EXHIBIT 10.19

                  AMENDMENT NO. 1 TO MASTER AGREEMENT TO LEASE

      This Amendment No. 1 (hereinafter "Amendment") is made to that certain
Master Agreement to Lease between National Health Investors, Inc. (Landlord) and
National HealthCorp L.P. ("Tenant") dated October 17, 1991, (hereinafter "Master
Lease"), and is entered into effective this 2nd day of June, 1993.

      WHEREAS, pursuant to the terms of the Master Lease, National HealthCorp
L.P. ("NHC") has heretofore agreed to lease certain licensed nursing homes or
retirement centers in 40 geographical locations as identified on Exhibit A to
said Master Lease; and

      WHEREAS, NHC has obtained Certificates of Need to expand the number of
licensed beds in three of said projects, namely the licensed nursing homes in
Hudson and Plant City, Florida, and in Anniston, Alabama; and

      WHEREAS, pursuant to Board resolution of today's date, the Board of
National Health Investors, Inc. ("NHI") has agreed to finance said expansions
and NHC has agreed to pay an increased lease rate thereon, all on the following
terms and conditions; and

      NOW, THEREFORE, IN CONSIDERATION OF THE PREMISES, the parties do hereby
amend the Master Lease by the addition of the following as paragraph 2.07:

      2.07: Expanded Projects. Landlord and Tenant hereby agree that Tenant is
      granted the right to increase the licensed bed capacity at the Leased
      Property located in Hudson and Plant City, Florida, and Anniston, Alabama,
      so long as its expansions are authorized with a certificate of need from
      the appropriate governmental authority and are constructed in a
      substantially similar manner as the existing Leased Property. Landlord
      agrees (at the request of Tenant, and after the issuance of a certificate
      of occupancy on the Expanded Project) to reimburse Tenant for such hard
      costs, including land, construction, landscaping, fixtures or
      appurtenances, as Tenant may have incurred in the expansion of the
      project. At such time as this reimbursement is sought by Tenant, Tenant
      agrees to amend the individual lease for that Leased Property, and to
      increase the base rent thereon by an annual factor equal to 10% times the
      expenses reimbursed by Landlord.

      The parties further agree that the Additional Rent provided for in
      paragraph 2.02 above shall commence on that part of the Leased Property
      expanded pursuant to the terms of this paragraph 2.07 effective the first
      day of January of the calendar year commencing no sooner than six months
      after the date of the commencement of Tenant's lease obligation on the
      expanded property.

      All the rest and residue of the Master Lease and the individual leases on
the Leased Properties located in Hudson and Plant City, Florida, and Anniston,
Alabama, are hereby ratified and affirmed. Executed this the 2nd day of June,
1993.

                                    NATIONAL HEALTH INVESTORS, INC.

                                    /s/ Richard F. LaRoche, Jr.
                                    Richard F. LaRoche, Jr., Vice President

                                    NATIONAL HEALTHCORP L.P.

                                    /s/ Robert G. Adams
                                    Robert G. Adams, Senior Vice President