caused by Landlord or otherwise consented to in writing by Landlord from time
to time.

                                      -12-


         1.73 "Permitted  Liens" shall mean any Liens granted in accordance with
Section 21.8(a).

         1.74 "Permitted Use" shall mean, with respect to any Property,  any use
of such Property permitted pursuant to Section 4.1.1.

         1.75  "Person"  shall mean any  individual  or  Entity,  and the heirs,
executors, administrators, legal representatives, successors and assigns of such
Person where the context so admits.

         1.76 "Pledge of Membership  Interests  Agreement" shall mean the Pledge
of Membership Interests  Agreement,  dated as of the date hereof, made by FSQ in
favor of Landlord with respect to the stock or other equity interests of Tenant,
as it may be amended, restated,  supplemented or otherwise modified from time to
time.

         1.77 "Property" shall have the meaning given such term in Section 2.1.

         1.78 "Provider  Agreements" shall mean all participation,  provider and
reimbursement  agreements  or  arrangements  now or  hereafter in effect for the
benefit  of  Tenant or any  Manager  in  connection  with the  operation  of any
Facility  relating to any right of payment or other  claim  arising out of or in
connection with Tenant's participation in any Third Party Payor Program.

         1.79 "Records" shall have the meaning given such term in Section 7.2.

         1.80 "Regulated  Medical Wastes" shall mean all materials  generated by
Tenant,  subtenants,   patients,  occupants  or  the  operators  of  the  Leased
Properties  which are now or may hereafter be subject to regulation  pursuant to
the Material Waste Tracking Act of 1988, or any Applicable  Laws  promulgated by
any Government Agencies.

         1.81  "Relevant  Environmental  Laws" shall have the meaning given such
term in Section 23.17.

         1.82 "Rent" shall mean, collectively, the Minimum Rent, Additional Rent
and Additional Charges.

         1.83 "SEC" shall mean the Securities and Exchange Commission.

         1.84 "Security  Agreement" shall mean the Security Agreement,  dated as
of the date  hereof,  made by Tenant for the benefit of  Landlord,  as it may be
amended, restated, supplemented or otherwise modified from time to time.

         1.85  "State"  shall mean,  with  respect to any  Property,  the state,
commonwealth or district in which such Property is located.

                                      -13-


         1.86 "Subordinated Creditor" shall mean any creditor of Tenant which is
a party to a Subordination Agreement in favor of Landlord.

         1.87  "Subordination  Agreement"  shall  mean  any  agreement  (and any
amendments  thereto)  executed by a Subordinated  Creditor pursuant to which the
payment and performance of Tenant's  obligations to such  Subordinated  Creditor
are  subordinated  to the payment and  performance  of Tenant's  obligations  to
Landlord under this Agreement.

         1.88  "Subsidiary"  shall mean, with respect to any Person,  any Entity
(a) in which such  Person  owns  directly,  or  indirectly  through  one or more
Subsidiaries,  twenty percent (20%) or more of the voting or beneficial interest
or (b) which such Person otherwise has the right or power to control (whether by
contract, through ownership of securities or otherwise).

         1.89  "Successor  Landlord"  shall have the meaning  given such term in
Section 20.2.

         1.90  "Tenant"  shall have the meaning given such term in the preambles
to this Agreement and shall also include its permitted successors and assigns.

         1.91  "Tenant's  Personal  Property"  shall mean all motor vehicles and
consumable inventory and supplies,  furniture,  furnishings,  equipment, movable
walls and  partitions,  equipment and machinery and all other tangible  personal
property of Tenant,  if any, acquired by Tenant on and after the date hereof and
located  at the  Leased  Property  or used in  Tenant's  business  at the Leased
Property and all modifications,  replacements, alterations and additions to such
personal  property  installed  at the  expense of  Tenant,  other than any items
included within the definition of Fixtures or Leased Personal Property.

         1.92 "Term" shall mean,  collectively,  the Fixed Term and the Extended
Term, to the extent  properly  exercised  pursuant to the  provisions of Section
2.4, unless sooner terminated pursuant to the provisions of this Agreement.

         1.93  "Third  Party  Payor  Programs"  shall mean all third party payor
programs in which Tenant presently or in the future may participate,  including,
without limitation,  Medicare, Medicaid, CHAMPUS, Blue Cross and/or Blue Shield,
Managed Care Plans,  other private  insurance  programs and employee  assistance
programs.

         1.94 "Third Party Payors" shall mean Medicare,  Medicaid, CHAMPUS, Blue
Cross and/or Blue Shield,  private insurers and any other Person which presently
or in the future maintains Third Party Payor Programs.

                                      -14-


         1.95 "Unsuitable for Its Permitted Use" shall mean, with respect to any
Facility,  a state or condition of such  Facility  such that (a)  following  any
damage or destruction involving a Facility, (i) such Facility cannot be operated
on a  commercially  practicable  basis  for  its  Permitted  Use  and it  cannot
reasonably  be expected to be restored to  substantially  the same  condition as
existed immediately before such damage or destruction, and as otherwise required
by  Section  10.2.4,   within  twelve  (12)  months  following  such  damage  or
destruction  or such  longer  period of time as to which  business  interruption
insurance is available to cover Rent and other costs  related to the  applicable
Property  following such damage or destruction,  (ii) the damage or destruction,
if uninsured,  exceeds $1,000,000 or (iii) the cost of such restoration  exceeds
ten percent (10%) of the fair market value of such Property immediately prior to
such  damage  or  destruction,  or (b) as the  result  of a  partial  taking  by
Condemnation,  such Facility  cannot be operated,  in the good faith judgment of
Tenant, on a commercially practicable basis for its Permitted Use.

         1.96 "Work" shall have the meaning given such term in Section 10.2.4.

                                   ARTICLE 2

                            LEASED PROPERTY AND TERM

         2.1  Leased  Property.  Upon and  subject  to the terms and  conditions
hereinafter set forth, Landlord leases to Tenant and Tenant leases from Landlord
all of Landlord's right, title and interest in and to all of the following (each
of items (a) through (g) below which, as of the  Commencement  Date,  relates to
any single Facility, a "Property" and, collectively, the "Leased Property"):

                  (a) those certain tracts,  pieces and parcels of land, as more
         particularly described in Exhibits A-1 through A-9, attached hereto and
         made a part hereof (the "Land");

                  (b) all buildings,  structures and other improvements of every
         kind including,  but not limited to, alleyways and connecting  tunnels,
         sidewalks,  utility  pipes,  conduits and lines (on-site and off-site),
         parking areas and roadways appurtenant to such buildings and structures
         presently   situated   upon  the  Land   (collectively,   the   "Leased
         Improvements");

                  (c) all easements,  rights and  appurtenances  relating to the
         Land and the Leased Improvements;

                  (d) all  equipment,  machinery,  fixtures,  and other items of
         property,  now or hereafter permanently affixed to or incorporated into
         the Leased Improvements,  including,  without limitation, all furnaces,
         boilers, heaters,  electrical equipment,  heating,

                                      -15-


         plumbing, lighting, ventilating,  refrigerating,  incineration, air and
         water   pollution    control,    waste   disposal,    air-cooling   and
         air-conditioning systems and apparatus,  sprinkler systems and fire and
         theft  protection  equipment,  all  of  which,  to the  maximum  extent
         permitted by law, are hereby deemed by the parties hereto to constitute
         real estate, together with all replacements, modifications, alterations
         and additions  thereto,  but specifically  excluding all items included
         within the category of Tenant's  Personal Property  (collectively,  the
         "Fixtures");

                  (e) all machinery, equipment, furniture, furnishings, moveable
         walls or  partitions,  computers  or trade  fixtures or other  personal
         property of any kind or description used or useful in Tenant's business
         on or in the  Leased  Improvements,  and  located  on or in the  Leased
         Improvements,  and all  modifications,  replacements,  alterations  and
         additions to such personal  property,  except items,  if any,  included
         within the category of Fixtures,  but specifically  excluding all items
         included   within  the   category   of   Tenant's   Personal   Property
         (collectively, the "Leased Personal Property");

                  (f) all of the Leased Intangible Property; and

                  (g) any and all leases of space in the Leased Improvements.

         2.2  Condition  of Leased  Property.  Tenant  acknowledges  receipt and
delivery of  possession  of the Leased  Property  and Tenant  accepts the Leased
Property  in its  "as  is"  condition,  subject  to the  rights  of  parties  in
possession,  the existing state of title,  including all covenants,  conditions,
restrictions,  reservations,  mineral  leases,  easements  and other  matters of
record or that are visible or apparent on the Leased  Property,  all  applicable
Legal Requirements,  the lien of any financing instruments,  mortgages and deeds
of trust  existing prior to the  Commencement  Date or permitted by the terms of
this Agreement, and such other matters which would be disclosed by an inspection
of the Leased  Property  and the record title  thereto or by an accurate  survey
thereof.  TENANT REPRESENTS THAT IT HAS INSPECTED THE LEASED PROPERTY AND ALL OF
THE  FOREGOING  AND HAS  FOUND THE  CONDITION  THEREOF  SATISFACTORY  AND IS NOT
RELYING ON ANY  REPRESENTATION  OR WARRANTY OF LANDLORD OR LANDLORD'S  AGENTS OR
EMPLOYEES  WITH RESPECT  THERETO AND TENANT  WAIVES ANY CLAIM OR ACTION  AGAINST
LANDLORD IN RESPECT OF THE CONDITION OF THE LEASED  PROPERTY.  LANDLORD MAKES NO
WARRANTY  OR  REPRESENTATION,  EXPRESS  OR  IMPLIED,  IN  RESPECT  OF THE LEASED
PROPERTY  OR ANY PART  THEREOF,  EITHER  AS TO ITS  FITNESS  FOR USE,  DESIGN OR
CONDITION FOR ANY PARTICULAR  USE OR PURPOSE OR OTHERWISE,  AS TO THE QUALITY OF
THE MATERIAL OR WORKMANSHIP THEREIN,  LATENT OR PATENT, IT BEING AGREED THAT ALL
SUCH RISKS ARE TO BE BORNE BY TENANT.  To the maximum  extent  permitted by law,
however,  Landlord hereby assigns to Tenant all of Landlord's  rights to proceed
against any  predecessor  in interest or insurer for breaches of  warranties  or
representations  or

                                      -16-

for latent defects in the Leased  Property.  Landlord shall fully cooperate with
Tenant in the  prosecution  of any such claims,  in Landlord's or Tenant's name,
all at Tenant's sole cost and expense. Tenant shall indemnify,  defend, and hold
harmless  Landlord  from  and  against  any  loss,  cost,  damage  or  liability
(including  reasonable  attorneys' fees) incurred by Landlord in connection with
such cooperation.

         2.3 Fixed Term.  The initial term of this  Agreement (the "Fixed Term")
shall commence on the Commencement Date and shall expire on December 31, 2019.

         2.4  Extended  Term.  Provided  that no Event  of  Default  shall  have
occurred and be  continuing,  Tenant shall have the right to extend the Term for
one (1) renewal term of fifteen (15) years (the "Extended Term").

         The Extended Term shall  commence on the day  succeeding the expiration
of the Fixed Term. All of the terms,  covenants and provisions of this Agreement
shall apply to the  Extended  Term,  except  that Tenant  shall have no right to
extend the Term beyond the  expiration  of the  Extended  Term.  If Tenant shall
elect to exercise the aforesaid option, it shall do so by giving Landlord Notice
thereof,  not later than December 31, 2017, it being  understood and agreed that
time shall be of the  essence  with  respect to the  giving of such  Notice.  If
Tenant  shall  fail to give such  Notice,  this  Agreement  shall  automatically
terminate at the end of the Fixed Term,  and Tenant shall have no further option
to extend the Term of this  Agreement.  If Tenant  shall give such  Notice,  the
extension  of  this  Agreement  shall  be  automatically  effected  without  the
execution of any additional documents;  it being understood and agreed, however,
that Tenant and Landlord  shall execute such  documents and agreements as either
party  shall  reasonably  require  to  evidence  the same.  Notwithstanding  the
provisions  of the  foregoing  sentence,  if,  subsequent  to the giving of such
Notice, an Event of Default shall occur, at Landlord's  option, the extension of
this Agreement shall cease to take effect and this Agreement shall automatically
terminate at the end of the Fixed Term,  and Tenant shall have no further option
to extend the Term of this Agreement.

                                   ARTICLE 3

                                      RENT

         3.1 Rent.  Tenant  shall pay, in lawful  money of the United  States of
America which shall be legal tender for the payment of public and private debts,
without  offset,  abatement,  demand or

                                      -17-

deduction (unless otherwise expressly provided in this Agreement),  Minimum Rent
and Additional Rent to Landlord and Additional Charges to the party to whom such
Additional Charges are payable,  during the Term. All payments to Landlord shall
be made by wire  transfer of  immediately  available  federal  funds or by other
means acceptable to Landlord in its sole discretion.  Rent for any partial month
shall be prorated on a per diem basis.

         3.1.1 Minimum Rent.

                  (a)  Payments.  Minimum  Rent  shall be paid in equal  monthly
         installments  in advance  on or before  the first day of each  calendar
         month.

                  (b) Adjustments of Minimum Rent Following  Disbursements Under
         Sections  5.1.2(b),  10.2.3  and  11.2.  Effective  on the date of each
         disbursement  to  pay  for  the  cost  of  any  repairs,   maintenance,
         renovations or replacements  pursuant to Sections  5.1.2(b),  10.2.3 or
         11.2,  the annual Minimum Rent shall be increased by a per annum amount
         equal to the  Disbursement  Rate times the amount so disbursed.  If any
         such  disbursement  is made  during  any month on a day other  than the
         first day of such month,  Tenant shall pay to Landlord on the first day
         of the  immediately  following  month  (in  addition  to the  amount of
         Minimum Rent payable with respect to such month,  as adjusted  pursuant
         to this  paragraph  (b))  the  amount  by  which  Minimum  Rent for the
         preceding month, as adjusted for such disbursement on a per diem basis,
         exceeded the amount of Minimum  Rent paid by Tenant for such  preceding
         month.

                  (c)  Adjustments  of  Minimum  Rent  Following  Partial  Lease
         Termination.  Subject  to Section  4.1.1(b),  if this  Agreement  shall
         terminate  with respect to any Property but less than all of the Leased
         Property,  Minimum  Rent shall be reduced  by the  affected  Property's
         allocable  share of Minimum Rent as  reasonably  determined by Landlord
         and Tenant.

         3.1.2 Additional Rent.

                  (a) Amount.  Commencing  on January 1, 2005,  Tenant shall pay
         additional  rent  ("Additional  Rent") with  respect to each Lease Year
         during  the Term  subsequent  to the Base  Year,  with  respect to each
         Property,  in an amount, not less than zero, equal to four percent (4%)
         of Excess Net Patient  Revenues with respect to such Property.  Monthly
         payments of Additional Rent for each Property shall be calculated based
         on Net Patient  Revenues  for such  Property  for such  calendar  month
         during the preceding year and shall be due and payable and delivered to
         Landlord  no later  than  thirty  (30) days  after the last day of such
         month,  together  with  an  Officer's  Certificate  setting  forth  the
         calculation of Additional Rent due and payable for such month.

                                      -18-


                  (b) Monthly Installments.  Installments of Additional Rent for
         each  Lease  Year  during  the  Term,  or  portion  thereof,  shall  be
         calculated  and paid  monthly in arrears,  together  with an  Officer's
         Certificate  setting forth the  calculation of Additional  Rent due and
         payable for such month.

                  (c)  Reconciliation  of Additional  Rent. In addition,  within
         seventy-five  (75) days  after the end of the Base Year and each  Lease
         Year  thereafter (or any portion  thereof  occurring  during the Term),
         Tenant  shall  deliver,  or cause to be  delivered,  to Landlord  (i) a
         financial  report  setting  forth  the Net  Patient  Revenues  for each
         Property for such preceding  Lease Year, or portion  thereof,  together
         with  an  Officer's   Certificate  from  Tenant's  chief  financial  or
         accounting  officer  certifying  that such report is true and  correct,
         (ii) an audit of Net Patient Revenues prepared by a firm of independent
         certified  public  accountants  proposed  by  Tenant  and  approved  by
         Landlord (which approval shall not be unreasonably withheld, delayed or
         conditioned),  and (iii) a statement  showing  Tenant's  calculation of
         Additional  Rent due for such  preceding  Lease  Year  based on the Net
         Patient Revenues set forth in such financial  report,  together with an
         Officer's  Certificate  from  Tenant's  chief  financial or  accounting
         officer certifying that such statement is true and correct.

                  If the annual Additional Rent for such preceding Lease Year as
         set forth in Tenant's  statement  thereof exceeds the amount previously
         paid with  respect  thereto by Tenant,  Tenant shall pay such excess to
         Landlord at such time as the  statement  is  delivered,  together  with
         interest at the Interest  Rate,  which  interest  shall accrue from the
         close of such  preceding  Lease Year until the date that such statement
         is required to be delivered and, thereafter, such interest shall accrue
         at the Overdue Rate,  until the amount of such difference shall be paid
         or  otherwise  discharged.  If the  annual  Additional  Rent  for  such
         preceding Lease Year as shown in such statement is less than the amount
         previously paid with respect thereto by Tenant,  provided that no Event
         of Default shall have occurred and be continuing,  Landlord shall grant
         Tenant a credit  against  the  Additional  Rent next  coming due in the
         amount of such difference, together with interest at the Interest Rate,
         which  interest  shall  accrue from the date of payment by Tenant until
         the date such  credit is applied  or paid,  as the case may be. If such
         credit cannot be made because the Term has expired prior to application
         in full  thereof,  provided  no Event of Default  has  occurred  and is
         continuing,  Landlord shall pay the unapplied balance of such credit to
         Tenant,  together with interest at the Interest  Rate,  which  interest
         shall  accrue  from the date of  payment  by  Tenant  until the date of
         payment by Landlord.

                                      -19-


                  (d) Confirmation of Additional Rent. Tenant shall utilize,  or
         cause to be utilized,  an accounting  system for the Leased Property in
         accordance  with its usual and customary  practices and in all material
         respects in accordance with GAAP, which will accurately  record all Net
         Patient Revenues and Tenant shall retain,  for at least three (3) years
         after the expiration of each Lease Year,  reasonably  adequate  records
         conforming to such accounting  system showing all Net Patient  Revenues
         for such Lease Year. Landlord,  at its own expense,  except as provided
         hereinbelow,  shall have the right, exercisable by Notice to Tenant, by
         its accountants or representatives,  to audit the information set forth
         in the Officer's Certificate referred to in subparagraph (c) above and,
         in connection with such audits,  to examine  Tenant's books and records
         with respect  thereto  (including  supporting data and sales and excise
         tax  returns).  Landlord  shall begin such audit as soon as  reasonably
         possible following its receipt of the applicable Officer's  Certificate
         and  shall   complete  such  audit  as  soon  as  reasonably   possible
         thereafter.  If any such audit discloses a deficiency in the payment of
         Additional Rent and, either Tenant agrees with the result of such audit
         or the matter is  otherwise  compromised  with  Landlord,  Tenant shall
         forthwith  pay to  Landlord  the amount of the  deficiency,  as finally
         agreed or determined, together with interest at the Interest Rate, from
         the date such  payment  should  have  been made to the date of  payment
         thereof.  If any such audit  discloses that Tenant paid more Additional
         Rent for any Lease Year than was due  hereunder,  and  either  Landlord
         agrees  with the  result  of such  audit  or the  matter  is  otherwise
         determined,   provided  no  Event  of  Default  has   occurred  and  is
         continuing, Landlord shall, at Landlord's option, either grant Tenant a
         credit  or pay  to  Tenant  an  amount  equal  to the  amount  of  such
         overpayment  against  Additional  Rent next coming due in the amount of
         such  difference,  as  finally  agreed  or  determined,  together  with
         interest at the Interest  Rate,  which  interest  shall accrue from the
         time of  payment  by Tenant  until the date such  credit is  applied or
         paid, as the case may be; provided,  however, that, upon the expiration
         or sooner  termination  of the Term,  provided  no Event of Default has
         occurred and is continuing, Landlord shall pay the unapplied balance of
         such credit to Tenant,  together  with  interest at the Interest  Rate,
         which  interest  shall  accrue from the date of payment by Tenant until
         the  date  of  payment  from  Landlord.   Any  dispute  concerning  the
         correctness of an audit shall be settled by arbitration pursuant to the
         provisions of Article 22.

         Any proprietary information obtained by Landlord with respect to Tenant
pursuant to the provisions of this Agreement  shall be treated as  confidential,
except that such information may be used, subject to appropriate confidentiality
safeguards,  in any  litigation  between  the parties  and except  further  that
Landlord may disclose such information to its prospective lenders, provided that
Landlord shall direct such

                                      -20-

lenders to maintain such information as confidential.  The obligations of Tenant
and Landlord  contained in this Section  3.1.2 shall  survive the  expiration or
earlier termination of this Agreement.

         3.1.3  Additional   Charges.  In  addition  to  the  Minimum  Rent  and
Additional Rent payable hereunder, Tenant shall pay (or cause to be paid) to the
appropriate  parties and discharge (or cause to be  discharged)  as and when due
and payable the following (collectively, "Additional Charges"):

                  (a)  Impositions.  Subject to Article 8 relating to  permitted
         contests, Tenant shall pay, or cause to be paid, all Impositions before
         any fine, penalty, interest or cost (other than any opportunity cost as
         a result of a  failure  to take  advantage  of any  discount  for early
         payment)  may be  added  for  non-payment,  such  payments  to be  made
         directly to the taxing authorities where feasible,  and shall promptly,
         upon request,  furnish to Landlord copies of official receipts or other
         reasonably  satisfactory  proof  evidencing such payments.  If any such
         Imposition  may,  at the option of the  taxpayer,  lawfully  be paid in
         installments  (whether  or not  interest  shall  accrue  on the  unpaid
         balance of such Imposition),  Tenant may exercise the option to pay the
         same  (and  any  accrued   interest  on  the  unpaid  balance  of  such
         Imposition) in installments and, in such event,  shall pay, or cause to
         pay,  such  installments  during  the Term as the same  become  due and
         before any fine,  penalty,  premium,  further  interest  or cost may be
         added thereto.  Landlord, at its expense, shall, to the extent required
         or  permitted  by  Applicable  Law,  prepare  and file,  or cause to be
         prepared and filed, all tax returns and pay all taxes due in respect of
         Landlord's net income, gross receipts,  sales and use, single business,
         transaction privilege,  rent, ad valorem,  franchise taxes and taxes on
         its  capital  stock or  other  equity  interests,  and  Tenant,  at its
         expense,  shall, to the extent required or permitted by Applicable Laws
         and regulations,  prepare and file all other tax returns and reports in
         respect of any  Imposition as may be required by  Government  Agencies.
         Provided no Event of Default shall have occurred and be continuing,  if
         any  refund  shall be due from any taxing  authority  in respect of any
         Imposition paid by or on behalf of Tenant,  the same shall be paid over
         to or retained by Tenant.  Landlord and Tenant  shall,  upon request of
         the other,  provide such data as is maintained by the party to whom the
         request is made with respect to the Leased Property as may be necessary
         to prepare any required  returns and reports.  In the event  Government
         Agencies  classify any property  covered by this  Agreement as personal
         property,  Tenant  shall  file,  or cause  to be  filed,  all  personal
         property  tax  returns in such  jurisdictions  where it may  legally so
         file.  Each party shall,  to the extent it possesses the same,  provide
         the other, upon request,  with cost and depreciation  records necessary
         for filing returns for any property so classified as personal property.
         Where  Landlord  is

                                      -21-

         legally  required to file  personal  property  tax returns for property
         covered by this Agreement, Landlord shall provide Tenant with copies of
         assessment notices in sufficient time for Tenant to file a protest. All
         Impositions   assessed   against  such  personal   property   shall  be
         (irrespective  of whether  Landlord or Tenant  shall file the  relevant
         return)  paid by Tenant  not later than the last date on which the same
         may be made without  interest or penalty,  subject to the provisions of
         Article 8.

         Landlord shall give prompt Notice to Tenant of all Impositions  payable
by Tenant  hereunder  of which  Landlord  at any time has  knowledge;  provided,
however,  that  Landlord's  failure  to give  any  such  notice  shall in no way
diminish Tenant's obligation hereunder to pay such Impositions.

                  (b) Utility Charges.  Tenant shall pay or cause to be paid all
         charges for  electricity,  power,  gas, oil, water and other  utilities
         used in connection with the Leased Property.

                  (c) Insurance  Premiums.  Tenant shall pay or cause to be paid
         all  premiums  for the  insurance  coverage  required to be  maintained
         pursuant to Article 9.

                  (d) Other  Charges.  Tenant  shall pay or cause to be paid all
         other  amounts,   liabilities  and  obligations,   including,   without
         limitation,  ground  rents,  if any, and all amounts  payable under any
         equipment  leases  and  all  agreements  to  indemnify  Landlord  under
         Sections 4.4.2 and 9.5.

                  (e)  Reimbursement for Additional  Charges.  If Tenant pays or
         causes to be paid property taxes or similar or other Additional Charges
         attributable  to  periods  after  the  end of the  Term,  whether  upon
         expiration  or  sooner   termination  of  this  Agreement  (other  than
         termination  by reason of an Event of  Default),  Tenant may,  within a
         reasonable  time after the end of the Term,  provide Notice to Landlord
         of its estimate of such  amounts.  Landlord  shall  promptly  reimburse
         Tenant  for all  payments  of such taxes and other  similar  Additional
         Charges  that are  attributable  to any  period  after the Term of this
         Agreement.

         3.2 Late  Payment of Rent,  Etc. If any  installment  of Minimum  Rent,
Additional Rent or Additional  Charges (but only as to those Additional  Charges
which are payable  directly to Landlord)  shall not be paid within ten (10) days
after its due date, Tenant shall pay Landlord, on demand, as Additional Charges,
a late charge (to the extent  permitted by law)  computed at the Overdue Rate on
the amount of such  installment,  from the due date of such  installment  to the
date of payment thereof.  To the extent that Tenant pays any Additional  Charges
directly to Landlord or any Facility  Mortgagee  pursuant to any  requirement of
this  Agreement,  Tenant  shall  be  relieved  of its  obligation  to  pay  such
Additional  Charges to the Entity to which they

                                      -22-

would otherwise be due. If any payments due from Landlord to Tenant shall not be
paid within ten (10) days after its due date,  Landlord shall pay to Tenant,  on
demand,  a late charge (to the extent  permitted by law) computed at the Overdue
Rate on the amount of such  installment from the due date of such installment to
the date of payment thereof.

         In the event of any  failure  by Tenant to pay any  Additional  Charges
when due, Tenant shall promptly pay and discharge,  as Additional Charges, every
fine, penalty,  interest and cost which is added for non-payment or late payment
of such items. Landlord shall have all legal,  equitable and contractual rights,
powers and remedies provided either in this Agreement or by statute or otherwise
in the  case  of  non-payment  of the  Additional  Charges  as in  the  case  of
non-payment of the Minimum Rent and Additional Rent.

         3.3 Net Lease.  The Rent shall be  absolutely  net to  Landlord so that
this Agreement  shall yield to Landlord the full amount of the  installments  or
amounts of the Rent throughout the Term, subject to any other provisions of this
Agreement  which expressly  provide  otherwise,  including those  provisions for
adjustment or abatement of such Rent.

         3.4 No Termination,  Abatement,  Etc. Except as otherwise  specifically
provided in this Agreement,  each of Landlord and Tenant,  to the maximum extent
permitted by law,  shall remain bound by this  Agreement in accordance  with its
terms and shall not take any action  without the consent of the other to modify,
surrender  or  terminate  this  Agreement.  In  addition,  except  as  otherwise
expressly provided in this Agreement,  Tenant shall not seek, or be entitled to,
any abatement, deduction, deferment or reduction of the Rent, or set-off against
the  Rent,  nor shall the  respective  obligations  of  Landlord  and  Tenant be
otherwise  affected by reason of (a) any damage to or  destruction of the Leased
Property or any portion thereof from whatever cause or any Condemnation, (b) the
lawful or unlawful  prohibition  of, or  restriction  upon,  Tenant's use of the
Leased Property,  or any portion thereof,  or the interference  with such use by
any Person or by reason of  eviction  by  paramount  title;  (c) any claim which
Tenant may have against Landlord by reason of any default (other than a monetary
default) or breach of any warranty by Landlord under this Agreement or any other
agreement  between  Landlord  and Tenant,  or to which  Landlord  and Tenant are
parties;   (d)  any   bankruptcy,   insolvency,   reorganization,   composition,
readjustment,   liquidation,   dissolution,  winding  up  or  other  proceedings
affecting  Landlord or any assignee or  transferee  of Landlord;  or (e) for any
other cause whether similar or dissimilar to any of the foregoing  (other than a
monetary default by Landlord). Except as otherwise specifically provided in this
Agreement,   Tenant  hereby  waives  all  rights  arising  from  any  occurrence
whatsoever,  which  may  now or  hereafter  be  conferred  upon it by law (a) to
modify,  surrender or terminate  this  Agreement or quit or surrender the Leased
Property  or any  portion  thereof,  or (b) which  would  entitle  Tenant to any
abatement,  reduction, suspension or

                                      -23-


deferment of the Rent or other sums payable or other obligations to be performed
by Tenant  hereunder.  The obligations of Tenant hereunder shall be separate and
independent covenants and agreements, and the Rent and all other sums payable by
Tenant  hereunder  shall  continue  to be  payable  in  all  events  unless  the
obligations  to pay  the  same  shall  be  terminated  pursuant  to the  express
provisions of this Agreement.

                                   ARTICLE 4

                           USE OF THE LEASED PROPERTY

         4.1 Permitted Use.

                  4.1.1 Permitted Use.

                  (a) Tenant  shall,  at all times  during the Term,  and at any
         other time that Tenant shall be in possession  of the Leased  Property,
         continuously  use and operate,  or cause to be used and operated,  each
         Property   as   a   skilled    nursing/intermediate    care/independent
         living/assisted  living/special  care/group  home facility as currently
         operated,  and any uses incidental  thereto.  Tenant shall not use (and
         shall not permit any Person to use) any Property or any portion thereof
         for any other use without the prior written consent of Landlord,  which
         approval shall not be unreasonably withheld, delayed or conditioned. No
         use shall be made or  permitted  to be made of any Property and no acts
         shall  be  done  thereon  which  will  cause  the  cancellation  of any
         insurance  policy  covering such  Property or any part thereof  (unless
         another  adequate  policy is  available)  or which would  constitute  a
         default  under any ground  lease  affecting  such  Property,  nor shall
         Tenant sell or otherwise provide to residents or patients  therein,  or
         permit to be kept,  used or sold in or about any  Property  any article
         which  may  be  prohibited  by  law or by the  standard  form  of  fire
         insurance  policies,  or any other  insurance  policies  required to be
         carried hereunder, or fire underwriter's regulations.  Tenant shall, at
         its sole cost  (except as  expressly  provided  in  Section  5.1.2(b)),
         comply or cause to be complied with all Insurance Requirements.  Tenant
         shall not take or omit to take,  or permit to be taken or omitted to be
         taken, any action,  the taking or omission of which materially  impairs
         the value or the usefulness of any Property or any part thereof for its
         Permitted Use.

                  (b) In the event  that,  in the  reasonable  determination  of
         Tenant,  it shall no longer be  economically  practical  to operate any
         Property as  currently  operated,  Tenant  shall give  Landlord  Notice
         thereof,  which Notice shall set forth in reasonable detail the reasons
         therefor.  Thereafter,  (i) Landlord and Tenant shall negotiate in good
         faith to agree on an  alternative  use for such  Property,  appropriate
         adjustments to the Additional Rent and other related matters; provided,
         however,  in no event shall the

                                      -24-


         Minimum Rent be reduced or abated as a result thereof,  and (ii) Tenant
         may market such Property for sale to a third party.  If Tenant receives
         a bona fide offer (an "Offer") to purchase  such Property from a Person
         having the  financial  capacity to  implement  the terms of such Offer,
         Tenant shall give Landlord Notice thereof, which Notice shall include a
         copy of the Offer  executed  by such  third  party.  In the event  that
         Landlord  shall fail to accept or reject such Offer within  thirty (30)
         days after  receipt of such  Notice,  such Offer  shall be deemed to be
         rejected by  Landlord.  If  Landlord  shall  either  sell the  Property
         pursuant  to such  Offer  or  reject  such  Offer,  as the case may be,
         effective as of the date or proposed date of such sale,  this Agreement
         shall  terminate  with respect to such  Property,  and the Minimum Rent
         shall be reduced  by an amount  equal to ten  percent  (10%) of the net
         proceeds of sale received by Landlord or, in the case of rejection, the
         projected net proceeds determined by reference to such Offer.

                  4.1.2 Necessary  Approvals.  Tenant shall proceed with all due
diligence and exercise reasonable efforts to obtain and maintain, or cause to be
obtained and  maintained,  all approvals  necessary to use and operate,  for its
Permitted Use, each Property and the Facility  located thereon under  applicable
law and, without limiting the foregoing,  shall exercise  reasonable  efforts to
maintain   (or  cause  to  be   maintained)   appropriate   certifications   for
reimbursement and licensure.

                  4.1.3 Lawful Use, Etc.  Tenant shall not, and shall not permit
any  Person  to use or  suffer or permit  the use of any  Property  or  Tenant's
Personal Property, if any, for any unlawful purpose. Tenant shall not, and shall
not  permit any Person  to,  commit or suffer to be  committed  any waste on any
Property,  or in any  Facility,  nor shall  Tenant  cause or permit any unlawful
nuisance  thereon or therein.  Tenant shall not, and shall not permit any Person
to, suffer nor permit any Property, or any portion thereof, to be used in such a
manner as (i) may materially and adversely impair Landlord's title thereto or to
any portion thereof,  or (ii) may reasonably allow a claim or claims for adverse
usage or adverse  possession by the public, as such, or of implied dedication of
such Property or any portion thereof.

         4.2 Compliance  with  Legal/Insurance  Requirements  and Ground Leases,
Etc. Subject to the provisions of Section 5.1.2(b) and Article 8, Tenant, at its
sole expense,  shall (i) comply with (or cause to be complied with) all material
Legal Requirements and Insurance  Requirements in respect of the use, operation,
maintenance,  repair, alteration and restoration of the Leased Property and with
the terms and  conditions  of any ground  lease  affecting  any  Property,  (ii)
perform  (or  cause to be  performed)  in a  timely  fashion  all of  Landlord's
obligations  under any ground lease  affecting  any Property and (iii)  procure,
maintain and comply with (or cause to be procured,

                                      -25-


maintained  and complied  with) all  material  licenses,  certificates  of need,
permits,  provider  agreements and other  authorizations and agreements required
for any use of the Leased Property and Tenant's Personal Property,  if any, then
being made, and for the proper erection, installation, operation and maintenance
of the Leased Property or any part thereof.

         4.3 Compliance with Medicaid and Medicare Requirements.  Tenant, at its
sole  cost and  expense,  shall  make (or  shall  cause  to be  made),  whatever
improvements  (capital  or  ordinary)  as are  required  to  conform  the Leased
Property to such  standards  as may,  from time to time,  be required by Federal
Medicare (Title 18) or Medicaid (Title 19) for skilled and/or  intermediate care
nursing programs, to the extent Tenant is a participant in such programs, or any
other applicable programs or legislation,  or capital  improvements  required by
any other governmental  agency having jurisdiction over the Leased Property as a
condition of the continued  operation of each Property for its Primary  Intended
Use.

         4.4 Environmental Matters.

                  4.4.1  Restriction on Use, Etc.  During the Term and any other
time that Tenant shall be in possession  of any Property,  Tenant shall not, and
shall not permit any Person to, store,  spill upon, dispose of or transfer to or
from such  Property  any  Hazardous  Substance,  except in  compliance  with all
Applicable  Laws.  During  the Term and any other time that  Tenant  shall be in
possession  of any  Property,  Tenant  shall  maintain  (or  shall  cause  to be
maintained) such Property at all times free of any Hazardous  Substance  (except
in compliance with all Applicable Laws). Tenant shall promptly: (a) upon receipt
of notice or knowledge, notify Landlord in writing of any material change in the
nature or extent of  Hazardous  Substances  at any  Property,  (b)  transmit  to
Landlord a copy of any  report  which is  required  to be filed by Tenant or any
Manager  with  respect to any  Property  pursuant to SARA Title III or any other
Applicable  Law,  (c)  transmit to  Landlord  copies of any  citations,  orders,
notices or other governmental  communications  received by Tenant or any Manager
or  their   respective   agents  or   representatives   with   respect   thereto
(collectively,  "Environmental  Notice"),  which Environmental Notice requires a
written response or any action to be taken and/or if such  Environmental  Notice
gives notice of and/or presents a material risk of any material violation of any
Applicable Law and/or  presents a material risk of any material  cost,  expense,
loss or damage (an "Environmental Obligation"), (d) observe and comply with (and
cause to be observed and complied with) all Applicable Laws relating to the use,
maintenance  and disposal of Hazardous  Substances  and all orders or directives
from any official, court or agency of competent jurisdiction relating to the use
or  maintenance  or  requiring  the  removal,  treatment,  containment  or other
disposition  thereof,  and (e) pay or otherwise  dispose (or cause to be paid or
otherwise  disposed) of any fine, charge or Imposition  related thereto,  unless

                                      -26-

Tenant or any Manager  shall  contest the same in good faith and by  appropriate
proceedings  and the right to use and the value of any of the Leased Property is
not materially and adversely affected thereby.

         If, at any time prior to the termination of this  Agreement,  Hazardous
Substances  (other than those maintained in accordance with Applicable Laws) are
discovered  on any  Property,  subject to Tenant's  right to contest the same in
accordance  with  Article 8, Tenant shall take (and shall cause to be taken) all
actions and incur any and all expenses, as are required by any Government Agency
and by  Applicable  Law, (i) to clean up and remove from and about such Property
all  Hazardous  Substances  thereon,  (ii) to contain  and  prevent  any further
release or threat of release of Hazardous  Substances  on or about such Property
and (iii) to use good faith efforts to eliminate  any further  release or threat
of release of Hazardous Substances on or about such Property.

                  4.4.2  Indemnification  of  Landlord.  Tenant  shall  protect,
indemnify  and  hold  harmless  Landlord  and  each  Facility  Mortgagee,  their
trustees,  officers,  agents,  employees  and  beneficiaries,  and any of  their
respective  successors or assigns with respect to this Agreement  (collectively,
the "Indemnitees" and, individually,  an "Indemnitee") for, from and against any
and all  debts,  liens,  claims,  causes  of  action,  administrative  orders or
notices,  costs, fines,  penalties or expenses  (including,  without limitation,
reasonable  attorney's fees and expenses) imposed upon,  incurred by or asserted
against any  Indemnitee  resulting  from,  either  directly or  indirectly,  the
presence  in,  upon or under the soil or  ground  water of any  Property  or any
properties surrounding such Property of any Hazardous Substances in violation of
any  Applicable  Law,  except  to the  extent  the same  arise  from the acts or
omissions of Landlord or any other Indemnitee or during any period that Landlord
or a Person  designated by Landlord (other than Tenant) is in possession of such
Property from and after the date hereof.  Tenant's duty herein includes,  but is
not limited to, costs  associated with personal injury or property damage claims
as a result of the presence prior to the expiration or sooner termination of the
Term and the surrender of such Property to Landlord in accordance with the terms
of this  Agreement of Hazardous  Substances in, upon or under the soil or ground
water of such  Property in violation  of any  Applicable  Law.  Upon Notice from
Landlord and any other of the  Indemnitees,  Tenant shall undertake the defense,
at  Tenant's  sole cost and  expense,  of any  indemnification  duties set forth
herein,  in  which  event,  Tenant  shall  not  be  liable  for  payment  of any
duplicative attorneys' fees incurred by any Indemnitee.

         Tenant shall, upon demand, pay (or cause to be paid) to Landlord, as an
Additional  Charge,  any  cost,  expense,  loss or  damage  (including,  without
limitation,  reasonable  attorneys'  fees)  reasonably  incurred by Landlord and
arising  from a failure  of Tenant to  observe  and  perform  (or to cause to be
observed and  performed)  the  requirements  of this Section 4.4,  which amounts
shall bear interest  from the date ten (10)

                                      -27-


Business  Days after  written  demand  therefor is given to Tenant until paid by
Tenant to Landlord at the Overdue Rate.

                  4.4.3  Survival.  The  provisions  of this  Section  4.4 shall
survive the expiration or sooner termination of this Agreement.

                                   ARTICLE 5

                            MAINTENANCE AND REPAIRS

         5.1 Maintenance and Repair.

                  5.1.1  Tenant's  General  Obligations.  Tenant  shall keep (or
cause to be kept),  at Tenant's sole cost and expense,  the Leased  Property and
all private  roadways,  sidewalks  and curbs  appurtenant  thereto (and Tenant's
Personal  Property) in good order and repair,  reasonable wear and tear excepted
(whether or not the need for such repairs  occurs as a result of Tenant's or any
Manager's use, any prior use, the elements or the age of the Leased  Property or
Tenant's Personal  Property or any portion thereof),  and shall promptly make or
cause to be made all necessary and appropriate repairs and replacements  thereto
of  every  kind  and  nature,  whether  interior  or  exterior,   structural  or
nonstructural,  ordinary or extraordinary,  foreseen or unforeseen or arising by
reason of a condition  existing prior to the commencement of the Term (concealed
or  otherwise).  All  repairs  shall  be  made in a  good,  workmanlike  manner,
consistent with industry standards for comparable Facilities in like locales, in
accordance with all applicable  federal,  state and local statutes,  ordinances,
codes, rules and regulations relating to any such work. Tenant shall not take or
omit to take (or  permit  any  Person to take or omit to take) any  action,  the
taking or omission of which would  materially and adversely  impair the value or
the  usefulness  of the Leased  Property or any  material  part  thereof for its
Permitted Use. Tenant's obligations under this Section 5.1.1 shall be limited in
the event of any casualty or Condemnation as set forth in Article 10 and Article
11 and Tenant's  obligations  with respect to  Hazardous  Substances  are as set
forth in Section 4.4.

                  5.1.2 Landlord's Obligations.

                  (a) Except as otherwise  expressly provided in this Agreement,
         Landlord  shall not, under any  circumstances,  be required to build or
         rebuild any improvement on the Leased Property, or to make any repairs,
         replacements,  alterations,  restorations  or renewals of any nature or
         description to the Leased Property,  whether ordinary or extraordinary,
         structural or  nonstructural,  foreseen or  unforeseen,  or to make any
         expenditure  whatsoever with respect thereto, or to maintain the Leased
         Property in any way.  Except as  otherwise  expressly  provided in this
         Agreement,  Tenant hereby waives,  to the maximum  extent  permitted by
         law, the right to make  repairs at the expense of

                                      -28-


         Landlord  pursuant to any law in effect on the date hereof or hereafter
         enacted.  Landlord  shall have the right to give,  record and post,  as
         appropriate,  notices of  nonresponsibility  under any mechanic's  lien
         laws now or hereafter existing.

                  (b) If,  pursuant  to the terms of this  Agreement,  Tenant is
         required  to make any  expenditures  in  connection  with  any  repair,
         maintenance or renovation with respect to any Property,  Tenant may, at
         its election, advance such funds or give Landlord Notice thereof, which
         Notice  shall  set  forth,  in  reasonable  detail,  the  nature of the
         required repair, renovation or replacement,  the estimated cost thereof
         and such  other  information  with  respect  thereto  as  Landlord  may
         reasonably  require.  Provided  that no Event  of  Default  shall  have
         occurred and be continuing and Tenant shall  otherwise  comply with the
         applicable  provisions  of Article 6, Landlord  shall,  within ten (10)
         Business Days after such Notice,  subject to and in accordance with the
         applicable  provisions of Article 6,  disburse  such required  funds to
         Tenant  (or, if Tenant  shall so elect,  directly to the Manager or any
         other Person performing the required work) and, upon such disbursement,
         the Minimum Rent shall be adjusted as provided in Section 3.1.1(b).


                  5.1.3  Nonresponsibility  of Landlord,  Etc. All  materialmen,
contractors, artisans, mechanics and laborers and other persons contracting with
Tenant with  respect to the Leased  Property,  or any part  thereof,  are hereby
charged with notice that liens on the Leased Property or on Landlord's  interest
therein  are  expressly  prohibited  and that they must look solely to Tenant to
secure payment for any work done or material  furnished to Tenant or any Manager
or for any other purpose during the term of this Agreement.

         Nothing contained in this Agreement shall be deemed or construed in any
way as constituting the consent or request of Landlord,  express or implied,  by
inference or otherwise, to any contractor, subcontractor, laborer or materialmen
for the  performance  of any labor or the  furnishing  of any  materials for any
alteration,  addition,  improvement or repair to the Leased Property or any part
thereof or as giving  Tenant any right,  power or  authority  to contract for or
permit the rendering of any services or the  furnishing  of any  materials  that
would give rise to the filing of any lien  against  the Leased  Property  or any
part thereof nor to subject Landlord's estate in the Leased Property or any part
thereof to liability  under any mechanic's  lien law of any State in any way, it
being expressly  understood  Landlord's  estate shall not be subject to any such
liability.

         5.2 Tenant's Personal  Property.  Tenant shall provide and maintain (or
cause to be  provided  and  maintained)  throughout  the Term all such  Tenant's
Personal  Property as shall be necessary in order to operate in compliance  with
applicable material Legal Requirements and Insurance  Requirements and otherwise
in accordance with customary

                                      -29-

practice  in the  industry  for the  Permitted  Use,  and  all of such  Tenant's
Personal  Property  shall,  upon the  expiration or earlier  termination of this
Agreement,  become the property of Landlord. If, from and after the Commencement
Date,  Tenant  acquires an interest  in any item of tangible  personal  property
(other than motor vehicles) on, or in connection with, the Leased  Property,  or
any portion  thereof,  which  belongs to anyone other than Tenant,  Tenant shall
require  the  agreements  permitting  such use to provide  that  Landlord or its
designee may assume Tenant's  rights and  obligations  under such agreement upon
the  termination of this Agreement and the assumption of management or operation
of the Facility by Landlord or its designee.

         5.3  Yield  Up.  Upon the  expiration  or  sooner  termination  of this
Agreement,  Tenant shall vacate and surrender the Leased Property to Landlord in
substantially  the same  condition  in which the Leased  Property  was in on the
Commencement Date, except as repaired, rebuilt, restored, altered or added to as
permitted or required by the provisions of this  Agreement,  reasonable wear and
tear  excepted  (and casualty  damage and  Condemnation,  in the event that this
Agreement is terminated  following a casualty or Condemnation in accordance with
Article 10 or Article 11 excepted).

         In  addition,  upon  the  expiration  or  earlier  termination  of this
Agreement, Tenant shall, at Landlord's sole cost and expense, use its good faith
efforts to transfer (or cause to be  transferred) to and cooperate with Landlord
or Landlord's  nominee in connection with the processing of all applications for
licenses,  operating  permits  and  other  governmental  authorizations  and all
contracts,  including contracts with governmental or quasi-governmental Entities
which  may be  necessary  for the  use and  operation  of the  Facility  as then
operated. If requested by Landlord,  Tenant shall continue to manage one or more
of the Facilities  after the expiration of the Term for up to one hundred eighty
(180) days,  on such  reasonable  terms  (which  shall  include an  agreement to
reimburse  Tenant  for its  reasonable  out-of-pocket  costs and  expenses,  and
reasonable administrative costs), as Landlord shall reasonably request.

         5.4 Management  Agreement.  Tenant shall not, without  Landlord's prior
written  consent (which consent shall not be unreasonably  withheld,  delayed or
conditioned),  enter  into,  amend or modify the  provisions  of any  Management
Agreement with respect to any Property.  Any Management  Agreement  entered into
pursuant to the  provisions  of this  Section 5.4 shall be  subordinate  to this
Agreement  and shall  provide,  inter alia,  that all amounts due from Tenant to
Manager  thereunder  shall be  subordinate  to all  amounts  due from  Tenant to
Landlord  (provided  that,  as long as no Event of Default has  occurred  and is
continuing,  Tenant may pay all  amounts due to Manager  thereunder  pursuant to
such Management  Agreement) and for termination  thereof,  at Landlord's option,
upon the termination of this Agreement.  Tenant shall not take any action, grant
any consent or permit any action under any such Management Agreement which might
have a material

                                      -30-


adverse effect on Landlord, without the prior written consent of Landlord, which
consent shall not be unreasonably withheld, delayed or conditioned.

                                   ARTICLE 6

                               IMPROVEMENTS, ETC.

         6.1  Improvements  to the  Leased  Property.  Tenant  shall  not  make,
construct  or  install  (or permit to be made,  constructed  or  installed)  any
Capital Additions without, in each instance,  obtaining Landlord's prior written
consent,  which  consent  shall  not  be  unreasonably   withheld,   delayed  or
conditioned provided that (a) construction or installation of the same would not
adversely  affect  or  violate  any  material  Legal  Requirement  or  Insurance
Requirement  applicable  to the  Leased  Property  and (b)  Landlord  shall have
received an  Officer's  Certificate  certifying  as to the  satisfaction  of the
conditions set out in clause (a) above; provided,  however, that no such consent
shall be required in the event immediate  action is required to prevent imminent
harm to person or  property.  Prior to  commencing  construction  of any Capital
Addition, Tenant shall submit to Landlord, in writing, a proposal setting forth,
in  reasonable  detail,  any such  proposed  improvement  and shall  provide  to
Landlord such plans and specifications,  and such permits,  licenses,  contracts
and such  other  information  concerning  the same as  Landlord  may  reasonably
request.  Landlord shall have thirty (30) days to review all materials submitted
to Landlord in connection with any such proposal. Failure of Landlord to respond
to Tenant's  proposal  within thirty (30) days after receipt of all  information
and materials requested by Landlord in connection with the proposed  improvement
shall be  deemed  to  constitute  approval  of the same.  Without  limiting  the
generality  of the  foregoing,  such  proposal  shall  indicate the  approximate
projected cost of constructing such proposed  improvement and the use or uses to
which it will be put.  No Capital  Addition  shall be made which would tie in or
connect any Leased Improvements with any other improvements on property adjacent
to the Leased Property (and not part of the Land) including, without limitation,
tie-ins of  buildings  or other  structures  or  utilities.  Except as permitted
herein,  Tenant  shall  not  finance  the  cost  of  any  construction  of  such
improvement  by the  granting  of a lien on or  security  interest in the Leased
Property or such improvement,  or Tenant's  interest therein,  without the prior
written  consent of  Landlord,  which  consent  may be  withheld  by Landlord in
Landlord's sole discretion.  Any such improvements shall, upon the expiration or
sooner termination of this Agreement,  remain or pass to and become the property
of  Landlord,   free  and  clear  of  all  encumbrances   other  than  Permitted
Encumbrances.

         6.2 Salvage.  All materials which are scrapped or removed in connection
with the making of either Capital Additions or non-Capital

                                      -31-

Additions  or repairs  required by Article 5 shall be or become the  property of
the party that paid for such work.

                                   ARTICLE 7

                                     LIENS

         7.1 Liens. Subject to Article 8, Tenant shall use its best efforts not,
directly  or  indirectly,  to  create  or allow to  remain  and  shall  promptly
discharge (or cause to be discharged),  at its expense,  any lien,  encumbrance,
attachment,  title retention agreement or claim upon the Leased Property, or any
portion thereof, or Tenant's leasehold interest therein or any attachment, levy,
claim  or  encumbrance  in  respect  of  the  Rent,  other  than  (a)  Permitted
Encumbrances, (b) restrictions, liens and other encumbrances which are consented
to in writing by Landlord, (c) liens for those taxes of Landlord which Tenant is
not required to pay hereunder,  (d) subleases permitted by Article 16, (e) liens
for Impositions or for sums resulting from noncompliance with Legal Requirements
so long as (i) the same are not yet due and payable, or (ii) are being contested
in  accordance  with Article 8, (f) liens of mechanics,  laborers,  materialmen,
suppliers or vendors  incurred in the ordinary  course of business  that are not
yet due and payable or are for sums that are being  contested in accordance with
Article  8,  (g)  any   Facility   Mortgages   or  other  liens  which  are  the
responsibility  of  Landlord  pursuant to the  provisions  of Article 20 and (h)
Landlord Liens and any other voluntary liens created by Landlord.

         7.2 Landlord's  Lien. In addition to any statutory  landlord's lien and
in order to secure  payment of the Rent and all other sums payable  hereunder by
Tenant,  and to secure  payment of any loss,  cost or damage which  Landlord may
suffer by reason of Tenant's breach of this Agreement, Tenant hereby grants unto
Landlord, to the maximum extent permitted by Applicable Law, a security interest
in and an express contractual lien upon Tenant's Personal Property (except motor
vehicles), and Tenant's interest in all ledger sheets, files, records, documents
and instruments  (including,  without limitation,  computer programs,  tapes and
related electronic data processing)  relating to the operation of the Facilities
(the   "Records")  and  all  proceeds   therefrom,   subject  to  any  Permitted
Encumbrances;  and such Tenant's Personal Property shall not be removed from the
Leased  Property  at any time  when an  Event of  Default  has  occurred  and is
continuing.

         Upon Landlord's  request,  Tenant shall execute and deliver to Landlord
financing  statements  in form  sufficient  to perfect the security  interest of
Landlord in Tenant's  Personal  Property and the proceeds  thereof in accordance
with the provisions of the applicable laws of the State.  During the continuance
of an Event of Default,  Tenant hereby grants  Landlord an  irrevocable  limited
power of  attorney,  coupled  with an  interest,  to execute all such  financing

                                      -32-

statements  in Tenant's  name,  place and stead.  The security  interest  herein
granted is in addition to any statutory lien for the Rent.

                                   ARTICLE 8

                               PERMITTED CONTESTS

         Tenant  shall have the right to contest  the amount or  validity of any
Imposition, Legal Requirement, Insurance Requirement,  Environmental Obligation,
lien, attachment, levy, encumbrance, charge or claim (collectively, "Claims") as
to the Leased  Property,  by appropriate  legal  proceedings,  conducted in good
faith and with due diligence, provided that (a) the foregoing shall in no way be
construed as relieving,  modifying or extending  Tenant's  obligation to pay (or
cause to be paid) any Claims as finally  determined,  (b) such contest shall not
cause  Landlord or Tenant to be in default  under any  mortgage or deed of trust
encumbering the Leased Property or any portion thereof  (Landlord  agreeing that
any such  mortgage or deed of trust shall  permit  Tenant to exercise the rights
granted  pursuant  to this  Article 8) or any  interest  therein or result in or
reasonably be expected to result in a lien  attaching to the Leased  Property or
any portion  thereof,  (c) no part of the Leased Property nor any Rent therefrom
shall be in any immediate  danger of sale,  forfeiture,  attachment or loss, and
(d) Tenant shall indemnify and hold harmless Landlord from and against any cost,
claim, damage,  penalty or reasonable expense,  including reasonable  attorneys'
fees,  incurred by  Landlord in  connection  therewith  or as a result  thereof.
Landlord agrees to join in any such proceedings if required legally to prosecute
such  contest,  provided  that  Landlord  shall not thereby be  subjected to any
liability therefor (including,  without limitation, for the payment of any costs
or expenses in connection  therewith)  unless Tenant agrees by agreement in form
and  substance  reasonably  satisfactory  to Landlord,  to assume and  indemnify
Landlord with respect to the same. Tenant shall be entitled to any refund of any
Claims and such charges and  penalties or interest  thereon which have been paid
by Tenant  or paid by  Landlord  to the  extent  that  Landlord  has been  fully
reimbursed  by Tenant.  If Tenant  shall fail (x) to pay or cause to be paid any
Claims when finally  determined,  (y) to provide reasonable security therefor or
(z) to prosecute or cause to be prosecuted  any such contest  diligently  and in
good faith,  Landlord may, upon reasonable  notice to Tenant (which notice shall
not be required  if Landlord  shall  reasonably  determine  that the same is not
practicable),  pay such  charges,  together with interest and penalties due with
respect thereto,  and Tenant shall reimburse Landlord therefor,  upon demand, as
Additional Charges.

                                      -33-

                                   ARTICLE 9

                         INSURANCE AND INDEMNIFICATION

         9.1 General Insurance  Requirements.  Tenant shall, at all times during
the Term and at any other time Tenant shall be in  possession  of any  Property,
keep (or cause to be kept) such  Property  and all property  located  therein or
thereon,  insured against the risks and in such amounts as is against such risks
and in such amounts as Landlord shall reasonably require and may be commercially
reasonable.  Tenant shall prepare a proposal  setting forth the insurance Tenant
proposes  to be  maintained  with  respect to each  Property  during the ensuing
Fiscal Year, and shall submit such proposal to Landlord on or before  December 1
of the preceding Lease Year, for Landlord's review and approval,  which approval
shall not be unreasonably  withheld,  delayed or conditioned.  In the event that
Landlord  shall fail to respond  within  thirty (30) days after  receipt of such
proposal, such proposal shall be deemed approved.

         9.2 Waiver of  Subrogation.  Landlord and Tenant agree that (insofar as
and to the extent that such agreement may be effective  without  invalidating or
making it impossible to secure  insurance  coverage from  responsible  insurance
companies  doing  business in any State) with respect to any property loss which
is covered by  insurance  then being  carried by Landlord  or Tenant,  the party
carrying such  insurance and suffering said loss releases the others of and from
any and all claims with respect to such loss;  and they further agree that their
respective  insurance companies (and, if Landlord or Tenant shall self insure in
accordance with the terms hereof,  Landlord or Tenant, as the case may be) shall
have no right of subrogation  against the other on account thereof,  even though
extra  premium  may result  therefrom.  In the event  that any extra  premium is
payable by Tenant as a result of this  provision,  Landlord  shall not be liable
for reimbursement to Tenant for such extra premium.

         9.3 Form  Satisfactory,  Etc. All insurance  policies and  endorsements
required pursuant to this Article 9 shall be fully paid for,  nonassessable,  be
issued by insurance  carriers  authorized to do business in the State, and shall
be  issued  by  reputable  insurance  companies,  and,  otherwise,  be issued by
insurance  carriers having a general policy holder's rating of no less than A in
Best's latest rating guide. All property,  business interruption,  liability and
flood  insurance  policies  with  respect  to each  Property  shall  include  no
deductible in excess of Two Hundred Fifty Thousand  Dollars  ($250,000).  At all
times,  all  property,  business  interruption,  liability  and flood  insurance
policies, with the exception of worker's compensation insurance coverage,  shall
name  Landlord  and any  Facility  Mortgagee as  additional  insureds,  as their
interests  may  appear.  All loss  adjustments  shall be payable as  provided in
Article  10,  except that  losses  under  liability  and  worker's  compensation
insurance  policies  shall be payable  directly to the party  entitled  thereto.

                                      -34-

Tenant shall cause all insurance premiums to be paid and shall deliver (or cause
to be delivered)  policies or  certificates  thereof to Landlord  prior to their
effective date (and, with respect to any renewal policy, prior to the expiration
of the existing  policy).  All such  policies  shall  provide  Landlord (and any
Facility  Mortgagee  if  required by the same)  thirty  (30) days prior  written
notice of any  material  change or  cancellation  of such  policy.  In the event
Tenant shall fail to effect (or cause to be effected)  such  insurance as herein
required,  to pay (or cause to be paid) the premiums  therefor or to deliver (or
cause to be delivered) such policies or certificates to Landlord or any Facility
Mortgagee at the times required,  Landlord shall have the right,  upon Notice to
Tenant,  but not the obligation,  to acquire such insurance and pay the premiums
therefor, which amounts shall be payable to Landlord, upon demand, as Additional
Charges,  together  with interest  accrued  thereon at the Overdue Rate from the
date such payment is made until (but excluding) the date repaid.

         9.4 No Separate  Insurance;  Self-Insurance.  Tenant shall not take (or
permit  any  Person  to take)  out  separate  insurance,  concurrent  in form or
contributing  in the event of loss  with that  required  by this  Article  9, or
increase the amount of any existing  insurance by securing an additional  policy
or additional  policies,  unless all parties having an insurable interest in the
subject  matter  of  such  insurance,   including   Landlord  and  all  Facility
Mortgagees,  are included therein as additional insureds and the loss is payable
under  such  insurance  in the same  manner as losses  are  payable  under  this
Agreement.  In the event  Tenant shall take out any such  separate  insurance or
increase any of the amounts of the then  existing  insurance,  Tenant shall give
Landlord  prompt Notice  thereof.  Tenant shall not  self-insure  (or permit any
Person to self-insure).

         9.5  Indemnification of Landlord.  Notwithstanding the existence of any
insurance  provided  for herein and without  regard to the policy  limits of any
such insurance,  Tenant shall protect, indemnify and hold harmless Landlord for,
from and against  all  liabilities,  obligations,  claims,  damages,  penalties,
causes of action, costs and reasonable expenses (including,  without limitation,
reasonable  attorneys'  fees), to the maximum extent  permitted by law,  imposed
upon or  incurred by or asserted  against  Landlord by reason of the  following,
except  to  the  extent  caused  by  Landlord's   gross  negligence  or  willful
misconduct: (a) any accident, injury to or death of persons or loss of or damage
to property occurring on or about any Property or adjoining  sidewalks or rights
of way,  (b) any  past,  present  or future  use,  misuse,  non-use,  condition,
management,  maintenance  or repair by Tenant,  any  Manager or anyone  claiming
under any of them or Tenant's Personal Property or any litigation, proceeding or
claim by governmental  entities or other third parties to which Landlord is made
a party or participant relating to any Property or Tenant's Personal Property or
such use, misuse, non-use, condition, management, maintenance, or repair thereof
including,  failure to perform obligations (other than Condemnation proceedings)
to which Landlord is made a party,  (c) any

                                      -35-

Impositions that are the obligations of Tenant to pay pursuant to the applicable
provisions  of this  Agreement,  and (d) any  failure  on the part of  Tenant or
anyone  claiming under Tenant to perform or comply with any of the terms of this
Agreement.  Tenant,  at its expense,  shall contest,  resist and defend any such
claim,  action or proceeding  asserted or instituted against Landlord (and shall
not be responsible for any duplicative  attorneys' fees incurred by Landlord) or
may compromise or otherwise  dispose of the same, with Landlord's  prior written
consent  (which   consent  may  not  be   unreasonably   withheld,   delayed  or
conditioned).  The  obligations of Tenant under this Section 9.5 are in addition
to the obligations set forth in Section 4.4 and shall survive the termination of
this Agreement.

                                   ARTICLE 10

                                    CASUALTY

         10.1 Insurance Proceeds.  Except as provided in the last clause of this
sentence,  all proceeds payable by reason of any loss or damage to any Property,
or any portion  thereof,  and insured under any policy of insurance  required by
Article 9 (other than the  proceeds  of any  business  interruption  insurance),
shall be paid directly to Landlord  (subject to the  provisions of Section 10.2)
and all loss  adjustments  with  respect  to losses  payable to  Landlord  shall
require  the prior  written  consent of  Landlord,  which  consent  shall not be
unreasonably withheld, delayed or conditioned;  provided, however, that, so long
as no Event of Default shall have occurred and be continuing,  all such proceeds
less than or equal to Two Hundred Fifty  Thousand  Dollars  ($250,000)  shall be
paid  directly  to Tenant and such  losses may be  adjusted  without  Landlord's
consent. If Tenant is required to reconstruct or repair any Property as provided
herein,  such  proceeds  shall be paid out by Landlord from time to time for the
reasonable costs of  reconstruction  or repair of such Property  necessitated by
such damage or destruction,  subject to and in accordance with the provisions of
Section  10.2.4.  Provided  no Default or Event of Default has  occurred  and is
continuing,  any excess proceeds of insurance  remaining after the completion of
the  restoration  shall be paid to Tenant.  In the event that the  provisions of
Section 10.2.1 are applicable,  the insurance  proceeds shall be retained by the
party entitled thereto pursuant to Section 10.2.1.

         10.2 Damage or Destruction.

                  10.2.1 Damage or  Destruction of Leased  Property.  If, during
the Term, any Property shall be totally or partially  destroyed and the Facility
located  thereon is thereby  rendered  Unsuitable for Its Permitted Use,  either
Landlord or Tenant may, by the giving of Notice thereof to the other,  terminate
this Agreement with respect to such affected Property, whereupon, this Agreement
shall  terminate  with respect to such affected  Property and Landlord  shall be
entitled to retain the insurance  proceeds payable on account of such damage. In

                                      -36-

such event,  Tenant shall pay to Landlord the amount of any deductible under the
insurance policies covering such Facility,  the amount of any uninsured loss and
any difference  between the  replacement  cost of the affected  Property and the
casualty insurance proceeds therefor.

                  10.2.2 Partial Damage or Destruction. If, during the Term, any
Property  shall be  totally  or  partially  destroyed  but the  Facility  is not
rendered  Unsuitable  for Its Permitted  Use,  Tenant shall,  subject to Section
10.2.3, promptly restore such Facility as provided in Section 10.2.4.

                  10.2.3  Insufficient  Insurance  Proceeds.  If the cost of the
repair or restoration of the applicable Facility exceeds the amount of insurance
proceeds  received by Landlord and Tenant  pursuant to Section 9.1, Tenant shall
give Landlord  Notice thereof which notice shall set forth in reasonable  detail
the nature of such deficiency and whether Tenant shall pay and assume the amount
of such deficiency (Tenant having no obligation to do so, except that, if Tenant
shall elect to make such funds  available,  the same shall become an irrevocable
obligation  of Tenant  pursuant to this  Agreement).  In the event  Tenant shall
elect not to pay and assume the amount of such  deficiency,  Landlord shall have
the right (but not the  obligation),  exercisable at Landlord's sole election by
Notice to Tenant,  given  within  sixty (60) days after  Tenant's  notice of the
deficiency,  to elect to make available for application to the cost of repair or
restoration the amount of such  deficiency;  provided,  however,  in such event,
upon any disbursement by Landlord thereof, the Minimum Rent shall be adjusted as
provided in Section  3.1.1(b).  In the event that  neither  Landlord  nor Tenant
shall elect to make such deficiency  available for restoration,  either Landlord
or Tenant may terminate this Agreement with respect to the affected  Property by
Notice to the other, whereupon,  this Agreement shall so terminate and insurance
proceeds  shall be distributed  as provided in Section  10.2.1.  It is expressly
understood and agreed, however, that, notwithstanding anything in this Agreement
to the contrary,  Tenant shall be strictly liable and solely responsible for the
amount of any deductible and shall, upon any insurable loss, pay over the amount
of such deductible to Landlord at the time and in the manner herein provided for
payment of the applicable proceeds to Landlord.

                  10.2.4  Disbursement  of  Proceeds.  In the  event  Tenant  is
required to restore any Facility  pursuant to Section 10.2 and this Agreement is
not terminated as to the applicable Property pursuant to this Article 10, Tenant
shall  commence (or cause to be commenced)  promptly and continue  diligently to
perform (or cause to be performed)  the repair and  restoration of such Facility
(hereinafter  called the "Work"), so as to restore (or cause to be restored) the
applicable  Property in material  compliance with all Legal  Requirements and so
that such Property shall be, to the extent practicable, substantially equivalent
in value and general utility to its general utility and value  immediately prior
to such  damage or  destruction.  Subject to the

                                      -37-

terms hereof,  Landlord shall advance the insurance  proceeds and any additional
amounts  payable by Landlord  pursuant to Section 10.2.3 or otherwise  deposited
with Landlord to Tenant regularly during the repair and restoration period so as
to permit  payment for the cost of any such  restoration  and  repair.  Any such
advances shall be made not more than monthly within ten (10) Business Days after
Tenant submits to Landlord a written requisition and substantiation  therefor on
AIA Forms  G702 and G703 (or on such  other  form or forms as may be  reasonably
acceptable to Landlord).  Landlord may, at its option,  condition advancement of
such  insurance  proceeds  and other  amounts on (i) the absence of any Event of
Default,  (ii)  its  approval  of  plans  and  specifications  of  an  architect
satisfactory to Landlord  (which  approval shall not be  unreasonably  withheld,
delayed or conditioned),  (iii) general contractors' estimates, (iv) architect's
certificates, (v) conditional lien waivers of general contractors, if available,
(vi) evidence of approval by all  governmental  authorities and other regulatory
bodies  whose  approval  is  required,  (vii),  if Tenant has elected to advance
deficiency  funds  pursuant  to Section  10.2.3,  Tenant  depositing  the amount
thereof with Landlord and (viii) such other  certificates  as Landlord may, from
time to time, reasonably require.

         Landlord's obligation to disburse insurance proceeds under this Article
10 shall be subject to the release of such proceeds by any Facility Mortgagee to
Landlord.

         Tenant's obligation to restore the applicable Facility pursuant to this
Article 10 shall be subject to the release of  available  insurance  proceeds by
the applicable  Facility Mortgagee to Landlord or directly to Tenant and, in the
event such proceeds are insufficient,  Landlord electing to make such deficiency
available therefor (and disbursement of such deficiency).

         10.3 Damage Near End of Term. Notwithstanding any provisions of Section
10.1 or 10.2 to the contrary, if damage to or destruction of any Property occurs
during the last twelve (12) months of the Term and if such damage or destruction
cannot  reasonably  be expected to be fully  repaired and restored  prior to the
date that is six (6)  months  prior to the end of the Term,  the  provisions  of
Section  10.2.1  shall apply as if such  Property  had been totally or partially
destroyed and the Facility thereon rendered Unsuitable for its Permitted Use.

         10.4 Tenant's Property. All insurance proceeds payable by reason of any
loss of or damage to any of Tenant's  Personal  Property shall be paid to Tenant
and, to the extent necessary to repair or replace Tenant's  Personal Property in
accordance  with Section  10.5,  Tenant shall hold such proceeds in trust to pay
the cost of repairing or replacing damaged Tenant's Personal Property.

         10.5 Restoration of Tenant's Property. If Tenant is required to restore
any  Property  as  hereinabove  provided,  Tenant  shall  either (a) restore all
alterations and improvements made by Tenant and

                                      -38-

Tenant's Personal Property, or (b) replace such alterations and improvements and
Tenant's  Personal  Property  with  improvements  or items of the same or better
quality and utility in the operation of such Property.

         10.6 No Abatement of Rent.  This  Agreement  shall remain in full force
and effect and Tenant's  obligation  to make all payments of Rent and to pay all
other charges as and when required  under this Agreement  shall remain  unabated
during the Term  notwithstanding any damage involving the Leased Property or any
portion  thereof  (provided that Landlord shall credit against such payments any
amounts  paid to Landlord as a  consequence  of such damage  under any  business
interruption  insurance  obtained by Tenant  hereunder).  The provisions of this
Article 10 shall be  considered  an  express  agreement  governing  any cause of
damage or destruction to the Leased  Property or any portion thereof and, to the
maximum  extent  permitted  by law,  no  local or State  statute,  laws,  rules,
regulation  or  ordinance  in effect  during the Term which  provide  for such a
contingency shall have any application in such case.

         10.7 Waiver.  Tenant hereby waives any statutory  rights of termination
which may arise by reason of any damage or destruction  of the Leased  Property,
or any portion thereof.

                                   ARTICLE 11

                                  CONDEMNATION

         11.1 Total  Condemnation,  Etc. If either (i) the whole of any Property
shall be taken by  Condemnation or (ii) a Condemnation of less than the whole of
any  Property  renders any  Property  Unsuitable  for Its  Permitted  Use,  this
Agreement  shall  terminate with respect to such  Property,  Tenant and Landlord
shall seek the Award for their interests in the applicable  Property as provided
in Section 11.5.

         11.2 Partial Condemnation.  In the event of a Condemnation of less than
the whole of any  Property  such that such  Property is still  suitable  for its
Permitted  Use,  Tenant  shall,  to the  extent of the Award and any  additional
amounts disbursed by Landlord as hereinafter provided,  commence (or cause to be
commenced) promptly and continue diligently to restore (or cause to be restored)
the untaken  portion of the applicable  Leased  Improvements so that such Leased
Improvements shall constitute a complete  architectural unit of the same general
character and condition (as nearly as may be possible  under the  circumstances)
as such Leased Improvements existing immediately prior to such Condemnation,  in
material  compliance with all Legal  Requirements,  subject to the provisions of
this  Section  11.2.  If the cost of the repair or  restoration  of the affected
Property  exceeds the amount of the Award,  Tenant  shall give  Landlord  Notice
thereof  which  notice shall set forth in  reasonable  detail the nature of such
deficiency and whether Tenant shall pay and assume the amount of such

                                      -39-

deficiency  (Tenant  having no  obligation to do so, except that if Tenant shall
elect to make  such  funds  available,  the same  shall  become  an  irrevocable
obligation  of Tenant  pursuant to this  Agreement).  In the event  Tenant shall
elect not to pay and assume the amount of such  deficiency,  Landlord shall have
the right (but not the  obligation),  exercisable at Landlord's sole election by
Notice to Tenant  given  within  sixty  (60) days after  Tenant's  Notice of the
deficiency,  to elect to make available for application to the cost of repair or
restoration the amount of such  deficiency;  provided,  however,  in such event,
upon any disbursement by Landlord thereof, the Minimum Rent shall be adjusted as
provided in Section  3.1.1(b).  In the event that  neither  Landlord  nor Tenant
shall elect to make such deficiency  available for restoration,  either Landlord
or Tenant may terminate this Agreement with respect to the affected Property and
the entire Award shall be allocated as set forth in Section 11.5.

         Subject to the terms hereof,  Landlord shall  contribute to the cost of
restoration  that  part of the  Award  necessary  to  complete  such  repair  or
restoration,  together with  severance  and other damages  awarded for the taken
Leased  Improvements  and any  deficiency  Landlord has agreed to  disburse,  to
Tenant regularly  during the restoration  period so as to permit payment for the
cost of such repair or  restoration.  Landlord  may,  at its  option,  condition
advancement  of such Award and other  amounts on (i) the absence of any Event of
Default,  (ii)  its  approval  of  plans  and  specifications  of  an  architect
satisfactory to Landlord  (which  approval shall not be  unreasonably  withheld,
delayed or conditioned),  (iii) general contractors' estimates, (iv) architect's
certificates, (v) conditional lien waivers of general contractors, if available,
(vi) evidence of approval by all  governmental  authorities and other regulatory
bodies  whose  approval  is  required,  (vii),  if Tenant has elected to advance
deficiency  funds  pursuant to the preceding  paragraph,  Tenant  depositing the
amount thereof with Landlord and (viii) such other certificates as Landlord may,
from time to time, reasonably require.  Landlord's obligation under this Section
11.2 to disburse  the Award and such other  amounts  shall be subject to (x) the
collection  thereof  by  Landlord  and (y) the  satisfaction  of any  applicable
requirements  of any  Facility  Mortgage,  and the  release of such Award by the
applicable  Facility  Mortgagee.  Tenant's  obligation to restore the applicable
Leased  Improvements  shall  be  subject  to the  release  of the  Award  by the
applicable Facility Mortgagee to Landlord.

         11.3  Abatement of Rent.  Other than as  specifically  provided in this
Agreement,  this  Agreement  shall  remain in full force and effect and Tenant's
obligation to make all payments of Rent and to pay all other charges as and when
required  under  this   Agreement   shall  remain   unabated   during  the  Term
notwithstanding any Condemnation  involving the Leased Property,  or any portion
thereof.  The  provisions  of this  Article  11 shall be  considered  an express
agreement  governing any Condemnation  involving the Leased Property and, to the
maximum  extent  permitted  by law,  no  local  or  State  statute,  law,  rule,
regulation  or

                                      -40-

ordinance in effect during the Term which provides for such a contingency  shall
have any application in such case.

         11.4 Temporary Condemnation. In the event of any temporary Condemnation
of any Property or Tenant's interest  therein,  this Agreement shall continue in
full force and effect and Tenant shall continue to pay (or cause to be paid), in
the  manner  and on the terms  herein  specified,  the full  amount of the Rent.
Tenant  shall  continue to perform and  observe  (or cause to be  performed  and
observed) all of the other terms and conditions of this Agreement on the part of
the Tenant to be  performed  and  observed.  Provided  no Event of  Default  has
occurred  and is  continuing,  the  entire  amount  of any  Award  made for such
temporary  Condemnation  allocable to the Term,  whether paid by way of damages,
rent or  otherwise,  shall be paid to Tenant.  Tenant  shall,  promptly upon the
termination of any such period of temporary  Condemnation,  at its sole cost and
expense, restore the affected Property to the condition that existed immediately
prior to such  Condemnation,  in material  compliance with all applicable  Legal
Requirements,  unless such period of temporary  Condemnation shall extend beyond
the  expiration of the Term, in which event Tenant shall not be required to make
such restoration.

         11.5  Allocation  of Award.  Except as provided in Section 11.4 and the
second  sentence  of this  Section  11.5,  the total  Award  shall be solely the
property  of and  payable  to  Landlord.  Any  portion of the Award made for the
taking of Tenant's leasehold  interest in the Leased Property,  loss of business
during the remainder of the Term, the taking of Tenant's Personal Property,  the
taking  of  Capital  Additions  paid for by  Tenant  and  Tenant's  removal  and
relocation expenses shall be the sole property of and payable to Tenant (subject
to the provisions of Section 11.2). In any  Condemnation  proceedings,  Landlord
and Tenant  shall  each seek its own Award in  conformity  herewith,  at its own
expense.

                                   ARTICLE 12

                             DEFAULTS AND REMEDIES

         12.1  Events  of  Default.  The  occurrence  of any  one or more of the
following events shall constitute an "Event of Default" hereunder:

                  (a) should  Tenant fail to make any payment of the Rent or any
         other sum payable hereunder when due; or

                  (b) should  Tenant fail to maintain  the  insurance  coverages
         required under Article 9; or

                  (c) should Tenant default in the due observance or performance
         of any of the terms,  covenants or  agreements  contained  herein to be
         performed or observed by it (other than as specified in clauses (a) and
         (b) above) and should such default

                                      -41-

         continue  for a period of thirty (30) days after  Notice  thereof  from
         Landlord  to  Tenant;  provided,  however,  that  if  such  default  is
         susceptible  of cure but such  cure  cannot  be  accomplished  with due
         diligence  within  such  period  of time and if,  in  addition,  Tenant
         commences to cure or cause to be cured such default  within thirty (30)
         days after Notice thereof from Landlord and  thereafter  prosecutes the
         curing of such  default  with all due  diligence,  such  period of time
         shall be extended  to such period of time (not to exceed an  additional
         ninety (90) days in the  aggregate)  as may be  necessary  to cure such
         default with all due diligence; or

                  (d)  should  any  obligation  of  Tenant  in  respect  of  any
         Indebtedness  for  money  borrowed  or for  any  material  property  or
         services, or any guaranty relating thereto, be declared to be or become
         due and payable prior to the stated maturity  thereof,  or should there
         occur and be continuing with respect to any such Indebtedness any event
         of default under any instrument or agreement evidencing or securing the
         same,  the  effect of which is to permit  the holder or holders of such
         instrument or agreement or a trustee,  agent or other representative on
         behalf of such  holder or  holders,  to cause any such  obligations  to
         become due prior to its stated maturity; or

                  (e) should an event of default by Tenant, any Guarantor or any
         Affiliated Person as to Tenant or any Guarantor occur and be continuing
         beyond the  expiration of any  applicable  cure period under any of the
         Incidental Documents; or

                  (f) should Tenant or any Guarantor generally not be paying its
         debts as they  become  due or  should  Tenant or any  Guarantor  make a
         general assignment for the benefit of creditors; or

                  (g) should any  petition be filed by or against  Tenant or any
         Guarantor  under the  Federal  bankruptcy  laws,  or  should  any other
         proceeding be instituted by or against Tenant or any Guarantor  seeking
         to  adjudicate  Tenant or any  Guarantor  a bankrupt or  insolvent,  or
         seeking  liquidation,   reorganization,   arrangement,   adjustment  or
         composition  of Tenant's  debts under any law  relating to  bankruptcy,
         insolvency or reorganization or relief of debtors, or seeking the entry
         of an order  for  relief or the  appointment  of a  receiver,  trustee,
         custodian or other similar  official for Tenant or any Guarantor or for
         any  substantial  part of the property of Tenant or any  Guarantor  and
         such  proceeding is not dismissed  within one hundred eighty (180) days
         after institution thereof; or

                  (h) should  Tenant or any  Guarantor  cause or  institute  any
         proceeding for its dissolution or termination; or

                                      -42-

                  (i)  should  the  estate or  interest  of Tenant in the Leased
         Property  or any  part  thereof  be  levied  upon  or  attached  in any
         proceeding  and the same shall not be vacated or discharged  within the
         later of (x) ninety (90) days after  commencement  thereof,  unless the
         amount in dispute is less than  $250,000,  in which case  Tenant  shall
         give  notice to  Landlord  of the  dispute but Tenant may defend in any
         suitable  way, and (y) two hundred  seventy (270) days after receipt by
         Tenant  of  Notice  thereof  from  Landlord  (unless  Tenant  shall  be
         contesting  such lien or attachment  in good faith in  accordance  with
         Article 8); or

                  (j)  should  there  occur  any  direct or  indirect  Change in
         Control of Tenant or any  Guarantor,  except as otherwise  permitted by
         Article 16; or

                  (k) should a final  unappealable  determination be made by the
         applicable  Government  Agency that Tenant  shall have failed to comply
         with applicable  Medicare and/or Medicaid  regulations in the operation
         of any  Facility,  as a result  of which  failure  Tenant  is  declared
         ineligible to receive reimbursements under the Medicare and/or Medicaid
         programs for such Facility;

then,  and in any such  event,  Landlord,  in  addition  to all  other  remedies
available to it, may terminate  this Agreement with respect to any or all of the
Leased  Property by giving Notice  thereof to Tenant and upon the  expiration of
the time, if any,  fixed in such Notice,  this  Agreement  shall  terminate with
respect to all or the designated  portion of the Leased  Property and all rights
of Tenant under this Agreement with respect thereto shall cease.  Landlord shall
have and may exercise all rights and remedies  available at law and in equity to
Landlord as a result of Tenant's breach of this Agreement.

         Upon the  occurrence of an Event of Default,  Landlord may, in addition
to any other remedies  provided  herein,  enter upon the Leased  Property or any
portion  thereof  and  take  possession  of any  and  all of  Tenant's  Personal
Property, if any, and the Records,  without liability for trespass or conversion
(Tenant  hereby  waiving any right to notice or hearing  prior to such taking of
possession  by  Landlord)  and sell the same at public or  private  sale,  after
giving Tenant  reasonable  Notice of the time and place of any public or private
sale,  at which sale  Landlord or its assigns may purchase all or any portion of
Tenant's Personal Property,  if any, unless otherwise  prohibited by law. Unless
otherwise  provided by law and without  intending to exclude any other manner of
giving Tenant reasonable  notice,  the requirement of reasonable Notice shall be
met if such Notice is given at least ten (10) days before the date of sale.  The
proceeds  from any such  disposition,  less all expenses  incurred in connection
with the taking of possession,  holding and selling of such property (including,
reasonable   attorneys'   fees)  shall  be  applied  as  a  credit  against  the
indebtedness  which is secured by the security  interest granted in Section 7.2.
Any surplus  shall be paid to Tenant or as otherwise

                                      -43-

required by law and Tenant shall pay any  deficiency to Landlord,  as Additional
Charges, upon demand.

         12.2 Remedies.  None of (a) the termination of this Agreement  pursuant
to Section  12.1,  (b) the  repossession  of the Leased  Property or any portion
thereof, (c) the failure of Landlord to relet the Leased Property or any portion
thereof,  nor (d) the reletting of all or any of portion of the Leased Property,
shall relieve Tenant of its liability and  obligations  hereunder,  all of which
shall survive any such termination,  repossession or reletting.  In the event of
any such  termination,  Tenant shall  forthwith pay to Landlord all Rent due and
payable with respect to the Leased  Property,  or  terminated  portion  thereof,
through and including the date of such termination.  Thereafter,  Tenant,  until
the end of what would  have been the Term of this  Agreement  in the  absence of
such termination,  and whether or not the Leased Property or any portion thereof
shall  have  been  relet,  shall be  liable to  Landlord  for,  and shall pay to
Landlord,  as  current  damages,  the  Rent  (Additional  Rent to be  reasonably
calculated  by Landlord  based on  historical  Net Patient  Revenues)  and other
charges which would be payable  hereunder for the remainder of the Term had such
termination not occurred, less the net proceeds, if any, of any reletting of the
Leased Property, or any portion thereof, after deducting all reasonable expenses
in  connection  with  such  reletting,   including,   without  limitation,   all
repossession  costs,  brokerage  commissions,  legal expenses,  attorneys' fees,
advertising, expenses of employees, alteration costs and expenses of preparation
for such reletting. Tenant shall pay such current damages to Landlord monthly on
the days on which the Minimum  Rent would have been  payable  hereunder  if this
Agreement  had not  been  so  terminated  with  respect  to  such of the  Leased
Property.

         At any time after such termination,  whether or not Landlord shall have
collected any such current damages,  as liquidated final damages beyond the date
of such  termination,  at Landlord's  election,  Tenant shall pay to Landlord an
amount equal to the present value (as reasonably  determined by Landlord) of the
excess,  if any, of the Rent and other charges which would be payable  hereunder
from the date of such  termination  (assuming  that,  for the  purposes  of this
paragraph,  annual  payments by Tenant on account of Impositions  and Additional
Rent would be the same as payments required for the immediately preceding twelve
calendar  months,  or if less than twelve calendar months have expired since the
Commencement  Date, the payments required for such lesser period projected to an
annual  amount) for what would be the then  unexpired  term of this Agreement if
the same  remained in effect,  over the fair market  rental for the same period.
Nothing contained in this Agreement shall, however, limit or prejudice the right
of Landlord to prove and obtain in  proceedings  for bankruptcy or insolvency an
amount  equal to the maximum  allowed by any statute or rule of law in effect at
the time when,  and governing the  proceedings  in which,  the damages are to be
proved,  whether or not the amount be

                                      -44-

greater than,  equal to, or less than the amount of the loss or damages referred
to above.

         In case of any Event of Default, re-entry, expiration and dispossession
by summary proceedings or otherwise, Landlord may, (a) relet the Leased Property
or any part or parts thereof, either in the name of Landlord or otherwise, for a
term or terms which may at Landlord's  option,  be equal to, less than or exceed
the period which would  otherwise have  constituted  the balance of the Term and
may  grant  concessions  or free  rent to the  extent  that  Landlord  considers
advisable  and  necessary  to relet the same,  and (b) may make such  reasonable
alterations,  repairs  and  decorations  in the Leased  Property  or any portion
thereof as Landlord,  in its sole and absolute  discretion,  considers advisable
and necessary for the purpose of reletting the Leased  Property;  and the making
of such  alterations,  repairs and decorations shall not operate or be construed
to release  Tenant from liability  hereunder as aforesaid.  Landlord shall in no
event be  liable  in any way  whatsoever  for any  failure  to relet  all or any
portion of the Leased  Property,  or, in the event that the Leased  Property  is
relet,  for  failure to collect  the rent under such  reletting.  To the maximum
extent  permitted by law, Tenant hereby  expressly  waives any and all rights of
redemption granted under any present or future laws in the event of Tenant being
evicted or dispossessed, or in the event of Landlord obtaining possession of the
Leased  Property,  by reason of the occurrence and  continuation  of an Event of
Default hereunder.

         12.3  Tenant's  Waiver.  IF THIS  AGREEMENT IS  TERMINATED  PURSUANT TO
SECTION 12.1 OR 12.2,  TENANT WAIVES,  TO THE EXTENT PERMITTED BY LAW, ANY RIGHT
TO A TRIAL BY JURY IN THE EVENT OF SUMMARY  PROCEEDINGS  TO ENFORCE THE REMEDIES
SET FORTH IN THIS  ARTICLE 12, AND THE BENEFIT OF ANY LAWS NOW OR  HEREAFTER  IN
FORCE EXEMPTING PROPERTY FROM LIABILITY FOR RENT OR FOR DEBT.

         12.4 Application of Funds. Any payments  received by Landlord under any
of the provisions of this  Agreement  during the existence or continuance of any
Event of Default (and any payment made to Landlord rather than Tenant due to the
existence of any Event of Default) shall be applied to Tenant's current and past
due obligations  under this Agreement in such order as Landlord may determine or
as may be  prescribed  by the laws of the State.  Any  balance  shall be paid to
Tenant.

         12.5 Landlord's Right to Cure Tenant's Default.  If an Event of Default
shall have occurred and be continuing,  Landlord,  after Notice to Tenant (which
Notice shall not be required if Landlord shall  reasonably  determine  immediate
action is necessary to protect person or property), without waiving or releasing
any obligation of Tenant and without  waiving or releasing any Event of Default,
may (but shall not be obligated to), at any time  thereafter,  make such payment
or perform  such act for the account  and at the expense of Tenant,  and

                                      -45-

may, to the maximum extent  permitted by law, enter upon the Leased  Property or
any  portion  thereof for such  purpose and take all such action  thereon as, in
Landlord's  sole  and  absolute  discretion,  may be  necessary  or  appropriate
therefor.  No such entry shall be deemed an eviction of Tenant.  All  reasonable
costs and expenses (including,  without limitation,  reasonable attorneys' fees)
incurred by Landlord in connection therewith, together with interest thereon (to
the extent  permitted  by law) at the  Overdue  Rate from the date such sums are
paid by Landlord until repaid, shall be paid by Tenant to Landlord, on demand.

                                   ARTICLE 13

                                  HOLDING OVER

         Any holding over by Tenant after the  expiration or sooner  termination
of this  Agreement  shall be treated as a daily  tenancy at sufferance at a rate
equal to two (2)  times  the  Minimum  Rent and other  charges  herein  provided
(prorated  on a daily  basis).  Tenant  shall also pay to  Landlord  all damages
(direct or indirect)  sustained by reason of any such holding  over.  Otherwise,
such  holding  over  shall be on the  terms  and  conditions  set  forth in this
Agreement,  to the extent applicable.  Nothing contained herein shall constitute
the consent, express or implied, of Landlord to the holding over of Tenant after
the expiration or earlier termination of this Agreement.

                                   ARTICLE 14

                                LANDLORD DEFAULT

         If Landlord  shall default in the  performance  or observance of any of
its covenants or  obligations  set forth in this  Agreement or any obligation of
Landlord, if any, under any agreement affecting any Property, the performance of
which  is not  Tenant's  obligation  pursuant  to this  Agreement,  and any such
default  shall  continue for a period of thirty (30) days after  Notice  thereof
from  Tenant  to  Landlord  and  any  applicable  Facility  Mortgagee,  or  such
additional period as may be reasonably  required to correct the same, Tenant may
declare the  occurrence  of a "Landlord  Default" by a second Notice to Landlord
and to such Facility Mortgagee.  Thereafter,  Tenant may forthwith cure the same
and, subject to the provisions of the following paragraph,  invoice Landlord for
costs and  expenses  (including  reasonable  attorneys'  fees and  court  costs)
incurred by Tenant in curing the same,  together with  interest  thereon (to the
extent permitted by law) from the date Landlord  receives Tenant's invoice until
paid,  at the  Overdue  Rate.  Tenant  shall  have no  right to  terminate  this
Agreement  for any  default by  Landlord  hereunder  and no right,  for any such
default,  to  offset  or  counterclaim  against  any Rent or other  charges  due
hereunder.

                                      -46-

         If Landlord  shall in good faith dispute the occurrence of any Landlord
Default and Landlord, before the expiration of the applicable cure period, shall
give Notice thereof to Tenant,  setting forth, in reasonable  detail,  the basis
therefor,  no Landlord  Default  shall be deemed to have  occurred  and Landlord
shall have no obligation with respect thereto until final adverse  determination
thereof.  If Tenant and Landlord shall fail, in good faith,  to resolve any such
dispute  within ten (10) days after  Landlord's  Notice of  dispute,  either may
submit the matter for resolution in accordance with Article 22.

                                   ARTICLE 15

                                PURCHASE RIGHTS

         Landlord shall have the option to purchase Tenant's Personal  Property,
at the expiration or termination of this  Agreement,  for an amount equal to the
then fair market  value  thereof  (current  replacement  cost as  determined  by
agreement  of the  parties  or, in the  absence of such  agreement,  appraisal),
subject to, and with appropriate  price  adjustments for, all equipment  leases,
conditional sale contracts, UCC-1 financing statements and other encumbrances to
which  such  Personal  Property  is  subject.  Upon  the  expiration  or  sooner
termination  of this  Agreement,  Tenant  shall use its  reasonable  efforts  to
transfer and assign, or cause to be transferred and assigned, to Landlord or its
designee,  or assist  Landlord or its  designee  in  obtaining,  any  contracts,
licenses,  and  certificates  required  for the  then  operation  of the  Leased
Property.

                                   ARTICLE 16

                           SUBLETTING AND ASSIGNMENT

         16.1  Subletting  and  Assignment.  Except as provided in Section 16.3,
Tenant shall not, without Landlord's prior written consent (which consent may be
given or withheld in Landlord's sole and absolute discretion), assign, mortgage,
pledge,  hypothecate,  encumber or otherwise transfer this Agreement or sublease
or permit the  sublease  (which term shall be deemed to include the  granting of
concessions,  licenses and the like),  of all or any part of the Leased Property
or suffer or permit this Agreement or the leasehold estate created hereby or any
other  rights  arising  under  this  Agreement  to  be  assigned,   transferred,
mortgaged,  pledged,  hypothecated or encumbered,  in whole or in part,  whether
voluntarily,  involuntarily  or by  operation  of  law,  or  permit  the  use or
operation of all or any part of the Leased Property by anyone other than Tenant,
any Manager approved by Landlord  pursuant to the applicable  provisions of this
Agreement or residents  and  patients of Tenant,  or the Leased  Property or any
part thereof to be offered or advertised for assignment or subletting.

                                      -47-

         For purposes of this Section  16.1,  an  assignment  of this  Agreement
shall be deemed to include, without limitation, any direct or indirect Change in
Control of Tenant.

         If this  Agreement  is  assigned  or if all or any  part of the  Leased
Property  is sublet (or  occupied by anybody  other than Tenant or any  Manager,
their  respective  employees or  residents or patients of Tenant),  Landlord may
collect the rents from such assignee, subtenant or occupant, as the case may be,
and apply the net amount  collected  to the Rent  herein  reserved,  but no such
collection  shall be  deemed a waiver of the  provisions  set forth in the first
paragraph of this Section 16.1,  the  acceptance  by Landlord of such  assignee,
subtenant or occupant,  as the case may be, as a tenant,  or a release of Tenant
from  the  future  performance  by  Tenant  of  its  covenants,   agreements  or
obligations contained in this Agreement.

         Any  assignment or transfer of Tenant's  interest  under this Agreement
(including any sublease which is permitted pursuant to the terms of Section 16.3
below) shall be subject to such assignee's or transferee's  delivery to Landlord
of (i) a Guaranty, which Guaranty shall be in form and substance satisfactory to
Landlord  in  its  sole  discretion  and  which  Guaranty  shall  constitute  an
Incidental  Document  hereunder;  (ii)  a  pledge  of  the  stock,  partnership,
membership or other ownership  interests of such assignee or other transferee to
secure Tenant's  obligations under this Agreement and the Incidental  Documents,
which pledge shall be in form and substance satisfactory to Landlord in its sole
discretion and which pledge shall constitute an Incidental  Document  hereunder;
(iii) a security  agreement granting Landlord a security interest in all of such
assignee's  or  transferee's  right,  title and  interest in and to any personal
property, intangibles and fixtures (other than accounts receivable) with respect
to any Property  which is subject to any such  assignment  or transfer to secure
Tenant's  obligations under this Agreement and the Incidental  Documents,  which
security  agreement  shall be in form and substance  satisfactory to Landlord in
its sole discretion and which security  agreement shall constitute an Incidental
Document  hereunder;  and (iv) in the case of a sublease,  an  assignment  which
assigns all of such  subtenant's  right,  title and interest in such sublease to
Landlord to secure Tenant's  obligations under this Agreement and the Incidental
Documents,  which  assignment  shall be in form and  substance  satisfactory  to
Landlord  in its sole  discretion  and  which  assignment  shall  constitute  an
Incidental Document hereunder.

         No  subletting  or  assignment  shall in any way impair the  continuing
primary  liability of Tenant  hereunder  (unless  Landlord and Tenant  expressly
otherwise agree that Tenant shall be released from all  obligations  hereunder),
and no consent to any subletting or assignment in a particular instance shall be
deemed to be a waiver of the  prohibition  set forth in this  Section  16.1.  No
assignment,  subletting  or  occupancy  shall  affect  any  Permitted  Use.  Any
subletting,  assignment  or other  transfer  of  Tenant's  interest  under

                                      -48-

this  Agreement  in  contravention  of this  Section  16.1 shall be  voidable at
Landlord's option.

         16.2 Required Sublease  Provisions.  Any sublease of all or any portion
of the Leased  Property  entered into on or after the date hereof shall  provide
(a) that it is subject and  subordinate  to this Agreement and to the matters to
which this  Agreement  is or shall be subject  or  subordinate;  (b) that in the
event of termination of this Agreement or reentry or  dispossession of Tenant by
Landlord  under this  Agreement,  Landlord  may, at its option,  terminate  such
sublease  or take  over all of the  right,  title and  interest  of  Tenant,  as
sublessor under such sublease,  and such subtenant shall, at Landlord's  option,
attorn to Landlord  pursuant to the then executory  provisions of such sublease,
except that neither Landlord nor any Facility Mortgagee, as holder of a mortgage
or as  Landlord  under  this  Agreement,  if  such  mortgagee  succeeds  to that
position,  shall (i) be liable  for any act or  omission  of Tenant  under  such
sublease, (ii) be subject to any credit,  counterclaim,  offset or defense which
theretofore  accrued to such  subtenant  against  Tenant,  (iii) be bound by any
previous  modification  of such sublease not consented to in writing by Landlord
or by any previous  prepayment of more than one (1) month's rent,  (iv) be bound
by any  covenant of Tenant to  undertake  or complete  any  construction  of the
Leased Property or any applicable  portion  thereof,  (v) be required to account
for any  security  deposit  of the  subtenant  other than any  security  deposit
actually  delivered to Landlord by Tenant,  (vi) be bound by any  obligation  to
make any payment to such  subtenant or grant any credits,  except for  services,
repairs,  maintenance and  restoration  provided for under the sublease that are
performed after the date of such attornment, (vii) be responsible for any monies
owing by Tenant to the credit of such  subtenant  unless  actually  delivered to
Landlord by Tenant,  or (viii) be required  to remove any Person  occupying  any
applicable  portion  of the  Leased  Property;  and (c),  in the event that such
subtenant  receives a written  Notice from  Landlord or any  Facility  Mortgagee
stating that an Event of Default has occurred and is continuing,  such subtenant
shall  thereafter be obligated to pay all rentals  accruing  under such sublease
directly  to the party  giving  such  Notice or as such  party may  direct.  All
rentals received from such subtenant by Landlord or the Facility  Mortgagee,  as
the case may be,  shall be credited  against the amounts  owing by Tenant  under
this  Agreement  and such sublease  shall provide that the subtenant  thereunder
shall, at the request of Landlord, execute a suitable instrument in confirmation
of such agreement to attorn.  An original  counterpart of each such sublease and
assignment  and  assumption,  duly  executed  by Tenant  and such  subtenant  or
assignee,  as the case may be, in form and substance reasonably  satisfactory to
Landlord,  shall be  delivered  promptly to  Landlord  and (a) in the case of an
assignment,  the assignee  shall assume in writing and agree to keep and perform
all of the  terms  of this  Agreement  on the  part  of  Tenant  to be kept  and
performed and shall be, and become, jointly and severally liable with Tenant for
the  performance  thereof and (b) in case of either an assignment or

                                      -49-

subletting,  Tenant shall remain primarily  liable,  as principal rather than as
surety,  for  the  prompt  payment  of the  Rent  and for  the  performance  and
observance  of all of the  covenants  and  conditions  to be performed by Tenant
hereunder.

         The provisions of this Section 16.2 shall not be deemed a waiver of the
provisions set forth in the first paragraph of Section 16.1.

         16.3  Permitted  Sublease  Notwithstanding  the  foregoing,  including,
without limitation,  Section 16.2, but subject to the provisions of Section 16.4
and any other express conditions or limitations set forth herein, Tenant may, in
each  instance  after Notice to Landlord,  (a) enter into third party  residency
agreements  with respect to the units  located at the  Facilities,  (b) sublease
space at any Property for laundry,  commissary  or child care  purposes or other
concessions  in furtherance of the Permitted Use, so long as such subleases will
not reduce the number of units at any  Facility,  will not violate or affect any
Legal  Requirement  or  Insurance  Requirement,  and Tenant  shall  provide such
additional  insurance  coverage  applicable to the activities to be conducted in
such  subleased  space as Landlord and any  Facility  Mortgagee  may  reasonably
require,  and (c) enter into one or more  subleases with  Affiliated  Persons of
Tenant with  respect to the Leased  Property or any  portion  thereof,  provided
Tenant gives  Landlord  Notice of the  material  terms and  conditions  thereof.
Landlord and Tenant  acknowledge and agree that if Tenant enters into one (1) or
more  subleases  with  Affiliated  Persons of Tenant with  respect to the Leased
Property or any portion  thereof in accordance  with the  preceding  clause (c),
Tenant may  allocate  the rent and other  charges  with  respect to the affected
Leased Property in any reasonable  manner;  provided,  however,  such allocation
shall not affect Tenant's (nor any Guarantor's) liability for the Rent and other
obligations of Tenant under this Agreement; and, provided, further, Tenant shall
give Landlord  prompt written notice of any  allocation or  reallocation  of the
rent and other charges with respect to the affected  Lease  Property and, in any
event,  Tenant  shall  give  Landlord  written  notice  of the  amount  of  such
allocations  at least ten (10)  Business Days prior to the date that Landlord or
Senior Housing Properties Trust is required to file any tax returns in any State
where such affected Lease Property is located.

         16.4 Sublease  Limitation.  Anything contained in this Agreement to the
contrary  notwithstanding,  Tenant  shall not sublet  all or any  portion of the
Leased  Property  on any basis such that the rental to be paid by any  sublessee
thereunder  would be based,  in whole or in part,  on the net  income or profits
derived by the business  activities  of such  sublessee,  any other formula such
that any portion of such  sublease  rental  would fail to qualify as "rents from
real property"  within the meaning of Section 856(d) of the Code, or any similar
or  successor  provision  thereto or would  otherwise  disqualify  Landlord  for
treatment as a real estate investment trust.

                                      -50-

                                   ARTICLE 17

                 ESTOPPEL CERTIFICATES AND FINANCIAL STATEMENTS

         17.1 Estoppel Certificates.  At any time and from time to time, but not
more than a  reasonable  number  of times per year,  upon not less than ten (10)
Business  Days prior Notice by either  party,  the party  receiving  such Notice
shall  furnish  to the  other an  Officer's  Certificate  certifying  that  this
Agreement is unmodified  and in full force and effect (or that this Agreement is
in full force and effect as modified and setting forth the  modifications),  the
date to which the Rent has been paid, that no Default or an Event of Default has
occurred and is continuing  or, if a Default or an Event of Default shall exist,
specifying in reasonable detail the nature thereof, and the steps being taken to
remedy the same, and such  additional  information  as the requesting  party may
reasonably request. Any such certificate furnished pursuant to this Section 17.1
may be relied upon by the  requesting  party,  its  lenders and any  prospective
purchaser  or  mortgagee  of all or any  portion of the Leased  Property  or the
leasehold estate created hereby.

         17.2 Financial  Statements.  Tenant shall furnish or cause Five Star to
furnish, as applicable, the following statements to Landlord:

                  (a) within  forty-five (45) days after each of the first three
         fiscal  quarters  of any  Fiscal  Year,  the most  recent  Consolidated
         Financials, accompanied by the Financial Officer's Certificate;

                  (b) within ninety (90) days after the end of each Fiscal Year,
         the most recent  Consolidated  Financials  and financials of Tenant for
         such year,  certified by an  independent  certified  public  accountant
         reasonably  satisfactory  to Landlord  and  accompanied  by a Financial
         Officer's Certificate;

                  (c) within  forty-five  (45) days after the end of each month,
         an unaudited operating statement and statement of capital  expenditures
         prepared  on a  Facility  by  Facility  basis  and  a  combined  basis,
         including  occupancy  percentages  and average rate,  accompanied  by a
         Financial Officer's Certificate;

                  (d) at any  time  and from  time to time  upon  not less  than
         twenty (20) days Notice from Landlord or such additional  period as may
         be reasonable under the  circumstances,  any  Consolidated  Financials,
         Tenant financials or any other audited or unaudited financial reporting
         information  required to be filed by Landlord with any  securities  and
         exchange  commission,  the SEC or any  successor  agency,  or any other
         governmental authority, or required pursuant to any order issued by any
         court,  governmental authority or arbitrator in any litigation to which
         Landlord is a party,  for purposes of compliance  therewith;  provided,
         however,

                                      -51-

         that,  except as to  calculations  pertaining to Net Patient  Revenues,
         Tenant shall not be required to provide audited financials with respect
         to any individual  Facility  unless Landlord shall agree to pay for the
         cost thereof;

                  (e) promptly,  after receipt or sending thereof, copies of all
         notices given or received by Tenant under any Management Agreement; and

                  (f)   promptly,   upon  Notice  from   Landlord,   such  other
         information concerning the business, financial condition and affairs of
         Tenant and any Guarantor as Landlord  reasonably  may request from time
         to time.

         Landlord may at any time,  and from time to time,  provide any Facility
Mortgagee  with copies of any of the foregoing  statements,  subject to Landlord
obtaining the agreement of such Facility  Mortgagee to maintain such  statements
and the information therein as confidential.

         17.3  General  Operations.  Tenant  covenants  and agrees to furnish to
Landlord,  within thirty (30) days after receipt or modification thereof, copies
of:

                  (a) all licenses  authorizing Tenant or any Manager to operate
         any Facility for its Primary Intended Use;

                  (b) all Medicare and Medicaid  certifications,  together  with
         provider  agreements and all material  correspondence  relating thereto
         with respect to any Facility (excluding,  however, correspondence which
         may be subject to any attorney client privilege);

                  (c) if  required  under  Applicable  Law with  respect  to any
         Facility,  a license for each individual employed as administrator with
         respect to such Facility;

                  (d) all reports of surveys, statements of deficiencies,  plans
         of  correction,  and  all  material  correspondence  relating  thereto,
         including,  without limitation, all reports and material correspondence
         concerning    compliance    with   or    enforcement    of   licensure,
         Medicare/Medicaid,  and accreditation requirements,  including physical
         environment  and Life Safety Code survey reports  (excluding,  however,
         correspondence  which may be subject to any attorney client privilege);
         and

                  (e) with reasonable promptness,  such other confirmation as to
         the  licensure  and Medicare and  Medicaid  participation  of Tenant as
         Landlord may reasonably request from time to time.

                                   ARTICLE 18

                                      -52-


                          LANDLORD'S RIGHT TO INSPECT

         Tenant shall  permit  Landlord and its  authorized  representatives  to
inspect all or any portion of the Leased  Property  during usual  business hours
upon not less than  forty-eight  (48) hours'  notice and to make such repairs as
Landlord  is  permitted  or  required  to make  pursuant  to the  terms  of this
Agreement,   provided  that  any   inspection  or  repair  by  Landlord  or  its
representatives will not unreasonably  interfere with Tenant's use and operation
of the  same  and  further  provided  that  in the  event  of an  emergency,  as
determined by Landlord in its reasonable  discretion,  prior Notice shall not be
necessary.

                                   ARTICLE 19

                                   EASEMENTS

         19.1 Grant of Easements.  Provided no Event of Default has occurred and
is  continuing,  Landlord will join in granting and, if necessary,  modifying or
abandoning  such  rights-of-way,   easements  and  other  interests  as  may  be
reasonably requested by Tenant for ingress and egress, and electric,  telephone,
gas, water, sewer and other utilities so long as:

                  (a) the instrument creating,  modifying or abandoning any such
         easement,  right-of-way  or  other  interest  is  satisfactory  to  and
         approved  by  Landlord   (which  approval  shall  not  be  unreasonably
         withheld, delayed or conditioned);

                  (b)  Landlord  receives an Officer's  Certificate  from Tenant
         stating  (i)  that  such  grant,  modification  or  abandonment  is not
         detrimental to the proper  conduct of business on such  Property,  (ii)
         the consideration,  if any, being paid for such grant,  modification or
         abandonment (which  consideration shall be paid by Tenant),  (iii) that
         such  grant,  modification  or  abandonment  does not impair the use or
         value of such  Property for the  Permitted  Use, and (iv) that,  for as
         long as this  Agreement  shall be in effect,  Tenant  will  perform all
         obligations, if any, of Landlord under any such instrument; and

                  (c) Landlord receives  evidence  satisfactory to Landlord that
         the Manager has  granted  its  consent to such grant,  modification  or
         abandonment  in  accordance  with the  requirements  of such  Manager's
         Management Agreement or that such consent is not required.

         19.2  Exercise of Rights by Tenant.  So long as no Event of Default has
occurred and is  continuing,  Tenant shall have the right to exercise all rights
of Landlord under the Easement Agreements and, in connection therewith, Landlord
shall  execute and  promptly  return to Tenant such  documents  as Tenant  shall
reasonably  request.  Tenant

                                      -53-

shall perform all obligations of Landlord under the Easement Agreements.

         19.3 Permitted Encumbrances.  Any agreements entered into in accordance
with this Article 19 shall be deemed a Permitted Encumbrance.

                                   ARTICLE 20

                               FACILITY MORTGAGES

         20.1 Landlord May Grant Liens. Without the consent of Tenant,  Landlord
may, from time to time,  directly or  indirectly,  create or otherwise  cause to
exist any lien,  encumbrance or title retention agreement  ("Encumbrance")  upon
the Leased  Property,  or any portion  thereof or interest  therein,  whether to
secure any borrowing or other means of financing or refinancing.

         20.2  Subordination of Lease.  This Agreement and any and all rights of
Tenant hereunder are and shall be subject and subordinate (as applicable) to any
ground  or  master  lease,  and  all  renewals,  extensions,  modifications  and
replacements  thereof, and to all mortgages and deeds of trust, which may now or
hereafter  affect the Leased Property or any portion thereof or any improvements
thereon  and/or any of such  leases,  whether or not such  mortgages or deeds of
trust shall also cover other lands and/or buildings  and/or leases,  to each and
every  advance made or hereafter  to be made under such  mortgages  and deeds of
trust, and to all renewals,  modifications,  replacements and extensions of such
leases  and such  mortgages  and deeds of trust and all  consolidations  of such
mortgages  and deeds of  trust.  This  section  shall be  self-operative  and no
further instrument of subordination  shall be required.  In confirmation of such
subordination,  Tenant  shall  promptly  execute,  acknowledge  and  deliver any
instrument  that Landlord,  the lessor under any such lease or the holder of any
such mortgage or the trustee or beneficiary of any deed of trust or any of their
respective  successors  in interest  may  reasonably  request to  evidence  such
subordination.  Any lease to which this  Agreement  is, at the time referred to,
subject and  subordinate is herein called  "Superior  Lease" and the lessor of a
Superior  Lease or its  successor in interest at the time  referred to is herein
called  "Superior  Landlord"  and any  mortgage  or deed of trust to which  this
Agreement is, at the time referred to, subject and  subordinate is herein called
"Superior  Mortgage"  and the  holder,  trustee  or  beneficiary  of a  Superior
Mortgage is herein called "Superior Mortgagee". Tenant shall have no obligations
under any Superior  Lease or Superior  Mortgage  other than those  expressly set
forth in this Section 20.2.

         If any  Superior  Landlord  or  Superior  Mortgagee  or the  nominee or
designee of any Superior  Landlord or Superior  Mortgagee  shall  succeed to the
rights of Landlord under this Agreement (any such person,

                                      -54-

"Successor  Landlord"),  whether  through  possession or  foreclosure  action or
delivery of a new lease or deed,  or  otherwise,  at such  Successor  Landlord's
request, Tenant shall attorn to and recognize the Successor Landlord as Tenant's
landlord under this Agreement and Tenant shall promptly  execute and deliver any
instrument that such Successor  Landlord may reasonably request to evidence such
attornment  (provided  that  such  instrument  does not  alter the terms of this
Agreement), whereupon, this Agreement shall continue in full force and effect as
a direct lease between the Successor  Landlord and Tenant upon all of the terms,
conditions  and  covenants as are set forth in this  Agreement,  except that the
Successor  Landlord  (unless  formerly the landlord  under this Agreement or its
nominee or designee) shall not be (a) liable in any way to Tenant for any act or
omission,  neglect  or  default  on the part of any prior  Landlord  under  this
Agreement,  (b) responsible for any monies owing by or on deposit with any prior
Landlord  to the  credit  of  Tenant  (except  to the  extent  actually  paid or
delivered to the Successor Landlord),  (c) subject to any counterclaim or setoff
which theretofore accrued to Tenant against any prior Landlord, (d) bound by any
modification of this Agreement subsequent to such Superior Lease or Mortgage, or
by any previous prepayment of Rent for more than one (1) month in advance of the
date due hereunder,  which was not approved in writing by the Superior  Landlord
or the Superior  Mortgagee  thereto,  (e) liable to Tenant  beyond the Successor
Landlord's  interest in the Leased  Property  and the rents,  income,  receipts,
revenues,  issues and profits issuing from the Leased Property,  (f) responsible
for the  performance of any work to be done by the Landlord under this Agreement
to render  the  Leased  Property  ready for  occupancy  by  Tenant  (subject  to
Landlord's  obligations  under Section 5.1.2(b) or with respect to any insurance
or Condemnation  proceeds),  or (g) required to remove any Person  occupying the
Leased Property or any part thereof, except if such person claims by, through or
under the Successor Landlord. Tenant agrees at any time and from time to time to
execute a suitable  instrument in confirmation of Tenant's  agreement to attorn,
as  aforesaid  and  Landlord  agrees to provide  Tenant  with an  instrument  of
nondisturbance  and  attornment  from each such Superior  Mortgagee and Superior
Landlord  (other than the lessors  under any ground  leases with  respect to the
Leased  Property,  or any  portion  thereof)  in form and  substance  reasonably
satisfactory to Tenant.  Notwithstanding  the foregoing,  any Successor Landlord
shall be liable (a) to pay to Tenant any amounts  owed under  Section  5.1.2(b),
and (b) to pay to Tenant any portions of insurance  proceeds or Awards  received
by Landlord or the Successor  Landlord required to be paid to Tenant pursuant to
the terms of this Agreement,  and, as a condition to any mortgage, lien or lease
in respect of the Leased Property, or any portion thereof, and the subordination
of this Agreement thereto,  the mortgagee,  lienholder or lessor, as applicable,
shall expressly agree, for the benefit of Tenant,  to make such payments,  which
agreement shall be embodied in an instrument in form reasonably  satisfactory to
Tenant.

                                      -55-

         20.3 Notice to  Mortgagee  and  Superior  Landlord.  Subsequent  to the
receipt by Tenant of Notice  from  Landlord as to the  identity of any  Facility
Mortgagee or Superior  Landlord under a lease with  Landlord,  as ground lessee,
which includes the Leased Property or any portion thereof as part of the demised
premises and which complies with Section 20.1 (which Notice shall be accompanied
by a copy of the  applicable  mortgage  or  lease),  no  Notice  from  Tenant to
Landlord as to a default by Landlord  under this  Agreement  shall be  effective
with  respect to a Facility  Mortgagee or Superior  Landlord  unless and until a
copy of the same is given to such Facility Mortgagee or Superior Landlord at the
address  set  forth in the  above  described  Notice,  and the  curing of any of
Landlord's  defaults within the applicable  notice and cure periods set forth in
Article 14 by such Facility  Mortgagee or Superior  Landlord shall be treated as
performance by Landlord.

                                   ARTICLE 21

                         ADDITIONAL COVENANTS OF TENANT

         21.1 Prompt Payment of  Indebtedness.  Tenant shall (a) pay or cause to
be paid when due all  payments  of  principal  of and  premium  and  interest on
Tenant's Indebtedness for money borrowed and shall not permit or suffer any such
Indebtedness to become or remain in default beyond any applicable  grace or cure
period,  (b) pay or cause to be paid when due all  lawful  claims  for labor and
rents with respect to the Leased Property,  (c) pay or cause to be paid when due
all  trade  payables  and (d) pay or  cause  to be paid  when  due all  other of
Tenant's  Indebtedness  upon which it is or becomes  obligated,  except, in each
case,  other than that referred to in clause (a), to the extent payment is being
contested in good faith by appropriate  proceedings in accordance with Article 8
and if Tenant shall have set aside on its books  adequate  reserves with respect
thereto  in  accordance  with  GAAP,  if   appropriate,   or  unless  and  until
foreclosure,  distraint  sale or  other  similar  proceedings  shall  have  been
commenced.

         21.2 Conduct of Business. Tenant shall not engage in any business other
than the leasing and operation of the Leased Property  (including any incidental
or  ancillary  business  relating  thereto) and shall do or cause to be done all
things  necessary  to  preserve,  renew and keep in full force and effect and in
good standing its corporate  existence and its rights and licenses  necessary to
conduct such business.

         21.3  Maintenance  of  Accounts  and  Records.  Tenant  shall keep true
records and books of account of Tenant in which full,  true and correct  entries
will be made of  dealings  and  transactions  in relation  to the  business  and
affairs  of Tenant in  accordance  with  GAAP.  Tenant  shall  apply  accounting
principles in the  preparation of the financial  statements of Tenant which,  in
the judgment of and the opinion of its independent  public  accountants,  are in
accordance  with GAAP,  where  applicable,  except for changes  approved by such
independent  public

                                      -56-

accountants.  Tenant  shall  provide to  Landlord  either in a  footnote  to the
financial  statements delivered under Section 17.2 which relate to the period in
which such change occurs, or in separate schedules to such financial statements,
information  sufficient to show the effect of any such changes on such financial
statements.

         21.4 Notice of  Litigation,  Etc.  Tenant  shall give prompt  Notice to
Landlord of any  litigation  or any  administrative  proceeding  to which it may
hereafter  become a party of which Tenant has notice or actual  knowledge  which
involves a  potential  liability  equal to or  greater  than Two  Hundred  Fifty
Thousand  Dollars  ($250,000)  or which may  otherwise  result  in any  material
adverse  change in the business,  operations,  property,  prospects,  results of
operation or condition,  financial or other,  of Tenant.  Forthwith  upon Tenant
obtaining knowledge of any Default,  Event of Default or any default or event of
default under any agreement  relating to  Indebtedness  for money borrowed in an
aggregate amount exceeding,  at any one time, Two Hundred Fifty Thousand Dollars
($250,000),  or any event or condition that would be required to be disclosed in
a current report filed by Tenant on Form 8-K or in Part II of a quarterly report
on Form 10-Q if Tenant were required to file such reports  under the  Securities
Exchange  Act of 1934,  as  amended,  Tenant  shall  furnish  Notice  thereof to
Landlord  specifying the nature and period of existence  thereof and what action
Tenant has taken or is taking or proposes to take with respect thereto.

         21.5 Indebtedness of Tenant.  Tenant shall not create, incur, assume or
guarantee, or permit to exist, or become or remain liable directly or indirectly
upon, any Indebtedness except the following:

                  (a) Indebtedness of Tenant to Landlord;

                  (b) Indebtedness of Tenant for Impositions, to the extent that
         payment  thereof  shall  not at the  time  be  required  to be  made in
         accordance with the provisions of Article 8;

                  (c)  Indebtedness  of Tenant in respect of judgments or awards
         (i) which have been in force for less than the applicable appeal period
         and in  respect  of which  execution  thereof  shall  have been  stayed
         pending  such  appeal or  review,  or (ii)  which are fully  covered by
         insurance  payable to Tenant,  or (iii)  which are for an amount not in
         excess of $250,000 in the aggregate at any one time outstanding and (x)
         which  have been in force for not  longer  than the  applicable  appeal
         period, so long as execution is not levied thereunder or (y) in respect
         of which an  appeal  or  proceedings  for  review  shall at the time be
         prosecuted in good faith in accordance  with the  provisions of Article
         8, and in respect of which  execution  thereof  shall have been  stayed
         pending such appeal or review;

                                      -57-


                  (d) unsecured borrowings of Tenant from its Affiliated Persons
         which  are  by  their  terms  expressly   subordinate   pursuant  to  a
         Subordination  Agreement  to the  payment and  performance  of Tenant's
         obligations under this Agreement; or

                  (e)  Indebtedness  for purchase money  financing in accordance
         with Section 21.8 (a) and other operating  liabilities  incurred in the
         ordinary course of Tenant's business; or

                  (f) Indebtedness of Tenant as guarantor or borrower secured by
         Liens permitted under Section 21.8(c).

         21.6 Distributions,  Payments to Affiliated Persons,  Etc. Tenant shall
not declare,  order, pay or make,  directly or indirectly,  any Distributions or
any  payment  to any  Affiliated  Person of Tenant  (including  payments  in the
ordinary course of business) or set apart any sum or property therefor, or agree
to do so, if, at the time of such proposed action,  or immediately  after giving
effect  thereto,  any Event of Default  shall have  occurred and be  continuing.
Otherwise, as long as no Event of Default shall have occurred and be continuing,
Tenant may make  Distributions  and payments to  Affiliated  Persons;  provided,
however,  that any such payments  shall at all times be  subordinate to Tenant's
obligations under this Agreement.

         21.7 Prohibited Transactions. Tenant shall not permit to exist or enter
into any agreement or  arrangement  whereby it engages in a  transaction  of any
kind with any Affiliated  Person as to Tenant or any Guarantor,  except on terms
and conditions which are commercially reasonable.

         21.8 Liens and  Encumbrances.  Except as  permitted  by Section 7.1 and
Section  21.5,  Tenant  shall not  create or incur or  suffer to be  created  or
incurred  or to exist  any Lien on this  Agreement  or any of  Tenant's  assets,
properties, rights or income, or any of its interest therein, now or at any time
hereafter owned, other than:

                  (a)  Security   interests   securing  the  purchase  price  of
         equipment or personal  property  whether  acquired  before or after the
         Commencement Date; provided,  however,  that (i) such Lien shall at all
         times  be  confined  solely  to the  asset  in  question  and  (ii) the
         aggregate  principal  amount of  Indebtedness  secured by any such Lien
         shall  not  exceed  the  cost of  acquisition  or  construction  of the
         property subject thereto;

                  (b) Permitted Encumbrances;

                  (c)  Security  interests  in  Accounts  or Chattel  Paper,  in
         Support  Obligations,  General Intangibles or Deposit Accounts relating
         to such Accounts or Chattel  Paper,  in any  Instruments  or Investment
         Property  evidencing or arising from such Accounts or Chattel Paper, in
         any documents, books, records or other

                                      -58-

         information (including,  without limitation,  computer programs, tapes,
         discs,  punch cards, data processing  software and related property and
         rights)  maintained  with  respect to any  property  described  in this
         Section 21.8(c) or in any Proceeds of any of the foregoing (capitalized
         terms used in this Section  21.8(c)  without  definition  being used as
         defined in or for purposes of Article 9 of the Uniform  Commercial Code
         as in effect in the Commonwealth of Massachusetts); and

                  (d) As permitted pursuant to Section 21.5.

         21.9 Merger;  Sale of Assets;  Etc.  Without  Landlord's  prior written
consent (which consent may be given or withheld in Landlord's sole  discretion),
Tenant shall not (i) sell, lease (as lessor or sublessor), transfer or otherwise
dispose of, or abandon,  all or any  material  portion of its assets  (including
capital stock or other equity  interests) or business to any Person,  (ii) merge
into or with or  consolidate  with any other  Entity,  or (iii) sell,  lease (as
lessor or sublessor), transfer or otherwise dispose of, or abandon, any personal
property  or  fixtures  or  any  real   property;   provided,   however,   that,
notwithstanding the provisions of clause (iii) preceding,  Tenant may dispose of
equipment  or  fixtures  which  have  become  inadequate,   obsolete,  worn-out,
unsuitable,   undesirable  or  unnecessary,  provided  substitute  equipment  or
fixtures having equal or greater value and utility (but not  necessarily  having
the same function) have been provided.

         21.10 Bankruptcy  Remote Entities.  Tenant shall take such actions,  as
may from time to time be necessary  to qualify  Tenant as a  "bankruptcy  remote
entity."

         21.11  Net  Worth.  Tenant  shall  maintain  a  positive  net worth (in
accordance with GAAP), throughout the Term of this Lease.

                                   ARTICLE 22

                                  ARBITRATION

         Landlord or Tenant may elect to submit any dispute  hereunder  that has
an amount in  controversy in excess of $250,000 to  arbitration  hereunder.  Any
such dispute shall be resolved in  accordance  with the  Commercial  Arbitration
Rules of the  American  Association  then  pertaining  and the  decision  of the
arbitrators with respect to such dispute shall be binding,  final and conclusive
on the parties.

         In the event  Landlord or Tenant shall elect to submit any such dispute
to  arbitration  hereunder,  Landlord  and Tenant shall each appoint and pay all
fees of a fit and impartial  person as arbitrator  with at least ten (10) years'
recent  professional  experience in the general  subject  matter of the dispute.
Notice of such appointment  shall be sent in writing by each party to the other,
and the

                                      -59-

arbitrators  so appointed,  in the event of their failure to agree within thirty
(30) days  after the  appointment  of the second  arbitrator  upon the matter so
submitted,  shall appoint a third arbitrator. If either Landlord or Tenant shall
fail to appoint an  arbitrator,  as aforesaid,  for a period of twenty (20) days
after  written  notice from the other party to make such  appointment,  then the
arbitrator  appointed by the party having made such appointment  shall appoint a
second  arbitrator  and the two (2) so  appointed  shall,  in the event of their
failure to agree upon any decision within thirty (30) days thereafter, appoint a
third  arbitrator.  If such  arbitrators  fail to agree upon a third  arbitrator
within forty five (45) days after the appointment of the second arbitrator, then
such third arbitrator shall be appointed by the American Arbitration Association
from its qualified panel of  arbitrators,  and shall be a person having at least
ten (10) years'  recent  professional  experience  as to the  subject  matter in
question.  The fees of the third  arbitrator  and the  expenses  incident to the
proceedings  shall be borne  equally  between  Landlord  and Tenant,  unless the
arbitrators  decide  otherwise.  The fees of respective  counsel  engaged by the
parties,  and the fees of expert  witnesses and other  witnesses  called for the
parties,  shall be paid by the respective party engaging such counsel or calling
or engaging such witnesses.

         The decision of the  arbitrators  shall be rendered  within thirty (30)
days  after  appointment  of the third  arbitrator.  Such  decision  shall be in
writing and in duplicate,  one  counterpart  thereof to be delivered to Landlord
and one to  Tenant.  A  judgment  of a court of  competent  jurisdiction  may be
entered  upon the  award of the  arbitrators  in  accordance  with the rules and
statutes applicable thereto then obtaining.

         Landlord and Tenant  acknowledge and agree that, to the extent any such
dispute shall involve any Manager and be subject to arbitration pursuant to such
Manager's  Management   Agreement,   Landlord  and  Tenant  shall  cooperate  to
consolidate any such arbitration  hereunder and under such Management  Agreement
into a single proceeding.

                                   ARTICLE 23

                                 MISCELLANEOUS

         23.1 Limitation on Payment of Rent. All agreements between Landlord and
Tenant herein are hereby  expressly  limited so that in no  contingency or event
whatsoever,  whether by reason of acceleration of Rent, or otherwise,  shall the
Rent or any other amounts  payable to Landlord under this  Agreement  exceed the
maximum  permissible  under applicable law, the benefit of which may be asserted
by Tenant as a defense, and if, from any circumstance whatsoever, fulfillment of
any provision of this Agreement, at the time performance of such provision shall
be due, shall involve  transcending the limit of validity  prescribed by law, or
if from any  circumstances  Landlord  should ever

                                      -60-

receive as fulfillment of such provision such an excessive  amount,  then,  ipso
facto,  the amount which would be excessive shall be applied to the reduction of
the  installment(s)  of  Minimum  Rent next due and not to the  payment  of such
excessive  amount.  This provision  shall control every other  provision of this
Agreement and any other agreements between Landlord and Tenant.

         23.2 No Waiver.  No failure by  Landlord  or Tenant to insist  upon the
strict  performance of any term hereof or to exercise any right, power or remedy
consequent upon a breach  thereof,  and no acceptance of full or partial payment
of Rent during the continuance of any such breach,  shall constitute a waiver of
any such breach or of any such term. To the maximum extent  permitted by law, no
waiver of any breach shall affect or alter this Agreement,  which shall continue
in full force and effect with respect to any other then  existing or  subsequent
breach.

         23.3 Remedies Cumulative.  To the maximum extent permitted by law, each
legal,  equitable or contractual  right, power and remedy of Landlord or Tenant,
now or hereafter  provided  either in this Agreement or by statute or otherwise,
shall be  cumulative  and  concurrent  and shall be in  addition  to every other
right,  power and  remedy and the  exercise  or  beginning  of the  exercise  by
Landlord or Tenant (as applicable) of any one or more of such rights, powers and
remedies shall not preclude the simultaneous or subsequent  exercise by Landlord
of any or all of such other rights, powers and remedies.

         23.4  Severability.   Any  clause,  sentence,   paragraph,  section  or
provision  of this  Agreement  held by a court of competent  jurisdiction  to be
invalid,  illegal or  ineffective  shall not impair,  invalidate  or nullify the
remainder of this Agreement,  but rather the effect thereof shall be confined to
the clause,  sentence,  paragraph,  section or  provision so held to be invalid,
illegal  or  ineffective,  and  this  Agreement  shall be  construed  as if such
invalid, illegal or ineffective provisions had never been contained therein.

         23.5  Acceptance  of  Surrender.  No  surrender  to  Landlord  of  this
Agreement  or of the Leased  Property or any part  thereof,  or of any  interest
therein, shall be valid or effective unless agreed to and accepted in writing by
Landlord  and no act by Landlord  or any  representative  or agent of  Landlord,
other than such a written acceptance by Landlord, shall constitute an acceptance
of any such surrender.

         23.6 No Merger of Title. It is expressly  acknowledged  and agreed that
it is the intent of the parties that there shall be no merger of this  Agreement
or of the leasehold  estate  created  hereby by reason of the fact that the same
Person may acquire,  own or hold,  directly or indirectly  this Agreement or the
leasehold estate created hereby and the fee estate or ground landlord's interest
in the Leased Property.

                                      -61-

         23.7 Conveyance by Landlord.  If Landlord or any successor owner of all
or any  portion of the Leased  Property  shall  convey all or any portion of the
Leased Property in accordance with the terms hereof other than as security for a
debt,  and the  grantee  or  transferee  of such of the  Leased  Property  shall
expressly assume all obligations of Landlord  hereunder arising or accruing from
and after the date of such  conveyance or transfer,  Landlord or such  successor
owner,  as the  case  may be,  shall  thereupon  be  released  from  all  future
liabilities  and  obligations  of Landlord  under this Agreement with respect to
such of the Leased Property  arising or accruing from and after the date of such
conveyance or other  transfer and all such future  liabilities  and  obligations
shall thereupon be binding upon the new owner.

         23.8 Quiet Enjoyment. Tenant shall peaceably and quietly have, hold and
enjoy the Leased  Property for the Term,  free of hindrance  or  molestation  by
Landlord or anyone  claiming by, through or under  Landlord,  but subject to (a)
any Encumbrance  permitted under Article 20 or otherwise permitted to be created
by  Landlord  hereunder,  (b)  all  Permitted  Encumbrances,  (c)  liens  as  to
obligations of Landlord that are either not yet due or which are being contested
in good faith and by proper  proceedings,  provided  the same do not  materially
interfere with Tenant's  ability to operate any Facility and (d) liens that have
been  consented to in writing by Tenant.  Except as  otherwise  provided in this
Agreement,  no failure by Landlord to comply with the foregoing  covenant  shall
give Tenant any right to cancel or terminate this Agreement or abate,  reduce or
make a deduction  from or offset against the Rent or any other sum payable under
this Agreement, or to fail to perform any other obligation of Tenant hereunder.

         23.9 No  Recordation.  Neither  Landlord  nor Tenant  shall record this
Agreement.

         23.10 Notices.

                  (a) Any and all notices, demands, consents, approvals, offers,
         elections  and other  communications  required or permitted  under this
         Agreement shall be deemed  adequately  given if in writing and the same
         shall  be  delivered   either  in  hand,  by  telecopier  with  written
         acknowledgment  of  receipt,  or by mail or Federal  Express or similar
         expedited commercial carrier, addressed to the recipient of the notice,
         postpaid and registered or certified with return receipt  requested (if
         by mail), or with all freight charges prepaid (if by Federal Express or
         similar carrier).

                  (b) All notices  required or  permitted  to be sent  hereunder
         shall be deemed to have been given for all  purposes of this  Agreement
         upon  the date of  acknowledged  receipt,  in the  case of a notice  by
         telecopier,  and,  in all  other  cases,  upon the date of  receipt  or
         refusal,  except that whenever  under this Agreement a notice is either
         received  on a day which is not a  Business  Day or

                                      -62-

         is required to be  delivered on or before a specific day which is not a
         Business   Day,  the  day  of  receipt  or  required   delivery   shall
         automatically be extended to the next Business Day.

                  (c) All such notices shall be addressed,

         if to Landlord:

                    c/o Senior Housing Properties Trust
                    400 Centre Street
                    Newton, Massachusetts  02458
                    Attn:  Mr. David J. Hegarty
                    [Telecopier No. (617) 796-8349]

         if to Tenant to:

                    c/o Five Star Quality Care, Inc.
                    400 Centre Street
                    Newton, Massachusetts  02458
                    Attn:  Evrett W. Benton
                    [Telecopier No. (617) 796-8385]

                  (d) By notice given as herein provided, the parties hereto and
         their respective  successors and assigns shall have the right from time
         to time and at any time  during  the term of this  Agreement  to change
         their respective  addresses effective upon receipt by the other parties
         of such  notice and each shall have the right to specify as its address
         any other address within the United States of America.

         23.11  Construction.  Anything  contained  in  this  Agreement  to  the
contrary  notwithstanding,  all claims  against,  and  liabilities of, Tenant or
Landlord  arising  prior  to any  date  of  termination  or  expiration  of this
Agreement with respect to the Leased Property shall survive such  termination or
expiration.  In no event shall Landlord be liable for any consequential  damages
suffered  by Tenant as the  result of a breach of this  Agreement  by  Landlord.
Neither  this  Agreement  nor  any  provision  hereof  may be  changed,  waived,
discharged or terminated  except by an instrument in writing signed by the party
to be charged.  All the terms and provisions of this Agreement  shall be binding
upon and  inure to the  benefit  of the  parties  hereto  and  their  respective
successors and assigns. Each term or provision of this Agreement to be performed
by Tenant shall be construed as an independent  covenant and condition.  Time is
of the essence  with  respect to the  provisions  of this  Agreement.  Except as
otherwise set forth in this  Agreement,  any  obligations  of Tenant  (including
without limitation,  any monetary,  repair and indemnification  obligations) and
Landlord shall survive the expiration or sooner  termination of this  Agreement.
Whenever it is provided in this  Agreement  that Tenant shall direct any Manager
to take any action, Tenant shall not be deemed to have satisfied such obligation
unless Tenant shall have exhausted all applicable  rights

                                      -63-

and remedies of Tenant as "Owner" under such Manager's Management Agreement.

         23.12 Counterparts;  Headings. This Agreement may be executed in two or
more counterparts,  each of which shall constitute an original,  but which, when
taken together,  shall  constitute but one instrument and shall become effective
as of the date hereof when copies hereof,  which, when taken together,  bear the
signatures  of each of the parties  hereto shall have been  signed.  Headings in
this  Agreement are for purposes of reference only and shall not limit or affect
the meaning of the provisions hereof.

         23.13  Applicable  Law,  Etc.  This  Agreement  shall  be  interpreted,
construed,  applied and enforced in accordance with the laws of The Commonwealth
of  Massachusetts  applicable to contracts  between  residents of  Massachusetts
which are to be performed entirely within Massachusetts, regardless of (i) where
this  Agreement  is  executed or  delivered;  or (ii) where any payment or other
performance  required by this Agreement is made or required to be made; or (iii)
where any breach of any  provision  of this  Agreement  occurs,  or any cause of
action  otherwise  accrues;  or (iv)  where any  action or other  proceeding  is
instituted or pending; or (v) the nationality,  citizenship, domicile, principal
place of business,  or  jurisdiction of  organization  or  domestication  of any
party; or (vi) whether the laws of the forum jurisdiction  otherwise would apply
the laws of a jurisdiction other than Massachusetts; or (vii) any combination of
the foregoing.  Notwithstanding the foregoing, the laws of the State shall apply
to the  perfection  and  priority  of  liens  upon  and the  disposition  of any
Property.

         23.14 Right to Make  Agreement.  Each party  warrants,  with respect to
itself,  that neither the execution of this Agreement,  nor the  consummation of
any transaction  contemplated hereby, shall violate any provision of any law, or
any judgment,  writ,  injunction,  order or decree of any court or  governmental
authority having  jurisdiction  over it; nor result in or constitute a breach or
default under any indenture,  contract, other commitment or restriction to which
it is a party or by which it is bound; nor require any consent, vote or approval
which has not been given or taken,  or at the time of the  transaction  involved
shall not have been given or taken.  Each party  covenants  that it has and will
continue  to have  throughout  the  term of this  Agreement  and any  extensions
thereof, the full right to enter into this Agreement and perform its obligations
hereunder.

         23.15  Attorneys'  Fees. If any lawsuit or  arbitration  or other legal
proceeding  arises in connection with the  interpretation or enforcement of this
Agreement,  the  prevailing  party therein shall be entitled to receive from the
other party the  prevailing  party's  costs and expenses,  including  reasonable
attorneys' fees incurred in connection therewith, in preparation therefor and on
appeal therefrom, which amounts shall be included in any judgment therein.

                                      -64-

         23.16  Nonliability of Trustees.  THE DECLARATION OF TRUST ESTABLISHING
LANDLORD, A COPY OF WHICH,  TOGETHER WITH ALL AMENDMENTS THERETO  (COLLECTIVELY,
THE  "DECLARATION"),  IS DULY  FILED  WITH THE  DEPARTMENT  OF  ASSESSMENTS  AND
TAXATION OF THE STATE OF MARYLAND,  PROVIDES  THAT THE NAME "SNH CHS  PROPERTIES
TRUST" REFERS TO THE TRUSTEES UNDER THE  DECLARATION  COLLECTIVELY  AS TRUSTEES,
BUT NOT INDIVIDUALLY OR PERSONALLY,  AND THAT NO TRUSTEE, OFFICER,  SHAREHOLDER,
EMPLOYEE OR AGENT OF LANDLORD SHALL BE HELD TO ANY PERSONAL  LIABILITY,  JOINTLY
OR SEVERALLY,  FOR ANY OBLIGATION OF, OR CLAIM  AGAINST,  LANDLORD.  ALL PERSONS
DEALING WITH LANDLORD, IN ANY WAY, SHALL LOOK ONLY TO THE ASSETS OF LANDLORD FOR
THE PAYMENT OF ANY SUM OR THE PERFORMANCE OF ANY OBLIGATION.

         23.17 Overland Park  Representations and Warranties.  Tenant represents
and warrants to Landlord, with respect to the Overland Park Property, that as of
the date hereof:

                  (a) All (if any) leases, subleases, licenses, concessions, and
         similar  agreements  granting an interest to any other person or entity
         for the use and occupancy of any portion of the Overland Park Property,
         and all (if any) agreements in place whereby residents are in occupancy
         at the Overland Park Property,  are legal, valid, binding,  enforceable
         and in full force and effect, and to the best of Tenant's knowledge, no
         party is in breach or  default,  and no event has  occurred  which with
         notice or lapse of time, or both, would constitute a breach of default,
         or  permit  termination,   modification,  or  acceleration  under  such
         agreements,   and  no  party  has  repudiated  any  provision  of  such
         agreements;

                  (b) Tenant has not received  written  notice of any pending or
         threatened  condemnation  actions  with  respect to the  Overland  Park
         Property or any part thereof;

                  (c) There are no actions, suits or proceedings pending against
         the Overland  Park Property in any court of law, or in equity or before
         any  court,   administrative   agency,   commission   or  other  public
         governmental authority;

                  (d) To Tenant's knowledge,  the Overland Park Property is duly
         licensed and currently  complies with licensing under  applicable state
         and local laws to operate the Overland  Park  Property in the manner it
         is presently being operated, and Tenant has not received any notices of
         violations of any laws or regulations,  other than those  violations of
         law, rules, regulations, ordinances, orders or requirements noted in or
         issued by any Federal, state, county,  municipal or other department or
         governmental  agency  having  jurisdiction  against  or  affecting  the
         Overland Park Property whenever noted or issued;

                                      -65-

                  (e)  To  Tenant's  knowledge,  Tenant  has  not  violated  any
         requirements of law currently  applicable to the Overland Park Property
         or any part thereof with respect to: (i) the installation, existence or
         removal of or exposure to  asbestos or  asbestos-containing  materials;
         (ii) the  existence,  discharge  or removal of or exposure to hazardous
         materials; (iii) air emissions,  water discharges,  noise emissions and
         any other  environmental,  health or safety matter; and (iv) effects on
         the environment of the Overland Park Property or any part thereof or of
         any activity  heretofore,  now or  hereafter  conducted on the Overland
         Park Property (collectively, the "Relevant Environmental Laws");

                  (f)  Tenant  has not  received  any  notice  of any  claim  or
         citation of  noncompliance  with  respect to any  violation of Relevant
         Environmental  Laws and,  to  Tenant's  knowledge,  there are no facts,
         circumstances,  conditions or occurrences on the Overland Park Property
         that could  reasonably  be expected to result in the  violation  of any
         such  Relevant  Environmental  Laws  or  cause  to be  subject  to  any
         restrictions  on  the  existing  or  contemplated  development,  use or
         transferability thereof under any Relevant Environmental Laws.

                  (g) To Tenant's knowledge,  the Overland Park Property and the
         uses  thereof  comply  in all  material  respects  with all  applicable
         building and zoning ordinances and codes;

                  (h) No governmental  authority  having  jurisdiction  over the
         Overland  Park  Property has issued any  citations  with respect to any
         material  deficiencies  or  other  matters  that  fail  to  conform  to
         applicable  statutes,  regulations  or  ordinances  that  have not been
         corrected  as of the date hereof;  Tenant has not  received  written or
         oral notice from any agency  supervising  or having  authority over the
         Overland Park Property  requiring such property or any service,  staff,
         or practice  provided at the  Overland  Park  Property to be  modified,
         restricted or  conditioned  as to service or eligibility or be reworked
         or redesigned or additional furniture, fixtures, equipment or inventory
         to be provided at the Overland Park Property so as to conform or comply
         with any existing in any applicable law, code or standard; and

                  (i) There has been no material  adverse change with respect to
         the physical  condition of the Overland Park Property or the operations
         at the Overland Park Property since April 1, 2002.

                            [signature page follows]

                                      -66-


         IN WITNESS  WHEREOF,  the parties  have  executed  this  Agreement as a
sealed instrument as of the date above first written.

                                     LANDLORD:

                                     SNH CHS PROPERTIES TRUST


                                     By:   /s/ John R. Hoadley
                                           John R. Hoadley
                                           Treasurer

                                     TENANT:

                                     FVE-CHS LLC


                                     By:   /s/ Bruce J. Mackey Jr.
                                           Bruce J. Mackey Jr.
                                           Treasurer and Chief Financial Officer


                                      -67-



                                OMITTED EXHIBITS

The following exhibits to the Lease Agreement have been omitted:

Exhibit Letter                                       Exhibit Title

A-1 through A-9                                      Property

The Registrant agrees to furnish  supplementally a copy of the foregoing omitted
exhibits to the Securities and Exchange Commission upon request.