Exhibit 21.1  Five Star
Quality Care, Inc.  Subsidiaries
of the Company  Affiliates Insurers
Limited (Bermuda) Alliance Pharmacy
Services, LLC (Delaware) Annapolis Heritage
Partners, LLC (Delaware) CCC Boynton
Beach, Inc. (Delaware) Columbia Heritage Partners,
LLC (Delaware) Emerson Management
Holdings, LLC (Delaware) Encinitas Heritage
Partners, LLC (Delaware) Five Star
Advertising, Inc. (Delaware) Five Star
Insurance, Inc. (Maryland) Five Star MD Homes LLC
(Delaware) Five Star Procurement
Group Trust (Maryland) Five Star Quality Care -
IN, LLC (Maryland) Five Star Quality Care 
NS Operator, LLC (Maryland) Five Star Quality Care 
NS Owner, LLC (Maryland) Five Star Quality Care -
NS Tenant, LLC (Maryland) Five Star Quality Care -
OBX Operator, LLC (Maryland) Five Star Quality Care -
OBX Owner, LLC (Maryland) Five Star Quality Care -
Somerford, LLC (Maryland) Five Star Quality Care -
RMI, LLC (Maryland) Five Star Quality Care
Trust (Maryland) Five Star Quality
Care-Ainsworth, LLC (Delaware) Five Star Quality
Care-Ashland, LLC (Delaware) Five Star Quality
Care-AZ, LLC (Delaware) Five Star Quality
Care-Blue Hill, LLC (Delaware) Five Star Quality Care-CA
II, INC. (Maryland) Five Star Quality Care-CA
II, LLC (Delaware) Five Star Quality
Care-CA, Inc. (Delaware) Five Star Quality
Care-CA, LLC (Delaware) Five Star Quality
Care-Central City, LLC (Delaware) Five Star Quality
Care-CO, Inc. (Maryland) Five Star Quality
Care-Colorado, LLC (Delaware) Five Star Quality
Care-Columbus, LLC (Delaware) Five Star Quality Care-CT,
LLC (Delaware) Five Star Quality
Care-Edgar, LLC (Delaware) Five Star Quality
Care-Exeter, LLC (Delaware) Five Star Quality
Care-Farmington, LLC (Delaware) Five Star Quality
Care-FL, LLC (Delaware) Five Star Quality
Care-GA, Inc. (Delaware) Five Star Quality
Care-GA, LLC (Delaware) Five Star Quality
Care-GHV, LLC (Maryland) Five Star Quality
Care-Grand Island, LLC (Delaware) Five Star Quality
Care-Gretna, LLC (Delaware) Five Star Quality
Care-Howell, LLC (Delaware) Five Star Quality
Care-IA, Inc. (Delaware) Five Star Quality
Care-IA, LLC (Delaware) Five Star Quality
Care-IL, LLC (Maryland) Five Star Quality
Care-KS, LLC (Delaware) Five Star Quality
Care-Lyons, LLC (Delaware) Five Star Quality
Care-MD, LLC (Delaware) Five Star Quality
Care-MI, Inc. (Delaware)


Five Star Quality
Care-MI, LLC (Delaware) Five Star Quality
Care-Milford, LLC (Delaware) Five Star Quality
Care-MN, LLC (Maryland) Five Star Quality
Care-MO, LLC (Delaware) Five Star Quality
Care-MS, LLC (Maryland) Five Star Quality
Care-MVSP, LLC (Maryland) Five Star Quality
Care-NC, LLC (Delaware) Five Star Quality
Care-NE, Inc. (Delaware) Five Star Quality
Care-NE, LLC (Delaware) Five Star Quality
Care-NJ, LLC (Maryland) Five Star Quality
Care-Richmond, LLC (Maryland) Five Star Quality
Care-Savannah, LLC (Delaware) Five Star Quality
Care-Sutherland, LLC (Delaware) Five Star Quality
Care-TX, LLC (Maryland) Five Star Quality
Care-Utica, LLC (Delaware) Five Star Quality
Care-VA, LLC (Delaware) Five Star Quality
Care-Waverly, LLC (Delaware) Five Star Quality
Care-WI, Inc. (Delaware) Five Star Quality
Care-WI, LLC (Delaware) Five Star Quality
Care-WY, LLC (Delaware) Five Star Rehabilitation
and Wellness Services, LLC (Maryland) Five Star Seabury LLC
(Delaware) Frederick Heritage
Partners, LLC (Delaware) Fresno Heritage Partners,
a California Limited Partnership (California) FS Commonwealth LLC
(Maryland) FS Lafayette Tenant Trust
(Maryland) FS Leisure Park Tenant
Trust (Maryland) FS Lexington Tenant Trust
(Maryland) FS Patriot LLC (Maryland) FS Tenant Holding Company
Trust (Maryland) FS Tenant Pool I Trust
(Maryland) FS Tenant Pool II Trust
(Maryland) FS Tenant Pool III Trust
(Maryland) FS Tenant Pool IV Trust
(Maryland) FSQ Crown Villa Business
Trust (Maryland) FSQ Overland Park Place
Business Trust (Maryland) FSQ Pharmacy Holdings,
LLC (Delaware) FSQ Rio Las Palmas
Business Trust (Maryland) FSQ The Palms at Fort
Myers Business Trust (Maryland) FSQ Villa at Riverwood
Business Trust (Maryland) FSQ, Inc. (Delaware) FSQ/LTA Holdings Inc.
(Delaware) FSQC Tellico Village LLC
(Maryland) FSQC-AL, LLC (Maryland) FVEST.JOE, Inc.
(Delaware) Hagerstown Heritage
Partners, LLC (Delaware) Hamilton Place, LLC
(Delaware) Heartland Pharmacy
Care, Inc. (Nebraska) Heartland
Promotions, Inc. (Nebraska) LifeTrust
America, Inc. (Tennessee) LifeTrust Properties, LLC
(Delaware) LTA Management Services
of Florida, LLC (Delaware) LTA Management Services,
LLC (Delaware) Morningside Holdings of
Concord, LLC (Delaware) Morningside Holdings of
Gastonia, LLC (Delaware) Morningside Holdings of
Greensboro, LLC (Delaware)


Morningside Holdings of
Raleigh, LLC (Delaware) Morningside Holdings of
Williamsburg, LLC (Delaware) Morningside of Alabama,
L.P. (Delaware) Morningside of Anderson,
L.P. (Delaware) Morningside of Athens,
Limited Partnership (Delaware) Morningside of Beaufort,
LLC (Delaware) Morningside of Bellgrade,
Richmond, LLC (Delaware) Morningside of Belmont,
LLC (Delaware) Morningside of Bowling
Green, LLC (Delaware) Morningside of Camden,
LLC (Delaware) Morningside of
Charlottesville, LLC  (Delaware) Morningside of Cleveland,
LLC (Delaware) Morningside of Columbus,
L.P. (Delaware) Morningside of Concord,
LLC (Delaware) Morningside of Conyers,
LLC (Delaware) Morningside of
Cookeville, LLC (Delaware) Morningside of Cullman,
LLC (Delaware) Morningside of Dalton,
Limited Partnership (Delaware) Morningside of Decatur,
L.P. (Delaware) Morningside of Evans,
Limited Partnership (Delaware) Morningside of Fayette,
L.P. (Delaware) Morningside of Franklin,
LLC (Delaware) Morningside of Gainesville,
LLC (Delaware) Morningside of Gallatin,
LLC (Delaware) Morningside of Gastonia,
LLC (Delaware) Morningside of Georgia,
L.P. (Delaware) Morningside of
Greensboro, LLC (Delaware) Morningside of Greenwood,
L.P. (Delaware) Morningside of
Hartsville, LLC (Delaware) Morningside of
Hopkinsville, Limited Partnership (Delaware) Morningside of Jackson,
LLC  (Delaware) Morningside of Kentucky,
Limited Partnership  (Delaware) Morningside of Knoxville,
LLC  (Delaware) Morningside of Lexington,
LLC  (Delaware) Morningside of Macon,
LLC  (Delaware) Morningside of Madison,
LLC  (Delaware) Morningside of
Montgomery, Limited Partnership (Delaware) Morningside of Newport
News, LLC  (Delaware) Morningside of
Orangeburg, LLC  (Delaware) Morningside of Paducah,
LLC  (Delaware) Morningside of Paris,
L.P.  (Delaware) Morningside of Raleigh,
LLC  (Delaware) Morningside of Seneca,
L.P.  (Delaware) Morningside of Sheffield,
LLC  (Delaware) Morningside of
Skipwith-Richmond, LLC  (Delaware) Morningside of South
Carolina, L.P.  (Delaware) Morningside of
Springfield, LLC  (Delaware) Morningside of Tennessee,
LLC  (Delaware) Morningside of
Williamsburg, LLC  (Delaware) National LTC Pharmacy
Services LLC (Delaware) Newark Heritage Partners
I, LLC (Delaware) Newark Heritage Partners
II, LLC (Delaware) O.F.C. Properties, LLC
(Indiana) Orthopedic Rehabilitation
Systems LLC (Maryland) Parkville Heritage
Partners, LLC (Delaware) Progress Pharmacy LTD
(Delaware)


Redlands Heritage
Partners, LLC (Delaware) Rockville Heritage
Partners, LLC (Delaware) Roseville Heritage
Partners, a California Limited Partnership (California) Senior Living Insurance
Co., Ltd (Cayman Islands) Senior Living of Boynton
Beach Limited Partnership (Delaware) Somerford Emerson
Management, LLC (Delaware) Somerford of Williamsville
LLC (Delaware) Somerford Place LLC
(Delaware) Somerford Wayne
Management, LLC (Delaware) Somerford West Orange
Management, LLC (Delaware) Stockton Heritage
Partners, LLC (Delaware) The Heartlands Retirement
Community  Ellicott City I, Inc. (Maryland) The Heartlands Retirement
Community  Ellicott City II, Inc. (Maryland) Toms River Heritage
Partners, LLC (Delaware) Wayne Management
Holdings, LLC (Delaware) West
Orange Management Holdings, LLC (Delaware)