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**Exhibit 21 Subsidiaries of the Company**

| **Entity Name**                                           |   | **State of      Organization** |
|-----------------------------------------------------------|--------|--------------------------------|
|                                                           |
| Academy Nursing Home, Inc.                                |   | Massachusetts                  |
| Accumed, Inc.                                             |   | New Hampshire                  |
| ADS Apple Valley, Inc.                                    |   | Massachusetts                  |
| ADS Consulting, Inc.                                      |   | Massachusetts                  |
| ADS Danvers ALF, Inc.                                     |   | Delaware                       |
| ADS Dartmouth ALF, Inc.                                   |   | Delaware                       |
| ADS Group, Inc. (The)                                     |   | Massachusetts                  |
| ADS Hingham ALF, Inc.                                     |   | Delaware                       |
| ADS Hingham Nursing Facility, Inc.                        |   | Massachusetts                  |
| ADS Palm Chelmsford, Inc.                                 |   | Massachusetts                  |
| ADS Recuperative Center, Inc.                             |   | Massachusetts                  |
| ADS Reservoir Waltham, Inc.                               |   | Massachusetts                  |
| ADS Senior Housing, Inc.                                  |   | Massachusetts                  |
| ANR, Inc. (f/k/a Adacom Network Routers, Inc.)            |   | Delaware                       |
| Apple Valley Partnership Holding Company,      Inc. (The) |   | Pennsylvania                   |
| Applewood Health Resources, Inc.                          |   | Delaware                       |
| ASCO Healthcare of New England, Inc.                      |   | Maryland                       |
| ASCO Healthcare, Inc.                                     |   | Maryland                       |
| ASL, Inc.                                                 |   | Massachusetts                  |
| Assisted Living Associates of Berkshire, Inc.      (The)  |   | Pennsylvania                   |
| Assisted Living Associates of Lehigh, Inc.      (The)     |   | Pennsylvania                   |
| Assisted Living Associates of Sanatoga, Inc.      (The)   |   | Pennsylvania                   |
| Automated Professional Accounts, Inc.                     |   | West Virginia                  |
| Berks Nursing Homes, Inc.                                 |   | Pennsylvania                   |
| Brightwood Property, Inc.                                 |   | West Virginia                  |
| Brinton Manor, Inc.                                       |   | Delaware                       |
| Burlington Woods Convalescent Center, Inc.                |   | New Jersey                     |
| CareCard, Inc.                                            |   | Maryland                       |
| Carefleet, Inc.                                           |   | Pennsylvania                   |
| Cheltenham LTC Management, Inc.                           |   | Pennsylvania                   |
| CHG Investment Corp., Inc.                                |   | Delaware                       |
| CHNR-I, Inc.                                              |   | Delaware                       |
| Colonial Hall Health Resources, Inc.                      |   | Delaware                       |
| Colonial House Health Resources, Inc.                     |   | Delaware                       |
| Compass Health Services, Inc.                             |   | West Virginia                  |
| Concord Companion Care, Inc.                              |   | Pennsylvania                   |
| Concord Health Group, Inc.                                |   | Delaware                       |
| Concord Healthcare Corporation                            |   | Delaware                       |
| Concord Healthcare Services, Inc.                         |   | Pennsylvania                   |
| Concord Home Health, Inc.                                 |   | Pennsylvania                   |
| Concord Pharmacy Services, Inc.                           |   | Pennsylvania                   |
| Concord Rehab, Inc. d/b/a American Therapy                |   | Pennsylvania                   |
| Concord Service Corporation                               |   | Pennsylvania                   |
| Crestview Convalescent Home, Inc.                         |   | Pennsylvania                   |
| Crestview North, Inc.                                     |   | Pennsylvania                   |

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| **Entity Name**                                                                                                                                                                    |   | **State of      Organization** |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------|--------------------------------|
|                                                                                                                                                                                    |
| CVNR, Inc.                                                                                                                                                                         |   | Delaware                       |
| Dawn View Manor, Inc.                                                                                                                                                              |   | West Virginia                  |
| Delco Apothecary, Inc.                                                                                                                                                             |   | Pennsylvania                   |
| DELM Nursing, Inc.                                                                                                                                                                 |   | Pennsylvania                   |
| Denton Healthcare Corporation                                                                                                                                                      |   | Delaware                       |
| Derby Nursing Center Corporation                                                                                                                                                   |   | Connecticut                    |
| Diane Morgan and Associates,      Inc. d/b/a DM & A Rehab                                                                                                                      |   | Pennsylvania                   |
| Dover Healthcare Associates,      Inc.                                                                                                                                             |   | Delaware                       |
| Eastern Medical Supplies, Inc.                                                                                                                                                     |   | Maryland                       |
| Eastern Rehab Services, Inc.                                                                                                                                                       |   | Maryland                       |
| EIDOS, Inc.                                                                                                                                                                        |   | Florida                        |
| ElderCare Resources Corp. f/k/a      Health Resources of Tazewell, Inc.                                                                                                            |   | Delaware                       |
| Elmwood Health Resources, Inc.                                                                                                                                                     |   | Delaware                       |
| Encare of Massachusetts, Inc.                                                                                                                                                      |   | Delaware                       |
| Encare of Pennypack, Inc.                                                                                                                                                          |   | Pennsylvania                   |
| Encare of Quakertown, Inc.                                                                                                                                                         |   | Pennsylvania                   |
| Encare of Wyncote, Inc.                                                                                                                                                            |   | Pennsylvania                   |
| RHS Membership Interest Holding      Company f/k/a Genesis Eldercare Adult Day Health Services, Inc.                                                                               |   | Pennsylvania                   |
| Genesis ElderCare Centers –      Beverly and Danvers, Inc. f/k/a Genesis ElderCare Centers I, Inc.                                                                            |   | Delaware                       |
| Genesis ElderCare Centers II,      Inc.                                                                                                                                            |   | Delaware                       |
| Genesis ElderCare Centers III,      Inc.                                                                                                                                           |   | Delaware                       |
| Genesis Eldercare Corp.                                                                                                                                                            |   | Delaware                       |
| Genesis ElderCare Diagnostic      Services, Inc. f/k/a Diversified Diagnostics, Inc.                                                                                               |   | Pennsylvania                   |
| Genesis Eldercare Home Care Services,      Inc. f/k/a Healthcare Services Network, Inc.                                                                                            |   | Pennsylvania                   |
| Genesis Eldercare Home Health      Services - Southern, Inc.                                                                                                                       |   | Pennsylvania                   |
| Genesis ElderCare Hospitality      Services, Inc. f/k/a HCHS, Inc.                                                                                                                 |   | Pennsylvania                   |
| Genesis ElderCare Living Facilities,      Inc.                                                                                                                                     |   | Pennsylvania                   |
| Genesis Eldercare Management      Services, Inc. f/k/a Bluefield Manor, Inc.                                                                                                       |   | Delaware                       |
| Genesis Eldercare National Centers,      Inc. f/k/a National Health Care Affiliates, Inc.                                                                                          |   | Florida                        |
| Genesis ElderCare Network Services      of Massachusetts, Inc.                                                                                                                     |   | Pennsylvania                   |
| Genesis Eldercare Network Services,      Inc. f/k/a Genesis Management Resources, Inc.       f/k/a Total Care Systems,      Inc.                     |   | Pennsylvania                   |
| Genesis ElderCare Partnership      Centers, Inc.                                                                                                                                   |   | Delaware                       |
| Genesis Eldercare Physician Services,      Inc. f/k/a Genesis Physician Services, Inc.       f/k/a Genesis Health Ventures      Linen Services, Inc. |   | Pennsylvania                   |
| Genesis Eldercare Properties,      Inc.                                                                                                                                            |   | Pennsylvania                   |
| Genesis Eldercare Rehabilitation      Management Services, Inc. f/k/a Robindale Medical Services, Inc.                                                                             |   | Pennsylvania                   |
| Genesis Eldercare Staffing Services,      Inc. f/k/a Staff Replacement Services, Inc. f/k/a SRS Acquisition Corporation                                                            |   | Pennsylvania                   |
| Genesis Health Services Corporation                                                                                                                                                |   | Delaware                       |
| Genesis Health Ventures of Arlington,      Inc.                                                                                                                                    |   | Pennsylvania                   |
| Genesis Health Ventures of Bloomfield,      Inc.                                                                                                                                   |   | Pennsylvania                   |
| Genesis Health Ventures of Clarks      Summit, Inc.                                                                                                                                |   | Pennsylvania                   |
| Genesis Health Ventures of Indiana,      Inc.                                                                                                                                      |   | Pennsylvania                   |
| Genesis Health Ventures of Lanham,      Inc.                                                                                                                                       |   | Pennsylvania                   |
| Genesis Health Ventures of Massachusetts,      Inc.                                                                                                                                |   | Pennsylvania                   |

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| **Entity Name**                                                                          |   | **State of      Organization** |
|------------------------------------------------------------------------------------------|--------|--------------------------------|
|                                                                                          |
| Genesis Health Ventures      of New Garden, Inc.                                         |   | Pennsylvania                   |
| Genesis Health Ventures of Point      Pleasant, Inc.                                     |   | Pennsylvania                   |
| Genesis Health Ventures of Salisbury,      Inc.                                          |   | Pennsylvania                   |
| Genesis Health Ventures of Wayne,      Inc.                                              |   | Pennsylvania                   |
| Genesis Health Ventures of West      Virginia, Inc.                                      |   | Pennsylvania                   |
| Genesis Health Ventures of Wilkes-Barre,      Inc.                                       |   | Pennsylvania                   |
| Genesis Health Ventures of Windsor,      Inc.                                            |   | Pennsylvania                   |
| Genesis Health Ventures, Inc.                                                            |   | Pennsylvania                   |
| Genesis Healthcare Centers Holdings,      Inc.                                           |   | Delaware                       |
| Genesis Holdings, Inc.                                                                   |   | Delaware                       |
| Genesis Immediate Med Center,      Inc.                                                  |   | Pennsylvania                   |
| Genesis Properties of Delaware      Corporation                                          |   | Delaware                       |
| Genesis SelectCare Corp.                                                                 |   | Pennsylvania                   |
| Genesis/VNA Partnership Holding      Company, Inc.                                       |   | Pennsylvania                   |
| Genesis-Crozer Partnership Holding      Company, Inc.                                    |   | Pennsylvania                   |
| Geriatric & Medical Companies,      Inc. f/k/a Geriatric & Medical Centers, Inc. |   | Delaware                       |
| Geriatric and Medical Services,      Inc.                                                |   | New Jersey                     |
| Geriatric and Medical Investments      Corporation                                       |   | Delaware                       |
| GeriMed Corp.                                                                            |   | Pennsylvania                   |
| GHV at Salisbury Center, Inc.                                                            |   | Pennsylvania                   |
| Glenmark Associates, Inc.                                                                |   | West Virginia                  |
| Glenmark Associates-Dawn View      Manor, Inc.                                           |   | West Virginia                  |
| Glenmark Properties, Inc.                                                                |   | West Virginia                  |
| GMA Partnership Holding Company,      Inc.                                               |   | West Virginia                  |
| GMA-Brightwood, Inc.                                                                     |   | West Virginia                  |
| GMA-Construction, Inc.                                                                   |   | West Virginia                  |
| GMA-Madison, Inc.                                                                        |   | West Virginia                  |
| GMA-Uniontown, Inc.                                                                      |   | Pennsylvania                   |
| GMC Leasing Corporation                                                                  |   | Delaware                       |
| GMC-LTC Management, Inc.                                                                 |   | Pennsylvania                   |
| GMS Insurance Services, Inc.                                                             |   | Pennsylvania                   |
| GMS Management - Tucker, Inc.                                                            |   | Pennsylvania                   |
| GMS Management, Inc.                                                                     |   | Pennsylvania                   |
| Governor's House Nursing Home,      Inc.                                                 |   | Delaware                       |
| H.O. Subsidiary, Inc. f/k/a HealthObjects,      Inc.                                     |   | Maryland                       |
| Health Concepts and Services,      Inc.                                                  |   | Maryland                       |
| Health Resources of Academy Manor,      Inc.                                             |   | Delaware                       |
| Health Resources of Arcadia,      Inc.                                                   |   | Delaware                       |
| Health Resources of Boardman,      Inc.                                                  |   | Delaware                       |
| Health Resources of Brooklyn,      Inc.                                                  |   | Delaware                       |
| Health Resources of Cedar Grove,      Inc.                                               |   | New Jersey                     |
| Health Resources of Cinnaminson,      Inc.                                               |   | New Jersey                     |
| Health Resources of Colchester,      Inc.                                                |   | Connecticut                    |
| Health Resources of Columbus,      Inc. (f/k/a MRD Realty, Inc.)                         |   | Delaware                       |
| Health Resources of Cumberland,      Inc.                                                |   | Delaware                       |
| Health Resources of Englewood,      Inc.                                                 |   | New Jersey                     |
| Health Resources of Ewing, Inc.                                                          |   | New Jersey                     |
| Health Resources of Farmington,      Inc.                                                |   | Delaware                       |
| Health Resources of Gardner,      Inc.                                                   |   | Delaware                       |

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| **Entity Name**                                                                                    |   | **State of      Organization** |
|----------------------------------------------------------------------------------------------------|--------|--------------------------------|
|                                                                                                    |
| Health Resources      of Glastonbury, Inc.                                                         |   | Connecticut                    |
| Health Resources of Groton, Inc.                                                                   |   | Delaware                       |
| Health Resources of Karmenta      and Madison, Inc.                                                |   | Delaware                       |
| Health Resources of Lakeview,      Inc.                                                            |   | New Jersey                     |
| Health Resources of Lemont, Inc,                                                                   |   | Delaware                       |
| Health Resources of Marcella,      Inc.                                                            |   | Delaware                       |
| Health Resources of Morristown,      Inc. (f/k/a P.W.O.N. Associates, Inc.)                        |   | New Jersey                     |
| Health Resources of Norfolk,      Inc.                                                             |   | Delaware                       |
| Health Resources of North Andover,      Inc.                                                       |   | Delaware                       |
| Health Resources of Norwalk,      Inc.                                                             |   | Connecticut                    |
| Health Resources of Rockville,      Inc.                                                           |   | Delaware                       |
| Health Resources of Solomont/Brookline,      Inc.                                                  |   | Delaware                       |
| Health Resources of Troy Hills,      Inc. (f/k/a F.L. Associates, Inc.)                            |   | New Jersey                     |
| Health Resources of Wallingford,      Inc.                                                         |   | Delaware                       |
| Health Resources of Warwick,      Inc. (f/k/a GANCI Acquisition Corp. f/k/a RAC Acquisition Corp.) |   | Delaware                       |
| Health Resources of Westwood,      Inc. (f/k/a Health Resources of Rhode Island, Inc.)             |   | Delaware                       |
| Healthcare Resources Corp.                                                                         |   | Pennsylvania                   |
| HealthObjects Corporation f/k/a      Neighborware Health Systems, Inc.                             |   | Maryland                       |
| Helstat, Inc.                                                                                      |   | West Virginia                  |
| Hilltop Health Care Center, Inc.                                                                   |   | Delaware                       |
| HMNH Realty, Inc.                                                                                  |   | Delaware                       |
| HNCA, Inc.                                                                                         |   | Pennsylvania                   |
| Horizon Associates, Inc.                                                                           |   | West Virginia                  |
| Horizon Medical Equipment and      Supply, Inc.                                                    |   | West Virginia                  |
| Horizon Mobile, Inc.                                                                               |   | West Virginia                  |
| Horizon Rehabilitation, Inc.                                                                       |   | West Virginia                  |
| House of Campbell (The)                                                                            |   | West Virginia                  |
| HR of Charlestown, Inc.                                                                            |   | West Virginia                  |
| HRWV Huntington, Inc.                                                                              |   | West Virginia                  |
| Innovative Health Care Marketing,      Inc.                                                        |   | Pennsylvania                   |
| Innovative Pharmacy Services,      Inc.                                                            |   | New Jersey                     |
| Institutional Health Care Services,      Inc.                                                      |   | New Jersey                     |
| Keystone Nursing Home, Inc.                                                                        |   | Delaware                       |
| Knollwood Manor, Inc.                                                                              |   | Pennsylvania                   |
| Knollwood Nursing Home, Inc.                                                                       |   | Delaware                       |
| Lakewood Health Resources, Inc.                                                                    |   | Delaware                       |
| Laurel Health Resources, Inc.                                                                      |   | Delaware                       |
| Liberty Health Corp. Ltd.                                                                          |   | Bermuda                        |
| Life Support Medical Equipment,      Inc.                                                          |   | Pennsylvania                   |
| Life Support Medical, Inc.                                                                         |   | Pennsylvania                   |
| Lincoln Nursing Home, Inc.                                                                         |   | Delaware                       |
| LRC Holding Company                                                                                |   | Delaware                       |
| LWNR, Inc.                                                                                         |   | Delaware                       |
| Mabri Convalescent Center, Inc.                                                                    |   | Connecticut                    |
| Madison Avenue Assisted Living,      Inc.                                                          |   | New Jersey                     |
| Manor Management Corporation      of Georgian Manor, Inc.                                          |   | Pennsylvania                   |
| Marlinton Partnership Holding      Company, Inc.                                                   |   | West Virginia                  |
| Marlinton Associates, Inc.                                                                         |   | West Virginia                  |
| Marshfield Health Resources,      Inc.                                                             |   | Delaware                       |
| McKerley Health Care Center -      Concord, Inc.                                                   |   | New Hampshire                  |

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| **Entity Name**                                                                                                |   | **State of      Organization** |
|----------------------------------------------------------------------------------------------------------------|--------|--------------------------------|
|                                                                                                                |
| McKerley Health Care      Centers, Inc.                                                                        |   | New Hampshire                  |
| Medical Services Group, Inc.                                                                                   |   | Maryland                       |
| Meridian Health, Inc. f/k/a MI      Acquisition Corp.                                                          |   | Pennsylvania                   |
| Meridian Healthcare Investments,      Inc.                                                                     |   | Maryland                       |
| Meridian Healthcare, Inc. f/k/a      MHC Acquisition Corp.                                                     |   | Pennsylvania                   |
| Metro Pharmaceuticals, Inc.                                                                                    |   | Pennsylvania                   |
| MHNR, Inc.                                                                                                     |   | Delaware                       |
| MNR, Inc.                                                                                                      |   | Delaware                       |
| Montgomery Nursing Homes, Inc.                                                                                 |   | Pennsylvania                   |
| Multicare AMC, Inc.                                                                                            |   | Delaware                       |
| Multicare Companies, Inc. (The)      (a/k/a Century Care Corporation in New Jersey)                            |   | Delaware                       |
| Multicare Home Health of Illinois,      Inc.                                                                   |   | Delaware                       |
| Multicare Payroll Corp.                                                                                        |   | New Jersey                     |
| National Pharmacy Service, Inc.                                                                                |   | Pennsylvania                   |
| NeighborCare Infusion Services,      Inc. f/k/a Vitalink Infusion Services, Inc.                               |   | Delaware                       |
| NeighborCare of Indiana, Inc.      f/k/a TeamCare of Indiana, Inc.                                             |   | Indiana                        |
| NeighborCare of Northern California,      Inc. f/k/a CompuPharm of Northern California, Inc.                   |   | California                     |
| NeighborCare of Oklahoma, Inc.      f/k/a Vitalink Subsidiary, Inc.                                            |   | Oklahoma                       |
| NeighborCare of Virginia, Inc.      f/k/a TeamCare of Virginia, Inc.                                           |   | Virginia                       |
| NeighborCare of Wisconsin, Inc.      f/k/a GCI Innovative Pharmacy, Inc.                                       |   | Wisconsin                      |
| NeighborCare Pharmacies, Inc.                                                                                  |   | Maryland                       |
| NeighborCare Pharmacy Services,      Inc. f/k/a Vitalink Pharmacy Services, Inc.                               |   | Delaware                       |
| NeighborCare-Medisco, Inc. f/k/a      Medisco Pharmacies, Inc.                                                 |   | California                     |
| NeighborCare-ORCA, Inc. f/k/a      White, Mack & Wart, Inc. d/b/a Propac Pharmacy                          |   | Oregon                         |
| NeighborCare-TCI, Inc.                                                                                         |   | Delaware                       |
| Ye Olde Ambulance Company, Inc.      f/k/a Network Ambulance Services, Inc. f/k/a Life Support Ambulance, Inc. |   | Pennsylvania                   |
| North Madison, Inc.                                                                                            |   | West Virginia                  |
| Northwestern Management Services,      Inc.                                                                    |   | Delaware                       |
| Nursing and Retirement Center      of the Andovers, Inc.                                                       |   | Massachusetts                  |
| Oak Hill Health Care Center,      Inc.                                                                         |   | Virginia                       |
| Pharmacy Equities, Inc.                                                                                        |   | Pennsylvania                   |
| PHC Operating Corp.                                                                                            |   | Delaware                       |
| Philadelphia Avenue Corporation                                                                                |   | Pennsylvania                   |
| Pocahontas Continuous Care Center,      Inc.                                                                   |   | West Virginia                  |
| Prescott Nursing Home, Inc.                                                                                    |   | Massachusetts                  |
| Professional Pharmacy Services,      Inc.                                                                      |   | Maryland                       |
| Progressive Rehabilitation Centers,      Inc. (f/k/a Health Resources of Lakewood, Inc.)                       |   | Delaware                       |
| Prospect Park LTC Management,      Inc.                                                                        |   | Pennsylvania                   |
| Providence Funding Corporation                                                                                 |   | Delaware                       |
| Providence Health Care, Inc.                                                                                   |   | Delaware                       |
| Providence Medical, Inc.                                                                                       |   | Ohio                           |
| Quakertown Manor Convalescent      and Rehabilitation, Inc.                                                    |   | Delaware                       |
| Rest Haven Nursing Home, Inc.                                                                                  |   | West Virginia                  |
| Ridgeland Health Resources, Inc.                                                                               |   | Delaware                       |
| River Pines Health Resources,      Inc.                                                                        |   | Delaware                       |
| Rivershores Health Resources,      Inc.                                                                        |   | Delaware                       |
| RLNR, Inc.                                                                                                     |   | Delaware                       |
| Rose Healthcare, Inc.                                                                                          |   | New Jersey                     |
| Roxborough Nursing Home, Inc.                                                                                  |   | Pennsylvania                   |

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| **Entity Name**                                                                          |   | **State of      Organization** |
|------------------------------------------------------------------------------------------|--------|--------------------------------|
|                                                                                          |
| RSNR, Inc.                                                                               |   | Delaware                       |
| RVNR, Inc.                                                                               |   | Delaware                       |
| S.T.B. Investors, LTD                                                                    |   | New York                       |
| Schuylkill Nursing Home, Inc.                                                            |   | Pennsylvania                   |
| Schuylkill Partnership Acquisition      Corp.                                            |   | Pennsylvania                   |
| Scotchwood Massachusetts Holding      Co., Inc.                                          |   | Delaware                       |
| Senior Living Ventures, Inc.                                                             |   | Pennsylvania                   |
| Senior Source, Inc.                                                                      |   | Massachusetts                  |
| Snow Valley Health Resources,      Inc.                                                  |   | Delaware                       |
| Solomont Family Fall River Venture,      Inc.                                            |   | Massachusetts                  |
| Solomont Family River Medford      Venture, Inc.                                         |   | Massachusetts                  |
| State Street Associates, Inc.      (f/k/a Genesis Health Ventures of Brackenridge, Inc.) |   | Pennsylvania                   |
| Suburban Medical Services, Inc.                                                          |   | Pennsylvania                   |
| SVNR, Inc.                                                                               |   | Delaware                       |
| TMC Acquisition Corp. f/k/a Troy      Hills Assisted Living, Inc.                        |   | New Jersey                     |
| Transport Services, Inc.                                                                 |   | Maryland                       |
| Tri State Mobile Medical Services,      Inc.                                             |   | West Virginia                  |
| NeighborCare Home Medical Equipment,      Inc. f/k/a United Health Care Services, Inc.   |   | Pennsylvania                   |
| Valley Medical Services, Inc.                                                            |   | Pennsylvania                   |
| Valley Transport Ambulance Service,      Inc.                                            |   | Pennsylvania                   |
| Versalink, Inc.                                                                          |   | Delaware                       |
| Villas Realty & Investments,      Inc.                                               |   | Pennsylvania                   |
| Walnut LTC Management, Inc.                                                              |   | Pennsylvania                   |
| Wayside Nursing Home, Inc.                                                               |   | Delaware                       |
| Weisenfluh Ambulance Service,      Inc.                                                  |   | Pennsylvania                   |
| West Phila. LTC Management, Inc.                                                         |   | Pennsylvania                   |
| Westford Nursing and Retirement      Center, Inc.                                        |   | Massachusetts                  |
| Willow Manor Nursing Home, Inc.                                                          |   | Massachusetts                  |
| Wyncote Healthcare Corp.                                                                 |   | Pennsylvania                   |
| York LTC Management, Inc.                                                                |   | Pennsylvania                   |
| ADS Home Health, Inc.                                                                    |   | Delaware                       |
| ADS Management, Inc. a/k/a ADS/TMCI      Management, Inc.                                |   | Massachusetts                  |
| ADS Village Manor, Inc.                                                                  |   | Massachusetts                  |
| ADS/Multicare, Inc.                                                                      |   | Delaware                       |
| Bethel Health Resources, Inc.                                                            |   | Delaware                       |
| Century Care Management, Inc.      (f/k/a Century Management, Inc.)                      |   | Delaware                       |
| Chateau Village Health Resources,      Inc.                                              |   | Delaware                       |
| ENR, Inc.                                                                                |   | Delaware                       |
| Genesis Eldercare Rehabilitation      Services, Inc. f/k/a Team Rehabilitation, Inc.     |   | Pennsylvania                   |
| Health Resources of Middletown      (RI), Inc.                                           |   | Delaware                       |
| Lake Manor, Inc.                                                                         |   | Pennsylvania                   |
| Rose View Manor, Inc.                                                                    |   | Pennsylvania                   |
| Stafford Convalescent Center,      Inc. f/k/a MCV Realty, Inc.                           |   | Delaware                       |
| Arcadia Associates                                                                       |   | Massachusetts                  |
| McKerley Health Facilities                                                               |   | New Hampshire                  |
| Automated HomeCare Systems, L.L.C                                                        |   | Maryland                       |
| Breyut Convalescent Center, L.L.C.                                                       |   | New Jersey                     |
| Encare of Mendham, L.L.C.                                                                |   | New Jersey                     |
| Genesis ElderCare Employment      Services, L.L.C.                                       |   | Delaware                       |
| Genesis-Georgetown SNF/JV, L.L.C.                                                        |   | Delaware                       |

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| **Entity Name**                                                                                                                                                                                |   | **State of      Organization** |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------|--------------------------------|
|                                                                                                                                                                                                |
| Glenmark Limited      Liability Company I                                                                                                                                                      |   | West Virginia                  |
| Health Resources of Bridgeton,      L.L.C.                                                                                                                                                     |   | New Jersey                     |
| Health Resources of Cinnaminson,      L.L.C.                                                                                                                                                   |   | New Jersey                     |
| Health Resources of Cranbury,      L.L.C. (merged with Health Resources of Cranbury, Inc. and       Cranbury Care      Center, Inc. (a non GEC entity) in 09/99) |   | New Jersey                     |
| Health Resources of Eatontown,      L.L.C. (merged with Laurel Associates, Inc., a non Multicare entity)                                                                                       |   | New Jersey                     |
| Health Resources of Emery, L.L.C,                                                                                                                                                              |   | New Jersey                     |
| Health Resources of Englewood,      L.L.C.                                                                                                                                                     |   | New Jersey                     |
| Health Resources of Ewing, L.L.C.                                                                                                                                                              |   | New Jersey                     |
| Health Resources of Fairlawn,      L.L.C.                                                                                                                                                      |   | New Jersey                     |
| Health Resources of Jackson,      L.L.C.                                                                                                                                                       |   | New Jersey                     |
| Health Resources of Ridgewood,      L.L.C.                                                                                                                                                     |   | New Jersey                     |
| Health Resources of South Brunswick,      LLC                                                                                                                                                  |   | New Jersey                     |
| Health Resources of West Orange,      L.L.C.                                                                                                                                                   |   | New Jersey                     |
| Main Street Pharmacy, L. L. C.                                                                                                                                                                 |   | Maryland                       |
| Pompton Care, L.L.C.                                                                                                                                                                           |   | New Jersey                     |
| Respiratory Health Services,      L. L. C.                                                                                                                                                     |   | Maryland                       |
| Roephel Convalescent Center,      L.L.C.                                                                                                                                                       |   | New Jersey                     |
| ADS Apple Valley Limited Partnership                                                                                                                                                           |   | Massachusetts                  |
| ADS Hingham Limited Partnership                                                                                                                                                                |   | Massachusetts                  |
| ASCO Healthcare of New England,      Limited Partnership                                                                                                                                       |   | Maryland                       |
| Brevard Meridian Limited Partnership                                                                                                                                                           |   | Maryland                       |
| Care4, L.P.                                                                                                                                                                                    |   | Delaware                       |
| Catonsville Meridian Limited      Partnership                                                                                                                                                  |   | Maryland                       |
| Cumberland Associates of Rhode      Island, L.P.                                                                                                                                               |   | Delaware                       |
| Easton Meridian Limited Partnership                                                                                                                                                            |   | Maryland                       |
| Edella Street Associates                                                                                                                                                                       |   | Pennsylvania                   |
| Genesis ElderCare Centers I,      L. P.                                                                                                                                                        |   | Delaware                       |
| Genesis ElderCare Centers II,      L. P.                                                                                                                                                       |   | Delaware                       |
| Genesis ElderCare Centers III,      L. P.                                                                                                                                                      |   | Delaware                       |
| Genesis Health Ventures of West      Virginia, Limited Partnership                                                                                                                             |   | Pennsylvania                   |
| Genesis Properties Limited Partnership                                                                                                                                                         |   | Pennsylvania                   |
| Genesis Properties of Delaware      Ltd. Partnership, L.P.                                                                                                                                     |   | Delaware                       |
| Greenspring Meridian Limited      Partnership                                                                                                                                                  |   | Maryland                       |
| Groton Associates of Connecticut,      L.P.                                                                                                                                                    |   | Delaware                       |
| Hammonds Lane Meridian Limited      Partnership                                                                                                                                                |   | Maryland                       |
| Holly Manor Associates of New      Jersey, L.P.                                                                                                                                                |   | Delaware                       |
| McKerley Health Care Center -      Concord Limited Partnership                                                                                                                                 |   | New Hampshire                  |
| Mercerville Associates of New      Jersey, L.P.                                                                                                                                                |   | Delaware                       |
| Meridian Edgewood Limited Partnership                                                                                                                                                          |   | Maryland                       |
| Meridian Perring Limited Partnership                                                                                                                                                           |   | Maryland                       |
| Meridian Valley Limited Partnership                                                                                                                                                            |   | Maryland                       |
| Meridian Valley View Limited      Partnership                                                                                                                                                  |   | Maryland                       |
| Meridian/Constellation Limited      Partnership                                                                                                                                                |   | Maryland                       |
| Middletown (RI) Associates of      Rhode Island,L.P.                                                                                                                                           |   | Delaware                       |
| Millville Meridian Limited Partnership                                                                                                                                                         |   | Maryland                       |
| Norristown Nursing and Rehabilitation      Center Associates, L.P.                                                                                                                             |   | Pennsylvania                   |
| North Cape Convalescent Center      Associates, L. P.                                                                                                                                          |   | Pennsylvania                   |
| Northwest Total Care Center Associates,      L. P.                                                                                                                                             |   | New Jersey                     |

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| **Entity Name**                                                                      |   | **State of      Organization** |
|--------------------------------------------------------------------------------------|--------|--------------------------------|
|                                                                                      |
| Philadelphia Avenue      Associates                                                  |   | Pennsylvania                   |
| Point Pleasant Haven Limited      Partnership                                        |   | West Virginia                  |
| Pompton Associates, L.P.                                                             |   | New Jersey                     |
| Raleigh Manor Limited Partnership                                                    |   | West Virginia                  |
| River Street Associates                                                              |   | Pennsylvania                   |
| Romney Health Care Center Ltd.,      Limited Partnership                             |   | West Virginia                  |
| Seminole Meridian Limited Partnership                                                |   | Maryland                       |
| Sisterville Haven Limited Partnership                                                |   | West Virginia                  |
| State Street Associates, L.P.                                                        |   | Pennsylvania                   |
| Straus Group-Hopkins House, L.P.      (The)                                          |   | New Jersey                     |
| Straus Group-Old Bridge, L.P.      (The)                                             |   | New Jersey                     |
| Straus Group-Quakertown Manor,      L.P. (The)                                       |   | New Jersey                     |
| Straus Group-Ridgewood, L.P.      (The)                                              |   | New Jersey                     |
| Teays Valley Haven Limited Partnership                                               |   | West Virginia                  |
| Therapy Care Systems, L.P. a/k/a      Therapy Care Systems Limited Partnership       |   | Pennsylvania                   |
| Volusia Meridian Limited Partnership                                                 |   | Maryland                       |
| Wallingford Associates of Connecticut,      L.P.                                     |   | Delaware                       |
| Warwick Associates of Rhode Island,      L.P.                                        |   | Delaware                       |
| Westford Nursing and Retirement      Center, Limited Partnership                     |   | Massachusetts                  |
| ADS Recuperative Center Limited      Partnership                                     |   | Massachusetts                  |
| Lake Washington, Ltd.                                                                |   | Florida                        |
| Alliance Pharmacy Services, L.L.C.                                                   |   | Indiana                        |
| Geneva Sub, Inc.                                                                     |   | Delaware                       |
| Tidewater Healthcare Shared Services      Group, Inc. The f/k/a TW Acquisition Corp  |   | Pennsylvania                   |
| Genesis Eldercare Rehabilitation      Services, Inc. f/k/a Team Rehabilitation, Inc. |   | Pennsylvania                   |

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