**Exhibit 12.1**

 

**FIVESTAR QUALITY CARE, INC.**

**COMPUTATIONOF RATIO OF EARNINGS TO FIXED CHARGES**

**(inthousands except ratios)**

** **
| ** **                                              | ** ** | **Year ended December 31,** | ** ** |
|---------------------------------------------------------|------------|----------------------------------|------------|
| ** **                                              | ** ** | **2004**                         | ** ** | **2003** | ** ** | **2002** | ** ** | **2001** | ** ** |
|                                                    |       |                             |       |   |   |   |   |   |   |
| **Consolidated earnings (loss)**                        |       | $                                | 4,461      |   | $ | (6,500 | ) | $ | (12,925 | ) | $ | 527 |   |
| **Consolidated fixed charges**                          |       | 1,170                            |       | 1,439 |   | 249 |   | — |   |
|                                                    |       |                             |       |   |   |   |   |   |   |
| **Ratio of consolidated earnings to fixed  charges**    |       | 3.8                              | x     | N/M |   | N/M |   | N/M |   |
| **Deficiency**                                          |       | —                           |       | 9,378 |   | 13,423 |   | N/A |   |
|                                                    |       |                             |       |   |   |   |   |   |   |
| **Calculation of fixed charges:**                       |       |                             |       |   |   |   |   |   |   |
| **Interest expense**                                    |       | $                                | 880        |   | $ | 1,164 |   | $ | 198 |   | — |   |
| **Interest expense capitalized**                        |       | —                           |       | — |   | — |   | — |   |
| **Interest component of capitalized lease  expense**    |       | —                           |       | — |   | — |   | — |   |
| **Amortization of debt discounts**                      |       | —                           |       | — |   | — |   | — |   |
| **Amortization of capitalized deferred  finance costs** |       | 290                              |       | 275 |   | 51 |   | — |   |
|                                                    |       |                             |       |   |   |   |   |   |   |
| **Fixed charges**                                       |       | $                                | 1,170      |   | $ | 1,439 |   | $ | 249 |   | — |   |
|                                                    |       |                             |       |   |   |   |   |   |   |
| **Calculation of consolidated earnings  (loss):**       |       |                             |       |   |   |   |   |   |   |
| **Consolidated net income**                             |       | $                                | 3,291      |   | $ | (7,939 | ) | $ | (13,174 | ) | $ | 527 |   |
| **Consolidated fixed charges**                          |       | 1,170                            |       | 1,439 |   | 249 |   | — |   |
|                                                    |       |                             |       |   |   |   |   |   |   |
| **Consolidated earnings (loss)**                        |       | $                                | 4,461      |   | $ | (6,500 | ) | $ | (12,925 | ) | $ | 527 |   |

 

 

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| ** **                                              | ** ** | **Integrated Health   Services, Inc.   (A predecessor)** | ** ** | **Mariner Post Acute   Network, Inc.   (A predecessor)** | ** ** |
|---------------------------------------------------------|------------|---------------------------------------------------------------|------------|---------------------------------------------------------------|------------|
| ** **                                              | ** ** | **Year ended December 31, 2000**                         | ** ** | **Year ended December 31, 2000**                         | ** ** |
|                                                    |       |                                                          |       |                                                          |       |
| **Consolidated earnings (loss)**                        |       | $                                                             | (23,199    | )                                                             | $          | (7,300 | ) |
| **Consolidated fixed charges**                          |       | 2,053                                                         |       | 121                                                           |       |
|                                                    |       |                                                          |       |                                                          |       |
| **Ratio of consolidated earnings to fixed  charges**    |       | N/M                                                           |       | N/M                                                           |       |
| **Deficiency**                                          |       | 27,305                                                        |       | 7,542                                                         |       |
|                                                    |       |                                                          |       |                                                          |       |
| **Calculation of fixed charges:**                       |       |                                                          |       |                                                          |       |
| **Interest expense**                                    |       | $                                                             | 2,053      |                                                          | $          | 121 |   |
| **Interest expense capitalized**                        |       | —                                                        |       | —                                                        |       |
| **Interest component of capitalized lease  expense**    |       | —                                                        |       | —                                                        |       |
| **Amortization of debt discounts**                      |       | —                                                        |       | —                                                        |       |
| **Amortization of capitalized deferred  finance costs** |       | —                                                        |       | —                                                        |       |
|                                                    |       |                                                          |       |                                                          |       |
| **Fixed charges**                                       |       | $                                                             | 2,053      |                                                          | $          | 121 |   |
|                                                    |       |                                                          |       |                                                          |       |
| **Calculation of consolidated earnings  (loss):**       |       |                                                          |       |                                                          |       |
| **Consolidated net income**                             |       | $                                                             | (25,252    | )                                                             | $          | (7,421 | ) |
| **Consolidated fixed charges**                          |       | 2,053                                                         |       | 121                                                           |       |
|                                                    |       |                                                          |       |                                                          |       |
| **Consolidated earnings (loss)**                        |       | $                                                             | (23,199    | )                                                             | $          | (7,300 | ) |

 

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