----

**EXIHIBIT      10.24.6**

**FIFTH      AMENDMENT TO AMENDED**

**AND      RESTATED MASTER LEASE**

----

**RECITALS**

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**AMENDMENT**

|   | (a) | Carrollwood                  Facility: | 50% |
|--------|-----|----------------------------------------|-----|

|   | (b) | Gainesville                  Facility: |  50% |
|--------|-----|----------------------------------------|-----------|

|   | Total: | 100%" |
|--------|--------|-------|

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*[Signature      Pages Follow]*

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| LESSOR: | HEALTH                CARE PROPERTY INVESTORS, INC., |                                                 |
|---------|------------------------------------------------------|------------------------------------------------------|
|    | a                Maryland corporation                |                                                 |
|    |                                                 |                                                 |   |
|    |                                                 |                                                 |   |
|    | By:                                                  | /s/                Edward J. Henning                 |   |
|    |                                                 | Edward                J. Henning                     |   |
|    | Its                                                  | Senior                Vice President                 | : |
|    |                                                 |                                                 |   |
|    | WITNESSES                                            |                                                 |
|    |                                                 |                                                 |   |
|    |                                                 |                                                 |   |
|    | /s/                Sandra Burg                       |                                                 |
|    | (signature)                                          |                                                 |
|    | Name:                                                | Sandra                Burg                           |   |
|    | (print)                                              |                                                 |
|    |                                                 |                                                 |   |
|    |                                                 |                                                 |   |
|    | /s/                Brian J. Maas                     |                                                 |
|    | (signature)                                          |                                                 |
|    | Name:                                                | Brian                J. Maas                         |   |
|    | (print)                                              |                                                 |
|    |                                                 |                                                 |   |
|    | WESTMINSTER                HCP, LLC,                 |                                                 |
|    | a                Delaware limited liability company  |                                                 |
|    |                                                 |                                                 |   |
|    | By:                                                  | HCPI/Tennessee,                LLC,                  |   |
|    |                                                 | a                Delaware limited liability company, |   |
|    |                                                 | its                Sole Member                       |   |
|    |                                                 |                                                 |   |
|    | By:                                                  | Health                Care Property Investors, Inc., |   |
|    |                                                 | a                Maryland corporation,               |   |
|    |                                                 | its                Managing Member                   |   |
|    |                                                 |                                                 |   |
|    |                                                 |                                                 |   |
|    | By:                                                  | /s/                Edward J. Henning                 |   |
|    | Its:                                                 |  Edward                J. Henning               |   |
|    |                                                 | Senior                Vice President                 |   |
|    |                                                 |                                                 |   |
|    | WITNESSES                                            |                                                 |
|    |                                                 |                                                 |   |
|    |                                                 |                                                 |   |
|    | /s/                Sandra Burg                       |                                                 |
|    | (signature)                                          |                                                 |
|    | Name:                                                | Sandra                Burg                           |   |
|    | (print)                                              |                                                 |
|    |                                                 |                                                 |   |
|    |                                                 |                                                 |   |
|    | /s/                Brian J. Maas                     |                                                 |
|    | (signature)                                          |                                                 |
|    | Name:                                                | Brian                J. Maas                         |   |
|    | (print)                                              |                                                 |

----

| LESSOR                (Continued): | TEXAS                HCP HOLDING, L.P.,             |                                                 |
|------------------------------------|-----------------------------------------------------|------------------------------------------------------|
|                               | a                Delaware limited partnership       |                                                 |
|                               |                                                |                                                 |   |
|                               |                                                |                                                 |   |
|                               | By:                                                 | Texas                HCP G.P., Inc.,                 |   |
|                               |                                                | a                Delaware corporation                |   |
|                               |                                                |                                                 |   |
|                               |                                                |                                                 |   |
|                               | By:                                                 | /s/Edward                J. Henning                  |   |
|                               |                                                | Edward                J. Henning                     |   |
|                               | Its:                                                | Senior                Vice President                 |   |
|                               |                                                |                                                 |   |
|                               | WITNESSES                                           |                                                 |
|                               |                                                |                                                 |   |
|                               |                                                |                                                 |   |
|                               | /s/                Sandra Burg                      |                                                 |
|                               | (signature)                                         |                                                 |
|                               | Name:                                               | Sandra                Burg                           |   |
|                               | (print)                                             |                                                 |
|                               |                                                |                                                 |   |
|                               |                                                |                                                 |   |
|                               | /s/                Brian J. Mass                    |                                                 |
|                               | (signature)                                         |                                                 |
|                               | Name:                                               | Brian                J. Maas                         |   |
|                               | (print)                                             |                                                 |
|                               |                                                |                                                 |   |
|                               | HCP                AL OF FLORIDA, LLC,              |                                                 |
|                               | a                Delaware limited liability company |                                                 |
|                               |                                                |                                                 |   |
|                               |                                                |                                                 |   |
|                               | By:                                                 | Health                Care Property Investors, Inc., |   |
|                               |                                                | a                Maryland corporation,               |   |
|                               |                                                | its                Managing Member                   |   |
|                               |                                                |                                                 |   |
|                               |                                                |                                                 |   |
|                               | By:                                                 |  /s/                Edward J. Henning           |   |
|                               | Its:                                                | Edward                J. Henning                     |   |
|                               |                                                | Senior                Vice President                 |   |
|                               |                                                |                                                 |   |
|                               | WITNESSES                                           |                                                 |
|                               |                                                |                                                 |   |
|                               |                                                |                                                 |   |
|                               | /s/                Sandra Burg                      |                                                 |
|                               | (signature)                                         |                                                 |
|                               | Name:                                               | Sandra                Burg                           |   |
|                               | (print)                                             |                                                 |
|                               |                                                |                                                 |   |
|                               |                                                |                                                 |   |
|                               | /s/                Brian J. Mass                    |                                                 |
|                               | (signature)                                         |                                                 |
|                               | Name:                                               |  Brian              J. Mass                     |   |
|                               | (print)                                             |                                                 |

----

| LESSEE: | LH                ASSISTED LIVING, LLC,             |                                   |
|---------|-----------------------------------------------------|----------------------------------------|
|    | a                Delaware limited liability company |                                   |
|    |                                                |                                   |   |
|    |                                                |                                   |   |
|    | By:                                                 | /s/                Granger Cobb        |   |
|    |                                                | Granger                Cobb, President |   |
|    |                                                |                                   |   |
|    | WITNESSES                                           |                                   |
|    |                                                |                                   |   |
|    |                                                |                                   |   |
|    | /s/                Carol Phillips                   |                                   |
|    | (signature)                                         |                                   |
|    | Name:                                               | Carol                Phillips          |   |
|    | (print)                                             |                                   |
|    |                                                |                                   |   |
|    |                                                |                                   |   |
|    | /s/                Melanie Werdel                   |                                   |
|    | (signature)                                         |                                   |
|    | Name:                                               | Melanie                Werdel          |   |
|    | (print)                                             |                                   |
|    |                                                |                                   |   |
|    | SUMMERVILLE                AT COBBCO, INC.,         |                                   |
|    | a                California corporation             |                                   |
|    |                                                |                                   |   |
|    |                                                |                                   |   |
|    | By:                                                 | /s/                Granger Cobb        |   |
|    |                                                | Granger                Cobb, President |   |
|    |                                                |                                   |   |
|    | WITNESSES                                           |                                   |
|    |                                                |                                   |   |
|    |                                                |                                   |   |
|    | /s/                Carol Phillips                   |                                   |
|    | (signature)                                         |                                   |
|    | Name:                                               | Carol                Phillips          |   |
|    | (print)                                             |                                   |
|    |                                                |                                   |   |
|    |                                                |                                   |   |
|    | /s/                Melanie Werdel                   |                                   |
|    | (signature)                                         |                                   |
|    | Name:                                               | Melanie                Werdel          |   |
|    | (print)                                             |                                   |

----

| LESSEE                (Continued): | SUMMERVILLE                AT HILLSBOROUGH, L.L.C.,   |                                   |
|------------------------------------|-------------------------------------------------------|----------------------------------------|
|                               | a                New Jersey limited liability company |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | By:                                                   | /s/                Granger Cobb        |   |
|                               |                                                  | Granger                Cobb, President |   |
|                               |                                                  |                                   |   |
|                               | WITNESSES                                             |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | /s/                Carol Phillips                     |                                   |
|                               | (signature)                                           |                                   |
|                               | Name:                                                 | Carol                Phillips          |   |
|                               | (print)                                               |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | /s/                Melanie Werdel                     |                                   |
|                               | (signature)                                           |                                   |
|                               | Name:                                                 | Melanie                Werdel          |   |
|                               | (print)                                               |                                   |
|                               |                                                  |                                   |   |
|                               | SUMMERVILLE                AT OCOEE, INC.,            |                                   |
|                               | a                Delaware corporation                 |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | By:                                                   | /s/                Granger Cobb        |   |
|                               |                                                  | Granger                Cobb, President |   |
|                               |                                                  |                                   |   |
|                               | WITNESSES                                             |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | /s/                Carol Phillips                     |                                   |
|                               | (signature)                                           |                                   |
|                               | Name:                                                 | Carol                Phillips          |   |
|                               | (print)                                               |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | /s/** **Melanie                Werdel            |                                   |
|                               | (signature)                                           |                                   |
|                               | Name:                                                 | Melanie                Werdel          |   |
|                               | (print)                                               |                                   |

----

| LESSEE                (Continued): | SUMMERVILLE                AT PORT ORANGE, INC.,    |                                   |
|------------------------------------|-----------------------------------------------------|----------------------------------------|
|                               | a                Delaware corporation               |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               | SUMMERVILLE                AT PRINCE WILLIAM, INC., |                                   |
|                               | a                Delaware corporation               |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               |  Melanie              Werdel      |   |
|                               | (print)                                             |                                   |

----

| LESSEE                (Continued): | SUMMERVILLE                AT STAFFORD, L.L.C.,       |                                   |
|------------------------------------|-------------------------------------------------------|----------------------------------------|
|                               | a                New Jersey limited liability company |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | By:                                                   | /s/                Granger Cobb        |   |
|                               |                                                  | Granger                Cobb, President |   |
|                               |                                                  |                                   |   |
|                               | WITNESSES                                             |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | /s/                Carol Phillips                     |                                   |
|                               | (signature)                                           |                                   |
|                               | Name:                                                 | Carol                Phillips          |   |
|                               | (print)                                               |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | /s/                Melanie Werdel                     |                                   |
|                               | (signature)                                           |                                   |
|                               | Name:                                                 | Melanie                Werdel          |   |
|                               | (print)                                               |                                   |
|                               |                                                  |                                   |   |
|                               | SUMMERVILLE                AT VOORHEES, L.L.C.,       |                                   |
|                               | a                New Jersey limited liability company |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | By:                                                   | /s/                Granger Cobb        |   |
|                               |                                                  | Granger                Cobb, President |   |
|                               |                                                  |                                   |   |
|                               | WITNESSES                                             |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | /s/                Carol Phillips                     |                                   |
|                               | (signature)                                           |                                   |
|                               | Name:                                                 | Carol                Phillips          |   |
|                               | (print)                                               |                                   |
|                               |                                                  |                                   |   |
|                               |                                                  |                                   |   |
|                               | /s/                Melanie Werdel                     |                                   |
|                               | (signature)                                           |                                   |
|                               | Name:                                                 | Melanie                Werdel          |   |
|                               | (print)                                               |                                   |

----

| LESSEE                (Continued): | SUMMERVILLE                AT WESTMINSTER, INC.,    |                                   |
|------------------------------------|-----------------------------------------------------|----------------------------------------|
|                               | a                Maryland corporation               |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               | SUMMERVILLE                AT PINELLAS PARK, LLC,   |                                   |
|                               | a                Delaware limited liability company |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |

----

| LESSEE                (Continued): | SUMMERVILLE                AT OCALA WEST, LLC,          |                                                 |
|------------------------------------|---------------------------------------------------------|------------------------------------------------------|
|                               | a                Delaware limited liability company     |                                                 |
|                               |                                                    |                                                 |   |
|                               |                                                    |                                                 |   |
|                               | By:                                                     | /s/                Granger Cobb                      |   |
|                               |                                                    | Granger                Cobb, President               |   |
|                               |                                                    |                                                 |   |
|                               | WITNESSES                                               |                                                 |
|                               |                                                    |                                                 |   |
|                               |                                                    |                                                 |   |
|                               | /s/                Carol Phillips                       |                                                 |
|                               | (signature)                                             |                                                 |
|                               | Name:                                                   | Carol                Phillips                        |   |
|                               | (print)                                                 |                                                 |
|                               |                                                    |                                                 |   |
|                               |                                                    |                                                 |   |
|                               | /s/                Melanie Werdel                       |                                                 |
|                               | (signature)                                             |                                                 |
|                               | Name:                                                   | Melanie                Werdel                        |   |
|                               | (print)                                                 |                                                 |
|                               |                                                    |                                                 |   |
|                               | SUMMERVILLE                AT CY-FAIR ASSOCIATES, L.P., |                                                 |
|                               | a                Delaware limited partnership           |                                                 |
|                               |                                                    |                                                 |   |
|                               | By:,                                                    | Summerville                at CY-Fair, LLC           |   |
|                               |                                                    | a                Delaware limited liability company, |   |
|                               |                                                    | Its                General Partner                   |   |
|                               |                                                    |                                                 |   |
|                               |                                                    |                                                 |   |
|                               | By:                                                     | /s/                Granger Cobb                      |   |
|                               |                                                    | Granger                Cobb, President               |   |
|                               |                                                    |                                                 |   |
|                               | WITNESSES                                               |                                                 |
|                               |                                                    |                                                 |   |
|                               |                                                    |                                                 |   |
|                               | /s/                Carol Phillips                       |                                                 |
|                               | * *(signature)                                     |                                                 |
|                               | Name:                                                   | Carol                Phillips                        |   |
|                               | (print)                                                 |                                                 |
|                               |                                                    |                                                 |   |
|                               |                                                    |                                                 |   |
|                               | /s/                Melanie Werdel                       |                                                 |
|                               | (signature)                                             |                                                 |
|                               | Name:                                                   | Melanie                Werdel                        |   |
|                               | (print)                                                 |                                                 |

----

| LESSEE                (Continued): | SUMMERVILLE                AT FRIENDSWOOD ASSOCIATES, |                                                 |
|------------------------------------|-------------------------------------------------------|------------------------------------------------------|
|                               | L.P.,                a Delaware limited partnership   |                                                 |
|                               | By:,                                                  | Summerville                at Friendswood, LLC       |   |
|                               |                                                  | a                Delaware limited liability company, |   |
|                               |                                                  | Its                General Partner                   |   |
|                               |                                                  |                                                 |   |
|                               |                                                  |                                                 |   |
|                               | By:                                                   | /s/                Granger Cobb                      |   |
|                               |                                                  | Granger                Cobb, President               |   |
|                               |                                                  |                                                 |   |
|                               | WITNESSES                                             |                                                 |
|                               |                                                  |                                                 |   |
|                               |                                                  |                                                 |   |
|                               | /s/                Carol Phillips                     |                                                 |
|                               | (signature)                                           |                                                 |
|                               | Name:                                                 | Carol                Phillips                        |   |
|                               | (print)                                               |                                                 |
|                               |                                                  |                                                 |   |
|                               |                                                  |                                                 |   |
|                               | /s/                Melanie Werdel                     |                                                 |
|                               | (signature)                                           |                                                 |
|                               | Name:                                                 | Melanie                Werdel                        |   |
|                               | (print)                                               |                                                 |
|                               |                                                  |                                                 |   |
|                               | SUMMERVILLE                AT NEW PORT RICHEY, LLC,   |                                                 |
|                               | a                Delaware limited liability company   |                                                 |
|                               |                                                  |                                                 |   |
|                               | By:                                                   | /s/                Granger Cobb                      |   |
|                               |                                                  | Granger                Cobb, President               |   |
|                               |                                                  |                                                 |   |
|                               | WITNESSES                                             |                                                 |
|                               |                                                  |                                                 |   |
|                               |                                                  |                                                 |   |
|                               | /s/                Carol Phillips                     |                                                 |
|                               | (signature)                                           |                                                 |
|                               | Name:                                                 | Carol                Phillips                        |   |
|                               | (print)                                               |                                                 |
|                               |                                                  |                                                 |   |
|                               |                                                  |                                                 |   |
|                               | /s/                Melanie Werdel                     |                                                 |
|                               | (signature)                                           |                                                 |
|                               | Name:                                                 | Melanie                Werdel                        |   |
|                               | (print)                                               |                                                 |

----

| LESSEE                (Continued): | SUMMERVILLE                AT LAKELAND, LLC,        |                                   |
|------------------------------------|-----------------------------------------------------|----------------------------------------|
|                               | a                Delaware limited liability company |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               | SUMMERVILLE                AT ST. AUGUSTINE LLC,    |                                   |
|                               | a                Delaware limited liability company |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |

----

| LESSEE                (Continued): | SUMMERVILLE                AT OCALA EAST, LLC,      |                                   |
|------------------------------------|-----------------------------------------------------|----------------------------------------|
|                               | a                Delaware limited liability company |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               | SUMMERVILLE                AT VENICE, LLC,          |                                   |
|                               | a                Delaware limited liability company |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |

----

| LESSEE                (Continued): | SUMMERVILLE                AT LAKELAND HILLS                    |                                                 |
|------------------------------------|-----------------------------------------------------------------|------------------------------------------------------|
|                               | ASSOCIATES,                L.P., a Delaware limited partnership |                                                 |
|                               |                                                            |                                                 |   |
|                               | By:                                                             | Summerville                at Lakeland Hills, LLC,   |   |
|                               |                                                            | a                Delaware limited liability company, |   |
|                               |                                                            | Its                General Partner                   |   |
|                               |                                                            |                                                 |   |
|                               |                                                            |                                                 |   |
|                               | By:                                                             | /s/                Granger Cobb                      |   |
|                               |                                                            | Granger                Cobb, President               |   |
|                               |                                                            |                                                 |   |
|                               | WITNESSES                                                       |                                                 |
|                               |                                                            |                                                 |   |
|                               |                                                            |                                                 |   |
|                               | /s/                Carol Phillips                               |                                                 |
|                               | (signature)                                                     |                                                 |
|                               | Name:                                                           | Carol                Phillips                        |   |
|                               | (print)                                                         |                                                 |
|                               |                                                            |                                                 |   |
|                               |                                                            |                                                 |   |
|                               | /s/                Melanie Werdel                               |                                                 |
|                               | (signature)                                                     |                                                 |
|                               | Name:                                                           | Melanie                Werdel                        |   |
|                               | (print)                                                         |                                                 |
|                               |                                                            |                                                 |   |
|                               | SUMMERVILLE                AT IRVING ASSOCIATES, L.P.,          |                                                 |
|                               | a                Delaware limited partnership                   |                                                 |
|                               |                                                            |                                                 |   |
|                               | By:                                                             | Summerville                at Irving, LLC,           |   |
|                               |                                                            | a                Delaware limited liability company, |   |
|                               |                                                            | Its                General Partner                   |   |
|                               |                                                            |                                                 |   |
|                               |                                                            |                                                 |   |
|                               | By:                                                             | /s/                Granger Cobb                      |   |
|                               |                                                            | Granger                Cobb, President               |   |
|                               |                                                            |                                                 |   |
|                               | WITNESSES                                                       |                                                 |
|                               |                                                            |                                                 |   |
|                               |                                                            |                                                 |   |
|                               | /s/                Carol Phillips                               |                                                 |
|                               | (signature)                                                     |                                                 |
|                               | Name:                                                           | Carol                Phillips                        |   |
|                               | (print)                                                         |                                                 |
|                               |                                                            |                                                 |   |
|                               |                                                            |                                                 |   |
|                               | /s/                Melanie Werdel                               |                                                 |
|                               | (signature)                                                     |                                                 |
|                               | Name:                                                           | Melanie                Werdel                        |   |
|                               | (print)                                                         |                                                 |

----

| LESSEE                (Continued): | SUMMERVILLE                AT CHESTNUT HILL, LLC,   |                                   |
|------------------------------------|-----------------------------------------------------|----------------------------------------|
|                               | a                Delaware limited liability company |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               | SUMMERVILLE                9, LLC,                  |                                   |
|                               | a                Delaware limited liability company |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |

----

| LESSEE                (Continued): | SUMMERVILLE                AT CARROLLWOOD, LLC,     |                                   |
|------------------------------------|-----------------------------------------------------|----------------------------------------|
|                               | a                Delaware limited liability company |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               | SUMMERVILLE                AT GAINESVILLE, LLC,     |                                   |
|                               | a                Delaware limited liability company |                                   |
|                               |                                                |                                   |   |
|                               | By:                                                 | /s/                Granger Cobb        |   |
|                               |                                                | Granger                Cobb, President |   |
|                               |                                                |                                   |   |
|                               | WITNESSES                                           |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Carol Phillips                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Carol                Phillips          |   |
|                               | (print)                                             |                                   |
|                               |                                                |                                   |   |
|                               |                                                |                                   |   |
|                               | /s/                Melanie Werdel                   |                                   |
|                               | (signature)                                         |                                   |
|                               | Name:                                               | Melanie                Werdel          |   |
|                               | (print)                                             |                                   |

----

**CONSENT,        REAFFIRMATION AND AGREEMENT OF GUARANTOR**

|   | SUMMERVILLE                SENIOR LIVING, INC., |                                   |
|--------|-------------------------------------------------|----------------------------------------|
|   | a                Delaware corporation           |                                   |
|   |                                            |                                   |   |
|   | By:                                             | /s/                Granger Cobb        |   |
|   |                                            | Granger                Cobb, President |   |
|   |                                            |                                   |   |
|   | WITNESSES                                       |                                   |
|   |                                            |                                   |   |
|   |                                            |                                   |   |
|   | /s/                Carol Phillips               |                                   |
|   | (signature)                                     |                                   |
|   | Name:                                           | Carol                Phillips          |   |
|   | (print)                                         |                                   |
|   |                                            |                                   |   |
|   |                                            |                                   |   |
|   | /s/                Melanie Werdel               |                                   |
|   | (signature)                                     |                                   |
|   | Name:                                           | Melanie                Werdel          |   |
|   | (print)                                         |                                   |

----