Exhibit 3.3

                                                           FILED
                                         In the office of the Secretary of State
                                                of the State of California

                             AMENDED AND RESTATED        MAY 15 1991
                           ARTICLES OF INCORPORATION
                                      OF
                            SUMMIT CARE CORPORATION   /s/ March Fong Eu
                            -----------------------     MARCH FONG EU, 
                                                      Secretary of State


     William C. Scott and Frank S. Osen certify that:

     1.    They are the President and the Secretary, respectively, of Summit 
Care Corporation, a California corporation.

     2.    The Articles of Incorporation of this corporation are amended and 
restated to read in their entirety as follows:

           One:   The name of this corporation is Summit Care Corporation.
           ---

           Two:   The purpose of this corporation is to engage in any lawful act
           ---
     or activity for which a corporation may be organized under the General 
     Corporation Law of California other than the banking business, the trust 
     company business or the practice of a profession permitted to be
     incorporated under the California Corporations Code.


           Three: This corporation is authorized to issue two classes of shares 
           -----
     designated, respectively, "Common Stock" and "Preferred Stock." The number
     of shares of Common Stock is 100,000,000 and the number of shares of
     Preferred Stock is 2,000,000.

           The Preferred Stock may be issued from time to time in one or more 
     series. The Board of Directors is authorized to fix the number of shares of
     any series of Preferred Stock and to determine the designation of any such
     series. The Board of Directors is also authorized to determine or alter the
     rights, preferences, privileges, voting and other powers, and restrictions
     granted to or imposed upon any wholly unissued series or Preferred Stock
     and, within the limits and restrictions stated in any resolution or
     resolutions of the Board of Directors originally fixing the number of
     shares constituting any series, to increase or decrease (but not below the
     number of shares of any such series then outstanding) the number of shares
     of any such series subsequent to the issue of shares of that series.


 
             Upon the amendment and restatement of this Article Three to read as
     set forth herein, each issued and outstanding share of the corporation
     shall be reclassified and converted into and become 2,500 shares of Common
     Stock of this corporation.

             Four:   The liability of the directors of the corporation for 
             ----
     monetary damages shall be eliminated to the fullest extent permissible
     under California law.

             Five:   The corporation is authorized to provide indemnification 
             ----
     of agents (as defined in Section 317 of the General Corporation Law of
     California) for breach of duty to the corporation and its shareholders
     through bylaw provisions or through agreements with the agents, or
     otherwise, in excess of the indemnification otherwise permitted by Section
     317 of the General Corporation Law of California, subject to any
     limitations on indemnification under the General Corporation Law of
     California which cannot be waived.

             Six:    The number of directors of the corporation shall be six.  
             ---
     The following provisions shall become effective only when the corporation
     becomes a listed corporation within the meaning of Section 301.5 of the
     California Corporations Code. The Board of Directors shall be divided into
     two classes to serve for terms of two years, with one-half of the directors
     (or as close an approximation as possible) to be elected at each annual
     meeting of shareholders. In addition, cumulative voting shall be
     eliminated.

     3.      The foregoing amendment and restatement of the Articles of 
Incorporation has been duly approved by the Board of Directors.

     4.      The foregoing amendment and restatement of the Articles of 
Incorporation has been duly approved by the required vote of shareholders in 
accordance with Section 902 of the California Corporations Code.  The total 
number of outstanding shares of this corporation is 1,000.  The number of shares
voting in 


                                     - 2 -


 
favor of the amendment and the restatement equaled or exceeded the vote 
required.  The percentage vote required was more than 50%.

     We further declare under penalty of perjury under the laws of the State of
California that the matters set forth in this Certificate are true are true and
correct of our own knowledge.

Date:  May 15, 1991



                                            /s/ William C. Scott
                                            ------------------------------------
                                            William C. Scott, President



                                            /s/ Frank S. Osen
                                            ------------------------------------
                                            Frank S. Osen, Secretary

                                      -3-

 
                                                              A404444

                                                             F I L E D
                                                        In the office of the 
                                                        Secretary of State of
                           CERTIFICATE OF AMENDMENT    the State of California
                                      TO
                           ARTICLES OF INCORPORATION         JUN 13 1991
                                      OF
                            SUMMIT CARE CORPORATION    MARCH FONG EU, SECRETARY 
                            -----------------------            OF STATE


     Melodye Stok and Frank S. Osen certify that:

     1.   They are the Vice President-Finance and the Secretary, respectively, 
of Summit Care Corporation, a California corporation.

     2.   That Article Three of the Articles of Incorporation of this 
                       -----
corporation is amended to read in its entirety as follows:

          Three:   This corporation is authorized to issue two classes of shares
          -----
     designated, respectively, "Common Stock" and "Preferred Stock." The number
     of shares of Common Stock is 100,000,000 and the number of shares of
     Preferred Stock is 2,000,000.

          The Preferred Stock may be issued from time to time in one or more 
     series. The Board of Directors is authorized to fix the number of shares of
     any series of Preferred Stock and to determine the designation of any such
     series. The Board of Directors is also authorized to determine or alter the
     rights, preferences, privileges, voting and other powers and restrictions
     granted to or imposed upon any wholly unissued series of Preferred Stock
     and, within the limits and restrictions stated in any resolution or
     resolutions of the Board of Directors originally fixing the number of
     shares constituting any series, to increase or decrease (but not below the
     number of shares of any such series then outstanding) the number of shares
     of any such series subsequent to the issue of shares of that series.

          Upon the amendment of this Article Three to read as set forth herein, 
     each issued and outstanding share of the corporation shall be reclassified 
     and converted into and become 1.08 shares of Common Stock of this 
     corporation.

     3.   The foregoing amendment of the Articles of Incorporation has been duly
approved by the Board of Directors.


 
     4.  The foregoing amendment of the Articles of Incorporation has been duly 
approved by the required vote of shareholders in accordance with Section 902 of 
the California Corporations Code.  The total number of outstanding shares of 
this corporation is 2,500,000.  The number of shares voting in favor of the 
amendment and the restatement equaled or exceeded the vote required.  The 
percentage vote required was more than 50%.

     We further declare under penalty of perjury under the laws of the State of 
California that the matters set forth in this Certificate are true and correct 
of our own knowledge.

Date:  June 6, 1991



                                            /s/ Melodye Stok
                                            ------------------------------------
                                            Melodye Stok, Vice President-Finance



                                            /s/ Frank S. Osen
                                            ------------------------------------
                                            Frank S. Osen, Secretary

                                      -2-