**Exhibit 21.1 Subsidiaries of the Company**

| **Entity Name**                                             |   | **State of**  |
|-------------------------------------------------------------|--------|---------------|
| **Organization**                                            |
|                                                             |   |               |
| Academy Nursing Home, Inc.                                  |   | Massachusetts |
| ADS Apple Valley Limited Partnership                        |   | Massachusetts |
| 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 Limited Partnership                             |   | Massachusetts |
| ADS Hingham Nursing Facility, Inc.                          |   | Massachusetts |
| ADS Home Health, Inc.                                       |   | Delaware      |
| ADS Management, Inc.                                        |   | Massachusetts |
| ADS Palm Chelmsford, Inc.                                   |   | Massachusetts |
| ADS Recuperative Center Limited Partnership                 |   | Massachusetts |
| ADS Recuperative Center, Inc.                               |   | Massachusetts |
| ADS Reservoir Waltham, Inc.                                 |   | Massachusetts |
| ADS Senior Housing, Inc.                                    |   | Massachusetts |
| ADS/Multicare, Inc.                                         |   | Delaware      |
| ANR, Inc.                                                   |   | Delaware      |
| Apple Valley Operating Corp.                                |   | Massachusetts |
| Apple Valley Partnership Holding Company, Inc.        (The) |   | Pennsylvania  |
| Applewood Health Resources, Inc.                            |   | Delaware      |
| Arcadia Associates                                          |   | Massachusetts |
| 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  |
| Berks Nursing Homes, Inc.                                   |   | Pennsylvania  |
| Bethel Health Resources, Inc.                               |   | Delaware      |
| Brevard Meridian Limited Partnership                        |   | Maryland      |
| Breyut Convalescent Center, L.L.C.                          |   | New Jersey    |
| Brightwood Property, Inc.                                   |   | West Virginia |
| Brinton Manor, Inc.                                         |   | Delaware      |
| Burlington Woods Convalescent Center, Inc.                  |   | New Jersey    |
| Care Haven Associates Limited Partnership                   |   | West Virginia |
| Carefleet, Inc.                                             |   | Pennsylvania  |

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| **Entity Name**                                            |   | **State of**  |
|------------------------------------------------------------|--------|---------------|
| **Organization**                                           |
|                                                            |   |               |
| Catonsville Meridian Limited Partnership                   |   | Maryland      |
| Century Care Management, Inc.                              |   | Delaware      |
| Chateau Village Health Resources, Inc.                     |   | Delaware      |
| 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      |
| Concord Health Group, Inc.                                 |   | Delaware      |
| Concord Service Corporation                                |   | Pennsylvania  |
| Crestview Convalescent Home, Inc.                          |   | Pennsylvania  |
| Crestview North, Inc.                                      |   | Pennsylvania  |
| Crystal City Nursing Center, Inc.                          |   | Maryland      |
| Cumberland Associates of Rhode Island, L.P.                |   | Delaware      |
| CVNR, Inc.                                                 |   | Delaware      |
| Dawn View Manor, Inc.                                      |   | West Virginia |
| DELM Nursing, Inc.                                         |   | Pennsylvania  |
| Diane Morgan and Associates, Inc.                          |   | Pennsylvania  |
| Dover Healthcare Associates, Inc.                          |   | Delaware      |
| Easton Meridian Limited Partnership                        |   | Maryland      |
| Edella Street Associates                                   |   | Pennsylvania  |
| EIDOS, Inc.                                                |   | Florida       |
| ElderCare Resources Corp.                                  |   | Delaware      |
| Elmwood Health Resources, Inc.                             |   | Delaware      |
| Encare of Mendham, L.L.C.                                  |   | New Jersey    |
| Encare of Pennypack, Inc.                                  |   | Pennsylvania  |
| Encare of Quakertown, Inc.                                 |   | Pennsylvania  |
| Encare of Wyncote, Inc.                                    |   | Pennsylvania  |
| ENR, Inc.                                                  |   | Delaware      |
| Genesis of Palisado Avenue, Inc.                           |   | Connecticut   |
| Genesis ElderCare Centers – Belvedere,        Inc.    |   | Delaware      |
| Genesis ElderCare Centers – Chapel Manor,        Inc. |   | Delaware      |
| Genesis ElderCare Centers – Harston, Inc.             |   | Pennsylvania  |
| Genesis ElderCare Centers – Pennsburg,        Inc.    |   | Delaware      |
| Genesis ElderCare Centers I, L.P.                          |   | Delaware      |
| Genesis ElderCare Centers II, L.P.                         |   | Delaware      |
| Genesis ElderCare Centers III, L.P.                        |   | Delaware      |
| Genesis Eldercare Corp.                                    |   | Delaware      |

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| **Entity Name**                                                      |   | **State of** |
|----------------------------------------------------------------------|--------|--------------|
| **Organization**                                                     |
|                                                                      |   |              |
| Genesis ElderCare Diagnostic Services, Inc.                          |   | Pennsylvania |
| Genesis Eldercare Home Care Services, Inc.                           |   | Pennsylvania |
| Genesis ElderCare Hospitality Services, Inc.                         |   | Pennsylvania |
| Genesis ElderCare Living Facilities, Inc.                            |   | Pennsylvania |
| Genesis Eldercare National Centers, Inc.                             |   | Florida      |
| Genesis ElderCare Network Services of Massachusetts,        Inc.     |   | Pennsylvania |
| Genesis Eldercare Network Services, Inc.                             |   | Pennsylvania |
| Genesis ElderCare Partnership Centers, Inc.                          |   | Delaware     |
| Genesis Eldercare Physician Services, Inc.                           |   | Pennsylvania |
| Genesis Eldercare Properties, Inc.                                   |   | Pennsylvania |
| Genesis Eldercare Rehabilitation Services,        Inc.               |   | Pennsylvania |
| Genesis Eldercare Staffing Services, Inc.                            |   | Pennsylvania |
| Genesis ElderCare Transportation Services,        Inc.               |   | Pennsylvania |
| 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 |
| Genesis Health Ventures of Naugatuck, Inc.                           |   | Connecticut  |
| 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 West Virginia, Limited        Partnership |   | Pennsylvania |
| Genesis Health Ventures of Wilkes-Barre, Inc.                        |   | Pennsylvania |
| Genesis Health Ventures of Windsor, Inc.                             |   | Pennsylvania |
| Genesis Healthcare Centers Holdings, Inc.                            |   | Delaware     |
| Genesis HealthCare Holding Company I, Inc.                           |   | Delaware     |
| Genesis HealthCare Holding Company II, Inc.                          |   | Delaware     |
| Genesis Immediate Med Center, Inc.                                   |   | Pennsylvania |
| Genesis Properties Limited Partnership                               |   | Pennsylvania |
| Genesis Properties of Delaware Corporation                           |   | Delaware     |
| Genesis Properties of Delaware Ltd. Partnership,        L.P.         |   | Delaware     |
| Genesis SelectCare Corp.                                             |   | Pennsylvania |

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| **Entity Name**                               |   | **State of**  |
|-----------------------------------------------|--------|---------------|
| **Organization**                              |
|                                               |   |               |
| Genesis/VNA Partnership Holding Company, Inc. |   | Pennsylvania  |
| Genesis-Georgetown SNF/JV, L.L.C.             |   | Delaware      |
| Geriatric & Medical Companies, Inc.       |   | Delaware      |
| Geriatric and Medical Investments Corporation |   | Delaware      |
| Geriatric and Medical Services, Inc.          |   | New Jersey    |
| GeriMed Corp.                                 |   | Pennsylvania  |
| GHV at Salisbury Center, Inc.                 |   | Pennsylvania  |
| Glenmark Associates, Inc.                     |   | West Virginia |
| Glenmark Associates-Dawn View Manor, Inc.     |   | West Virginia |
| Glenmark Limited Liability Company I          |   | West Virginia |
| Glenmark Properties I, Limited Partnership    |   | West Virginia |
| Glenmark Properties, Inc.                     |   | West Virginia |
| GMA Constuction, Inc                          |   | West Virginia |
| GMA Partnership Holding Company, Inc.         |   | West Virginia |
| GMA-Brightwood, 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  |
| Governor's House Nursing Home, Inc.           |   | Delaware      |
| Greenspring Meridian Limited Partnership      |   | Maryland      |
| Groton Associates of Connecticut, L.P.        |   | Delaware      |
| Hammonds Lane Meridian Limited Partnership    |   | Maryland      |
| Health Resources of Academy Manor, Inc.       |   | Delaware      |
| Health Resources of Boardman, Inc.            |   | Delaware      |
| Health Resources of Bridgeton, L.L.C.         |   | New Jersey    |
| Health Resources of Brooklyn, Inc.            |   | Delaware      |
| Health Resources of Cedar Grove, Inc.         |   | New Jersey    |
| Health Resources of Cinnaminson, Inc.         |   | New Jersey    |
| Health Resources of Cinnaminson, L.L.C.       |   | New Jersey    |
| Health Resources of Colchester, Inc.          |   | Connecticut   |
| Health Resources of Columbus, Inc.            |   | Delaware      |
| Health Resources of Cranbury, L.L.C.          |   | New Jersey    |
| Health Resources of Cumberland, Inc.          |   | Delaware      |
| Health Resources of Eatontown, L.L.C.         |   | New Jersey    |
| Health Resources of Emery, L.L.C.             |   | New Jersey    |

----

 

| **Entity          Name**                       |   | **State of**  |
|------------------------------------------------|--------|---------------|
| **Organization**                               |
|                                                |   |               |
| Health Resources of Englewood, Inc.            |   | New Jersey    |
| Health Resources of Englewood, L.L.C.          |   | New Jersey    |
| Health Resources of Ewing, Inc.                |   | New Jersey    |
| Health Resources of Ewing, L.L.C.              |   | New Jersey    |
| Health Resources of Fairlawn, L.L.C.           |   | New Jersey    |
| Health Resources of Farmington, Inc.           |   | Delaware      |
| Health Resources of Gardner, Inc.              |   | Delaware      |
| Health Resources of Glastonbury, Inc.          |   | Connecticut   |
| Health Resources of Groton, Inc.               |   | Delaware      |
| Health Resources of Jackson, L.L.C.            |   | New Jersey    |
| 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 Middletown (RI), Inc.      |   | Delaware      |
| Health Resources of Morristown, Inc.           |   | New Jersey    |
| Health Resources of North Andover, Inc.        |   | Delaware      |
| Health Resources of Ridgewood, L.L.C.          |   | New Jersey    |
| Health Resources of Rockville, Inc.            |   | Delaware      |
| Health Resources of South Brunswick, L.L.C.    |   | New Jersey    |
| Health Resources of Troy Hills, Inc.           |   | New Jersey    |
| Health Resources of Wallingford, Inc.          |   | Delaware      |
| Health Resources of Warwick, Inc.              |   | Delaware      |
| Health Resources of West Orange, L.L.C.        |   | New Jersey    |
| Health Resources of Westwood, Inc.             |   | Delaware      |
| Healthcare Resources Corp.                     |   | Pennsylvania  |
| Helstat, Inc.                                  |   | West Virginia |
| Hilltop Health Care Center, Inc.               |   | Delaware      |
| HMNH Realty, Inc.                              |   | Delaware      |
| HNCA, Inc.                                     |   | Pennsylvania  |
| Holly Manor Associates of New Jersey, L.P.     |   | Delaware      |
| Horizon Associates, 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 |

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| **Entity Name**                                                  |   | **State of**  |
|------------------------------------------------------------------|--------|---------------|
| **Organization**                                                 |
|                                                                  |   |               |
| Innovative Health Care Marketing, Inc.                           |   | Pennsylvania  |
| Keystone Nursing Home, Inc.                                      |   | Delaware      |
| Knollwood Manor, Inc.                                            |   | Pennsylvania  |
| Knollwood Nursing Home, Inc.                                     |   | Delaware      |
| Lake Manor, Inc.                                                 |   | Pennsylvania  |
| Lake Washington, Ltd.                                            |   | Florida       |
| Lakewood Health Resources, Inc.                                  |   | Delaware      |
| Laurel Health Resources, Inc.                                    |   | Delaware      |
| Lehigh Nursing Homes, Inc.                                       |   | Pennsylvania  |
| Liberty Health Corporation, 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   |
| Manor Management Corporation of Georgian Manor,        Inc.      |   | Pennsylvania  |
| Marlinton Associates, Inc.                                       |   | West Virginia |
| Marlinton Partnership Holding Company, Inc.                      |   | West Virginia |
| Marshfield Health Resources, Inc.                                |   | Delaware      |
| McKerley Health Care Center - Concord Limited        Partnership |   | New Hampshire |
| McKerley Health Care Center - Concord, Inc.                      |   | New Hampshire |
| McKerley Health Care Centers, Inc.                               |   | New Hampshire |
| McKerley Health Facilities                                       |   | New Hampshire |
| Mercerville Associates of New Jersey, L.P.                       |   | Delaware      |
| Meridian Edgewood Limited Partnership                            |   | Maryland      |
| Meridian Health, Inc.                                            |   | Pennsylvania  |
| Meridian Healthcare Investments, Inc.                            |   | Maryland      |
| Meridian Healthcare, Inc.                                        |   | Pennsylvania  |
| Meridian Perring Limited Partnership                             |   | Maryland      |
| Meridian Valley Limited Partnership                              |   | Maryland      |
| Meridian Valley View Limited Partnership                         |   | Maryland      |
| Meridian/Constellation Limited Partnership                       |   | Maryland      |
| MHNR, Inc.                                                       |   | Delaware      |
| Middletown (RI) Associates of Rhode Island,        L.P.          |   | Delaware      |
| Milford ALF L.L.C.                                               |   | Delaware      |
| Millville Meridian Limited Partnership                           |   | Maryland      |

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| **Entity Name**                                               |   | **State of**  |
|---------------------------------------------------------------|--------|---------------|
| **Organization**                                              |
|                                                               |   |               |
| MNR, Inc.                                                     |   | Delaware      |
| Montgomery Nursing Homes, Inc.                                |   | Pennsylvania  |
| Multicare AMC, Inc.                                           |   | Delaware      |
| Multicare Companies, Inc. (The)                               |   | Delaware      |
| Multicare Payroll Corp.                                       |   | New Jersey    |
| North Cape Convalescent Center Associates,        L.P.        |   | Pennsylvania  |
| Northwest Total Care Center Associates, L.P.                  |   | New Jersey    |
| Nursing and Retirement Center of the Andovers,        Inc.    |   | Massachusetts |
| Oak Hill Health Care Center, Inc.                             |   | Virginia      |
| PHC Operating Corp.                                           |   | Delaware      |
| Philadelphia Avenue Associates                                |   | Pennsylvania  |
| Philadelphia Avenue Corporation                               |   | Pennsylvania  |
| Pleasant View Retirement Limited Liability        Company     |   | New Hampshire |
| Pocahontas Continuous Care Center, Inc.                       |   | West Virginia |
| Point Pleasant Haven Limited Partnership                      |   | West Virginia |
| Pompton Associates, L.P.                                      |   | New Jersey    |
| Pompton Care, L.L.C.                                          |   | New Jersey    |
| Prescott Nursing Home, Inc.                                   |   | Massachusetts |
| Prospect Park LTC Management, Inc.                            |   | Pennsylvania  |
| Providence Funding Corporation                                |   | Delaware      |
| Providence Health Care, Inc.                                  |   | Delaware      |
| Quakertown Manor Convalescent and Rehabilitation,        Inc. |   | Delaware      |
| Raleigh Manor Limited Partnership                             |   | West Virginia |
| Respiratory Health Services, L.L.C.                           |   | Maryland      |
| Rest Haven Nursing Home, Inc.                                 |   | West Virginia |
| RHS Membership Interest Holding Company                       |   | Pennsylvania  |
| Ridgeland Health Resources, Inc.                              |   | Delaware      |
| River Pines Health Resources, Inc.                            |   | Delaware      |
| River Street Associates                                       |   | Pennsylvania  |
| Rivershores Health Resources, Inc.                            |   | Delaware      |
| Riverview Ridge Limited Liability Company                     |   | Pennsylvania  |
| RLNR, Inc.                                                    |   | Delaware      |
| Roephel Convalescent Center, L.L.C.                           |   | New Jersey    |
| Romney Health Care Center Ltd., Limited Partnership           |   | West Virginia |
| Rose Healthcare, Inc.                                         |   | New Jersey    |
| Rose View Manor, Inc.                                         |   | Pennsylvania  |
| RSNR, Inc.                                                    |   | Delaware      |

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| **Entity Name**                                                     |   | **State of**  |
|---------------------------------------------------------------------|--------|---------------|
| **Organization**                                                    |
|                                                                     |   |               |
| RVNR, Inc.                                                          |   | Delaware      |
| S.T.B. Investors, LTD                                               |   | New York      |
| Sarah Brayton General Partnership                                   |   | Massachusetts |
| Sarah Brayton Partnership Holding Company,        Inc. (The)        |   | Delaware      |
| Schuylkill Nursing Home, Inc.                                       |   | Pennsylvania  |
| Schuylkill Partnership Acquisition Corp.                            |   | Pennsylvania  |
| Seminole Meridian Limited Partnership                               |   | Maryland      |
| Senior Living Ventures, Inc.                                        |   | Pennsylvania  |
| Senior Source, Inc.                                                 |   | Massachusetts |
| Sisterville Haven Limited Partnership                               |   | West Virginia |
| Snow Valley Health Resources, Inc.                                  |   | Delaware      |
| Solomont Family Fall River Venture, Inc.                            |   | Massachusetts |
| Solomont Family River Medford Venture, Inc.                         |   | Massachusetts |
| Somerset Partnership Holding Company, Inc.        (The)             |   | Massachusetts |
| Somerset Ridge General Partnership                                  |   | Massachusetts |
| Somerset Ridge L.L.C.                                               |   | Massachusetts |
| Somerset Ridge Limited Partnership                                  |   | Massachusetts |
| Stafford Convalescent Center, Inc.                                  |   | Delaware      |
| State Street Associates, Inc.                                       |   | Pennsylvania  |
| 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    |
| SVNR, Inc.                                                          |   | Delaware      |
| Teays Valley Haven Limited Partnership                              |   | West Virginia |
| Therapy Care Systems, L.P.                                          |   | Pennsylvania  |
| TMC Acquisition Corp. f/k/a Troy Hills Assisted        Living, Inc. |   | New Jersey    |
| Tri State Mobile Medical Services, Inc.                             |   | West Virginia |
| Valley Medical Services, Inc.                                       |   | Pennsylvania  |
| Valley Transport Ambulance Service, Inc.                            |   | Pennsylvania  |
| Versalink, Inc.                                                     |   | Delaware      |
| Villas Realty & Investments, Inc.                               |   | Pennsylvania  |
| Volusia Meridian Limited Partnership                                |   | Maryland      |
| Wallingford Associates of Connecticut, L.P.                         |   | Delaware      |
| Walnut LTC Management, Inc.                                         |   | Pennsylvania  |
| Warwick Associates of Rhode Island, L.P.                            |   | Delaware      |
| Wayside Nursing Home, Inc.                                          |   | Delaware      |

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| **Entity Name**                                                    |   | **State of**  |
|--------------------------------------------------------------------|--------|---------------|
| **Organization**                                                   |
|                                                                    |   |               |
| Weisenfluh Ambulance Service, Inc.                                 |   | Pennsylvania  |
| West Phila. LTC Management, Inc.                                   |   | Pennsylvania  |
| Westford Nursing and Retirement Center, Inc.                       |   | Massachusetts |
| Westford Nursing and Retirement Center, Limited        Partnership |   | Massachusetts |
| Willow Manor Nursing Home, Inc.                                    |   | Massachusetts |
| Wyncote Healthcare Corp.                                           |   | Pennsylvania  |
| Ye Olde Ambulance Company, Inc.                                    |   | Pennsylvania  |
| York LTC Management, Inc.                                          |   | Pennsylvania  |

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