1 EXHIBIT 21 STATE OF INC. OR NAME OF SUBSIDIARY ORGANIZATION DOING BUSINESS AS - ------------------ ------------ ----------------- HCRC Inc. Delaware Same Ancillary Services Management, Inc. Ohio Same HCR Acquisition Corp. Ohio Same MileStone Healthcare, Inc. Delaware Same HCR Information Corporation Ohio Same Heartland CarePartners, Inc. Ohio Same RVA Management Services, Inc. Ohio Same Vision Management Services, Inc. Ohio Same (majority owned) HCR Home Health Care and Hospice, Inc. Ohio Same Heartland Home Health Care Services, Inc. Ohio Same Heartland Home Health Care Heartland Home Health Care and Hospice Heartland Hospice Services, Inc. Ohio Same Heartland Home Health Care Heartland Home Health Care and Hospice Heartland Services Corp. Ohio Same - -Heartland Healthcare Services Ohio Same (50% owned partnership) HCR Rehabilitation Corp. Ohio Same Heartland Rehabilitation Services, Inc. Ohio Same Heartland Home Care, Inc. Ohio Same Heartland Home Health Care Heartland Home Health Care and Hospice MileStone Health Systems, Inc. Texas Same MileStone Rehabilitation Services, Inc. Texas Same MileStone Therapy Services, Inc. Texas Same Health Care and Retirement Ohio Same Corporation of America Heartland - Beavercreek Heartland of Bellefontaine Heartland of Browning Heartland of Bucyrus Heartland of Centerburg Heartland of Chillicothe Heartland of Eaton Heartland - Fairfield Heartland of Greenville Heartland of Hillsboro Heartland - Holly Glen Heartland of Indian Lake N.C. Heartland of Jackson Heartland of Kettering Heartland - Lansing 2 STATE OF INC. OR NAME OF SUBSIDIARY ORGANIZATION DOING BUSINESS AS - ------------------ ------------ ----------------- Heartland of Marietta Heartland of Marysville Oak Pavilion Nursing Home Heartland of Oak Ridge Heartland of Perrysburg Perrysburg Commons Heartland of Piqua Heartland of Portsmouth Heartland of Riverview Heartland of Springfield Heartland of Urbana Heartland - Victorian Village Heartland of Wauseon The Village at Westerville NC The Village at Westerville RC Christopher East Health Care Center Heartland Health Care Center-Prestwick Glenside Nursing Center Hampton House Heartland Health Care Center (Pittsburgh) Shadyside Nursing & Rehab. Center Sky Vue Terrace Twinbrook Medical Center Wallingford Nursing & Rehab. Center Heartland of Beckley Heartland of Charleston Heartland of Clarksburg Heartland of Keyser Heartland of Preston County Heartland of Rainelle Heartland Health Care Center - Allen Park Heartland Health Care Center - Crestview Heartland Health Care Ctr-Dearborn Heights Heartland Health Care Center - Dorvin Heartland Health Care Center - Georgian East Heartland Health Care Center - Grand Rapids Heartland Health Care Ctr - Plymouth Court Heartland Health Care Center - University Marvin and Betty Danto Family, Health Care Center, a Health Care and Retirement Corporation facility Dulaney-Towson Health Care Center Heartland Health Care Center - Hyattsville Heartland Health Care Center - Adelphi Heartland Health Care Center - Charleston Oakmont East 3 STATE OF INC. OR NAME OF SUBSIDIARY ORGANIZATION DOING BUSINESS AS - ------------------ ------------ ----------------- Oakmont of Union Oakmont West Rosewood Manor Health Care Center Heartland of Willow Lane Medical Care Center Oak Meadow Nursing Center Heartland Health Care Center (Canton) Heartland Health Care Center - Galesburg Heartland Health Care Center (Henry) Heartland Health Care Center (Homewood) Heartland Health Care Center - Macomb Heartland Health Care Center - Moline Heartland Health Care Center (Paxton) Heartland Health Care and Rehabilitation Center of Boca Raton Heartland Health Care Ctr-Boynton Beach Heartland of Brooksville Community Convalescent Center Heartland Health Care Center-Ft. Myers Jacaranda Manor Heartland Health Care Ctr-Jacksonville Heartland Health Care Center-Kendall Heartland Health Care Ctr-Lauderhill Heartland Health Care Ctr-Miami Lakes Heartland Health Care Ctr-Orange Park Pasadena Manor Heartland Health Care Ctr-Prosperity Oaks Regents Park of Jacksonville Deerwood Place Regents Park of Winter Park The Westchester of Winter Park Rosedale Manor Heartland of St. Petersburg Heartland Health Care and Rehabilitation Center - Sunrise The Westchester of Sunrise Heartland of Tamarac Heartland of Zephyrhills Care Corporation Michigan Inactive Georgian Bloomfield, Inc. Michigan Heartland Health Care Center - Georgian Bloomfield Heartland of Indian Lake Ohio Heartland of Indian Lake Rehab. Center, Inc. Rehab. Center Heartland of Martinsburg, Inc. Ohio Heartland of Martinsburg HGCC of Allentown, Inc. Tennessee Liberty Nursing & Rehab. Center Lincoln Health Care, Inc. Ohio Heartland of Mentor 4 STATE OF INC. OR NAME OF SUBSIDIARY ORGANIZATION DOING BUSINESS AS - ------------------ ------------ ----------------- Washtenaw Hills Manor, Inc. Michigan Same Heartland Health Care Center - Ann Arbor HCRA of Texas, Inc. Texas Same Heartland Health Care Center (Austin) Heartland Health Care Center (Bedford) Heartland of Corpus Christi Holiday Nursing Center Heartland of San Antonio Heartland Health Care Center (Temple) Heartland Health Care Center at Willowbrook Heartland Health Care Ctr (West Houston) Care Corporation Holdings, Inc. Michigan Same Care Real Estate, Inc. Michigan Same Canterbury Village, Inc. Michigan Heartland Village Square Care Manors, Inc. Michigan Same Birchwood Manor, Inc. Michigan Holland Health Care Center Donahoe Manor, Inc. Pennsylvania Donahoe Manor East Michigan Care Corporation Michigan Heartland Health Care Center - Briarwood Heartland Health Care Center - Fostrian Heartland Health Care Center - Hampton Heartland Health Care Center - Marlin Greenview Manor, Inc. Michigan Heartland Health Care Center - Greenview Ionia Manor, Inc. Michigan Heartland Health Care Center - Ionia Knollview Manor, Inc. Michigan Heartland Health Care Center - Knollview Marina View Manor, Inc. Wisconsin Marina View Manor Heartland of Milwaukee Parkview Terrace Heartland of Shawano Washington Manor Ridgeview Manor, Inc. Michigan Heartland Health Care Center - Kalamazoo Springhill Manor, Inc. Michigan Heartland Health Care Center - Battle Creek Sun Valley Manor, Inc. Michigan Heartland Health Care Center - Saginaw Three Rivers Manor, Inc. Michigan Heartland Health Care Center - Three Rivers Whitehall Manor, Inc. Michigan Heartland Health Care Center - Whitehall Care Manors of New England, Inc. Delaware Same Crescent Hill Manor, Inc. Mass. Inactive Kensington Manor, Inc. Florida Kensington Manor Heartland Health Care and Rehabilitation Center (Sarasota) Mapleview Nursing Home, Inc. Mass. Inactive Meadows Manor, Inc. Conn. Inactive Spruce Manor Nursing Home, Inc. Mass. Inactive Union Square Nursing Center, Inc. Mass. Inactive Valley View Manor, Inc. Mass. Inactive Waterbury Manor, Inc. Conn. Inactive