EXHIBIT 10.23
 
                             AMENDMENT NO. 1 TO AGREEMENT

               This Amendment No. 1 to Agreement dated as of December 6,
          1994 (this "Amendment"), between The Hillhaven Corporation, a
          Nevada corporation (the "Company"), and _____________ (the
          "Executive").

                                     WITNESSETH:

               WHEREAS, the Company and the Executive are parties to that
          certain Agreement dated as of May 24, 1994 (the "Agreement"); and

               WHEREAS, the Agreement provides for certain payments by the
          Company to the Executive in the event that a Change of Control,
          as defined in the Agreement, occurs; and

               WHEREAS, the Board of Directors of the Company has
          authorized the Company to amend all compensation, incentive and
          benefit plans and other employment arrangements which contain a
          "Change of Control" provision in the manner set forth below; and 

               WHEREAS, the Employee also desires to amend the Agreement in
          the manner set forth below.

               NOW, THEREFORE, for and in consideration of the premises,
          and for other good and valuable consideration, the receipt and
          sufficiency of which are hereby acknowledged, the parties hereby
          agree as follows:

               1.   Amendment.  The Agreement is hereby amended by deleting
          Section 1 in its entirety and substituting the following in lieu
          thereof:

                    "1.  Definitions.  For purposes of this Agreement, the
                         terms set forth in this Section shall have the
                         following meanings:

                         A.   A "Change of Control" shall be deemed to
                              occur if any of the following events has
                              occurred:

                              i.   A Person, alone or together with its
                                   Affiliates and Associates, or "group",
                                   within the meaning of Section 13(d)(3)
                                   of the Securities Exchange Act of 1934,
                                   becomes, after the date hereof, the
                                   beneficial owner of 20% or more of the
                                   general voting power of the Company. 
                                   Notwithstanding the preceding sentence, 






          

 
                                   a Change of Control shall not be deemed
                                   to occur if the "Person" described in
                                   the preceding sentence has acquired 20%
                                   or more of the general voting power of
                                   the Company as consideration in a
                                   transaction or series of related
                                   transactions involving the Company's
                                   acquisition (by stock acquisition,
                                   merger, asset purchase or otherwise) of
                                   one or more businesses approved prior to
                                   such transactions or series of
                                   transactions by the Incumbent Board (as
                                   defined in (ii) below), and, provided
                                   that, if such transaction or series of
                                   transactions results in the merger,
                                   consolidation or reorganization of the
                                   Company and such Person, the Company is
                                   the surviving entity following such
                                   merger, consolidation or reorganization.

                              ii.  Individuals who, as of the date hereof,
                                   constitute the Board (the "Incumbent
                                   Board"), cease for any reason to
                                   constitute at least a majority of the
                                   Board, provided that any person becoming
                                   a director subsequent to the date hereof
                                   whose election, or nomination for
                                   election by the Company's stockholders,
                                   was approved by a vote of at least a
                                   majority of the directors then
                                   comprising the Incumbent Board (other
                                   than an election or nomination of an
                                   individual whose initial assumption of
                                   office is in connection with an actual
                                   or threatened election contest relating
                                   to the election of the directors of the
                                   Company, as such terms are used in Rule
                                   14a-11 of Regulation 14A promulgated
                                   under the Securities Exchange Act of
                                   1934) shall be considered as though such
                                   person were a member of the Incumbent
                                   Board.

                              iii. Consummation or effectiveness of:

                              a.  a merger, consolidation or reorganization
                              involving the Company (a "Business
                              Combination"), unless

                                   1.  the stockholders of the Company,
                                   immediately before the Business
                                   Combination, own, directly or indirectly
                                   immediately following the Business
                                   Combination, at least fifty-one percent
                                   (51%) of the combined voting power of
                                   the outstanding voting securities of the



          

 
                                   corporation resulting from the Business
                                   Combination (the "Surviving
                                   Corporation") in substantially the same
                                   proportion as their ownership of the
                                   voting securities immediately before the
                                   Business Combination, and

                                   2.  the individuals who were members of
                                   the Incumbent Board immediately prior to
                                   the execution of the agreement providing
                                   for the Business Combination constitute
                                   at least a majority of the members of
                                   the Board of Directors of the Surviving
                                   Corporation, and

                                   3.  no Person (other than any Person
                                   who, immediately prior to the Business
                                   Combination, had beneficial ownership of
                                   twenty percent (20%) or more of the then
                                   outstanding Voting Securities) has
                                   Beneficial Ownership of twenty percent
                                   (20%) or more of the combined voting
                                   power of the Surviving Corporation's
                                   then outstanding voting securities;

                              b.  a complete liquidation or dissolution of
                              the Company; or

                              c.  the sale or other disposition of all or
                              substantially all of the assets of the
                              Company to any Person.

                    B.   "Affiliate or Associate" shall have the respective
                         meanings ascribed to such terms in Rule 12b-2 of
                         the General Rules and Regulations under the
                         Securities Exchange Act of 1934.

                    C.   "Person," for the purpose of this Section, means
                         an individual, firm, corporation or other entity
                         or any successor to such entity, but "Person"
                         shall not include the Company, any subsidiary of
                         the Company, any employee benefit plan or employee
                         stock plan (including a trust relating thereto) of
                         the Company or any subsidiary of the Company, or
                         any Person organized, appointed, established or
                         holding Voting Stock by, for or pursuant to the
                         terms of such a plan.  "Person" shall also not
                         include National Medical Enterprises, Inc.
                         ("NME"), any subsidiary of NME, any Affiliate or
                         Associate of NME, any employee benefit plan or
                         employee stock plan of NME or any subsidiary of
                         NME to the extent that such entities, individually
                         or collectively, own any or all of (x) the
                         8,878,147 shares of the Company's common stock
                         (approximately 31% of the general voting power of
                         the Company as of the date hereof) registered in



          

 
                         the name of NME or any subsidiary of NME as of the
                         date of this Agreement, or (y) such additional
                         number of shares of the Company's common stock
                         issued to NME or any subsidiary of NME in exchange
                         for shares of the Company's Series C Preferred
                         Stock or Series D Preferred Stock so long as such
                         exchange has been approved in advance by the
                         Incumbent Board.

               D.   "Voting Stock" means shares of the Company's capital
                    stock having general voting power, with "voting power"
                    meaning the power under ordinary circumstances (and not
                    merely upon the happening of a contingency) to vote in
                    the election of directors.

               E.   "Cause" shall mean:  the willful, substantial,
                    continued and unjustified refusal of the Executive to
                    perform the duties of his or her office to the extent
                    of his or her ability to do so; any conduct on the part
                    of the Executive which constitutes a breach of any
                    statutory or common law duty of loyalty to the Company;
                    any illegal or publicly immoral act by the Executive
                    which materially and adversely affects the business of
                    the Company; the physical or mental disability of the
                    Executive as determined by the Board of Directors of
                    the Company and resulting in his or her inability to
                    perform his or her duties hereunder; or the death of
                    the Executive."

               2.   Effect on Agreement.  Except as expressly amended by
          this Amendment, all of the terms and conditions of the Agreement
          shall remain in full force and effect.

               3.   Captions.  The captions and headings used herein are
          for convenience of reference only and shall not be construed in
          any manner to limit or modify any of the terms hereof.

               4.   Counterparts.  This Amendment may be executed in
          counterparts, each of which shall be an original, but all of
          which together shall constitute but one and the same instrument.

               5.   Governing Law.  This Amendment shall be governed by and
          construed in accordance with the laws of the State of Washington.

               IN WITNESS WHEREOF, the parties hereto have duly executed
          this Amendment as of the date first set forth above.


                                   THE HILLHAVEN CORPORATION

                                   By:____________________________________
                                   Its:___________________________________

                                   ______________________________________
                                   Executive