EXHIBIT 23.4
 
                              ACCOUNTANT'S CONSENT
 
To the Board of Directors
The A.D.S Group
Newton, Massachusetts
 
    We consent to the use of our reports relating to the combined financial
statements of the A.D.S Group, included herein by, and to the reference to our
firm under the heading "Experts" in The Multicare Companies, Inc. prospectus.
 
                                      /s/ Landa & Altsher, P.C.
 
Randolph, Massachusetts
September 25, 1996