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                                                                    EXHIBIT 10.5


                                                                [EXECUTION COPY]



                      MASTER AMENDMENT NO. 1 TO AMENDED AND
            RESTATED PARTICIPATION AGREEMENT AND AMENDED AND RESTATED
                       MASTER LEASE AND OPEN-END MORTGAGE

            This AMENDMENT NO. 1 TO AMENDED AND RESTATED PARTICIPATION AGREEMENT
AND AMENDED AND RESTATED MASTER LEASE AND OPEN-END MORTGAGE (this "Amendment"),
is entered into as of September 30, 1999, among BEVERLY ENTERPRISES, INC., a
Delaware corporation ("BEI"), as the Representative, Construction Agent, Parent
Guarantor and a Lessee (in its capacity as Representative, the "Representative";
in its capacity as Construction Agent, the "Construction Agent"; in its capacity
as Parent Guarantor, the "Parent Guarantor" and together with the Guarantors
listed on the signature page to the Guaranty (each a "Guarantor") and the
Structural Guarantors, the "Guarantors"; and, in its capacity as Lessee, a
"Lessee"); certain subsidiaries of BEI that are signatories hereto, as Lessees;
BANK OF MONTREAL GLOBAL CAPITAL SOLUTIONS, INC. (formerly known as BMO LEASING
(U.S.), INC.), a Delaware corporation, as a Lessor (together with any permitted
successors and assigns thereto, each a "Lessor" and collectively the "Lessors")
and as Agent Lessor for the Lessors (in such capacity, the "Agent Lessor"); the
various financial institutions as are or may from time to time become lenders
(the "Lenders") under the Loan Agreement; BANK OF MONTREAL, a Canadian banking
organization ("BMO"), as Administrative Agent (in such capacity, the
"Administrative Agent") for the Lenders, as Arranger and Syndication Agent
(collectively, the "Parties").


                                R E C I T A L S:


         The Parties entered into an Amended and Restated Participation
Agreement (the "Participation Agreement") dated as of August 28, 1998, amending
and restating the Participation Agreement dated as of March 21, 1997.

         The Agent Lessor, the Lessees and the Representative entered into an
Amended and Restated Master Lease and Open-End Mortgage (the "Lease") dated as
of August 28, 1998, amending and restating the Master Lease and Open-End
Mortgage dated as of March 21, 1997.

         The Parties wish to amend certain provisions of the Participation
Agreement and the Lease as set forth herein to reflect the changes made to the
Morgan Credit Agreement and provide additional collateral to the Lenders.


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                               A G R E E M E N T:

                  NOW, THEREFORE, in consideration of the premises made
hereunder, and for good and valuable consideration, the receipt and sufficiency
of which are hereby acknowledged, the Parties hereto, intending to be legally
bound, hereby agree as follows:

                  1. Defined Terms; References. Unless otherwise expressly
defined herein, all capitalized terms used herein and defined in Appendix A to
the Participation Agreement shall be used herein as so defined. Unless otherwise
expressly stated herein, all Section and Article references herein shall refer
to Sections and Articles of the Participation Agreement.

                  2. Amended Defined Terms. (a) The following defined terms in
Appendix A to the Participation Agreement are hereby amended in their entirety
to read as follows:

         "Additional Lender Property" shall mean any of the Properties listed in
         Schedule V-1 to the Participation Agreement, in each case as previously
         disclosed to and approved by the Lenders.

         "Additional Mortgage" means, with respect to each Additional Lender
         Property, each Mortgage and Fixture Filing and any and all other
         security instruments in appropriate recordable form sufficient to grant
         the Agent Lessor, on behalf of the Lessors, a first priority Lien on
         such Additional Lender Property.

         "Adjusted Consolidated Debt" means at any date the sum, without
         duplication, of (i) all liabilities of the Representative and its
         Subsidiaries at such date of the types classified as "current
         liabilities: short-term borrowings", "current liabilities: current
         portion of long-term obligations," "long-term obligations" and, to the
         extent arising out of claims made by governmental authorities relating
         to reimbursement obligations or settlements thereof, "other liabilities
         and deferred items" on the consolidated balance sheet included in the
         Base Financials (including any Subordinated Notes), (ii) all guarantees
         at such date of obligations of other issuers (other than guarantees
         outstanding on the Amendment No. 1 Effective Date of obligations
         outstanding on the Amendment No. 1 Effective Date, in amounts not in
         excess of $79,375,000 and reported in the Base Financials) and (iii)
         an amount equal to the product of eight multiplied by the Consolidated
         Rental Expense for the four fiscal quarters of the Representative most
         recently completed on or prior to such date.";

         "Amendment No. 1 Effective Date" means the date upon this amendment
         becomes effective in accordance with its terms.

         "Assignment of Additional Mortgage" means, with respect to each
         Additional Lender Property, each assignment of mortgage from Agent
         Lessor, on behalf of the Lessors, to the Administrative Agent, on
         behalf of the Lenders, in form and substance satisfactory to the Agent
         Lessor.




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         "Attributable Debt" means, on any date, in respect of any lease of the
         Representative or any of its Subsidiaries entered into as part of a
         Sale and Leaseback Transaction, (i) if such lease is a lease that is
         required to be capitalized in accordance with GAAP, the capitalized
         amount thereof that would appear on a balance sheet of such Person
         prepared as of such date in accordance with GAAP, and (ii) if such
         lease is not a lease that is required to be capitalized in accordance
         with GAAP, the capitalized amount of the remaining lease payments under
         such lease that would appear on a balance sheet of such Person prepared
         as of such date in accordance with GAAP if such lease were a lease that
         is required to be capitalized in accordance with GAAP.

         "Encore Facility" means the Term Loan Agreement, dated as of December
         30, 1985, as amended, among Encore Nursing Center Partners. Ltd. - 85,
         a New York limited partnership, Beverly Health and Rehabilitation
         Services, Inc., the Representative and The Bank of New York.

         "Final Settlement" means the execution and delivery of settlement
         agreements among the Representative (and, in some cases, certain of its
         Subsidiaries), the United States Department of Health and Human
         Services and the United States Department of Justice finally settling
         the claims and allegations referred to in the first four paragraphs
         under "Item 1. Legal Proceedings" of the Representative's quarterly
         report on Form 10-Q for the quarter ended June 30, 1999, as filed with
         the Securities and Exchange Commission.

         "Lessor Margin" means, with respect to the Lessor Amounts on any day,
         the percentage set forth below opposite the Pricing Category in effect
         for such date for the applicable type of Lessor Amount:




           Pricing Category              LIBO Margin              Base Rate Margin
           ----------------              -----------              ----------------


                                                            
                  I                         2.125%                     1.125%
                  II                        2.375%                     1.375%
                  III                       2.75%                      1.75%
                  IV                        3.0%                       2.0%
                  V                         3.25%                      2.25%


         "Loan Margin" means, with respect to the Loans on any day, the
         percentage set forth below opposite the Pricing Category in effect for
         such day for the applicable type of Loan:




           Pricing Category              LIBO Margin              Base Rate Margin
           ----------------              -----------              ----------------

                                                            
                  I                          1.625%                    0.625%
                  II                         1.875%                    0.875%
                  III                        2.25%                     1.25%
                  IV                         2.5%                      1.5%
                  V                          2.75%                     1.75%



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         "PNC Facility" means the Amended and Restated Reimbursement Agreement,
         dated as of June 20, 1997, as amended, by and among Beverly Health,
         Beverly Enterprises - Massachusetts, Inc., Beverly Enterprises
         - Pennsylvania, Inc. and Beverly Enterprises - Ohio, Inc. as Borrowers
         therein and PNC Bank, National Association as the Issuer of Letter of
         Credit therein.

         "Sale and Leaseback Transaction" has the meaning set forth in Section
         10.2(m).

                  (b) The definition of "Base Financials" shall be amended by
         deleting each reference to the year "1997" and substituting therefore
         a reference to the year "1998".

                  (c) The definition of "Operative Documents" shall be amended
         by (i) deleting the word "and" at the end of clause (q) therein, (ii)
         deleting the period at the end of clause (r) and replacing same with a
         semi-colon, and (iii) adding "(s) the Assignment of Additional
         Mortgages; and (t) the Additional Mortgages." at the end thereof.

                  (d) The definitions set forth in Schedule IV to the
         Participation Agreement are amended as follows:

                           (i)   the definition of "Pricing Ratio" shall be
                  deleted in its entirety and replaced with the following:

                                    "Pricing Ratio" means the ratio of Adjusted
                                    Consolidated Debt to Consolidated EBITDAR;

                           (ii)  the reference to "2.50" in the definition of
                  "Category I Pricing" shall be deleted and replaced with
                  "3.50";

                           (iii) the reference to "2.25" in the definition of
                  "Category II Pricing" shall be deleted and replaced with
                  "4.0";

                           (iv)  the reference to "2.00" in the definition of
                  "Category III Pricing" shall be deleted and replaced with
                  "4.5"; and

                           (v)   the reference to "1.75" in the definition of
                  "Category IV Pricing" shall be deleted and replaced with
                  "5.0".

                  3. Payments Regarding Additional Lender Property. Section
7.7(a) of the Participation Agreement is hereby amended by adding the following
language at the end thereof prior to the period:



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                           "; provided, however, that any payment received by
                  the Administrative Agent with regard to the Additional Lender
                  Property shall be distributed pro rata among the Lenders"

                  4. Representations and Warranties. Section 8.2 of the
Participation Agreement is hereby amended as follows:

                            (a) Section 8.2(e) is hereby amended by (i) deleting
                  each reference therein to the year "1997" and replacing same
                  with the year "1998" and (ii) adding the following at the end
                  thereof:

                                            The unaudited consolidated balance
                                    sheets of the Representative and its
                                    Consolidated Subsidiaries as of June 30,
                                    1999 and the related unaudited consolidated
                                    statements of operations, stockholders'
                                    equity and cash flows for the six months
                                    then ended, set forth in the
                                    Representative's June 30, 1999 Form 10-Q, a
                                    copy of which has been delivered to each
                                    Lender, each Lessor, the Lessor Agent and
                                    the Administrative Agent, fairly present, in
                                    conformity with generally accepted
                                    accounting principles applied on a basis
                                    consistent with the Base Financials, the
                                    consolidated financial position of the
                                    Representative and its Consolidated
                                    Subsidiaries as of such date and their
                                    consolidated results of operations and cash
                                    flows for such six month period (subject to
                                    normal year-end adjustments, the absence of
                                    footnote disclosure and condensation
                                    pursuant to the rules of the Securities and
                                    Exchange Commission).

                           (b) Section 8.2(f) is hereby amended by deleting such
                  section in its entirety and replacing same with the following:

                                            (f) No Material Adverse Change.
                                    Except for the matters referred to in the
                                    first four paragraphs under "Item 1. Legal
                                    Proceedings" in the Representative's June
                                    30, 1999 Form 10-Q, since December 31, 1998
                                    there has been no material adverse change in
                                    the business, financial position, results of
                                    operations or prospects of the
                                    Representative and its Consolidated
                                    Subsidiaries, considered as a whole.





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                           (c) Section 8.2(i) is hereby amended by (i) deleting
                  each reference therein to the year "1997" and replacing same
                  with the year "1998,", (ii) adding the phrase "the first four
                  paragraphs under Item 1. Legal Proceedings in" between the
                  words "or" and "the" on the second line thereof and (iii)
                  replacing "June 30, 1998" with "June 30, 1999" on the third
                  line thereof;

                           (d) The following Section 8.2(z) shall be added after
                  Section 8.2(y):

                                            (z) Year 2000 Compliance. The
                                    Representative has (i) initiated a review
                                    and assessment of all areas within the
                                    business and operations of the
                                    Representative and each of its Subsidiaries
                                    (including those areas affected by suppliers
                                    and vendors) that could be adversely
                                    affected by the "YEAR 2000 PROBLEM" (that
                                    is, the risk that computer applications used
                                    by it or any of its Subsidiaries (or their
                                    respective suppliers and vendors) may be
                                    unable to recognize and perform properly
                                    date-sensitive functions involving certain
                                    dates prior to and any date after December
                                    31, 1999), (ii) developed a plan and
                                    timeline for addressing the Year 2000
                                    Problem on a timely basis and (iii) to date,
                                    implemented such plan in accordance with
                                    such timetable. The Representative
                                    reasonably believes that all computer
                                    applications (including those of suppliers
                                    and vendors) that are material to the
                                    business or operations of the Representative
                                    or any of its Subsidiaries will on a timely
                                    basis be able to perform properly
                                    date-sensitive functions for all dates
                                    before and from and after January 1, 2000,
                                    except to the extent that a failure to do so
                                    could not reasonably be expected to have a
                                    material adverse effect on the business,
                                    financial position, results of operations or
                                    prospects of the Representative and its
                                    Consolidated Subsidiaries, taken as a
                                    whole."

                  5. Affirmative Covenants of the Representative. Section 10.1
of the Participation Agreement is hereby amended by adding the following Section
10.1(l) at the end thereof:

                                            (l) Additional Mortgages and
                                    Assignments of Additional Mortgages. On or
                                    prior to October 31, 1999:





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                                    (i)           The applicable Lessee shall
                                            have delivered to the Agent Lessor
                                            all UCC financing statements as the
                                            Agent Lessor or any other Lessor may
                                            reasonably request appropriately
                                            completed and executed for filing in
                                            the applicable jurisdiction in order
                                            to protect the Agent Lessor's and
                                            Lenders' interest in the Additional
                                            Lender Property;

                                    (ii)          Each of the Participants shall
                                            have received (x) evidence
                                            reasonably satisfactory to it that
                                            each of (i) Additional Mortgages and
                                            Assignment of Additional Mortgages
                                            in the forms acceptable to the
                                            Lessor Agent, has been duly
                                            executed, delivered and has been or
                                            are being recorded in the
                                            appropriate jurisdictional records
                                            with respect to each Additional
                                            Lender Property and create and
                                            perfect valid Liens as intended
                                            therein and (ii) the Additional
                                            Financing Statements have been, or
                                            are being, recorded in a manner
                                            sufficient to properly perfect each
                                            of their interests therein and (y)
                                            copies of file search reports from
                                            the Uniform Commercial Code filing
                                            officer in the jurisdiction in which
                                            is located such Additional Lender
                                            Property, setting forth the results
                                            of such Uniform Commercial Code file
                                            searches;

                                    (iii)         The Representative shall have
                                            delivered to the Administrative
                                            Agent and the Agent Lessor a
                                            commitment to deliver an ALTA
                                            lenders title insurance policy
                                            covering each Additional Lender
                                            Property in favor of the Agent
                                            Lessor, the Administrative Agent and
                                            the Participants, respectively, such
                                            policy in form satisfactory to the
                                            Agent Lessor and Administrative
                                            Agent, with such customary
                                            endorsements and affirmative
                                            assurances issued by the title
                                            company as a routine matter, if
                                            requested by the Agent Lessor or the
                                            Administrative Agent; and

                                    (iv)          The Agent Lessor and the
                                            Administrative Agent shall have
                                            received (i) an opinion of counsel
                                            qualified with respect to the laws
                                            of the jurisdiction in which the
                                            Additional Lender Properties are
                                            situated, addressed to the
                                            Administrative Agent, the Agent
                                            Lessor, each Lender and each Lessor,
                                            substantially in the form
                                            satisfactory to the Agent Lessor and
                                            Administrative Agent and (ii) if
                                            requested by the Agent Lessor and
                                            the Administrative Agent, opinions
                                            from such other counsel and covering
                                            such issues as they may reasonably
                                            request.




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                  6. Negative Covenants of the Representative. Section 10.2 of
the Participation Agreement is hereby amended as follows:

                           (a) Section 10.2(a) is hereby amended by deleting
                  such section in its entirety and replacing same with the
                  following:

                                            (a) Minimum Consolidated Net Worth.
                                    Permit Consolidated Net Worth of the
                                    Representative to be less than 90% of
                                    Consolidated Net Worth at June 30, 1999 plus
                                    (i) 50% of the aggregate positive
                                    Consolidated Net Income (excluding any
                                    consolidated net loss) of BEI and its
                                    Consolidated Subsidiaries for each fiscal
                                    quarter ending after June 30, 1999 plus (ii)
                                    50% of the aggregate net proceeds, including
                                    the fair market value of property other than
                                    cash (as determined in good faith by BEI's
                                    board of directors), received by BEI from
                                    the issuance and sale after June 30, 1999 of
                                    any capital stock of BEI (other than the
                                    proceeds of any issuance and sale of any
                                    capital stock (x) to a Subsidiary or (y)
                                    which is required to be redeemed, or is
                                    redeemable at the option of the holder, if
                                    certain events or conditions occur or exist
                                    or otherwise) or in connection with the
                                    conversion or exchange of any Debt of BEI
                                    into capital stock of BEI after June 30,
                                    1999.

                           (b) Section 10.2(b) of the Participation Agreement is
                  hereby amended in its entirety to read as follows:

                                    (b) Fixed Charge Coverage Ratio. Permit the
                                    Fixed Charge Coverage Ratio at any date
                                    during the periods specified below to be
                                    less than the ratio set forth below opposite
                                    the period in which such date falls:





                                                              Period                              Ratio
                                                              ------                              -----

                                                                                            
                                      Amendment No. 1 Effective Date through                   1.15 to 1.0
                                      (and including) June 29, 2003

                                      June 30, 2003 and thereafter                             1.25 to 1.0







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                           (c) Section 10.2(c) of the Participation Agreement is
                  hereby amended in its entirety to read as follows:

                                    (c) Adjusted Consolidated Debt Ratio. Permit
                           the Adjusted Consolidated Debt Ratio at any date
                           during the periods specified below to be more than
                           the ratio set forth below opposite the period in
                           which such date falls:





                                                           Period                                 Ratio
                                                           ------                                 -----

                                                                                            
                                Amendment No. 1 Effective Date through (and including)         5.75 to 1.0
                                September 29, 2000

                                September 30, 2000 and thereafter through (and including)      5.50 to 1.0
                                June 29, 2002

                                June 30, 2002 through (and including) June 29, 2003            5.00 to 1.0

                                June 30, 2003 through (and including) and thereafter           4.50 to 1.0



                           (d) Section 10.2(f)(vi) is hereby amended by deleting
                  such section in its entirety and replacing same with the
                  following:

                                            (vi) the Representative may make any
                                    such payment or distribution if, after
                                    giving effect thereto, the aggregate amount
                                    of all such payments or distributions made
                                    after the Amendment No. 1 Effective Date
                                    (including, without limitation, any such
                                    payments or distributions permitted under
                                    subclause (ii)(A) or clause (iv) above) does
                                    not exceed (A) on any date on and after the
                                    Final Settlement on which (x) no Event of
                                    Default shall have occurred and be
                                    continuing or shall result from such payment
                                    and (y) the ratio of (x) Adjusted
                                    Consolidated Debt to (y) Consolidated
                                    EBITDAR is (I) less than 5.00 to 1.00 but
                                    not less than 4.75 to 1.00, $25,000,000,
                                    (II) less than 4.75 to 1.00 but not less
                                    than 4.50 to 1.00, $30,000,000, and (III)
                                    less than 4.50 to 1.00, $40,000,000 and (B)
                                    on any other date, $10,000,000.





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                           (e) Section 10.2(g) is hereby amended by (i) adding,
                  at the end of clause 1 thereof prior to the semicolon, the
                  words ", including, without limitation, Liens created under
                  the PNC Facility and the Encore Facility and Liens (other than
                  Liens of the types referred to in clauses 4, 7, 9) to the
                  extent such Liens constitute refinancing of Liens permitted
                  under such clauses 4 and 7 or 12 existing on the Amendment No.
                  1 Effective Date securing Indebtedness and other obligations
                  outstanding on the Amendment No. 1 Effective Date" and (ii)
                  replacing the amount "$50,000,000" in clauses 13 and 15
                  thereof with the amount "$25,000,000".

                           (f) Section 10.2(i) is hereby amended by deleting the
         word "Incur" on the first line thereof and replacing same with "With
         respect to the Representative's and each Lessee's Subsidiaries only,
         such Subsidiaries will not incur"

                           (g) Section 10.2(i)(6) is hereby amended by deleting
                  the reference to "$150,000,000" and replacing same with
                  "$100,000,000".

                           (h) Section 10.2(i)(14) is hereby amended by deleting
                  the reference to "$75,000,000" and replacing same with
                  "$20,000,000".

                           (i) Section 10.2 is hereby amended by adding the
                  following Section 10.2(l) and (m) after Section 10.2(k):

                                            (l) Consolidated Gross Capital
                                    Expenditures. Permit Consolidated Gross
                                    Capital Expenditures for any of the fiscal
                                    years set forth below, to exceed the amount
                                    indicated opposite such fiscal year:




                                      Fiscal Year Ending                     Amount
                                      ------------------                     ------
                                                                       
                                    December 31, 1999                     $120,000,000

                                    December 31, 2000                     $120,000,000

                                    December 31, 2001                     $125,000,000


                                    To the extent that Consolidated Gross
                                    Capital Expenditures for any fiscal year set
                                    forth above are less than the applicable
                                    amount specified in the table, the
                                    difference may be carried forward to the
                                    next fiscal year (and for this purpose,
                                    Consolidated Gross Capital Expenditures in
                                    any subsequent fiscal year shall be applied,
                                    first, to any such carry-forward amount and,
                                    second, to the specified amount for such
                                    year).



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                                            (m) Sale and Leaseback Transactions.
                                    Enter into, or permit any of its
                                    Subsidiaries to, enter into any arrangement,
                                    directly or indirectly, whereby it shall
                                    sell or transfer any property, real or
                                    personal, used or useful in its business,
                                    whether now owned or hereafter acquired,
                                    which property has been owned by the
                                    Representative and its Subsidiaries for more
                                    than 180 days, and thereafter rent or lease
                                    such property or other property that it
                                    intends to use for substantially the same
                                    purpose or purposes as the property sold or
                                    transferred (each, a "SALE AND LEASEBACK
                                    TRANSACTION"), except for Sale and Leaseback
                                    Transactions the aggregate amount of
                                    Attributable Debt in respect of which does
                                    not exceed $20,000,000 at any time
                                    outstanding.

                  7. Events of Default. Section 16.1 of the Lease is hereby
amended by (a) deleting the word "or" at the end of Section 16.1(m), (b)
deleting the period at the end of Section 16.1(n) and replacing same with a
semi-colon and (c) adding the following Sections 16.1(o) and (p) at the end
thereof:

                           (o) any of the Additional Mortgages or Assignment of
                  Additional Mortgages shall at any time after the date on which
                  same are executed and delivered fail to create or assign Liens
                  in favor of the parties intended thereunder and in the
                  priorities intended thereunder; or

                           (p) the terms of the Final Settlement shall require
                  payments by the Representative and its Subsidiaries to the
                  United States Federal government and agencies and
                  instrumentalities thereof (I) in the aggregate in excess of
                  $225,000,000, (ii) up-front in excess of $30,000,000 or (iii)
                  with a final maturity of less than eight (8) year.;"

                  8. Effective Date. Subject to Section 10 below, this Amendment
shall be effective and the Participation Agreement and Lease amended as of
September 30, 1999, as if entered into on such date.

                  9. Representations and Warranties. To induce the
Administrative Agent, the Agent Lessor and the Participants to execute and
deliver this Amendment (which representations shall survive the execution and
delivery of this Amendment), each of the Beverly Entities that is a party hereto
represents and warrants to each of the Administrative Agent, the Agent Lessor
and the Participants that:




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                           (a) this Amendment has been duly authorized, executed
         and delivered by it and this Amendment constitutes the legal, valid and
         binding obligation, contract and agreement of such Beverly Entity
         enforceable against it in accordance with its terms, except as
         enforcement may be limited by bankruptcy, insolvency, reorganization,
         moratorium or similar laws or equitable principles relating to or
         limiting creditors' rights generally;

                           (b) the Participation Agreement, as amended by this
         Amendment, constitutes the legal, valid and binding obligation,
         contract and agreement of such Beverly Entity enforceable against it in
         accordance with their respective terms, except as enforcement may be
         limited by bankruptcy, insolvency, reorganization, moratorium or
         similar laws or equitable principles relating to or limiting creditors'
         rights generally;

                           (c) the execution, delivery and performance by such
         Beverly Entity of this Amendment (i) has been duly authorized by all
         requisite corporate action and, if required, shareholder action, (ii)
         does not require the consent or approval of any governmental or
         regulatory body or agency, and (iii) will not (A) violate (l) any
         provision of law, statute, rule or regulation or its certificate of
         incorporation or bylaws, (2) any order of any court or any rule,
         regulation or order of any other agency or government binding upon it,
         or (3) any provision of any material indenture, agreement or other
         instrument to which it is a party or by which its properties or assets
         are or may be bound, including, without limitation, the Morgan Credit
         Agreement, or (B) result in a breach or constitute (alone or with due
         notice or lapse of time or both) a default under any indenture,
         agreement or other instrument referred to in clause (iii)(A)(3) of this
         subsection (c);

                           (d) as of the date hereof and after giving effect to
         this Amendment, no Default or Event of Default has occurred which is
         continuing; and

                           (e) all the representations and warranties contained
         in Section 8.2 of the Participation Agreement (after giving effect to
         this Amendment) are true and correct in all material respects with the
         same force and effect as if made by such Beverly Entity on and as of
         the date hereof.

                  10. Conditions to Effectiveness of this Amendment. This
Amendment shall not become effective until, and shall become effective when,
each and every one of the following conditions shall have been satisfied to the
satisfaction of the Agent Lessor, the Administrative Agent and each Participant
(the conditions precedent are for the benefit of the Agent Lessor, the
Administrative Agent and each Participant only):

                                    (i)          The Agent Lessor, the
                                            Administrative Agent and the
                                            Participants shall have received
                                            executed counterparts of this
                                            Amendment, duly executed by the
                                            Beverly Entities party hereto;





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                                    (ii)         The Agent Lessor, the
                                            Administrative Agent and the
                                            Participants shall have received
                                            evidence satisfactory to them that
                                            the Morgan Credit Agreement has been
                                            amended in form and substance
                                            satisfactory to the Administrative
                                            Agent, the Agent Lessor and the
                                            Participants;

                                    (iii)        The representations and
                                            warranties of the Beverly Entities
                                            set forth in Section 8 hereof are
                                            true and correct on and with respect
                                            to the date hereof; and

                                    (iv)         The Administrative Agent shall
                                            have received a fee for the account
                                            of the Participants in connection
                                            with the Participants' agreement to
                                            the terms of this Amendment equal to
                                            .20% multiplied by each
                                            Participant's Commitment.


         Upon receipt of all of the foregoing, this Amendment shall become
effective.

                  11. Payment of Fees and Expenses. The Representative agrees to
pay upon demand, the reasonable fees and expenses of Mayer, Brown & Platt,
counsel to the Lessors, in connection with the negotiation, preparation,
approval, execution and delivery of this Amendment and all reasonable fees and
expenses attendant to any filing, registration, recording or perfection of any
Lien contemplated hereby.

                  12. Effect of Amendment. The Parties agree that upon the
effectiveness of this Amendment as provided in Section 10 except as amended
hereby or hereafter, the Participation Agreement and any and all other
agreements, documents, certificates and other instruments executed in connection
therewith shall remain in full force and effect in accordance with their terms,
and any reference to the Participation Agreement shall be deemed to be a
reference to the Participation Agreement as amended by this Amendment.

                  13. Amendment to Schedules and Exhibits. Schedule V-1 and
Exhibits I and J shall be added to the Participation Agreement in the forms
attached hereto


                  14. Counterparts. This Amendment may be executed in
counterparts, each of which shall constitute an original, but all of which when
taken together shall constitute but one instrument.

                  15. Governing Law. This Amendment shall be governed by and
construed in accordance with the laws of the State of New York.




                                       13
   14



                  IN WITNESS WHEREOF, the Parties have caused this Amendment to
be duly executed by their respective authorized officers as of the day and year
first above written.

                                        BEVERLY ENTERPRISES, INC., as
                                        Representative, Construction Agent,
                                        Parent Guarantor and a Lessee


                                        By
                                          --------------------------------------
                                           Name:
                                           Title:


                                        BANK OF MONTREAL, as Arranger,
                                        Administrative Agent and as a Lender


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        BANK OF MONTREAL GLOBAL CAPITAL
                                        SOLUTIONS, INC., as Agent Lessor and as
                                        a Lessor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        GENERAL ELECTRIC CAPITAL CORPORATION, as
                                        a Lender


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        TORONTO-DOMINION (TEXAS), INC., as a
                                        Lender


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                      S-1

   15



                                        BANK OF AMERICA, NATIONAL ASSOCIATION,
                                        as a Lender


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        VANTAGE HEALTHCARE CORPORATION, as
                                        Lessee and Structural Guarantor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        PETERSEN HEALTH CARE, INC., as Lessee
                                        and Structural Guarantor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        BEVERLY SAVANA CAY MANOR, INC., as
                                        Lessee and Structural Guarantor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        BEVERLY ENTERPRISES - GEORGIA, INC., as
                                        Lessee and Structural Guarantor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                      S-2

   16


                                        BEVERLY ENTERPRISES - CALIFORNIA, INC.,
                                        as Lessee and Structural Guarantor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        BEVERLY ENTERPRISES - ARKANSAS, INC., as
                                        Lessee and Structural Guarantor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        BEVERLY ENTERPRISES - FLORIDA, INC., as
                                        Lessee and Structural Guarantor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        BEVERLY HEALTH AND REHABILITATION
                                        SERVICES, INC., as Lessee and Structural
                                        Guarantor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:


                                        BEVERLY ENTERPRISES - WASHINGTON, INC.,
                                        as Lessee and Structural Guarantor


                                        By
                                          --------------------------------------
                                          Name:
                                          Title:



                                      S-3


   17



                                  Schedule V-1


                              Additional Properties






FACILITY #        FACILITY NAME                     CITY               COUNTY                 STATE
- ----------        -------------                     ----               ------                 -----

                                                                                  
2272              Lincoln Hills Health Care         Tell City          Perry                  IN

2046              Fontanbleu Nursing Center         Bloomington        Monroe                 IN

3678              Woodland Convalescent Center      Newburgh           Warrick                IN