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