EXHIBIT 32.1

                Certification pursuant to 18 U.S.C. Section 1350,
                             as adopted pursuant to
                  Section 906 of the Sarbanes-Oxley Act of 2002

I, Paul A. Ormond, Chairman, President and Chief Executive Officer of Manor
Care, Inc. (the Company) certify, pursuant to 18 U.S.C. Section 1350, as adopted
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of
my knowledge:

         (1)  The Quarterly Report of the Company on Form 10-Q for the period
              ended March 31, 2004 as filed with the Securities and Exchange
              Commission on the date hereof (the Report) fully complies with the
              requirements of section 13(a) or 15(d) of the Securities Exchange
              Act of 1934; and

         (2)  The information contained in the Report fairly presents, in all
              material respects, the financial condition and results of
              operations of the Company as of, and for, the periods presented in
              the Report.

/s/ Paul A. Ormond

Paul A. Ormond
Chairman, President and Chief Executive Officer
May 4, 2004