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                                                                   EXHIBIT 10.10
                     SECOND AMENDED EMPLOYMENT AGREEMENT


     This SECOND AMENDED EMPLOYMENT AGREEMENT ("Agreement"), effective as of
April 1, 1997 between HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA, an
Ohio corporation (the "Company"), HEALTH CARE AND RETIREMENT CORPORATION, a
Delaware corporation and sole stockholder of the Company ("HCR) and M. KEITH
WEIKEL ("Employee"), supersedes and replaces all prior employment agreements
between the parties hereto.

                                   RECITALS

A.   The Company has agreed to employ Employee in the position and at the base
     rate of pay set forth on Schedule I.

B.   The Company has further agreed to provide severance benefits to Employee
     upon a termination of Employee's employment resulting from certain
     specified events.

C.   The Company wishes to insure that its senior executives and other key
     employees are not practically disabled from discharging their duties in
     respect to a proposed or actual transaction involving a Change in Control.

D.   The Company desires to assure itself of both present and future
     continuity of management and desires to establish certain minimum
     severance benefits for certain of its senior executive officers and other
     key employees, including Employee, applicable in the event of a Change in
     Control.

                                    EVENTS

     In consideration of the foregoing, and for other good and valuable
consideration, the receipt and adequacy of which is hereby acknowledged,
Employee and the Company hereby agree as follows:

     1. CERTAIN DEFINED TERMS.  The following terms have the meanings set forth
below:

           (a) "Accounting Firm" is defined in Section 10(b).

           (b) "Aggregate Cash Compensation" means the sum of Base Pay and
      Employee's cash bonuses pursuant to the Company's Annual Incentive Plan
      and Performance Award Plan as in effect at any time of determination.

           (c) "Base Pay" means Employee's annual base salary as in effect at
      any time of determination.

           (d) "Board" means the Board of Directors of HCR.

           (e) "Cause" means Employee's financial dishonesty, fraud in the
      performance of his duties, willful failure to perform assigned duties
      hereunder or the commission of a felony.

           (f) "Change in Control" means the occurrence during the Protected
      Term of any of the following events:



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                 (i) HCR is merged, consolidated or reorganized into or with
            another corporation or other legal person, and as a result of such
            merger, consolidation or reorganization less than sixty-five
            percent of the combined voting power of the then outstanding
            securities of such resulting corporation or person immediately
            after such transaction are held in the aggregate by the holders of
            Voting Stock of HCR immediately prior to such transaction;

                 (ii) HCR sells or otherwise transfers all or substantially all
            of its assets to another corporation or other legal person, and as
            a result of such sale or transfer less than sixty-five percent of
            the combined voting power of the then outstanding Voting Stock of
            such corporation or person immediately after such sale or transfer
            is held in the aggregate by the holders of Voting Stock of HCR
            immediately prior to such sale or transfer;

                 (iii) There is a report filed on Schedule 13D or Schedule
            14D-1 (or any successor schedule, form or report), each as
            promulgated pursuant to the Exchange Act, disclosing that any
            person (as the term "person" is used in Section 13(d)(3) or Section
            14(d)(2) of the Exchange Act) has become the beneficial owner (as
            the term "beneficial owner" is defined under Rule 13d-3 or any
            successor rule or regulation promulgated under the Exchange Act) of
            15% or more of the then outstanding Voting Stock of HCR;

                 (iv) HCR files a report or proxy statement with the Securities
            and Exchange Commission pursuant to the Exchange Act disclosing in
            response to Form 8-K or Schedule 14A (or any successor schedule,
            form or report or item therein) that a Change in Control of HCR has
            occurred or will occur in the future pursuant to any then existing
            contract or transaction; or

                 (v) If, during any consecutive twelve month period,
            individuals who at the beginning of any such period constitute the
            Directors cease for any reason to constitute at least a majority
            thereof, provided, however, that for purposes of this clause (v)
            each Director who is first elected, or first nominated for election
            by HCR's stockholders, by a vote of at least one-half of the
            Directors (or a committee thereof) then still in office who were
            Directors at the beginning of any such period will be deemed to
            have been a Director at the beginning of such period.

           Notwithstanding the foregoing provisions of Sections 1(f)(iii) or
      1(f)(iv), unless otherwise determined in a specific case by majority vote
      of the Board, a "Change in Control" shall not be deemed to have occurred
      for purposes of Sections 1(f)(iii) or 1(f)(iv) solely because (1) HCR,
      (2) any Subsidiary (including, without limitation, the Company) or (3)
      any employee stock ownership plan or any other employee benefit plan of
      HCR or any Subsidiary either files or becomes obligated to file a report
      or a proxy statement under or in response to Schedule 13D, Schedule
      14D-1, Form 8-K or Schedule 14A (or any successor schedule, form or
      report or item therein) under the Exchange Act disclosing beneficial
      ownership by it of shares of Voting Stock of HCR, whether in excess of
      15% or otherwise, or because HCR reports that a change in control of HCR
      has occurred or will occur in the future by reason of such beneficial
      ownership.

           (g) "Competing Business" shall mean any person, corporation or other
      entity engaged in the United States of America in providing long-term
      care, skilled nursing or rehabilitative services or selling or attempting
      to sell or providing or attempting to provide any 


                                      
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      other product or service which is the same as or similar to products or
      services sold or provided by the Company within the last 2 years prior to
      termination of Employee's employment hereunder.

           (h) "Continuation Period" means the thirty-six months immediately
      following the Termination Date.

           (i) "Director" means a member of the Board.

           (j) "Employee Benefits" means the perquisites and benefits as
      provided under any and all employee retirement income and welfare benefit
      policies, plans, programs or arrangements in which Employee is entitled
      to participate at any time of determination, including, without
      limitation, any stock option, stock purchase, stock appreciation,
      savings, pension, supplemental employee retirement, or other retirement
      income or welfare benefit, deferred compensation, incentive compensation,
      group or other life, health, medical/hospital or other insurance (whether
      funded by actual insurance or self-insured by the Company), disability,
      salary continuation, expense reimbursement and other employee benefit
      policies.

           (k) "Exchange Act" means the Securities Exchange Act of 1934, as
      amended.

           (l) "Excise Tax" is defined in Section 10(a).

           (m) "Gross-Up Payment" is defined in Section 10(a).

           (n) "ISO" is defined in Section 10(a).

           (o) "Payment" is defined in Section 10(a).

           (p) "Protected Term" means the period commencing as of the date
      hereof and expiring as of the close of business on March 31, 2000;
      provided, however, that: (i) commencing on April 1, 1998 and each April 1
      thereafter, the term of this Agreement will automatically be extended for
      an additional year unless, not later than December 31 of the immediately
      preceding year, the Company or Employee shall have given notice that it
      or Employee, as the case may be, does not wish to have the Protected Term
      extended; and (ii) except as otherwise provided in the last sentence of
      Section 12, if, prior to a Change in Control, Employee ceases for any
      reason to be an employee of the Company, thereupon without further action
      the Protected Term shall be deemed to have expired and Sections 8, 10, 11
      and 14(a) and the last sentence of Section 12 of this Agreement and the
      portion of any other provision of this Agreement that incorporates such
      provisions will immediately terminate and be of no further effect.  For
      purposes of this Section 1(p), Employee shall not be deemed to have
      ceased to be an employee of the Company by reason of the transfer of
      Employee's employment between or among HCR and the Company or any other
      Subsidiary.

           (q) "Severance Period" means the period of time commencing on the
      date of the occurrence of a Change in Control and continuing until the
      earliest of (i) the third anniversary of the occurrence of the Change in
      Control (ii) Employee's death, or (ii) Employee's attainment of age 65.

           (r) "Severance Benefits" are defined in Section 8(b).



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           (s) "Subsidiary" means any entity in which HCR directly or
      indirectly beneficially owns 50% or more of the then outstanding Voting
      Stock.

           (t) "Termination Date" means the effective date of Employee's
      termination of employment with the Company; provided that for purposes of
      this Section 1(t), Employee shall not be deemed to have ceased to be an
      employee of the Company by reason of the transfer of Employee's
      employment between or among HCR and the Company or any other Subsidiary.

           (u) "Underpayment" is defined in Section 10(a).

           (v) "Voting Stock" means securities entitled to vote generally in
      the election of directors.

     2. SALARY AND POSITION.  Employee's Base Pay and job title shown on
Schedule I are correct as of the date hereof and in accordance with Employee's
understanding.

     3. AT-WILL EMPLOYMENT.  Employee's employment with the Company is not for
any specified term and may be terminated by Employee or by the Company at any
time for any reason, with or without Cause.

     4. NO OTHER AGREEMENTS.  Except as specifically set forth herein and in
Schedule II attached hereto, Employee represents and warrants that there are no
other written or oral agreements, understandings or commitments relating to
Employee's future employment, work assignments, compensation (including
compensation upon termination), benefits, or any other term or condition of
employment.

     5. ENTIRE AGREEMENT.  This Agreement and the agreements listed in Schedule
II attached hereto constitute the complete agreement between Employee and the
Company regarding any and all aspects of their employment relationship and
supersede any and all prior written or oral agreements, understandings or
commitments.  Employee understands that no representative of the Company has
been authorized to enter into any agreement, understanding or commitment with
Employee which is inconsistent in any way with the terms of this Agreement.

     6. PROHIBITION AGAINST AMENDMENT.  Employee's Base Pay may be modified by
the Company at any time in its sole discretion.  The retirement and benefit
plans set forth in Schedule II attached hereto in which Employee is entitled to
participate may be improved, reduced or terminated by the Company at any time
in its sole discretion; provided, however, that no vested or accrued benefit
shall be adversely affected.  No term set forth in this Agreement, including
without limitation the terms set forth in Section 3 hereof, may be modified in
any way except by a written agreement signed by Employee and by an authorized
representative of the Company which expressly states the intention of the
parties to modify the terms of this Agreement.

     7. SEVERANCE PAYMENT NOT FOLLOWING A CHANGE IN CONTROL.  Except as
provided in Section 8:

           (a) Upon the termination of Employee's employment as a result of
      Employee's electing to resign his employment or to retire without the
      consent of the Company, no payments shall be required or made pursuant to
      this Section 7.



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           (b) Upon the termination of Employee's employment by the Company for
      Cause, no payments shall be required or made pursuant to this Section 7.

           (c) Upon the termination of Employee's employment by the Company for
      any reason other than for Cause or disability, the Company shall continue
      payment of Employee's Base Pay, at the rate then in effect on the
      Termination Date, for a period of one year after such Termination Date.
      The Company shall give thirty (30) days written notice of any such
      termination which notice shall specify the Termination Date.

           (d) Upon the termination of Employee's employment as a result of the
      death of Employee, the Company shall continue payment of Employee's Base
      Pay, at the rate then in effect on the Termination Date, for a period of
      one year after such Termination Date; provided, however, that such
      payments shall be offset by any survivor benefits, excluding life
      insurance proceeds, received by Employee's spouse or other designated
      beneficiary under the Company's plans, programs and policies.

           (e) Upon the termination of Employee's employment as a result of his
      becoming unable to perform his duties due to a disability as established
      by the award of long-term disability benefits under the Company's
      long-term disability plan, the Company may terminate Employee's
      employment by giving Employee thirty (30) days written notice of its
      intention to terminate.  In such event, Company shall continue payment of
      Employee's Base Pay, at the rate then in effect on the Termination Date,
      for a period of one year after such Termination Date; provided, however,
      that such payments shall be offset by any disability benefits received by
      Employee, or his legal guardian, under the Company's plans, programs and
      policies.

           (f) Notwithstanding anything to the contrary contained in this
      Section 7, upon the termination of Employee's employment for any reason
      other than pursuant to Section 8, whether voluntarily or involuntarily
      and whether with or without Cause, Employee shall be entitled to the
      payments provided for hereunder and such rights as he otherwise has under
      the Company's Restricted Stock Plan and the Company's Stock Option Plan
      in the circumstances of his particular termination.

      8. TERMINATION FOLLOWING A CHANGE IN CONTROL.

           (a) Eligibility for Severance Benefits.

                 (i) If, during the Severance Period, Employee's employment is
            terminated by the Company other than for Cause and other than as a
            result of his death or disability pursuant to Section 7(d) or (e),
            Employee shall be entitled to the Severance Benefits.

                 (ii) Following the consummation of a Change in Control,
            Employee may elect, within the 60-day period following the
            occurrence of one of the following events, to terminate employment
            with the Company and receive the Severance Benefits (pursuant to
            written notice to the Board specifying the effective date of such
            termination which shall not be earlier than the date of the Board's
            receipt of such notice and shall not be later than the end of such
            60-day period):



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                       (A) Failure to elect or reelect or otherwise to maintain
                  Employee in the office or position, or a substantially
                  equivalent office or position, of or with the Company or
                  successor, as the case may be, which Employee held
                  immediately prior to a Change in Control, or the removal of
                  Employee as a Director (or as a member of the board of
                  directors of any successor thereto) if Employee shall have
                  been a Director immediately prior to the Change in Control;

                       (B) The occurrence of any of the following:

                             (I) a significant adverse change in the nature or
                        scope of the authorities, powers, functions,
                        responsibilities or duties attached to the position
                        with the Company or successor, as the case may be,
                        which Employee held immediately prior to the Change in
                        Control;

                             (II) a reduction in Employee's Base Pay as in
                        effect immediately prior to the Change in Control;

                             (III) a material reduction in the scope or value
                        of Employee Benefits as in effect immediately prior to
                        a Change in Control; or

                             (IV) any material breach of this Agreement by the
                        Company or any successor thereto,

                        which situation is not remedied within 10 calendar days
                        after written notice to the Board (or the board of any
                        successor) from Employee;

                       (C) The liquidation, dissolution, merger, consolidation
                  or reorganization of the Company or transfer of all or
                  substantially all of its business and/or assets, unless the
                  surviving or successor entity, if other than the Company (by
                  liquidation, merger, consolidation, reorganization, transfer
                  or otherwise), to which all or substantially all of such
                  business and/or assets have been transferred (directly or by
                  operation of law) assumes all duties and obligations of the
                  Company under this Agreement pursuant to Section 16(a); or

                       (D) The Company or any successor, as the case may be, by
                  which Employee is employed relocates its principal executive
                  offices, or requires Employee to have his principal location
                  of work changed, to any location which increases by more than
                  25 miles Employee's commute to such location immediately
                  prior to the Change in Control, or requires Employee to
                  travel away from his office in the course of discharging his
                  responsibilities or duties hereunder at least 20% more (in
                  terms of aggregate days in any calendar year or in any
                  calendar quarter when annualized for purposes of comparison
                  to any prior year) than the average of such time that was
                  required of Employee in the three full years immediately
                  prior to the Change of Control without, in either case, his
                  prior written consent.


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                 (iii) If Employee elects to terminate employment with the
            Company or any successor, as the case may be, for any reason, or
            without reason, during such portion of the 180-day period
            immediately following the first anniversary of the occurrence of
            any Change in Control that falls within the Severance Period,
            Employee shall be entitled to the Severance Benefits.

           (b) Severance Benefits.  If, following the occurrence of a Change in
      Control, Employee's employment with the Company is terminated pursuant to
      Section 8(a)(i), (ii) or (iii), the Company will pay to Employee the
      following amounts within five business days after the Termination Date
      and will provide to Employee the following benefits (collectively, the
      "Severance Benefits"):

                 (i) A lump sum payment equal to three times the highest
            Aggregate Cash Compensation paid or payable to Employee for any of
            the three calendar years preceding the year in which the
            Termination Date occurs or for the year in which the Termination
            Date occurs if the Termination Date occurs after the end of the
            first quarter; for purposes of this Section 8(b)(i), if the
            Company's financial performance for the year-to-date period
            preceding the Termination Date is consistent with budgeted levels
            (as certified by the Compensation Committee) then the Aggregate
            Cash Compensation for the year in which the Termination Date occurs
            shall be assumed to be equal to the sum of: (A) the Employee's Base
            Pay, (B) the Employee's Annual Incentive Plan bonus payable for the
            year in which the Termination Date occurs, calculated by
            multiplying the product of the Employee's Base Pay and the
            Employee's bonus percentage by 150%, and (C) the Employee's
            Performance Award Plan award payable for the award period ending
            with the year in which the Termination Date occurs as if the
            earnings per share growth rate for such year were assumed to be the
            actual growth rate for the year-to-date period prior to the
            Termination Date;

                 (ii) During the Continuation Period:

                       (A) the Company will arrange to provide Employee with
                  group medical, dental and vision benefits substantially
                  similar to those which Employee was receiving or entitled to
                  receive immediately prior to the Change in Control; and

                       (B) the Company (or successor) will provide Employee the
                  use of office space, furnishings and secretarial support
                  services comparable to those provided to Employee immediately
                  prior to the Change in Control;

                       If and to the extent that any benefit described in
                  Section 8(b)(ii)(A) is not or cannot be paid or provided
                  under any policy, plan program or arrangement of the Company,
                  then the Company will pay or provide for the payment to
                  Employee, his dependents and beneficiaries, of such Employee
                  Benefits in any manner selected by the Company.  Without
                  otherwise limiting the purposes or effect of Section 8,
                  Employee Benefits otherwise receivable by Employee pursuant
                  to Section 8(b)(ii)(A) will be reduced to the extent
                  comparable welfare benefits are actually received by Employee
                  from another employer during the Continuation Period, and any
                  such benefits received by Employee shall be reported by
                  Employee to the Company.



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