Document:

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                                                                   EXHIBIT 10.30

                                SERVICE AGREEMENT

         This SERVICE AGREEMENT ("Agreement") is made and entered into as of the
___ day of ________, ____, by and between ____________________, d/b/a
NeighborCare ("NeighborCare"), a ______________ corporation and _______________,
a __________________ corporation doing business as __________________________,
solely in connection with the facility located at __________________
("Operator").

                                   BACKGROUND

                  A.       NeighborCare is in the business of providing various
products and services to skilled nursing and other health care facilities and
their residents, including prescription and non-prescription medications,
whether oral, IV, topical or other; durable and disposable medical supplies and
equipment, and related services; intravenous therapy products and related
services; and pharmacy consulting services.

                  B.       Operator operates a health care facility known as
_______________, located at _____________________________ ("Facility").

                  C.       Operator desires to contract with NeighborCare to
provide the services described herein to residents at the Facility, and
NeighborCare agrees to provide such services, pursuant to the terms and
conditions set forth herein.

                                      TERMS

                  NOW, THEREFORE, in consideration of the foregoing and the
mutual promises set forth in this Agreement, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto, intending to be legally bound, hereby agree as follows:

         1.       Duties and Responsibilities of NeighborCare.

                  1.1      NeighborCare agrees to provide the following products
and services, more fully described on the exhibits attached hereto (the
"Services") (initial all that apply):

                           Pharmaceutical and Intravenous Therapy Products and
                  ---      Related Services (Exhibit "A")

                           Intravenous Therapy Products (only) and Related
                  ---      Services (Exhibit "B")

                           Pharmacy Consulting Services (Exhibit "C")
                  ---
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                           Medical Supplies (Exhibit "D")
                  ---

                   X       Part B Supplies and Services (Exhibit "E")
                  ---

                           Claim Filing Services (Exhibit "F")
                  ---

                           Inventory Management Services (Exhibit "G")
                  ---

                  1.2      NeighborCare agrees to provide the Services
substantially in accordance with professional standards and all laws, rules and
regulations that apply or relate to the performance of the Services.

                  1.3      As reasonably requested by Operator, NeighborCare
will provide proof of licensure and certification, and will cooperate with
Operator in Operator's efforts to cause the Facility to meet all standards and
regulations of appropriate government agencies and accreditation organizations
pertaining to the Services.

                  1.4      NeighborCare will make available at the Facility
certain equipment necessary for provision of the Services ("NeighborCare
Equipment") to be used by Facility employees solely for purposes relating to
this Agreement. Such equipment will remain the property of, and controlled by,
NeighborCare at all times. Operator agrees to promptly return to NeighborCare
any and all equipment, supplies, or reference materials at the termination of
this Agreement in the same condition, ordinary wear and tear excepted.

         2.       Duties and Responsibilities of Operator.

                  2.1      Operator agrees to provide and maintain adequate
space, and equipment and supplies in accordance with industry practice, required
for NeighborCare to perform the Services.

                  2.2      Operator agrees that it is and will remain solely
responsible for direct care rendered to Facility's residents and for all
activities necessary for the operation of Facility under applicable federal and
state laws, including but not limited to: (a) acceptance of residents in
accordance with Facility's admission policies, a true and complete copy of which
have been previously provided to NeighborCare; (b) maintenance of complete and
timely clinical records for each resident; (c) maintenance of a liaison with
each resident's attending physician; (d) acquisition from each resident's
attending physician of required orders and certifications; (e) compliance with
federal and state requirements for long term care facilities under the Medicare,
Medicaid and other programs including, without limitation, requirements
concerning contracting with outside vendors and suppliers; and (f) except where
NeighborCare may bill directly to a third party, assurance of the medical
necessity of services billed or claimed, completeness, accuracy and timeliness
of all such claims submitted and the responsibility and accountability for all
medical, professional and ethical affairs relating to the Facility and its
residents.
<PAGE>

                  2.3      Operator acknowledges that other providers may
provide services to residents of the Facility, which are the same as or related
to the Services provided by NeighborCare. Operator agrees to provide, or to
cause such other providers to provide, any information reasonably requested by
NeighborCare with respect to the services provided by such providers (necessary
for NeighborCare to meet its obligations under this Agreement). By way of
example only, Operator will provide NeighborCare with information required to
determine the appropriateness and efficacy of NeighborCare's services. Operator
agrees to indemnify NeighborCare from any injury or damage that may result to
any person or property, by or from any act or omission by Operator in connection
with its responsibilities under this section 2.3, and by or from any act or
omission of such other providers.

                  2.4      Operator agrees that it is responsible for the
storage and safe handling of all equipment, products and supplies at the
Facility.

                  2.5      Operator agrees to perform such additional duties set
forth in the exhibits attached hereto, as applicable.

         3.       Representations, Warranties and Covenants. Operator and
NeighborCare hereby represent, warrant and covenant to each other that as of the
date of this Agreement, and for the entire term and any renewal hereof:

                  3.1      Each is duly organized, validly existing and in good
standing under the laws of its state of formation and has all requisite legal
power, licenses, certifications and permits to enter into this Agreement and to
perform its obligations hereunder. To the best of the each party's knowledge,
neither party hereto, nor any of their respective employees, agents or
independent contractors are the subject of any investigation, suspension of
payments, disciplinary action, accusation, or civil or criminal action in
connection with any governmental agency, including, but not limited to, the
Department of Health and Human Services, Office of Inspector General, State
Department of Health, Bureau of Fraudulent Claims, State Medical Board,
Healthcare Financing Administration, CHAMPUS Program, or the Program Integrity
Department of the Medicare carrier which processes Medicare claims of
NeighborCare.

                  3.2      This Agreement has been duly executed and delivered
by each and is the legal, valid and binding obligation of each, fully
enforceable against each in accordance with its terms. Neither is party to any
contract, agreement or obligation that would prevent or hinder it from entering
into this Agreement or performing its duties hereunder; nor is any approval or
consent of any person, firm or other entity required to be obtained for the
authorization or execution of this Agreement or the performance of duties
hereunder.
<PAGE>

                  3.3      With respect to any federal health care program as
defined in section 1128B of the Social Security Act (42 U.S.C. 1320a-7b(f)) and
physician anti-self referral statutes (42 U.S.C. ss. 1395nn or any State health
care program as defined in section 1128B of the Social Security Act (42 U.S.C.
1320a-7b(h)) (collectively, the "Programs"), neither party, nor any individual
with a direct or indirect ownership or control interest of five percent (5%) or
more of such party, nor any director, officer, or employee of such party; has
ever been debarred, suspended or excluded from any Program. Each party covenants
to immediately notify the other in writing if this representation is no longer
true. This transaction is not intended to, nor does it, require any party to
violate the federal anti-kickback or physician anti-self referral laws, and this
transaction shall not be interpreted to:

                           3.3.1    require NeighborCare, or any partner,
shareholder, employee or independent shareholder of NeighborCare, to make
referrals to Operator, be in a position to make or influence referrals to
Operator, or otherwise generate business for Operator or to reward NeighborCare
or any partners, shareholders, employees or independent contractors of
NeighborCare, for making such referrals; or

                           3.3.2    restrict NeighborCare, or any partner,
shareholder, employee or independent contractor of NeighborCare, from
establishing medical staff privileges at, referring any patient to, or otherwise
generating any business for any other skilled nursing facility or other health
care facility.

                  3.4      NeighborCare recognizes Operator's right to establish
administrative policies and procedures with respect to the Facility and agrees
to be bound by them, so long as such policies and procedures are reasonable and
adopted in good faith, and NeighborCare is provided advance written notice and
an opportunity to comply with them. Operator will consult with NeighborCare
concerning any policies and procedures, or proposed changes thereto, which would
significantly affect NeighborCare (i.e. would materially change the terms of
this Agreement or would have an adverse effect on NeighborCare) (an "Adverse
Policy"). Following such consultation, in the event an Adverse Policy is
implemented, NeighborCare may, at its option, terminate this Agreement either in
its entirety or as to the particular Services to which the Adverse Policy
relates, at NeighborCare's discretion, upon thirty (30) days written notice to
Operator.

         4.       Fees and Billing.

                  4.1      NeighborCare will bill and be compensated for
Services in accordance with the exhibits attached hereto, as applicable.

                  4.2      Prior to the provision of any Services to a resident
of the Facility, Operator will provide NeighborCare with information on such
resident including source of reimbursement; responsible party and/or guarantor
of payment,
<PAGE>

if applicable; Medicare and Medicaid number; and such other information as may
be requested by NeighborCare. Operator will notify NeighborCare immediately of
any changes in any resident's residency status (including but not limited to
room changes or discharges), source of reimbursement or guarantor of payment.
Operator will fully cooperate with NeighborCare in establishing the source of
residents' third party funds and resident/family resources for payment of
Services furnished by NeighborCare, including but not limited to copies of
insurance coverage; prescription plan, Medicare and Medicaid cards; or financial
screens. Operator agrees that if it does not provide the information described
in this section 4.2 in the time and manner indicated herein, then
notwithstanding any provision to the contrary herein (including all exhibits),
NeighborCare may bill Operator for such Services at its usual and customary
charge for such Services.

                           4.2.1    In providing billing and collection services
hereunder, NeighborCare shall comply with all applicable laws and regulations.
NeighborCare shall indemnify, defend and hold Operator harmless from and against
all claims, demands, damages, liabilities, costs, expenses and losses, including
attorneys' fees, arising out of, resulting from or connected with the improper
billing of a third party payor (including but not limited to the Medicare
carrier), or the beneficiary of such payor, or arising out of, resulting from or
connected with any other violation by such party of Title XVIII of the Social
Security Act, those portions of the Code of Federal Regulations which pertain to
the Medicare program, or any laws, regulations, policies, practices, or internal
billing protocol governing any third party payor program. If reasonably
available in the market, NeighborCare shall obtain insurance, which will cover
its obligations under this Paragraph.

                  4.3      NeighborCare inservices, in addition to those
specified in the exhibits attached hereto (which are necessary for the
initiation and provision of Services hereunder), as applicable, will be provided
for a fee of $______ per inservice. Education workshops will be provided for
$______ for ______ participants or less, with a charge of $_____ per additional
participant.

                  4.4      Any specialized services provided by NeighborCare not
included in the scope of services stipulated herein would be subject to
additional charges which will be agreed upon in advance in writing by both
parties.

                  4.5      Operator will pay for any Services obtained for its
own account, or for any Services for which Operator is responsible for payment,
within thirty (30) days of receipt of an invoice from NeighborCare. Any invoice
not paid within thirty (30) days of receipt of an invoice from NeighborCare will
accrue interest at the rate of 1.5% per month, provided that, in no event will
interest be charged in excess of the amount permitted by applicable law.
Operator agrees to reimburse NeighborCare for any and all costs incurred to
collect payment from the Operator, including, without limitation, reasonable
attorneys' fees. Amounts due to NeighborCare by Operator under these payment
provisions are due in full
<PAGE>

regardless of the Operator's ability to bill or collect from another payment
source, including but not limited to Medicare or Facility residents.

         5.       Term and Termination.

                  5.1      Term. Subject to the provisions of Section 5.1.1 and
5.1.2 below, the term of this Agreement will commence on the first day of the
calendar month following the Effective Date as defined in the Settlement
Agreement Re: Pharmacy Supply Contracts dated ______ __, 2001 (the "Settlement
Agreement") and will continue in full force and effect for a term of nine months
 .

                           5.1.1    Facility may immediately terminate this
agreement without liability if Facility`s legal counsel issues a good faith
written opinion that the terms of this Agreement; (i) violate Medicare laws or
regulations; (ii) jeopardize Facility's status as a tax exempt organization; or
(iii) must be modified in order for Facility to obtain tax exempt financing or
re-finance tax exempt obligation.

                           5.1.2    Upon thirty days advance written notice to
NeighborCare, this Agreement may be terminated without liability and the
services provided for hereunder transitioned back to Operator or its designee in
accordance with the Settlement Agreement.

                  5.2      Material Breach.

                                    (a)      If NeighborCare or Operator fails
to keep, observe or perform any material covenant, agreement, term or provision
of this Agreement (a "Material Breach"), and such Material Breach continues for
a period of forty-five (45) days after written notice by the non-defaulting
party specifying the Material Breach and requesting that the Material Breach be
cured, the non-defaulting party may terminate this Agreement as to the
particular Services with respect to which the defaulting party is in default
only, at the non-defaulting party's discretion, upon thirty (30) days further
written notice to the other party, provided however, that if the defaulting
party has commenced cure within such forty-five (45) day period, and is
diligently pursuing such cure, then the right to give such thirty (30) day
notice of termination will be suspended for the time reasonably necessary to
effect such cure.

                                    (b)      Operator agrees that until the
expiration of four (4) years after furnishing services pursuant to this
Agreement, Operator shall make available, upon written request, to the Secretary
of the department of Health and Human Services, or, upon written or oral
request, to the U.S. Comptroller General, or any of their duly authorized
representatives, the Agreement, and books, documents and records of Operator
that are necessary to certify the nature, extent and cost of such services.
<PAGE>

                                    (c)      Operator further agrees that if it
carries out any of the duties of the agreement through a subcontract, with a
value or cost of $10,000 or more over a twelve-month period, with a related
entity or organization, such subcontract shall contain a clause to the effect
that until the expiration of four (4) years after the furnishing of services
pursuant to such subcontract, the related entity or organization shall make
available, upon written request, to the Secretary of the Department of Health
and Human Services, or, upon written or oral request, to the U.S. Comptroller
General, or any of their duly authorized representatives, the subcontract, and
books documents and records of such entity or organization as are necessary to
verify the nature, extent and the cost of such services.

                                    (d)      If Operator is required to disclose
books, documents, or records pursuant to this provision for purpose of an audit,
Operator shall notify Facility of the nature and scope of such request and
Operator shall make available, upon the written request of Facility, all such
books, documents or records, during regular business hours of Operator.

                                    (e)      Operator further agrees that upon
written or oral request of Facility, it shall make his books, documents and
records available for inspection by any duly authorized representative of the
State or the United States of America empowered to certify the nature, extent or
cost of services rendered pursuant to this Agreement.

                                    (f)      Operator shall indemnify and hold
Facility harmless in the event that any amount of reimbursement is denied or
disallowed because of the failure of Operator or any subcontractor to comply
with its obligations to maintain and make available books, documents or records
pursuant to this paragraph 5.2. Such indemnity shall include, but not be limited
to, the amount of reimbursement denied, plus any interest, penalties, and
reasonable attorney's fees.

                                    (g)      This paragraph pertains solely to
the maintenance and disclosure of specified records and shall have no effect on
the right of the parties to the Agreement to make assignments or deletions.

                                    (h)      Notwithstanding the foregoing, with
respect to monetary defaults of Operator, if Operator fails to make any payment
to NeighborCare on or before the date due, NeighborCare may terminate this
Agreement either in its entirety or as to the particular Services for which
Operator is in default, at NeighborCare's discretion upon twenty (20) days
written notice to Operator, provided, however, that if Operator pays all past
due invoices during such twenty (20) day period, NeighborCare's termination of
this Agreement may be revoked by Operator upon written notice to NeighborCare.
<PAGE>

                  5.3      NeighborCare will have the right to terminate this
Agreement either in its entirety or as to the particular Services for which
Operator is in default, at NeighborCare's discretion: (a) immediately, if any
license, permit or approval required for the operation of Facility cannot be
obtained or is at any time suspended; or (b) immediately, in the event of
voluntary or involuntary bankruptcy or similar insolvency actions by or against
the Operator.

                  5.4      Termination of this Agreement will not affect the
rights and obligations of the parties arising out of any Services performed
prior to the effective date of such termination. Upon any termination of this
Agreement for any reason whatsoever, NeighborCare will be entitled to cancel any
order then outstanding and for reasonable cancellation charges incurred by
NeighborCare.

                  5.5      Operator acknowledges that after notice of
termination has been given by either party, for any reason whatsoever, and even
if such notice is subject to revocation or cure, it is the sole duty of Operator
to promptly notify residents of Facility of the termination, and to arrange to
provide alternative products and services to residents of the Facility to whom
Services were provided by NeighborCare, without interruption of medically
necessary services. Operator agrees to indemnify NeighborCare from any injury or
damage that may result to any person or property, by or from any act or omission
by Operator in connection with its responsibilities under this section 5.5.

                  5.6      Within thirty (30) days following termination, at a
time and place to be mutually agreed, Operator and NeighborCare will meet to
resolve outstanding balances due to NeighborCare and other issues with respect
to termination. Operator acknowledges that if it refuses to participate in such
meeting, all amounts determined by NeighborCare as due from Operator, as
evidenced by invoices delivered by NeighborCare to Operator, will be deemed to
be correct. All amounts payable to NeighborCare from Operator under this
Agreement or otherwise will be due and payable to NeighborCare thirty (30) days
following termination.

         6.       [Intentionally Omitted]

         7.       Independent Contractor. In performing the Services hereunder,
the parties acknowledge and agree that NeighborCare is acting as an independent
contractor and not as the agent, partner or employee of Operator. This Agreement
will not create a joint venture, partnership or other joint business
relationship. Neither party has authority to bind the other to any third party
or otherwise to act in any way as the representative of the other. As an
independent contractor, NeighborCare is not exclusively limited to performing
Services for Operator and is entitled to provide Services for parties other than
the Operator.
<PAGE>

         8.       Insurance. NeighborCare and Operator agree to maintain during
the term of this Agreement: (a) professional and general liability coverage in
minimum amounts of one million dollars per occurrence, and three million dollars
in the aggregate; (b) excess liability coverage in minimum amounts of five
million dollars per occurrence, and five million dollars in the aggregate; and
(c) automobile insurance of one million dollars (combined single limit).
NeighborCare and Operator each agree to comply with state requirements relating
to worker's compensation. Operator shall, at no expense to Facility, procure and
maintain malpractice insurance covering services performed at Facility by
Operator hereunder. Such malpractice policy shall be issued by a company
acceptable to Facility with liability limits for Operator of not less than One
Million Dollars ($1,000,000) per occurrence and Three Million Dollars
($3,000,000) aggregate per year. Deductible amounts shall be subject to the
approval of the Facility. Operator may obtain "claims made" insurance, as
distinguished from "occurrence" insurance; but if Operator obtains "claims made"
insurance, it shall maintain, or cause to be maintained, such "claims made" or
"tail" insurance coverage as may be necessary to insure Operator during and
after the term of this Agreement, against all claims arising out of the
performance of services at Facility. Operator shall also promptly notify
Facility of any cancellation, reduction or other material change in the amount
or scope of any coverage(s) required under this paragraph. Operator has a
continuing obligation to fully disclose to Facility the full nature and extent
of any prior, pending or threatened claims or suits for malpractice.

         9.       Indemnification; Warranties.

                  9.1      NeighborCare will indemnify and hold harmless
Operator, its officers, directors, agents or employees and each of them from and
against any and all claims, penalties, demands, causes of actions, damages,
losses, liabilities, costs, expenses, including reasonable attorney's fees, in
law or in equity, of any kind or nature whatsoever, arising out of or in any
manner directly or indirectly related to the gross negligence or willful
misconduct of NeighborCare in connection with this Agreement, except to the
extent attributable to the gross negligence or willful misconduct of Operator,
its officers, directors, agents or employees.

                  9.2      Operator will indemnify and hold harmless
NeighborCare and its officers, directors, agents or employees and each of them,
from and against any and all claims, penalties, demands, causes of actions,
damages, losses, liabilities, costs, expenses, including reasonable attorney's
fees, in law or in equity, of any kind or nature whatsoever, arising out of or
in any manner directly or indirectly related to the gross negligence or willful
misconduct of Operator in connection with this Agreement, except to the extent
attributable to the gross negligence or willful misconduct of NeighborCare, its
officers, directors, agents or employees.
<PAGE>

                  9.3      NEIGHBORCARE MAKES NO WARRANTIES WHATSOEVER
HEREUNDER, INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A
PARTICULAR PURPOSE WITH RESPECT TO ANY PRODUCTS PROVIDED HEREUNDER. OPERATOR
AGREES TO RELY SOLELY UPON THE DESCRIPTIONS AND WARRANTIES CONTAINED ON THE
PRODUCTS SOLD, RENTED OR PROVIDED PURSUANT HERETO AND TO ENFORCE ALL SUCH
WARRANTIES SOLELY AGAINST THE MANUFACTURER OF SUCH PRODUCTS. OPERATOR
ACKNOWLEDGES AND AGREES THAT NEIGHBORCARE IS NOT THE MANUFACTURER OF ANY
PRODUCTS SOLD, RENTED OR PROVIDED PURSUANT HERETO.

                  9.4      Sections 9.1 through 9.3 will survive termination of
this Agreement and completion of the parties' duties under this Agreement.

         10.      Confidentiality. It is expressly understood that NeighborCare
may utilize certain proprietary systems (electronic or manual), methods,
procedures, written materials (such as policy manuals) and other information
developed by NeighborCare ("Confidential Information"). Such Confidential
Information will remain the property of NeighborCare and Operator will not, at
any time, unless prior written approval is obtained from NeighborCare, utilize,
distribute, copy, disclose to any third party or otherwise employ or acquire
such Confidential Information except in the performance of Operator's
obligations under this Agreement. Operator also agrees that it will not disclose
NeighborCare's rates to any third party, except to the extent required by law.
Operator hereby acknowledges that if any breach of this section occurs,
NeighborCare would be irreparably and immediately harmed and could not be made
whole by monetary damages. Accordingly, in addition to any other remedy to which
it may be entitled in law or in equity, NeighborCare will be entitled to an
injunction or injunctions to prevent breaches and/or to compel specific
performance of this section, and Operator will not oppose the granting of such
relief on the basis that monetary damages are adequate. Operator also agrees to
reimburse NeighborCare for all costs and expenses, including reasonable
attorney's fees, incurred by it in enforcing Operator's obligations under this
section.

         11.      Notices. Any notice, request, demand, consent, approval of
other communication required or permitted under this Agreement shall be in
writing and shall be deemed to have been given (i) upon actual delivery, if
delivery is by hand, or (ii) upon receipt if delivery is by telecopier, or (iii)
the first business day following delivery to any nationally recognized overnight
delivery service, or (iv) five (5) days after it is deposited in the United
States mail, postage prepaid, certified or registered mail, return receipt
requested. Each such notice shall be sent to the respective parties at the
addresses indicated below:
<PAGE>

If to NeighborCare: NeighborCare

                    ---------------------------------

                    ---------------------------------
                    Attention: Senior Vice President,
                               Region
                    ----------

with a copy to:     NeighborCare
                    101 East State Street
                    Kennett Square, PA  19348
                    Attention: Law Department

If to Operator:

                    ---------------------------------

                    ---------------------------------
                    Attention:
                              -----------------------

Any party may change its address for purposes of this section by giving the
other party's ten (10) days prior written notice in accordance with this
section.

         12.      Civil Rights. NeighborCare and Operator agree to comply with
the Civil Rights Act of 1964 which prohibits discrimination based on race, sex,
national origin, age, color or handicap.

         13.      Books and Records.

                  13.1     Access to Books and Records. Pursuant to Section
1395X(v)(1)(I) of Title 42 of the United States Code and applicable rules and
regulations thereunder, until the expiration of four (4) years after the
termination of this Agreement, NeighborCare shall make available, upon
appropriate written request by the Secretary of the United States Department of
Health and Human Services, the Comptroller General of the United States General
Accounting Office, or the applicable state agencies or departments, or any of
their duly authorized representatives a copy of this Agreement and such books,
documents and records as are necessary to certify the nature and extent of the
costs of the services provided by NeighborCare under this Agreement.
NeighborCare further agrees that in the event it carries out any of its duties
under this Agreement through a subcontract with a value or cost of Ten Thousand
Dollars ($10,000) or more over a 12 month period, such subcontract shall contain
a clause identical to that contained in the first sentence of this Section.

                  13.2     Ownership and Retention of Records. Except as
otherwise provided in this Agreement (including the applicable exhibits), all
documents considered to be part of residents' medical record will be and remain
the property of Operator and upon termination of this Agreement, any original
items in NeighborCare's possession will be delivered to Operator. NeighborCare
will be entitled to maintain a copy of the records unless otherwise prohibited
by federal or state law. NeighborCare and Operator agree to maintain all books
and
<PAGE>

records in sufficient detail and for such a period of time as required by
federal and state regulations.

                  13.3     Availability of Records. During the term of this
Agreement and following expiration or termination of this Agreement for any
reason whatsoever, in accordance with applicable laws, Facility agrees to make
available to NeighborCare all resident records and other relevant information
requested in connection with the performance of the Services.

         14.      Assignment; Binding Effect. This Agreement may not be assigned
by either party without the prior written consent of the other party hereto;
provided that NeighborCare may assign this Agreement to any affiliate, or to any
party acquiring all or substantially all of the assets or stock of NeighborCare.
Subject to the foregoing, this Agreement will be binding upon, and inure to the
benefit of, the parties hereto and their respective successors and assigns.

         15.      Amendments and Waivers. This Agreement may be amended,
modified or varied only by agreement in writing, duly executed by the party
against whom enforcement of any amendment, waiver, change, modification, consent
or discharge is sought. The waiver of any breach of any term or condition of
this Agreement will not be deemed to constitute the continuing waiver of the
same or any other term or condition.

         16.      Governing Law. This Agreement will be deemed to have been made
in and its validity and interpretation will be governed by and construed under
the laws of Maryland, without regard to the conflict-of law rules of Maryland or
any other state.

         17.      Jurisdiction. Any and all disputes arising under or related to
the Agreement will be subject exclusively to the jurisdiction of the appropriate
state court in Maryland, Baltimore County or federal court in the U.S. District
Court of Maryland, Northern Division.

         18.      Headings. The captions herein have been inserted solely for
convenience of reference and will not constitute a part of this Agreement, nor
will they affect the meaning, construction or effect of this Agreement.

         19.      Entire Agreement. This Agreement sets forth all of the
promises, covenants, agreements, conditions and undertakings between the parties
with respect to the subject matter of this Agreement.

         20.      Severability. Subject to section 23 hereof, if any provision
of this Agreement or the application thereof to any person or situation will, to
any extent, be held invalid or unenforceable, the remainder of this Agreement,
and the application of such provision to persons or situations other than those
to which it
<PAGE>

will have been held invalid or unenforceable, will not be affected thereby, but
will continue valid and enforceable to the fullest extent permitted by law.

         21.      Counterparts. This Agreement may be executed in two or more
counterparts, each of which will be deemed an original, but together will
constitute one and the same instrument.

         22.      Fair Market Value. The amounts to be paid to NeighborCare
hereunder have been determined by the parties through good faith and arms-length
bargaining to be the fair market value of the services to be rendered hereunder.
No amount paid or to be paid hereunder is intended to be, nor will it be
construed as, an offer, inducement or payment, whether directly or indirectly,
overtly or covertly, for the referral of patients by Operator to NeighborCare,
or by NeighborCare to Operator, or for the recommending or arranging of the
purchase, lease or order of any item or service. For purposes of this section,
NeighborCare and Operator will include each such entity and any affiliate
thereof. No referrals are required under this Agreement.

         23.      Change in Law. Notwithstanding anything to the contrary
contained in this Agreement, in the event that any Medicare and/or Medicaid law,
rule, regulation or payment policy, or any other applicable law or regulation,
or any interpretation thereof, at any time, is modified, implemented, threatened
to be implemented, or determined to prohibit, restrict or in any way materially
change the terms of this Agreement, or by virtue of the existence of this
Agreement has or will have a material adverse effect on either party, then
NeighborCare and Operator agree to negotiate in good faith to amend this
Agreement in a manner consistent with such change and the intent of the parties.
If the parties cannot agree on appropriate amendments to this Agreement in
accordance with this Section 23, the parties agree to submit the matter to
arbitration by the American Arbitration Association, in accordance with its
Commercial Arbitration Rules, and the decision of such arbitration shall be
binding upon NeighborCare and Operator.

         IN WITNESS WHEREOF, the parties hereto, intending to be legally bound,
have duly executed this Agreement as of the day and year first written above.

NEIGHBORCARE:                                OPERATOR:

By:                                          By:
   --------------------------                   --------------------------
   Name:                                        Name:
   Title:                                       Title
<PAGE>

                                   EXHIBIT "E"
                          PART B SUPPLIES AND SERVICES

         1.       Part B Supplies. NeighborCare will provide medical equipment
and supplies ("Part B Supplies") to Facility residents who are eligible for
Medicare Part B benefits and for which NeighborCare may be reimbursed directly
by Medicare and for whom NeighborCare has received an appropriate assignment of
benefits, pursuant to the order of a resident's attending physician. Part B
Supplies include but are not limited to enteral, urological, ostomy and wound
care products and services.

         2.       Billing. To the extent permitted by law, NeighborCare will
bill Medicare directly for all Part B Supplies provided to the resident,
utilizing NeighborCare's supplier number. NeighborCare will, with the assistance
of Operator, obtain all necessary paperwork, information, and signatures. All
applicable deductible and co-insurance amounts will be billed to the appropriate
supplemental or secondary insurance or to the residents or their responsible
parties. Notwithstanding the foregoing, NeighborCare reserves the right to bill
Operator directly for any items for which Operator has not provided appropriate
and timely documentation for NeighborCare to bill Medicare (including, for
example, assignment of benefits).

         3.       Delivery. NeighborCare will provide regularly scheduled
deliveries to the Facility. In addition, NeighborCare will use reasonable
efforts to provide interim deliveries to meet special patient care needs.

         4.       Responsibilities of Operator.

                  4.1      Operator acknowledges that Part B Supplies are for
use by Medicare Part B eligible residents only, and covenants to deliver the
Part B Supplies to the appropriate resident. Operator agrees to assist
NeighborCare with inventory management. Operator agrees to pay NeighborCare its
usual and customary charge for any Part B Supplies delivered by NeighborCare but
not delivered by Operator to a resident eligible for Medicare Part B benefits or
returned to NeighborCare.

                  4.2      Operator agrees that it will not file any claim form,
bill, or request for payment or Medicare Part A or Medicaid cost report for any
resident or third party payer for Part B Supplies furnished by NeighborCare
under this Exhibit.

         5.       Supplier Standards. NeighborCare agrees to comply with all
applicable Medicare standards to receive and maintain a supplier number.

         6.       Usage Review. As requested by operator, NeighborCare will
participate in care planning for residents of the Facility, with respect to the
usage
<PAGE>

of Part B Supplies, and make recommendations to Operator as NeighborCare
deems appropriate.

NEIGHBORCARE:                                OPERATOR:

By:                                          By:
   --------------------------                   --------------------------
   Name:                                        Name:
   Title:                                       Title<PAGE>

                                                                   EXHIBIT 10.31

                   SETTLEMENT AGREEMENT RE NHP LEASE PORTFOLIO

                  This "Settlement Agreement Re NHP Lease Portfolio"
("Agreement") is entered into as of June 27, 2001, by and among Mariner
Post-Acute Network, Inc. ("MPAN"), Living Centers of Texas, Inc. ("LCT"),
GranCare, Inc. ("GranCare"), GCI Palm Court, Inc. ("GCI"), Evergreen HealthCare
Ltd., L.P. ("Evergreen" and collectively with MPAN, LCT, GranCare, and GCI, the
"Debtors"), Nationwide Health Properties, Inc. ("Nationwide"), and NH Texas
Properties Limited Partnership ("NHP Texas" and collectively with Nationwide,
"NHP"), with each of the foregoing hereinafter referred to collectively as the
"Parties" and individually as a "Party", with reference to the following facts
and recitals:

                                    RECITALS

         A.       Debtors are the debtors and debtors in possession in cases
pending under chapter 11 of title 11 of the United States Code (the "Bankruptcy
Code") in the United States Bankruptcy Court for the District of Delaware (the
"Bankruptcy Court"), having filed their voluntary petitions on January 18, 2000
(the "Petition Date"). The Debtors' chapter 11 cases are jointly administered
and consolidated for procedural purposes only under Case No. 00-00113 (MFW) (the
"Bankruptcy Case"). The Debtors' individual case numbers are: MPAN, Case No.
00-00113 (MFW); LCT, Case No. 00-00189 (MFW); GranCare, Case No. 00-00170 (MFW);
GCI, Case No. 00-00157 (MFW); and Evergreen, Case No. 00-00147 (MFW).

         B.       On the Petition Date, the Parties, in various combinations,
were parties to real property leases of certain nursing care facilities as more
fully described in this Agreement.

         C.       Connerwood Healthcare, Inc., debtor and debtor in possession
in Case No. 00-00139 (MFW) in the Bankruptcy Case ("Connerwood") and Nationwide
are parties to a "Settlement Agreement Re NHP Indiana Lease Portfolio" dated as
of May 11, 2001, including an "Operations Transfer Agreement" in connection
therewith among Connerwood, Nationwide, and Nationwide's new tenant, American
Lifestyles, LLC (collectively, the "NHP Indiana Agreements") providing for,
inter alia, the rejection of the leases identified on Schedule 1 hereto (the
"Rejected Indiana Leases"), the resolution of any and all claims related to
Connerwood's use, occupancy, operation or control of the facilities subject to
the Rejected Indiana Leases (the "Rejected Indiana Facilities"), and the
transition of operations at the Rejected Indiana Facilities to American
Lifestyles, LLC.

         D.       Pursuant to this Agreement, the Parties have agreed to (1) the
assumption of certain leases, as modified, the rejection of certain other
leases, and the rejection of the "Master Addendum to Leases" dated October 31,
1997, by and among, MPAN, LCT, GranCare, GCI, Connerwood, Evergreen and
Nationwide (the "Original

                                       1
<PAGE>

Master Addendum"), (2) the assumption and assignment of a sublease pursuant to
section 365 of the Bankruptcy Code, (3) the transfer of certain personal
property located at facilities subject to leases to be rejected by this
Agreement free and clear of liens and encumbrances, and (4) the settlement of
claims and disputes pursuant to section 363 of the Bankruptcy Code, all as more
fully described below.

         E.       The Parties desire to provide for an orderly transition of the
operations of the facilities that are the subject of the leases to be rejected
by this Agreement, or, in the alternative, for their closure.

         F.       The Parties desire to provide for the resolution of all
outstanding claims and disputes among the parties as to the leases to be
rejected by this Agreement and to agree upon cure and adequate assurance of
future performance requirements regarding the leases to be assumed pursuant to
this Agreement.

                 NOW, THEREFORE, IT IS HEREBY AGREED AS FOLLOWS:

                                    AGREEMENT

                  1.       Rejection Of Leases And Agreements. On the Effective
Date (as defined in Paragraph 27 hereof), any and all executory rights and
obligations under the following leases and agreements shall be rejected pursuant
to section 365(a) of the Bankruptcy Code:

                           a.       the "Lease Agreement--Beechnut Manor Nursing
Home Houston, Texas," dated as of October 1, 1990, as amended (the "Texas
Beechnut Lease"), between LCT, as successor tenant, and NHP Texas;

                           b.       the "Master Lease Agreement" dated September
27, 1990 (the "Texas Lease"), as amended, between LCT and NHP Texas, as
successor lessor. The Texas Beechnut Lease and the Texas Lease shall be
hereinafter referred to collectively as the "Rejected Texas Leases", and the
facilities subject to the Rejected Texas Leases shall be hereinafter referred to
as the "Rejected Texas Facilities". A list of the names, locations, and Medicare
Provider Numbers for the Rejected Texas Facilities is annexed hereto as Schedule
2; and

                           c.       The Original Master Addendum.

                  2.       Continuation of Operations. Notwithstanding the
rejection of the Rejected Texas Leases, LCT shall continue to operate each
Rejected Texas Facility for a limited period of time as provided for herein. If
the date (the "Transition Date") upon which LCT transitions operations of a
Rejected Texas Facility to NHP Texas or its designee (the "New Operator") does
not occur on or prior to August 1, 2001, then LCT will continue to operate the
Rejected Texas Facility for a period of the later of (a) up to

                                       2
<PAGE>

two additional months (to September 30, 2001); (b) the Effective Date; or (c)
such later date as the Parties may mutually agree in writing; provided, however,
that from and after the later of July 31, 2001, or the Effective Date, LCT shall
stop paying rent until such time that each Rejected Texas Facility is either
transferred or closed (the "Rent Abatement Period"). Within thirty days after
the end of each month during the Rent Abatement Period, LCT will submit to NHP
Texas profit and loss statements certified as true and accurate by LCT's Chief
Accounting Officer and based on the accrual method of accounting, as heretofore
prepared and used by LCT (which shall not include management fees), showing for
each Rejected Texas Facility which has not been transitioned to a new operator
the revenue and expense items arising from each such Facility's day to day
operations for the immediately preceding month (the "Profit and Loss
Statement"). Except as otherwise provided herein, within ten (10) business days
of NHP Texas' receipt of the Profit and Loss Statement, NHP Texas will pay a
management fee to LCT equal to 5% of the total revenue (the "Management Fee"),
determined in accordance with GAAP Standards, consistently applied, generated by
each Rejected Texas Facility that LCT continues to operate. In the event that
the Profit and Loss Statement for any month during the Rent Abatement Period
shows a net operating profit (i.e., earnings before interest, income taxes,
depreciation, amortization and Management Fee) ("Net Operating Profits")
determined in accordance with GAAP Standards, consistently applied, for any
Rejected Texas Facility that exceeds the amount of the Management Fee, then LCT
shall deduct the Management Fee from the Net Operating Profit and payment of the
Management Fee will be thereby satisfied. LCT will immediately pay to NHP Texas
the balance of the Net Operating Profit after deduction of the Management Fee.
To the extent that the Net Operating Profit is less than the Management Fee,
then the Net Operating Profit shall be credited against the Management Fee and
NHP Texas will pay LCT the unpaid balance of the Management Fee within the said
ten (10) day period. In the event that the Profit and Loss Statement for any
month during the Rent Abatement Period shows a negative Net Operating Profit (a
"Net Operating Loss") at any Rejected Texas Facility, NHP Texas will pay the
Management Fee and reimburse LCT for such Net Operating Loss within ten (10)
business days after NHP Texas' receipt of the Profit and Loss Statement. If the
Transition Date for a Rejected Texas Facility has not occurred by the later of
September 30, 2001, the Effective Date, or such later date as the Parties may
mutually agree in writing, then LCT may proceed to close such Rejected Texas
Facility in accordance with applicable law, and no Administrative Rent (as
defined below) or other amounts shall be payable during this period so long as
LCT is diligently pursuing closure of the Rejected Texas Facility.

                  3.       Transition. If NHP Texas, as landlord, designates a
qualified party to become the New Operator of a Rejected Texas Facility, NHP
Texas, as landlord, and the New Operator shall, subject to the occurrence of the
Effective Date, enter into an "Operations Transfer Agreement" substantially in
the form of Exhibit "A" hereto on or before the Transition Date. In connection
therewith, LCT agrees to transfer owned personal property utilized in the
operation of the Rejected Texas Facilities, and the

                                       3
<PAGE>

Medicare Provider Agreements related to such Facilities, on the terms and
conditions provided in the Operations Transfer Agreement.

                  In connection with the transition, LCT shall be responsible
for, and shall pay on a timely basis, claims or charges which are owed to third
parties arising from its ordinary use, operation or control of each Rejected
Texas Facility, including, but not limited to, payroll, insurance premiums,
utilities, amounts due under executory obligations, and similar obligations,
which claims or charges were (i) incurred in and attributable to the period from
the Petition Date to the Transition Date, and (ii) qualify as costs of
administration under section 503(b)(1) of the Bankruptcy Code.

                  4.       Medicare Provider Agreements: LCT shall use its best
efforts to obtain a court order approving the transfer of the Medicare provider
agreements and provider numbers for the Rejected Texas Facilities, and to have
such order provide in material part as follows:

                  Effective on the transition date, LCT hereby assumes
         conditioned upon assignment and assigns the Medicare Provider
         Agreements and provider numbers applicable to the Facility to the [New
         Operator]; provided, however, that nothing in this Order shall be
         construed to relieve the proposed assignee from complying with all
         procedures, rules, and regulations of the Medicare program, including,
         but not limited to, the requirement that the assignee apply for and
         obtain Health Care Finance Administration ("HCFA") approval of a change
         of ownership on form 855; and provided further, that the assignee shall
         inherit the quality of care history of the Facility as if the assignee
         were the original owner (except that the assignee shall not be liable
         to pay any civil monetary penalty accruing prior to the Transition
         Date); and provided further, that notwithstanding such assumption and
         assignment, any claim of Medicare, the applicable fiscal intermediary,
         the Department of Health and Human Services, or any other party against
         any Debtor under such assumed and assigned Provider Agreements arising
         prior to the January 18, 2000, petition date shall continue to be
         treated as a prepetition claim with the same rights, status, and
         priority as if such Provider Agreements had been rejected and, without
         limiting the foregoing, shall not become or be treated as an expense of
         administration, and may not be offset against any claim of any Debtor
         arising after the filing of these chapter 11 cases, except that (a) the
         United States reserves all rights set forth in the stipulation between
         the United States and Debtors approved by the Court on January 18, 2000
         (the "HHS Stipulation"); (b) such claim (to the extent valid and
         without prejudice to the Debtors' right to dispute such claim) may be
         offset against any prepetition amount due to the Debtors, even if the
         claim and debt are not "mutual" as ordinarily required by 11 U.S.C. ss.
         553, and without further order of this Court; and (c) to the extent
         such

                                       4
<PAGE>

         claim is not satisfied in full via exercise of the offset right
         referred to in the proceeding clause (b), the United States shall have
         an administrative expense claim pursuant to 11 U.S.C. ss. 507(b) for
         any such deficiency, which claim shall in no event exceed [insert
         maximum claim amount] in the chapter 11 case of LCT pending as Case No.
         00-00189 (MFW); and provided further, that the rights accorded the
         United States under this Order and the HHS Stipulation shall constitute
         "cure" under 11 U.S.C. ss. 365 so that [New Operator] shall not have
         any successor liability for any claim against the applicable Debtor
         under such Provider Agreements arising prior to the effective date of
         the assignment of such Provider Agreements to the Landlord.

                  LCT shall use its commercially reasonable good faith efforts
to proceed diligently and in good faith to assign the Medicare provider
agreements and provider numbers with respect to the Rejected Texas Facilities,
and NHP and its new operator shall use their commercially reasonable good faith
efforts to proceed diligently and in good faith to assist LCT in such efforts.
LCT shall have no obligation to assume and assign any other governmental
agreements or approvals, including Medicaid provider agreements and provider
numbers. As a result, the New Operator shall be responsible to obtain all other
necessary state and federal licenses (or, to the extent permitted by law,
interim licenses), provider agreements and other governmental approvals and
consents required in connection with the contemplated transactions.

                  5.       Claims of NHP Related To Rejected Texas Leases. On
the earlier of the Transition Date or when due, LCT shall pay the following
amounts to NHP Texas, as landlord:

                           a.       Administrative Rent under each Rejected
Texas Lease in accordance with the terms of the Rejected Texas Lease for the
period from the Petition Date to the earlier of the Transition Date or July 31,
2001, less any amounts heretofore or hereafter paid on account thereof. As
utilized herein, "Administrative Rent" means all "Minimum Rent", "Additional
Rent", "Renewal Term Minimum Rent", "Additional Charges", and "Late Charges", if
and as defined or otherwise expressly provided for in the applicable lease, to
the extent that each such charge or claim would be payable in accordance with
section 365(d)(3) of the Bankruptcy Code; and

                           b.       Unpaid real and personal property taxes
payable in accordance with a Rejected Texas Lease, including penalties and
interest thereon, incurred from the Petition Date to the earlier of the
Transition Date or July 31, 2001, on a prorated basis, less any amounts
heretofore or hereafter paid on account thereof.

                  Except as expressly provided for in this Agreement, on the
Effective Date, NHP shall be deemed to have waived and released any and all
other claims it may have against any Debtor or its affiliates ("Affiliates," as
the term "affiliate" is defined in

                                       5
<PAGE>

section 101(2) of the Bankruptcy Code) relating in any fashion to the Rejected
Texas Leases, LCT's use, operation or control of the Rejected Texas Facilities,
or any guaranty of LCT's obligations with respect thereto by MPAN or any other
Affiliate, including without limitation, (1) any and all administrative claims,
except for (a) administrative claims provided for in Paragraphs 5.a and 5.b
hereof, and (b) material maintenance claims first arising in and attributable
solely to the period between the date of this Agreement set forth above and the
Transition Date, or in the case of closure of a Rejected Texas Facility, the
date possession of the Rejected Texas Facility is surrendered to NHP Texas
following its closure by LCT, and (2) all pre-Petition Date claims, including
without limitation, claims for maintenance, restoration, rent, additional rent,
additional charges, impositions, property taxes, and claims arising out of LCT's
use, operation or control of a Rejected Texas Facility, rejection of the
Rejected Texas Leases, and the guaranty of MPAN or any other Affiliate of LCT of
the foregoing obligations; provided, however, that, except as limited by
Paragraph 6 hereof, NHP Texas shall retain the right to set off any claims it
may have as against any security deposit held in connection with a Rejected
Texas Lease, and shall retain such security deposits as provided in Paragraph 6
hereof. To implement the foregoing release of claims, NHP shall provide the
Debtors with withdrawals of any and all proofs of claim filed in the Bankruptcy
Case in connection with the Rejected Texas Facilities and/or the Rejected Texas
Leases in form and substance reasonably satisfactory to Debtors and shall not
file any additional proofs of claim or amendments thereto except that NHP shall
be allowed to pursue its rights and remedies with respect to its administrative
claims provided for in Paragraphs 5.a. and 5.b. hereof and any material
maintenance claims as described herein above. Further, nothing contained herein
shall be construed as a waiver or bar to NHP to pursue its rights and remedies
with respect to breach of this Agreement.

                  6.       Security Deposits Regarding Rejected Texas Leases. On
the Effective Date:

                           a.       NHP Texas shall retain the security deposit
(approximately $100,000) under the Texas Beechnut Lease in full and complete
satisfaction of any and all claims, including prepetition, administrative, and
rejection damage claims, it may have under the Texas Beechnut Lease, other than
for Administrative Rent claims, including real and personal property taxes, due
under Bankruptcy Code ss. 365(d)(3) under the Texas Beechnut Lease as provided
in Paragraphs 5(a) and (b) hereof; and

                           b.       On or as soon as practicable following the
Effective Date, NHP shall make demand in the amount of $682,500 under that
certain letter of creditor in respect of which it is the beneficiary regarding
the Debtors' performance under the Texas Lease in full and complete satisfaction
of any and all claims, including prepetition, administrative, and rejection
damage claims, it may have under the Texas Lease, other than for Administrative
Rent claims, including real and personal property taxes, due under Bankruptcy
Code ss. 365(d)(3) under the Texas Lease, as provided in Paragraphs

                                       6
<PAGE>

5(a) and (b) hereof. Following such demand and payment in full of the $682,500
under the letter of credit, NHP shall surrender for cancellation the original
letter of credit and make no further demands thereunder.

                  7.       Assumption of Leases. On the Effective Date, any and
all executory rights and obligations under the following Leases shall be assumed
by agreement of the parties to such Leases pursuant to sections 365(a) and (b)
of the Bankruptcy Code:

                           a.       the "Lease and Security Agreement" dated
September 26, 1991, as amended (the "California Driftwood Lease") between
GranCare, as successor tenant, and NHP, as Landlord, insofar as the California
Driftwood Lease relates to the three facilities commonly known as Driftwood
Manor--Hayward, the Alamaden Health Care Center, and the Driftwood Health Care
Center--Santa Cruz (collectively, the "Retained California Driftwood
Facilities"), as further amended by the "Revised and Restated Master Addendum To
Leases" annexed hereto as Exhibit "B" to be executed and delivered in accordance
with Paragraph 9 hereof (the "Revised and Restated Master Addendum");

                           b.       the "Lease and Security Agreement" dated
April 20, 1994, as amended (the "California Monterey Palms Lease"), between GCI
and GranCare, as successor tenants, and NHP, as Landlord, relating to the
facility commonly known as the Monterey Palms Healthcare Center, as further
amended by the Revised and Restated Master Addendum. The California Driftwood
Lease and the California Monterey Palms Lease, each as further amended by the
Revised and Restated Master Addendum, are hereinafter referred to as the
"Assumed California Leases";

                           c.       the "Amended and Restated Lease of Care Inn
Convalescent Center", dated as of May 1, 1989, as amended (the "Illinois LaSalle
Lease"), between Evergreen, as successor tenant, and Nationwide, as successor
lessor, relating to the facility commonly known as the LaSalle HealthCare
Center, as further amended by the Revised and Restated Master Addendum; and

                           d.       the "Amended and Restated Lease of
Litchfield Convalescent Center", dated as of May 1, 1989, as amended (the
"Illinois Litchfield Lease"), between Evergreen, as successor tenant, and
Nationwide, as successor lessor, relating to the facility commonly known as the
Litchfield HealthCare Center, as further amended by the Revised and Restated
Master Addendum. The Illinois LaSalle Lease, the Illinois Litchfield Lease, each
as further amended by the Revised and Restated Master Addendum, are hereinafter
referred to as the "Assumed Illinois Leases". The Assumed California Leases and
the Assumed Illinois Leases are referred to herein collectively as the "Assumed
Leases".

                                       7
<PAGE>

                  8.       Cure and Adequate Assurance of Future Performance Re
Assumed Leases. The payment by the Debtors of unpaid Administrative Rent and all
unpaid real and personal property taxes, including penalties and interest
thereon, arising in connection with the Assumed Leases from and after the
Petition Date through the Effective Date shall satisfy all cure and compensation
requirements arising under Bankruptcy Code ss. 365(b)(1)(A) and (B).
Notwithstanding any provision in any Assumed Lease to the contrary, Landlord
hereby agrees that the existence of any default under any of the Assumed Leases
arising prior to or during the pendency of the Bankruptcy Case that would not
require cure under section 365(b)(2) of the Bankruptcy Code shall be waived and
unenforceable against the Debtors during the pendency of the Bankruptcy Case,
notwithstanding the assumption of the Assumed Leases. The requirements for
adequate assurance of future performance under Bankruptcy Code ss. 365(b)(1)(C)
as to the Assumed Leases shall be satisfied by (a) MPAN's renewal of its
guaranty of the Assumed Leases by its execution and delivery of the guaranty
annexed as Exhibit "B" to the Revised and Restated Master Addendum, and (b) the
continuation of all security deposits to the extent presently in place under the
Assumed Leases. Except as expressly provided for herein, the Parties agree that
(x) the Assumed Leases are in full force and effect, (y) no unpaid pre- or
post-Petition Date claims or non-monetary defaults exist under the Assumed
Leases, and (z) all previously existing guaranties executed in connection with
the Assumed Leases shall be of no further force and effect. To implement the
foregoing release of claims, NHP shall provide Debtors with withdrawals of any
and all proofs of claim filed in the Bankruptcy Case in connection with the
Assumed Leases in form and substance reasonably satisfactory to Debtors and
shall not file any additional proofs of claim or amendments thereto except that
NHP shall be allowed to pursue its rights and remedies with respect to its
administrative claims provided for in Paragraphs 5.a. and 5.b. hereof and any
material maintenance claims as described herein above. Further, nothing
contained herein shall be construed as a waiver or bar to NHP to pursue its
rights and remedies with respect to breach of this Agreement.

                  9.       Amendments To Assumed Leases. Concurrently with the
execution and delivery of this Agreement, Nationwide, MPAN, GranCare, GCI and
Evergreen shall execute and deliver the Revised and Restated Master Addendum
which shall be effective concurrently with the occurrence of the Effective Date
under this Agreement.

                  10.      Assignment Of Assumed Leases. The Debtors' interests
in the Assumed Leases, as modified by the Revised and Restated Master Addendum,
and under this Agreement (including the Exhibits hereto) may be assigned prior
to confirmation of a plan of reorganization or pursuant to a confirmed plan of
reorganization to any party that the Bankruptcy Court determines provides
adequate assurance of future performance within the meaning of section 365 of
the Bankruptcy Code so long as such party is directly and primarily liable under
the assigned Assumed Leases and the Revised and Restated Master Addendum,
including by providing its guaranty of performance thereunder; provided,
however, that the Assumed California

                                       8
<PAGE>

Leases must be assigned as a group to a single assignee, and the Assumed
Illinois Leases must be assigned as a group to a single assignee. Upon such
assignment, the Debtors shall be relieved of their obligations under the Assumed
Leases and Revised and Restated Master Addendum as to the Assumed Leases so
assigned, and no guaranties of the Assumed Leases so assigned will be given by,
or, if previously given, be or remain enforceable against, MPAN, the other
Debtors or any of their Affiliates. Nothing contained in the foregoing shall
operate to preclude NHP from objecting to a proposed assignment under section
365 of the Bankruptcy Code. After the effective date of any plan of
reorganization, the Debtors' interests in the Assumed Leases and the Revised and
Restated Master Addendum may be assigned as and if provided for therein.

                  11.      Assumption and Assignment Regarding Gilroy Facility
Subleases. On the Effective Date:

                  a.       The executory rights and obligations under the
California Driftwood Lease shall be bifurcated into two separate sets of
executory rights and obligations, one consisting of the California Driftwood
Lease, as amended, and the Revised and Restated Master Addendum, insofar as each
relates to the Retained California Driftwood Facilities, and the other
consisting of the executory rights and obligations under the original California
Driftwood Lease (without modification by the Original Master Addendum) relating
to the Facility commonly described as the Driftwood-Gilroy Facility; and

                  b.       GranCare shall assume and assign to Nationwide (a)
its executory rights and obligations as tenant under the California Driftwood
Lease insofar as it relates to the Driftwood-Gilroy Facility, and (b) its
executory rights and obligations as sublessor under the "SubLease" (the "Gilroy
Sublease") dated as of March 31, 1993, with Pleasant Care Corporation (the
predecessor in interest to the present subtenant, Covenant Care, Inc.) relating
to the Driftwood-Gilroy Facility. Upon such assignment, Nationwide shall be
deemed to have (i) released the Debtors from any and all obligations that may
exist under the California Driftwood Lease to the extent such obligations relate
to the Driftwood-Gilroy Facility, and (ii) agreed to perform all of GranCare's
obligations as tenant under the California Driftwood Lease insofar as it relates
to the Driftwood-Gilroy Facility and as sublessor under the Gilroy Sublease. As
a result of such assumption and assignment, the rights of Nationwide, as
successor sublessor, and the rights of the sublessee under the Gilroy Sublease
shall be governed exclusively by the terms of the Gilroy Sublease and the
original California Driftwood Lease incorporated therein as it relates to the
Driftwood--Gilroy Facility. All of the Debtors' rights and obligations under the
California Driftwood Lease as to the Retained California Driftwood Facilities
shall be preserved as if the Driftwood-Gilroy Facility had never been subject to
the California Driftwood Lease, all as more fully provided in the Revised and
Restated Master Addendum.

                                       9
<PAGE>

                  12.      Impact Of The NHP Indiana Agreement. Neither the
rejection of the Indiana Leases, nor the failure of the Closing Date to occur
under the Operations Transfer Agreement executed in connection with the NHP
Indiana Agreement, nor the non-performance of any of tenant's duties, covenants
or obligations under the Rejected Indiana Leases, including, without limitation,
the types of obligations waived or to be waived and released or to be released
in accordance with Paragraph A.4 of the NHP Indiana Agreement, shall have any
effect on, or create a default or cross-default under or with respect to, any
other leases or obligations by and among Nationwide, NHP Texas and/or their
Affiliates and any of the Debtors and/or their Affiliates.

                  13.      Mutual Release.

                  a.       Mutual Release. Except as expressly provided for in
this Agreement (including the Exhibits hereto), as of the Effective Date, NHP on
the one hand and the Debtors on the other hand, hereby release and discharge the
other, and their respective successors, representatives, subsidiaries,
Affiliates, assigns, agents, officers, directors, employees, shareholders, and
attorneys, and each of them, from and waive and relinquish, any and all claims,
demands, debts, liabilities, obligations, actions, causes of action, suits, sums
of money, accounts, reckoning, covenants, contracts, complaints, objections,
controversies, agreements, promises and rights whatsoever, whenever arising,
known or unknown, suspected or unsuspected, contingent or fixed, liquidated or
unliquidated, matured or unmatured, in law, equity, or otherwise, which either
of them, or any person or entity claiming from, through or under either of them,
ever had, now has, or hereafter can, shall, or may have against the other by
reason of, arising from, relating to, in connection with or set forth in the
Rejected Texas Leases, or arising out of the Debtors' use, operation or control
of the Rejected Texas Facilities, and any guaranty of any Affiliate of the
Debtors of the foregoing obligations. This release does not relate to the
Assumed Leases or the Debtors' use, operation or control of any Facility subject
to an Assumed Lease.

                  b.       California Civil Code Section 1542. EACH PARTY HERETO
EXPRESSLY UNDERSTANDS THAT Section 1542 of the Civil Code of the State of
California provides as follows:

                  A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR
DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE
RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH
THE DEBTOR.

                  c.       Waiver. EACH PARTY HEREBY AGREES THAT THE PROVISIONS
OF SECTION 1542 of the Civil Code of the State of California and all similar
federal or state laws, rights, rules, or legal principles, legal or equitable,
which may be applicable hereto, to the extent that they may apply to any of the
matters released herein, ARE HEREBY KNOWINGLY AND VOLUNTARILY WAIVED AND
RELINQUISHED BY EACH

                                       10
<PAGE>

PARTY TO THIS AGREEMENT, in each and every capacity, to the full extent that
such rights and benefits pertaining to the matters released herein may be
waived, and each Party hereby agrees and acknowledges that this waiver and
relinquishment is an essential term of this Agreement, without which the
consideration provided to it would not have been given.

                  d.       Subsequently Discovered Claims. In connection with
such waiver and relinquishment, each Party acknowledges that it is aware that it
may hereafter discover claims presently unknown or unsuspected, or facts in
addition to or different from those which it now knows or believes to be true,
with respect to the matters released herein. Nevertheless, it is the intent of
each Party in executing this Agreement fully, finally, and forever to settle and
release all such matters, and all claims relative thereto, which exist, may
exist or might have existed (whether or not previously or currently asserted in
any action) which are the subject of the release granted under Paragraph 13.a
hereof.

                  e.       Each Party hereto covenants and agrees that it will
not institute or prosecute any action or proceeding, in law, equity or
otherwise, to recover, enforce, or collect or pursue any claim, demand, debt,
liability, obligation, complaint, objection, action, cause of action, or other
matter which has been released pursuant to the provisions of Paragraph 13.a
hereof. Without in any manner limiting the available remedies for the breach of
this Paragraph, any Party who breaches the terms of this Paragraph shall be
liable to the other Party against whom such suit, action or other proceeding has
been brought in violation of this Paragraph for the reasonable attorneys' fees
and costs incurred by such other Party in defending against or otherwise
responding to such suit, action or proceeding.

                  14.      Payment of Expenses. Each Party hereto shall bear its
own legal, accounting, due diligence and other expenses incurred in connection
with the preparation and negotiation of this Agreement and the consummation of
the transactions contemplated hereby, whether or not the transaction is
consummated.

                  15.      Attorneys' Fees. In the event of any dispute or
controversy arising out of this Agreement, including in connection with the
interpretation of any term or condition of this Agreement, the enforcement of
the Agreement, damages for breach of any provision hereof, or in the situation
where any provision of this Agreement is validly asserted as a defense, the
prevailing Party shall be entitled to recover costs of suit, including
reasonable attorneys' fees, from the other Party in addition to any other
available remedy.

                  16.      Representation By Counsel. The Parties acknowledge
that they have been represented by independent legal counsel of their choosing
throughout all of the negotiations which preceded the execution of this
Agreement, and that each Party has executed this Agreement with the consent and
on the advice of such independent

                                       11
<PAGE>

legal counsel. This Agreement is a negotiated document. As a result, any rule of
construction providing for any ambiguity in the terms of this Agreement to be
construed against the draftsperson of this Agreement shall be inapplicable to
the interpretation of this Agreement.

                  17.      Due Authorization. Each Party to this Agreement
hereby represents and warrants that (a) such Party is duly authorized to enter
into this Agreement without the permission of any third party; and (b) the
person purporting to execute this Agreement on behalf of such Party has been
duly authorized to execute this Agreement on behalf of and bind such Party;
provided, however, that this representation and warranty as against Debtors
shall be of no force and effect with respect to matters that require the
approval of the Bankruptcy Court in the Bankruptcy Case unless and until such
approval is obtained.

                  18.      Entire Agreement; Amendment; Waiver. This Agreement,
together with the other agreements which are Exhibits hereto, constitutes the
entire understanding among the Parties with respect to the subject matter
hereof, superseding all negotiations, all prior discussions, preliminary
agreements, representations, warranties, and understandings of the Parties,
whether oral, written or implied, as to the subject matter hereof. No
supplement, modification, or amendment of this Agreement (including the Exhibits
hereto) shall be binding unless executed in writing by all Parties affected
thereby. No waiver of any term, provision or condition of this Agreement
(including the Exhibits hereto), in any one or more instances, shall be deemed
to be or be construed as a further or continuing waiver of any such term,
provision or condition or as a waiver of any other term, provision or condition
of this Agreement. No failure to act shall be construed as a waiver of any term,
provision, condition or rights granted hereunder.

                  19.      Limitation on Third-Party Beneficiaries. Except as
expressly provided in Paragraph 13(a) hereof, no provision contained in this
Agreement is intended to confer any rights or remedies under or by reason of
this Agreement on any person or entity other than the Parties hereto.

                  20.      Successors and Assigns. This Agreement shall be
binding upon, and shall inure to the benefit of, the Parties and their
respective legal representatives, successors and assigns, including, in the case
of the Debtors, any trustee appointed under chapters 11 or 7 of the Bankruptcy
Code, and any responsible officer or examiner appointed for any of the Debtors.

                  21.      No Representations or Warranties. Except as expressly
set forth in this Agreement, none of the Parties hereto makes any representation
or warranty, written or oral, express or implied.

                                       12
<PAGE>

                  22.      Admissions. Neither this Agreement, nor any of the
terms hereof, nor any negotiations or proceedings in connection herewith, shall
constitute, be construed as or be deemed to be evidence of any admission on the
part of any Party of any liability or wrongdoing whatsoever, or the truth or
untruth, or merit or lack of merit of any claim or defense of any Party; nor
shall this Agreement, any of the terms hereof, any negotiations or proceedings
in connection herewith, any pleading filed in connection with seeking its
approval from the Bankruptcy Court, or any performance or forbearance hereunder,
be offered or received in evidence or used in any proceeding against any Party,
or be used in any proceeding, or otherwise, for any purpose whatsoever except
with respect to the effectuation and enforcement of this Agreement.

                  23.      Applicable Law. Except for issues related to the
approval of this Agreement by the Bankruptcy Court, which issues shall be
governed by the Bankruptcy Code, this Agreement shall be governed in all
respects, including the validity, interpretation and effect, by laws of the
State of California.

                  24.      Subsequent Events. Except as provided for herein, the
terms of any plan of reorganization confirmed by the Debtors in the Bankruptcy
Case shall not alter the terms and conditions of this Agreement, any of the
Exhibits hereto or any of the Assumed Leases.

                  25.      Cooperation of the Parties. The Debtors agree to use
their best efforts to seek Bankruptcy Court approval of this Agreement
(including the Exhibits hereto), and, in connection therewith, NHP agrees to use
its best efforts to cooperate with the Debtors in obtaining such Bankruptcy
Court approval, including, if requested, by providing testimony or written
declarations in support of the Debtors' motion to approve this Agreement.

                  26.      Conditions Precedent To Effective Date. The
occurrence of the Effective Date shall be subject to the satisfaction of the
following conditions precedent: (a) the filing of a motion with the Bankruptcy
Court to approve this Agreement, including the Exhibits hereto, on or before
June 27, 2001, or such later date as the Parties may agree, (b) the entry of the
Approval Order (as defined in Paragraph 27 hereof) on or before July 20, 2001,
or such later date as the parties may agree, (c) the occurrence of the Effective
Date on or before July 31, 2001, or such later date as the parties may agree,
(d) the approval of the transactions contemplated by this Agreement by Chase
Manhattan Bank in its capacity as Agent for the Debtors' senior secured
pre-Petition Date lenders and as Agent for the Debtors' postpetition debtor in
possession lenders, insofar as such consent is required to release liens on all
personal property being transferred to NHP or New Operator in connection with a
Rejected Texas Facility, and (e) the consent of the Health Care Finance
Administration ("HCFA") to the assignment of the Medicare Provider Agreement and
Provider Number applicable to each Rejected Texas Facility, together with the
agreement of Debtors and HCFA as to

                                       13
<PAGE>

the amount of any "cap" placed on administrative claims of HCFA arising from
such assignment and limitations on HCFA's offset rights.

                  27.      Effective Date. This Agreement (other than the
provisions of Paragraph 25 hereof, which shall take effect immediately) is
subject to the entry of an order of the Bankruptcy Court in the Bankruptcy Case,
in form and substance reasonably satisfactory to the Parties (the "Approval
Order"), approving this Agreement (including the Exhibits hereto) and
authorizing the consummation of the transactions contemplated thereby, after
notice and an opportunity for a hearing, and shall become effective and close on
the first business day which is more than ten days following the entry of the
Approval Order upon which all of the conditions set forth in Paragraph 26 have
been satisfied (the "Effective Date"); provided, however, that if the Bankruptcy
Court enters an order pursuant to Federal Rules of Bankruptcy Procedure 6004(g)
and 6006(d) so providing, the Effective Date shall occur on the first business
day following the entry of the Approval Order (or such later date as the
Bankruptcy Court may order) on which all of the conditions set forth in
Paragraph 26 have been satisfied, so long as a court of competent jurisdiction
has not issued a stay pending appeal of the Approval Order prior to the
Effective Date, in which case the Effective Date shall be the first business day
that any such stay pending appeal is dissolved, abrogated, or otherwise rendered
unenforceable by a court of competent jurisdiction. If entry of the Approval
Order is denied by the Bankruptcy Court despite the Parties' compliance with
Paragraph 25 hereof, this Agreement shall be of no further force and effect and
the Parties shall be returned to the status quo ante as if this Agreement had
not been entered into by the Parties.

                  28.      Consent To Jurisdiction and Venue. The parties hereto
consent to the determination by the Bankruptcy Court without a jury trial and in
a contested matter as a "core proceeding" (as such term is defined in 28 U.S.C.
ss. 157 or any successor provision) of any and all disputes concerning this
Agreement, including disputes involving the validity, interpretation, effect, or
enforcement of this Agreement, and the Parties agree that the Bankruptcy Court
shall be the exclusive forum to hear, determine and enter appropriate orders and
judgments regarding all such disputes until the closing of the Bankruptcy Cases,
after which any and all disputes arising out of this Agreement shall be
adjudicated by any court of competent jurisdiction.

                  29.      Headings. The descriptive headings of the several
paragraphs of this Agreement are inserted for convenience of reference only and
do not constitute a part of this Agreement.

                  30.      Notices. All notices to be given by either party to
this Agreement to the other party hereto shall be in writing, and shall be:

         (a)      sent by facsimile,

                                       14
<PAGE>

         (b)      deposited in the United States mail, certified or registered,
                  postage prepaid, return receipt requested or

         (c)      sent by national overnight courier service, each addressed as
                  follows:

                  (i)      If to a Debtor:
                           Mariner Post-Acute Network, Inc.
                           One Ravinia Drive
                           Suite 1500
                           Atlanta, Georgia 30346
                           Attention: General Counsel
                           Fax: 678-443-6778

                           With a copy to:

                           Powell, Goldstein, Frazer & Murphy LLP
                           191 Peachtree Street
                           16th Floor
                           Atlanta, Georgia 30303
                           Attention: Michael J. Delaney, Esq.
                           Fax: 404-572-6999

                  (ii)     If to NHP:

                           Nationwide Health Properties, Inc.
                           610 Newport Center Drive
                           Suite 1150
                           Newport Beach, CA 92660
                           Attn:  Bruce Andrews
                           Facsimile No. 949.759.6876

                           With a copy to:

                           Daniel H. Golden
                           Akin, Gump, Strauss, Hauer & Feld, L.L.P.
                           590 Madison Avenue
                           New York, NY 10022
                           Facsimile No. 212.872.1002

Any such notice delivered by facsimile shall be deemed delivered when received,
any such notice deposited in the United States mail, registered or certified,
return receipt requested, with all postage prepaid, shall be deemed to have been
given on the earlier of the date received or the date when delivery is first
refused, and any notice deposited with an overnight courier service for delivery
shall be deemed delivered on the business

                                       15
<PAGE>

day following such deposit. Any party to whom notices are to be sent pursuant to
this Agreement may from time to time change its address for further
communications thereunder by giving notice in the manner prescribed herein to
all other parties hereto.

                  31.      Counterparts. This Agreement may be executed in two
or more counterparts by the Parties, and all such counterparts taken together
shall be considered as and construed to be part of a single agreement.

                  IN WITNESS WHEREOF, each of the Parties hereto has caused this
Agreement to be executed on its behalf by its officers thereunto duly
authorized, all as of the day and year first above written.

                                       NATIONWIDE HEALTH PROPERTIES, INC.

                                       By
                                         --------------------------------------
                                       Its
                                          -------------------------------------

                                       NH TEXAS LIMITED PARTNERSHIP
                                       By MLD TEXAS CORPORATION, its general
                                       partner

                                       By
                                         --------------------------------------
                                       Its
                                          -------------------------------------

                                       MARINER POST-ACUTE NETWORK, INC.,
                                       DEBTOR AND DEBTOR IN POSSESSION

                                       By
                                         --------------------------------------
                                       Its
                                          -------------------------------------

                                       LIVING CENTERS OF TEXAS, INC.,
                                       DEBTOR AND DEBTOR IN POSSESSION

                                       By
                                         --------------------------------------
                                       Its
                                          -------------------------------------

                                       GRANCARE, INC.,
                                       DEBTOR AND DEBTOR IN POSSESSION

                                       By
                                         --------------------------------------
                                       Its
                                          -------------------------------------

                                       16
<PAGE>

                                       GCI PALM COURT, INC.,
                                       DEBTOR AND DEBTOR IN POSSESSION

                                       By
                                         --------------------------------------
                                       Its
                                          -------------------------------------

                                       EVERGREEN HEALTHCARE LTD., L.P.,
                                       DEBTOR AND DEBTOR IN POSSESSION

                                       BY EVERGREEN HEALTHCARE, INC.,
                                       ITS GENERAL PARTNER AND DEBTOR AND
                                       DEBTOR IN POSSESSION

                                       By
                                         --------------------------------------
                                       Its
                                          -------------------------------------

                                       17
<PAGE>

                                   SCHEDULE 1
                           THE REJECTED INDIANA LEASES

                  1.       The "Amended and Restated Lease of Wabash Health Care
Center," dated as of May 1, 1989, as amended (the "Indiana Wabash Lease"),
between Connerwood, as successor tenant, and Nationwide, as successor lessor,
relating to the real property commonly known as the Wabash Healthcare Center,
and the "Master Addendum to Leases" dated October 31, 1997 (the "Master
Addendum"), insofar as it relates to the Indiana Wabash Lease;

                  2.       The "Amended and Restated Lease of Christopher East
Living Center," dated as of May 1, 1989, as amended (the "Indiana Christopher
East Lease"), between Connerwood, as successor tenant, and Nationwide, as
successor lessor, relating to the real property commonly known as the East
Pointe Health & Rehabilitation Center, and the Master Addendum insofar as it
relates to the Indiana Christopher East Lease; and

                  3.       The "Amended and Restated Lease of New Castle Health
Care Center," dated as of May 1, 1989, as amended (the "Indiana New Castle
Lease"), between Connerwood, as successor tenant, and Nationwide, as successor
lessor, relating to the real property commonly known as the New Castle Health
Care Center, and the Master Addendum insofar as it relates to the Indiana New
Castle Lease.

                                       18
<PAGE>

                                   SCHEDULE 2
               LIST OF FACILITIES SUBJECT TO REJECTED TEXAS LEASES

<TABLE>
<CAPTION>
                 DEBTOR                                        FACILITY/LOCATION                    PROVIDER NUMBER
-------------------------------------------   ----------------------------------------------------  ---------------
<S>                                           <C>                                                   <C>
Living Centers of Texas, Inc.                 Allenbrook Health Care Center/                            67-5079
Case No.   00-00189 (MFW)                     Baytown, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Green Acres Convalescent Center--Baytown/ Baytown,         67-5225
Case No.   00-00189 (MFW)                     Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Green Acres Convalescent Center--Center/ Center,           67-5398
Case No.   00-00189 (MFW)                     Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Green Acres Convalescent Center--Humble/ Humble,           67-5127
Case No.   00-00189 (MFW)                     Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Green Acres Convalescent Center--Huntsville/               67-5433
Case No.   00-00189 (MFW)                     Huntsville, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Heritage House/                                           67-5333
Case No.   00-00189 (MFW)                     Eagle Lake, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Castle Manor/                                             67-5305
Case No.   00-00189 (MFW)                     Garland, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Beechnut Manor/                                           67-5000
Case No.   00-00189 (MFW)                     Houston, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Oak Manor/                                                67-5328
Case No.   00-00189 (MFW)                     Nacogdoches, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Broadway Lodge/                                           67-5437
Case No.   00-00189 (MFW)                     San Antonio, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 San Antonio Convalescent Center/                          67-5339
Case No.   00-00189 (MFW)                     San Antonio, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
</TABLE>

                                       19
<PAGE>

                              SCHEDULE OF EXHIBITS

Exhibit A       Operations Transfer Agreement
Exhibit B       Revised and Restated Master Addendum To Leases

                                       20
<PAGE>

                                   EXHIBIT "A"

                          OPERATIONS TRANSFER AGREEMENT

         This "OPERATIONS TRANSFER AGREEMENT" ("Agreement") by and among Living
Centers of Texas, Inc., debtor and debtor in possession ("Debtor"), NH Texas
Properties Limited Partnership ("Landlord"), and [INSERT NAME OF NEW OPERATOR]
("New Operator") is entered into as of June 27, 2001, pursuant to and as
authorized by the "Settlement Agreement Re NHP Lease Portfolio" dated as of June
27, 2001 (the "Settlement Agreement"), with reference to the following facts:

                                    RECITALS

         A.       Landlord is the owner of the following nursing home: [Insert
description of Facility from Schedule "1" hereto] (the "Facility").

         B.       On January 18, 2000, Debtor, along with various affiliated
parent and subsidiary entities, including its parent corporation, Mariner
Post-Acute Network, Inc. ("MPAN") filed for relief under chapter 11 of title 11
of the United States Code (the "Bankruptcy Code") in the United States
Bankruptcy Court for the District of Delaware (the "Bankruptcy Court"), Case
Nos. 00-113 (MFW) through 00-214 (MFW) (the "Bankruptcy Case"), and continues to
operate its business as a debtor and debtor-in-possession under sections 1107(a)
and 1108 of the Bankruptcy Code.

         C.       Debtor was the lessee of the Facility from Landlord under a
lease that will be rejected in the Bankruptcy Case pursuant to the Settlement
Agreement.

         D.       Debtor, Landlord and New Operator desire to enter into this
Agreement in order to facilitate an orderly transition of the Facility's
operations from Debtor to New Operator.

         E.       New Operator is in the business of operating skilled nursing
and extended care facilities, has entered into a lease of the Facility with
Landlord, and joins in this agreement as a participant to the operations
transfer addressed herein.

                                    AGREEMENT

         NOW, THEREFORE, in consideration of the mutual promises contained
herein, and for other good and valuable consideration, the receipt and adequacy
of which are hereby acknowledged, the parties hereto agree that:

<PAGE>

                                   ARTICLE 1.
                                   THE CLOSING

1.1      Effectiveness of Closing. The closing (the "Closing") under this
Agreement shall be effective as of 12:00:01 a.m. on August 1, 2001, or such
other date as may be mutually agreed to in writing by the parties (the "Closing
Date"). The Closing shall not occur unless (a) the Approval Order as required by
Paragraph 5.12 is in effect, and (b) the Licenses required by Section 5.2 have
been obtained by the New Operator.

1.2      Debtor's Deliveries in Connection with the Closing. Debtor shall
deliver the following to Landlord and New Operator in connection with the
Closing:

         (a)      Executed special warranty Bill of Sale for Personal Property
                  (as hereinafter defined) pursuant to Section 2.2 hereof.

         (b)      Executed counterparts of a closing statement reflecting the
                  prorations and other payments to be made as of Closing
                  pursuant hereto (the "Closing Statement").

         (c)      Payment in immediately available funds of any amounts due to
                  Landlord or New Operator from Debtor with respect to the
                  Facility in accordance with the Settlement Agreement as
                  reflected in the Closing Statement.

1.3      Landlord and New Operator's Deliveries at Closing. Landlord and New
Operator shall deliver the following to Debtor at the Closing:

         (a)      Executed counterpart of the Closing Statement.

         (b)      Payment in immediately available funds of any amounts due to
                  Debtor from Landlord or New Operator with respect to the
                  Facility in accordance with the Settlement Agreement as
                  reflected in the Closing Statement.

1.4      Payment. Any mutual obligations owing under Sections 1.2 and 1.3 shall
be set off at Closing. To the extent a party is owed a payment after such set
off, such payment shall be made in cash at Closing via check or pursuant to the
wire instructions of such party.

                                   ARTICLE 2.
                             TRANSFER OF OPERATIONS

2.1      Cooperation. Debtor agrees to cooperate with Landlord and New Operator,
and Landlord and New Operator agree to cooperate with Debtor, to effect an
orderly transfer of the operation of the Facility.

                                      -2-
<PAGE>

2.2      Conveyance of Supplies and Tangible Personal Property. At Closing,
Debtor hereby agrees to transfer and convey free of liens and encumbrances, (a)
to Landlord all of its right, title and interest in and to any tangible personal
property (other than consumables, inventories and supplies), including
furniture, fixtures, and equipment owned (but not leased) by Debtor and actually
used in the operation of the Facility, with the exception of motor vehicles,
computer equipment, electronic time keeping equipment, and tangible personal
property subject to purchase money liens (unless Landlord assumes such purchase
money lien obligations), and (b) to New Operator all of its right, title and
interest in and to any consumables, inventories and supplies actually used in
the operation of the Facility (collectively with the personal property
transferred to Landlord, "Personal Property"), for and in consideration of the
mutual promises contained in this Agreement and the Settlement Agreement;
provided, however, Debtor shall leave all computer equipment at the Facility for
a period of sixty (60) days following Closing as provided in Section 2.14 to
allow New Operator to transfer all relevant data and information related to the
operation of the Facility in an orderly manner. Landlord and New Operator
acknowledge that they have no ownership rights or interests in such computer
equipment, except in connection with the transfer of such data pursuant to this
Agreement. Debtor shall have no obligation to deliver the Personal Property to
any location other than that at which each item of Personal Property is
currently located, and Landlord and New Operator agree that the presence of the
Personal Property at the Facility at Closing shall be acceptable and shall
constitute delivery thereof. At Closing, Debtor shall deliver to Landlord a Bill
of Sale for the Personal Property. All Personal Property shall be conveyed on an
"as is", "where is" basis, without any warranty, express or implied.

2.3      Contracts. Debtor will assume and assign to New Operator only the
following contract as more fully provided in 2.16:

<TABLE>
<CAPTION>
            CONTRACT PARTY                                   NATURE OF CONTRACT                     PROVIDER NUMBER
------------------------------------------    --------------------------------------------------    ---------------
<S>                                           <C>                                                   <C>

Health Care Financing                         Medicare Provider Agreement                             Insert from
7500 Security Blvd.                                                                                   Schedule 2
Baltimore, MD  21244
------------------------------------------    --------------------------------------------------    ---------------
</TABLE>

In connection therewith, Debtor shall pay all costs of cure required for each
such assumption and assignment as required by Section 2.16 of this Agreement.
Landlord and New Operator shall not be obligated or entitled to assume any other
leases or executory contracts of Debtor in respect of the Facility except as
otherwise expressly agreed by the parties in writing.

2.4      Transfer of Patient Trust Funds. Within five (5) business days
following the Closing, Debtor shall provide to New Operator a true, correct and
complete accounting (properly reconciled) of any patient trust funds and an
inventory of all residents'

                                      -3-
<PAGE>

property held by Debtor on the Closing Date for patients at the Facility. Debtor
hereby agrees to transfer such funds and property to New Operator within twenty
(20) days of the date that New Operator notifies Debtor in writing that it
agrees with the accounting provided to it. New Operator hereby agrees that it
will accept such funds and property for the patients in accordance with
applicable statutory and regulatory requirements; however, New Operator shall
have no liability for such funds until its acceptance pursuant thereto. New
Operator will indemnify, defend and hold Debtor harmless from all liabilities,
claims, and demands including reasonable attorney's fees, in the event a claim
is made against Debtor by a patient for his or her patient trust fund where such
fund was transferred to New Operator pursuant to the terms hereof.

2.5      Cost Reports. Debtor shall prepare and file with the appropriate
Medicare and Medicaid agencies its final cost reports in respect to its
operation of the Facility as soon as practicable after the Closing Date, but in
no event later than the earlier of

         (a)      ninety (90) days after the Closing Date; or

         (b)      the period required by applicable law.

Debtor shall provide Landlord and New Operator with copies of such reports. If,
following the Closing Date, Landlord or New Operator receives payment from any
federal or state agency, which payment represents reimbursement with respect to
underpayments made to Debtor for services rendered prior to the Closing Date,
then the recipient shall receive such payment in trust for the Debtor, shall not
commingle such funds with its own funds, and shall promptly remit such payments
to Debtor.

2.6      Employees.

         (a)      Debtor shall terminate all of the Facility's employees
                  effective as of the Closing Date. Debtor shall pay all wages
                  due to all of the Facility's employees as of the Closing Date.
                  In addition, Debtor shall pay to all employees of the
                  Facility, within the timeframes required by applicable law,
                  all amounts owing as of the Closing Date for earned vacation
                  pay, sick pay and other earned paid time due such employees in
                  accordance with Debtor's applicable employment policies and
                  state and federal law.

         (b)      New Operator shall use its commercially reasonable efforts to
                  rehire at least two-thirds of the employees at the Facility
                  who, as of the Closing Date, work at the Facility and have
                  been employed on an average of 20 hours or more per week and
                  have provided services solely to the Facility. Such employees,
                  whose employment is continued, shall be referred to as the
                  "Retained Employees." Any such continued employment of a
                  Retained Employee by New Operator shall be on terms which
                  require said Retained Employees to perform comparable services
                  in a comparable position at

                                      -4-
<PAGE>

                  substantially the same base salary at which such Retained
                  Employee was employed at the Facility prior to the Closing
                  Date. Debtor and any of its affiliates shall have the right to
                  employ or offer to employ in other Facilities or corporate
                  offices of Debtor or its affiliates any Retained Employee who
                  declines to continue employment with New Operator; provided,
                  however, that Debtor shall not actively solicit such
                  employment. The Retained Employees who elect to accept
                  continued employment with New Operator shall hereinafter be
                  referred to as the "Hired Employees." Prior to the Closing
                  Date, Debtor shall grant New Operator reasonable access to the
                  Facility's Employees for purpose of carrying out this Section
                  2.6(b).

         (c)      New Operator and Debtor acknowledge and agree that the
                  provisions of Section 2.6(b), if applicable, are designed, in
                  part, to ensure that Debtor is not required to give notice to
                  employees of the Facility of the "closure" thereof under the
                  Worker Adjustment and Restraining Notification Act (the "WARN
                  Act") or any other comparable state law. Accordingly, New
                  Operator agrees to indemnify, defend and hold harmless Debtor
                  from any liability which it may incur under the WARN Act or
                  any comparable state law in the event of the violation by New
                  Operator of its obligations under Section 2.6(b), including a
                  violation which results from allegations that New Operator
                  constructively terminated the employees of the Facility as a
                  result of the terms and conditions of employment offered by
                  New Operator; provided, however, that nothing herein shall be
                  construed as imposing any obligations on New Operator to
                  indemnify, defend or hold harmless Debtor from any liability
                  which it may incur under the WARN Act as a result of the acts
                  or omissions of Debtor prior to the Closing date, including
                  any liability which may result from the aggregations of acts
                  of Debtor prior to the Closing Date and the acts of New
                  Operator after the Closing Date, it being understood and
                  agreed that New Operator shall only be liable for its own acts
                  and omissions after the Closing Date. Nothing in this Section
                  2.6(c) shall, however, create any rights in favor of any
                  person not a party hereto, including employees of the
                  Facility, or constitute an employment agreement or condition
                  of employment for any employee of Debtor or any affiliate of
                  Debtor who is a Retained Employee or a Hired Employee.

         (d)      Subject to Debtor obtaining such approval from the Bankruptcy
                  Court as may be required under the terms of the Bankruptcy
                  Code, Debtor shall offer and provide, as appropriate, group
                  health plan continuation coverage pursuant to COBRA to all the
                  employees of the Facility who are not Hired Employees and to
                  whom it is required to offer the same under applicable law.
                  New Operator is hereby assuming Debtor's obligations to Hired
                  Employees:

                                      -5-
<PAGE>

                  (i)      who participate as of the Closing Date in group
                           health insurance coverage sponsored by Debtor; and,

                  (ii)     who remain employees of New Operator after the
                           Closing date and who will be eligible for
                           participation in a group health plan (as defined for
                           purposes of the Internal Revenue Code Section 4980 B)
                           established and maintained by New Operator for the
                           general benefit of its employees and their dependents
                           and all such employees shall be covered without a
                           waiting period and without regard to any preexisting
                           condition.

Debtor and New Operator acknowledge and agree that it is the intent of this
provision that Debtor shall not be required to provide continued health coverage
under ERISA or Section 4980 B of the Internal Revenue Code to any of such Hired
Employees or to any qualified beneficiary (as defined for purposes of Section
4980 B of the Internal Revenue Code) with respect to any such Hired Employees.

2.7      Accounts Receivable.

         (a)      Debtor shall retain ownership and all rights with respect to
                  all unpaid accounts receivable, whether or not billed prior to
                  or after the Closing Date, and any accounts receivable arising
                  from rate adjustments which relate to the period prior to the
                  Closing Date even if such adjustments occur after the Closing
                  Date, as of the close of business on the day prior to the
                  Closing Date with respect to the Facility, but only to the
                  extent that such accounts receivable relate to services
                  rendered prior to the Closing Date, and shall provide New
                  Operator with copies of Debtor's records with respect thereto.
                  New Operator agrees to fully cooperate with Debtor in its
                  collection of the private pay and private portion of Medicare
                  and Medcaid receivables.

         (b)      If at any time after the Closing Date, Landlord or New
                  Operator shall receive any payment from any federal or state
                  agency, insurance company, managed care organization, or
                  similar institutional payor source, which payment represents
                  reimbursement with respect to payments or underpayments made
                  to Debtor for services rendered prior to the Closing Date,
                  then the recipient shall receive such payments in trust for
                  the Debtor, shall not commingle such funds with its own funds,
                  and shall promptly remit such payments to Debtor; provided,
                  however, in the event payment is made without remittance
                  advice, such payment will first be applied to any pre-Closing
                  Date balances of Debtor if received during the first sixty
                  (60) days after the Closing Date. If at any time after the
                  Closing

                                      -6-
<PAGE>

                  Date, Debtor shall receive any payment from any federal or
                  state agency, insurance company, managed care organization, or
                  similar institutional payor source, which payment represents
                  reimbursement with respect to payments or underpayments made
                  to New Operator for services rendered after the Closing Date,
                  then Debtor shall remit such payments to New Operator;
                  provided, however, in the event payment is made without
                  remittance advice, such payment will first be applied to any
                  pre-Closing Date balances of Debtor if received during the
                  first sixty (60) days after the Closing Date. Thereafter, all
                  non-designated payments will first be applied to any
                  post-Closing Date balances of New Operator, with the excess if
                  any, applied to the extent of any balances due for services
                  rendered by Debtor prior to the Closing Date.

         (c)      Payments not covered by Section 2.7(b) and received by
                  Landlord or New Operator will first be applied to any
                  pre-Closing Date balances due the Debtor if received during
                  the first thirty (30) days after the Closing Date, with the
                  excess if any, applied to the extent of any balances due for
                  services rendered by New Operator after the Closing Date.

         (d)      To the extent either party receives any proceeds from the
                  accounts receivable of the other party, the parties
                  acknowledge that the party receiving the payment belonging to
                  the other party shall hold the payment in trust and shall not
                  commingle such funds with its own funds, that neither party
                  shall have any right to offset with respect to such accounts
                  receivable, and that the party erroneously receiving the
                  payment shall have no right, title or interest whatsoever in
                  the payment and shall remit the same to the other within ten
                  (10) days of receipt.

         (e)      For a period of six (6) months following the Closing Date,
                  Landlord or New Operator shall provide Debtor with an
                  accounting by the twentieth day of each month setting forth
                  all amounts received by them during the preceding month with
                  respect to the accounts receivable of Debtor which shall be
                  set forth in a schedule provided by Debtor to said parties as
                  soon as practicable following the Closing Date. New Operator
                  further agrees, upon reasonable notice, to make available to
                  Debtor adequate space, equipment and facilities at the
                  Facility to enable an employee of the Debtor to review the
                  accounts receivable of the Facility after the Closing Date,
                  and to provide such employee with full access to the
                  collection records with respect to patients owing such
                  accounts receivable.

         (f)      Nothing herein shall be deemed to limit in any way either
                  party's rights and remedies to recover accounts receivable due
                  and owing to it under the terms of this Agreement.

                                      -7-
<PAGE>

2.8      Employment Benefits. Debtor acknowledges that

         (a)      New Operator shall have no liability to any employees
                  terminated by Debtor on or prior to the Closing Date for
                  benefits pursuant to Section 601, et seq. of ERISA and Section
                  4980B of the Internal Revenue Code and any amendments or
                  modifications thereto ("COBRA"); and

         (b)      Debtor shall be solely responsible for providing required
                  notices to all employees of the Facility as of the Closing
                  Date pursuant to COBRA.

Debtor acknowledges and agrees that New Operator is not assuming any of Debtor's
obligations to its past or present employees under COBRA, and that all such
obligations arising before the Closing Date shall remain the obligations of
Debtor.

2.9      Payment of Operating Costs and Prorations. Debtor shall be responsible
for, and shall pay on a timely basis, claims or charges which are owed to third
parties arising from its ordinary use, operation or control of the Facility,
including payroll, insurance premiums, utilities, amounts due under executory
obligations, and similar obligations, which claims or charges were (i) incurred
in and attributable to the period from the Petition Date to the Closing Date,
and (ii) qualify as costs of administration under section 503(b)(1) of the
Bankruptcy Code, except for any amounts due on account of Employee Benefits,
which amounts shall be paid as provided in Paragraph 2.8. New Operator shall be
responsible for, and shall pay on a timely basis, any claims or charges which
are due to third parties arising from the use, operation or control of the
Facility from and after the Closing Date. Revenues and expenses pertaining to
utility charges for the billing period in which the Closing Date occurs, prepaid
expenses and like items of revenue or expense attributable to the Facility shall
be prorated between Debtor and New Operator as of the Closing Date. All such
prorations shall be made on the basis of actual days elapsed in the relevant
accounting or revenue period and shall be based on the most recent information
available to Debtor. Utility charges that are not metered and read on the
Closing Date shall be estimated based on prior charges, and shall be re-prorated
upon receipt of statements therefor. In general, such prorations shall be made
so as to reimburse Debtor for actual prepaid expense items, and to charge Debtor
for prepaid revenue items, to the extent that the same are attributable to
periods after the Closing Date.

2.10     Treatment of Prorations. The accounts of Debtor and New Operator
created pursuant to the prorations provided for in the preceding Section 2.9
shall be netted against each other. If:

         (a)      the result is a net positive balance for New Operator, Debtor
                  shall pay to New Operator the amount of such balance in
                  immediately available funds; and

                                      -8-
<PAGE>

         (b)      if the result is a net positive balance for Debtor, New
                  Operator shall pay to Debtor the amount of such balance in
                  immediately available funds.

The aforementioned accounts shall be reflected on the Closing Statement.

2.11     Future Settlement. All amounts owing from one party hereto to the other
party hereto, excluding amounts in respect of Sections 2.5 and 2.7 hereof, that
require adjustment after the date of the Closing Statement, including without
limitation, re-prorations according to Section 2.8 hereof, shall be settled
three months after the Closing Date. If, thereafter, Landlord or New Operator
determines that any further adjustment is to be made, Landlord or New Operator
shall submit a statement to Debtor setting forth any and all such items and the
calculation of the amounts due hereunder. Such statement shall be submitted with
appropriate backup materials. If amounts are owing from Landlord or New Operator
to Debtor, the party owing such payment shall tender payment to Debtor in
immediately available funds together with such statement. If amounts are
determined to be owing from Debtor to Landlord or New Operator, Debtor shall
have thirty (30) days from the date of receipt of such statement to tender
payment to the party to whom owed or to question or dispute in writing any item
thereon.

2.12     Medicare/Medicaid. Debtor and New Operator understand that
reimbursements from Medicare and/or Medicaid for items/services
provided/rendered after the Closing Date may continue to be issued to Debtor for
a period of time. Debtor agrees that, prior to the Closing Date, Debtor shall
arrange for any and all direct deposits from Medicare and Medicaid to cease and
shall request that checks be issued instead. Thereafter Debtor shall endorse and
deliver all such checks that solely include payment for periods following the
Closing Date to New Operator immediately upon receipt until such time as
reimbursements are remitted directly to New Operator by Medicare and Medicaid.
New Operator, in its sole discretion, may approve an alternative method of
receiving such funds. In any event, concurrent with its payment of the
reimbursement monies to New Operator, Debtor shall provide documentation from
Medicare and Medicaid of the amounts received by Debtor that month.

2.13     Transfer of Records; Access To Policy and Procedures Manuals. Debtor
shall transfer to New Operator all employment files, medical records, cost
reports, surveys with plans of correction, historical financial records,
electronic files, and any other operational data reasonably necessary to the
operation of the Facility as authorized by applicable law; provided, however,
that Debtor (a) shall be entitled to keep such copies of all of the foregoing as
it deems necessary, (b) New Operator shall have no claim or right of indemnity
against Debtor arising from the condition or quality of the records so
transferred, including claims based on their completeness or accuracy; and (c)
Debtor shall be under no duty to update or service the hardware, software or
data base contained in the computers remaining on the premises as provided for
in Sections 2.2 and 2.14 hereof, or otherwise.

                                      -9-
<PAGE>

For a period of thirty (30) days after Closing, New Operator shall have access
to any of Debtor's policy and procedures manuals located at the Facility;
provided, however, that Debtor shall have no liability whatsoever to New
Operator arising from New Operator's use or implementation of such procedures
and policies, and Operator agrees to indemnify, defend and hold harmless Debtor
from any liability which Debtor may incur to any third party as a result of New
Operator's use or implementation of such procedures and policies. At the end of
such thirty-day period, New Operator will return to Debtor any of Debtor's
policy and procedures manuals in its possession.

2.14     Computer Systems. Except as provided in Section 2.2 hereof, Landlord
and New Operator acknowledge that Debtor will not be transferring any
proprietary software or leased equipment, except as such leases are assumed and
assigned to New Operator. Debtor acknowledges and agrees that in order to assist
New Operator in assuring the continued operation of the Facility after the
Closing Date in compliance with applicable law and in a manner which does not
jeopardize the health and welfare of the residents of the Facility, Debtor will
leave such computer systems at the Facility for a period of up to sixty (60)
days after the Closing Date in order to enable New Operator to obtain the
necessary copies of such records and orders and to transition such information
to new operating systems. Following Closing, New Operator shall maintain the
modem connection with respect to such computers until transfer of data is
complete and shall notify Debtor when such data transfer is complete. New
Operator shall be responsible for all fees, costs, and expenses associated with
the utilization of such operating systems following the Closing Date.

2.15     Operations Pending Transition.

         (a)      Prior to the Closing Date, Debtor shall operate the Facility
                  in accordance with its normal and customary business
                  practices, including the continued marketing and admission of
                  residents, hiring and management of employees, and compliance
                  with governmental regulations. Debtor shall use its
                  commercially reasonable best efforts to transition the
                  Facility to New Operator in substantially the same condition
                  as exists at the Facility as of the date of the execution of
                  this Agreement.

         (b)      Debtor agrees not to actively solicit for transfer any
                  residents of the Facility.

2.16     Transfer of Medicare Provider Number. At or before Closing, Debtor
agrees to use its best efforts to transfer to New Operator its Medicare Provider
Number as authorized by applicable law. In connection therewith, Debtor has or
will prepare and file a motion seeking the entry by the Bankruptcy Court of an
order (the "Order") which Order shall provide, among other things, that Debtor
shall assume and assign the Medicare provider agreements and provider numbers
applicable to the Facility to New

                                      -10-
<PAGE>

Operator; provided, however, that nothing in the Order shall be construed to
relieve the proposed assignee from complying with all procedures, rules and
regulations of the Medicare program, including, but not limited to, the
requirement that the assignee apply for and obtain Health Care Finance
Administration ("HCFA") approval of a change of ownership on Form 855; and
provided further, that the assignee shall inherit the quality of care history of
the Facility as if the assignee were the original owner (except that the
assignee shall not be liable to pay any civil monetary penalty accruing prior to
Closing Date); and provided further, that notwithstanding such assumption and
assignment, any claim of Medicare, the applicable fiscal intermediary, HHS or
any other party against any debtor under such assumed and assigned provider
agreements arising prior to the January 18, 2000 petition date shall continue to
be treated as a prepetition claim with the same right, status and priority as if
such provider agreement was rejected, and without limiting the foregoing, shall
not become or be treated as an expense of administration, and may not be offset
against the claim of any debtor arising after the filing of the chapter 11
cases, except that (a) the United States shall reserve all rights set forth in
the stipulation between the United States and the debtors approved by the
Bankruptcy Court on January 18, 2000, (the "HHS Stipulation"); and (b) such
claim (to the extent valid and without prejudice to Debtor's right to dispute
such claim) may be offset against any prepetition amount due to debtors, even if
the claim and debt were not mutual as ordinarily required by 11 U.S.C. ss.553,
and without further order of the Bankruptcy Court; and (c) to the extent such
claim is not satisfied in full via exercise of the offset right referred to in
the preceding clause (b), the United States shall have an administrative expense
claim pursuant to 11 U.S.C. ss.507(b) for any such deficiency, which claim shall
in no event exceed the amount mutually determined by HCFA and Debtor, in the
Bankruptcy Case; and provided further, that the rights accorded the United
States under the Order and the HHS Stipulation shall constitute "cure" under 11
U.S.C. ss.365 so that New Operator shall not have any successor liability for
any claim against the applicable debtor under such provider agreement arising
prior to the Effective Date of the assignment of such provider agreements to New
Operator. The Order shall not impose any material obligations on the parities
not contemplated by this Agreement. New Operator shall use its commercially
reasonable best efforts to cooperate with and facilitate Debtor's efforts to
obtain the Order. Debtor shall use its commercially reasonable efforts to obtain
the Order. Debtor shall not be required to transfer any Medicaid agreements or
provider numbers to Landlord or New Operator.

2.17     Deposits. All deposits, if any, held by a utility or other party to an
executory contract, except for security deposits in favor of the Landlord in
connection with the Facility, shall remain the property of Debtor, and the New
Operator shall be required to post its own replacement security deposits, if
any.

                                      -11-
<PAGE>

                                   ARTICLE 3.
     REPRESENTATION, WARRANTIES AND AGREEMENTS OF LANDLORD AND NEW OPERATOR

         Landlord and New Operator hereby represent, warrant, covenant and agree
as follows:

3.1      Authority, Validity and Binding Effect. New Operator has all necessary
power and authority to operate and lease the Facility and to carry on its
business as it is now being conducted, and shall have such authority as of the
Closing Date. Landlord and New Operator have all necessary power and authority
to enter into this Agreement and to execute all documents and instruments
referred to herein or contemplated hereby and all necessary action has been
taken to authorize the individual executing this Agreement to do so. This
Agreement has been duly and validly executed and delivered by Landlord and New
Operator and is enforceable against them in accordance with its terms.

3.2      Access to Records. Subsequent to the Closing Date, Landlord and New
Operator shall allow Debtor and its agents and representatives, at Debtor's sole
cost and expense, to have reasonable access to (upon reasonable prior notice),
and to make copies of, the books and records and supporting material of the
Facility, to the extent reasonably necessary to enable Debtor to investigate and
defend malpractice, employee or other claims, to file or defend cost reports and
tax returns, to verify accounts receivable collections due Debtor, and to
perform similar matters. Landlord and New Operator will maintain such books,
records and other material comprising records of the Facility's operations prior
to the Closing Date that have been received by Landlord and New Operator from
Debtor or otherwise, including, but not limited to, patient records and records
of patients funds, to the extent required by law, but in no event less than a
period of three (3) years.

3.3      Accuracy of Representations and Warranties. Unless otherwise indicated
in a specific representation or warranty contained herein, each representation
and warranty of Landlord and New Operator hereunder shall be true, complete and
correct in all material respects as of the Closing Date with the same force and
effect as though such representation or warranty was made on such date, and all
representations and warranties shall survive the Closing Date for a period of
one (1) year.

                                   ARTICLE 4.
                     REPRESENTATION AND WARRANTIES OF DEBTOR

         Debtor hereby represents and warrants as follows:

4.1      Authority, Validity and Binding Effect. Subject to the approval
required in Section 5.13 and in the Settlement Agreement executed in connection
herewith, Debtor has all

                                      -12-
<PAGE>

necessary power and authority to enter into this Agreement and to execute all
documents and instruments referred to herein or contemplated hereby and all
necessary action has been taken to authorize the individual executing this
Agreement to do so. This Agreement has been duly and validly executed and
delivered by Debtor and is enforceable against Debtor in accordance with its
terms.

4.2      Accuracy of Representations and Warranties. Unless otherwise indicated
in a specific representation or warranty contained herein, each representation
and warranty of Debtor hereunder shall be true, complete and correct in all
material respects as of the date hereof and as of the Closing Date with the same
force and effect as though such representation or warranty was made on such
date, and all representations and warranties shall survive the Closing Date for
a period of one (1) year.

4.3      Personal Property. Debtor has maintained Personal Property, including
inventories of supplies prior to the Closing Date, consistent with the operation
of the Facility in the ordinary course of business and the requirements of
applicable law, and the Personal Property transferred to Landlord pursuant
hereto reflects supply levels required to be maintained by Debtor in order to
operate the Facility as Medicare/Medicaid certified skilled nursing Facility.

                                   ARTICLE 5.
                                  MISCELLANEOUS

5.1      Further Assurances. Each of the parties hereto agrees to execute and
deliver any and all further agreements, documents or instruments necessary to
effectuate this Agreement and the transactions referred to herein, contemplated
hereby or reasonably requested by the other party to perfect or evidence their
rights hereunder.

5.2      Efforts Of New Operator to Obtain Licenses.

         (a)      Immediately following the execution and delivery of this
                  Agreement, New Operator shall use diligent and commercially
                  reasonable best efforts to obtain any and all required
                  licenses, permits, certificates and approvals, including
                  without limitation, approvals for Medicare and Medicaid
                  participation and certificates of need or comparable
                  authorizations required by any governmental authority with
                  jurisdiction over the Facility so that, upon the Closing Date,
                  New Operator shall have all necessary legal authority to
                  operate the applicable Facility as a skilled nursing facility
                  (the "Licenses"). New Operator shall file a complete
                  application package for each Facility no later than ten (10)
                  business days after execution of this Agreement, and, if the
                  applicable state has an expedited review process, New Operator
                  agrees to pay the requisite fee(s) to the applicable
                  governmental authorities in order to expedite such
                  applications and approval process. New Operator shall deliver
                  to Debtor evidence of the

                                      -13-
<PAGE>

                  submission of appropriate application materials and payment of
                  any available expediting fee no later than ten (10) business
                  days after the execution and delivery of this Agreement and
                  shall thereafter provide Debtor with periodic updates
                  regarding the status of such applications no less frequently
                  than weekly. If New Operator shall fail to submit said
                  applications or shall fail to pay said fee(s) to expedite such
                  applications and approval processes within said ten days, it
                  shall be a material breach of this Agreement entitling Debtor
                  to terminate this Agreement. Except as provided in Section
                  2.16, LCT shall have no obligation to assume and assign any
                  other governmental agreements or approvals, including Medicaid
                  provider agreements and provider numbers. As a result, the New
                  Operator shall be responsible to obtain all other necessary
                  state and federal licenses (or, to the extent permitted by
                  law, interim licenses), provider agreements and other
                  governmental approvals and consents required in connection
                  with the contemplated transactions; provided, however, that
                  the Debtor shall cooperate with the New Operator in the New
                  Operator's efforts to obtain the Licenses.

         (b)      If, notwithstanding the timely filing and diligent pursuit of
                  the same, New Operator has not obtained the necessary Licenses
                  for its acquisition and operation of the Facility on or before
                  July 31, 2001, then Debtor may terminate this Agreement by
                  giving written notice to the New Operator.

5.3      Notices. All notices to be given by either party to this Agreement to
the other party hereto shall be in writing, and shall be:

         (a)      sent by facsimile,

         (b)      deposited in the United States mail, certified or registered,
                  postage prepaid, return receipt requested or

         (c)      sent by national overnight courier service, each addressed as
                  follows:

                  (i)      If to Debtor:

                           Living Centers of Texas, Inc.
                           c/o Mariner Post-Acute Network, Inc.
                           One Ravinia Drive
                           Suite 1500
                           Atlanta, Georgia 30346
                           Attention: General Counsel
                           Fax: 678-443-6778

                                      -14-
<PAGE>

                           With a copy to:

                           Powell, Goldstein, Frazer & Murphy LLP
                           191 Peachtree Street
                           16th Floor
                           Atlanta, Georgia 30303
                           Attention: Michael J. Delaney, Esq.
                           Fax: 404-572-6999

                  (ii)     If to Landlord:

                           NH Texas Properties Limited Partnership
                           c/o Nationwide Health Properties, Inc.
                           610 Newport Center Drive
                           Suite 1150
                           Newport Beach, CA 92660
                           Attn: Andrew Stokes
                           Facsimile No. 949.759.6876
                           With a copy to:

                           Larry W. Langley
                           Akin, Gump, Strauss, Hauer & Feld, L.L.P.
                           1900 Frost Bank Plaza
                           816 Congress Avenue
                           Austin, Texas 78701
                           Facsimile No. 512.499.6290

                  (iii)    If to New Operator:

                           [ADDRESS]

Any such notice delivered by facsimile shall be deemed delivered when received,
any such notice deposited in the United States mail, registered or certified,
return receipt requested, with all postage prepaid, shall be deemed to have been
given on the earlier of the date received or the date when delivery is first
refused, and any notice deposited with an overnight courier service for delivery
shall be deemed delivered on the business day following such deposit. Any party
to whom notices are to be sent pursuant to this Agreement may from time to time
change its address for further communications thereunder by giving notice in the
manner prescribed herein to all other parties hereto.

5.4      Payment of Expenses. Each party hereto shall bear its own legal,
accounting, and other expenses incurred in connection with the preparation and
negotiation of this Agreement and the consummation of the transaction
contemplated hereby, whether or

                                      -15-
<PAGE>

not the transaction is consummated. In the event of any dispute or controversy
arising out of this Agreement, including in connection with the interpretation
of any term or condition of this Agreement, the prevailing party shall recover
from the non-prevailing party all costs and expenses, including attorney's fees,
incurred by the prevailing party.

5.5      Entire Agreement; Amendment; Waiver. This Agreement together with the
other agreements referred to herein, constitutes the entire understanding
between the parties with respect to the subject matter hereof, superseding all
negotiations, prior discussions and preliminary agreements. This Agreement may
not be modified or amended except in writing signed by the parties hereto. No
waiver of any term, provision or condition of this Agreement, in any one or more
instances, shall be deemed to be or be construed as a further or continuing
waiver of any such term, provision or condition or as a waiver of any other
term, provision or condition of this Agreement. No failure to act shall be
construed as a waiver of any term, provision, condition or rights granted
hereunder.

5.6      Assignment. Neither this Agreement nor the rights, duties or
obligations arising hereunder shall be assignable or delegable by either party
hereto without the express prior written consent of the other party hereto;
provided, however, that, the rights but not the obligations under this Agreement
shall be assignable in whole or in part without Debtor's prior consent (but
after notice to Debtor) to any entity that is owned or controlled directly or
indirectly by Landlord or New Operator, or any entity that controls, is
controlled by or is under common control with Landlord or New Operator,
including, without limitation, through any merger or acquisition.

5.7      Joint Venture; Third Party Beneficiaries. Nothing contained herein
shall be construed as forming a joint venture or partnership between the parties
hereto with respect to the subject matter hereof. The parties hereto do not
intend that any third party shall have any rights under this Agreement.

5.8      Representation By Counsel. The parties hereto acknowledge that they
have been represented by independent legal counsel of their choosing throughout
all of the negotiations which preceded the execution of this Agreement, and that
each party has executed this Agreement with the consent and on the advice of
such independent legal counsel. This Agreement is a negotiated document. As a
result, any rule of construction providing for any ambiguity in the terms of
this Agreement to be construed against the draftsperson of this Agreement shall
be inapplicable to the interpretation of this Agreement.

5.9      Captions. The section headings contained herein are for convenience
only and shall not be considered or referred to in resolving questions of
interpretation.

5.10     Counterparts. This Agreement may be executed in one or more
counterparts and all such counterparts taken together shall constitute a single
original Agreement.

                                      -16-
<PAGE>

5.11     Governing Law. This Agreement shall be governed in accordance with the
laws of the State of Texas, without giving effect to its conflict of laws
provisions, and by the United States Bankruptcy Code.

5.12     Bankruptcy Court Approval. The form of this Agreement, the Settlement
Agreement, and any and all documents executed by Debtor in furtherance thereof,
must be approved by the Bankruptcy Court in the Bankruptcy Case by an order (the
"Approval Order") which has not been timely stayed, amended or modified (the
"Bankruptcy Court Approval").

5.13     Consent To Jurisdiction and Venue. The parties hereto consent to the
determination by the Bankruptcy Court without a jury trial and in a contested
matter as a "core proceeding" (as such term is defined in 28 U.S.C. ss. 157 or
any successor provision) of any and all disputes concerning this Agreement,
including disputes involving the validity, interpretation, effect, or
enforcement of this Agreement, and the Parties agree that the Bankruptcy Court
shall be the exclusive forum to hear, determine and enter appropriate orders and
judgments regarding all such disputes until the closing of the Bankruptcy Case,
after which any and all disputes arising out of this Agreement shall be
adjudicated in any court of competent jurisdiction.

5.14     Conditions Precedent to Closing. The occurrence of the Closing Date
shall be subject to the satisfaction of the following conditions precedent: (a)
entry of the Approval Order, the effectiveness of which has not been stayed as
of the Closing Date, (b) the approval of the transaction by the MPAN Bank Group,
which will be required to release its liens on all property affiliated with the
Facility, (c) the consent of HCFA to the assumption and assignment of the
Medicare Provider Agreements and Provider Numbers applicable to the Facility to
New Operator under the terms set forth in Section 2.16, together with Debtor's
agreement to any "cap" placed on the administrative claims of HCFA arising from
such assumption and assignment, which consent by HCFA may be evidenced by entry
of an order of the Bankruptcy Court on notice to HCFA without HCFA's objection
thereto, and (d) receipt by New Operator of the Licenses required by Section 5.2
hereof. If Closing does not occur on or before August 1, 2001, or such later
date as may be mutually agreed to in writing by the parties, then this Agreement
shall terminate without liability to any party.

                                      -17-
<PAGE>

         IN WITNESS WHEREOF, the parties hereto have executed this Agreement as
of the day and year first above written.

                                       NH TEXAS PROPERTIES LIMITED PARTNERSHIP

                                       BY MLD TEXAS CORPORATION, ITS
                                       GENERAL PARTNER

                                       By
                                         --------------------------------------

                                       Its:
                                           ------------------------------------

                                       LIVING CENTERS OF TEXAS, INC.,
                                       Debtor and Debtor in Possession

                                       By
                                         --------------------------------------

                                       Its:
                                           ------------------------------------

                                       [NEW OPERATOR]

                                       By
                                         --------------------------------------

                                       Its:
                                           ------------------------------------

                                      -18-
<PAGE>

                                   Schedule 1

                               List of Facilities

<TABLE>
<CAPTION>
                 DEBTOR                                        FACILITY/LOCATION                    PROVIDER NUMBER
-------------------------------------------   ----------------------------------------------------  ---------------
<S>                                           <C>                                                   <C>
Living Centers of Texas, Inc.                 Allenbrook Health Care Center/                            67-5079
Case No.   00-00189 (MFW)                     Baytown, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Green Acres Convalescent Center--Baytown/ Baytown,         67-5225
Case No.   00-00189 (MFW)                     Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Green Acres Convalescent Center--Center/ Center,           67-5398
Case No.   00-00189 (MFW)                     Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Green Acres Convalescent Center--Humble/ Humble,           67-5127
Case No.   00-00189 (MFW)                     Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Green Acres Convalescent Center--Huntsville/               67-5433
Case No.   00-00189 (MFW)                     Huntsville, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Heritage House/                                           67-5333
Case No.   00-00189 (MFW)                     Eagle Lake, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Castle Manor/                                             67-5305
Case No.   00-00189 (MFW)                     Garland, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Beechnut Manor/                                           67-5000
Case No.   00-00189 (MFW)                     Houston, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Oak Manor/                                                67-5328
Case No.   00-00189 (MFW)                     Nacogdoches, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 Broadway Lodge/                                           67-5437
Case No.   00-00189 (MFW)                     San Antonio, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
Living Centers of Texas, Inc.                 San Antonio Convalescent Center/                          67-5339
Case No.   00-00189 (MFW)                     San Antonio, Texas
-------------------------------------------   ----------------------------------------------------  ---------------
</TABLE>

                                      -19-
<PAGE>

                                   SCHEDULE 2

                                LIST OF CONTRACTS

<TABLE>
<CAPTION>
             CONTRACT PARTY                                    FACILITY/LOCATION                    PROVIDER NUMBER
-------------------------------------------   ----------------------------------------------------  ---------------
<S>                                           <C>                                                   <C>

Health Care Financing                         Medicare Provider Agreement                               67-5079
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5225
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5398
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5127
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5433
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5333
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5305
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5000
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5328
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5437
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------

Health Care Financing                         Medicare Provider Agreement                               67-5339
7500 Security Blvd.
Baltimore, MD  21244
-------------------------------------------   ----------------------------------------------------  ---------------
</TABLE>

                                      -20-
<PAGE>

                 REVISED AND RESTATED MASTER ADDENDUM TO LEASES

                  This "Revised and Restated Master Addendum To Leases"
("Addendum") is executed as of June 27, 2001, by and among Nationwide Health
Properties, Inc., a Maryland corporation ("Landlord"), and GranCare, Inc., a
Delaware corporation ("GranCare"), GCI Palm Court, Inc., a California
corporation ("GCI"), and Evergreen Healthcare Ltd., L.P., an Indiana limited
partnership ("Evergreen", and collectively with GranCare and GCI, "Tenants" and
individually, a "Tenant"), but shall be effective only as of the "Effective
Date" of the "Settlement Agreement re NHP Lease Portfolio" dated as of June 27,
2001 (the "Settlement Agreement"), with all of the foregoing hereinafter
referred to collectively as the "Parties".

                                 R E C I T A L S

                  A.       Tenants are debtors and debtors in possession in
cases pending under chapter 11 of title 11 of the United States Code (the
"Bankruptcy Code") in the United States Bankruptcy Court for the District of
Delaware (the "Bankruptcy Court"), having filed their voluntary petitions on
January 18, 2000 (the "Petition Date"). The Tenants' chapter 11 cases are
jointly administered and consolidated for procedural purposes only with the
chapter 11 case of Mariner Post-Acute Network, Inc. ("MPAN") under Case No.
00-00113 (MFW) (the "Bankruptcy Case"). The Tenants' individual case numbers
are: GranCare, Case No. 00-00170 (MFW); GCI, Case No. 00-00157 (MFW); and
Evergreen, Case No. 00-00147 (MFW). Tenants and MPAN continue to operate their
businesses as debtors and debtors in possession under sections 1107(a) and 1108
of the Bankruptcy Code.

                  B.       Landlord and one or more of the Tenants are parties
to each of those certain leases more particularly described on Exhibit A
attached hereto and incorporated herein by reference (collectively, the "Leases"
and individually, a "Lease", which defined terms shall include modifications to
such Leases as provided for herein and in the Settlement Agreement). Pursuant to
the Settlement Agreement, if approved and authorized by the Bankruptcy Court in
the Bankruptcy Case, the Tenants and Landlord have agreed to (a) assume the
Leases as provided in the Settlement Agreement, and (b) amend the Leases as
provided in the Settlement Agreement and this Addendum executed concurrently
therewith.

                  C.       This Addendum supersedes in its entirety the Master
Addendum To Leases executed by the Parties and Connerwood Health Care, Inc.
dated as of October 31, 1997, which prior Master Addendum shall be rejected as
provided in the Settlement Agreement and shall be of no further force or effect
upon the effectiveness of this Addendum.

<PAGE>

                                    AGREEMENT

                  NOW, THEREFORE, in exchange for the mutual covenants and
conditions set forth herein, and other good and valuable consideration as
provided under the Settlement Agreement, the receipt and sufficiency of which
are hereby acknowledged, Landlord and Tenants amend the Leases as follows:

                  1.       Defined Terms.

                  Except as provided below or otherwise defined herein, all
capitalized terms defined in the Leases shall have the meanings ascribed to such
terms in such Leases. As utilized herein the following terms have the following
meanings:

                  "Additional Rent," for purposes of each Lease, shall have the
meaning set forth in such Lease, as modified herein.

                  "California Leases" shall mean the California Monterey Palms
Lease and the California Driftwood Lease, collectively, as modified below and in
the Settlement Agreement.

                  "Illinois Leases" shall mean the Illinois Litchfield Lease and
the Illinois LaSalle Lease, collectively, as modified below and in the
Settlement Agreement.

                  "Minimum Rent," for purposes of each Lease, shall have the
meaning set forth in such Lease as amended herein.

                  "Term" shall mean the "Fixed Term" as defined in the Illinois
Leases, the "Initial Lease Term" as defined in the Driftwood Lease, and the
"Initial Term" as defined in the Monterey Palms Lease.

                  "Term Expiration Date" shall mean the date on which the Term
ceases.

                  "Total Rent," for purposes of each Lease, shall mean the sum
of the Minimum Rent and Additional Rent for such Lease.

                  2.       Term Expiration Date; Option to Extend Term.

                           a.       Term Expiration Date. The Term Expiration
Date of each Lease is hereby extended until June 1, 2006. All terms and
conditions of each Lease shall remain in full force and effect and shall
continuously apply until the Term Expiration Date, unless otherwise provided in
this Addendum. Any reference in any Lease to the specific date on which such
Lease expires is hereby amended to read "June 1, 2006".

                           b.       Option to Extend Term of Illinois Leases.
Landlord hereby grants to Tenant an option to extend the Term of each of the
Illinois Leases for eight

                                       2
<PAGE>

(8) separate renewal terms (each being referred to as a "Renewal Term" and
collectively as the "Renewal Terms") of five (5) years each, upon the
satisfaction of all the following terms and conditions:

                                    i)       Not more than thirty (30) days
         before or after the date which is fifteen (15) months prior to the end
         of the Term or the then current Renewal Term, as applicable, Tenant
         shall give Landlord written notice that Tenant desires to exercise its
         right to extend the then current term for one (1) Renewal Term.

                                    ii)      There shall be no Event of Default
         (as defined in the applicable Lease) under any of the Illinois Leases
         which is continuing beyond the applicable cure period (if any), either
         on the date of Tenant's notice to Landlord pursuant to Section 2(b)(i)
         above, or on the last day of the then current term. Should there be an
         Event of Default (as defined in the applicable Lease) under one or more
         of the Illinois Leases on either of the foregoing dates, Tenant may not
         exercise its right to extend the then current term of any Illinois
         Lease.

                                    iii)     All other terms of the Illinois
         Leases being extended shall remain in full force and effect and shall
         continuously apply throughout the Renewal Terms, unless otherwise
         provided in this Addendum.

                           c.       All-Or-None Options to Extend.

                                    i)       Tenant shall not be permitted to
                                             exercise an extension option with
         respect to any of the California Leases unless Tenant simultaneously
         exercises its extension option with respect to all of the California
         Leases. Tenant shall not be relieved from this all-or-none requirement
         because of Tenant's inability to exercise one or more of the extension
         options by reason of Tenant's default under the applicable California
         Lease or California Leases.

                                    ii)      Tenant shall not be permitted to
         exercise an extension option with respect to any of the Illinois Leases
         unless Tenant simultaneously exercises its extension option with
         respect to all of the Illinois Leases. Tenant shall not be relieved
         from this all-or-none requirement because of Tenant's inability to
         exercise one or more of the extension options by reason of Tenant's
         default under the applicable Illinois Lease or Illinois Leases.

                  3.       Rent.

                           a.       Current Term Rent. The existing provisions
in each Lease relating to Minimum Rent and Additional Rent shall continue in
effect until the new extended Term Expiration Date; provided, however, that

                                       3
<PAGE>

                                    (i)      the yearly Total Rent increase
under any Lease shall not exceed one-quarter of one percent (0.25%) of the
Original Investment, Offer Price or Minimum Purchase Price (as such terms are
defined in the applicable Lease), and

                                    (ii)     Notwithstanding any other provision
of this Addendum or the Illinois Litchfield Lease, as of the Effective Date the
base rent on the facility subject to the Illinois Litchfield Lease shall be
reduced to $150,000 per year. As a result of the foregoing, (a) Paragraph 3.1(b)
of the Illinois Litchfield Lease shall have no applicability for the remaining
term of the Illinois Litchfield Lease (through May 31, 2006), but shall again be
fully applicable during the renewal, if any, of the term of the Illinois
Litchfield Lease as provided for herein, and (b) Paragraph 3.1(a) of the
Illinois Litchfield Lease shall be amended to provide in its entirety that:

         Minimum Rent: Lessee shall pay to Lessor Minimum Rent monthly in
         advance on the first day of each month during the remaining term of the
         Lease (through May 31, 2006) in the amount of Twelve Thousand Five
         Hundred Dollars ($12,500);

and

                           b.       Renewal Term Rent. The Minimum Rent due
under each of the Illinois Leases during any Renewal Term shall be calculated as
of the commencement of each Renewal Term and shall be an annual amount equal to
the product of: (i) the Fair Market Value (as defined in the applicable Lease)
of the facility demised by such Illinois Lease at the time of renewal,
multiplied by (ii) the sum (expressed as a percentage) of the yield on the
ten-year United States treasury rate then in effect plus three hundred fifty
(350) basis points. Notwithstanding the preceding sentence, the Minimum Rent for
the first year of any Renewal Term shall not exceed by more than fifteen percent
(15%) the Total Rent due during the year prior to the first year of such Renewal
Term. The Additional Rent due under each of the Illinois Leases during any
Renewal Term shall be computed as currently set forth in each Illinois Lease.
The yearly Total Rent increase under any Illinois Lease for any year other than
the first year of any Renewal Term shall not exceed one-quarter of one percent
(0.25%) of the Original Investment, Offer Price or Minimum Purchase Price (as
such terms are defined in the applicable Illinois Lease).

                  4.       All-Or-None Purchase Options for California and
Illinois Leases.

                           a.       Each of the California Leases currently
contains a provision whereby the respective Tenant has or Tenants have the
option to purchase from Landlord the premises demised by such Lease. GranCare
and GCI hereby covenant and agree that they shall not be permitted to exercise
the purchase option with respect to either of the California Leases unless they
simultaneously exercise the purchase options with respect to both of the
California Leases. GranCare and GCI shall not be relieved

                                       4
<PAGE>

from their respective all-or-none requirements because of their inability to
exercise one of the purchase options by reason of their default under one of the
California Leases.

                           b.       Each of the Illinois Leases currently
contains a provision whereby Evergreen has the option to purchase from Landlord
the premises demised by such Lease. Evergreen hereby covenants and agrees that
it shall not be permitted to exercise the purchase option with respect to either
of the Illinois Leases unless it simultaneously exercises the purchase option
with respect to both of the Illinois Leases. Evergreen shall not be relieved
from this all-or-none requirement because of its inability to exercise one of
the purchase options by reason of its default under one of the Illinois Leases.

                           c.       The purchase option in the Monterey Palms
Lease shall be exercisable at any time the purchase option in the Driftwood
Lease is exercisable, and vice versa.

                  5.       Cross-Default of Leases.

                           a.       GranCare and GCI hereby covenant and agree
that all of the California Leases shall be cross-defaulted with one another, but
shall not be cross-defaulted to any other leases, obligations or agreements of
the Tenants or any of their "Affiliates" (as defined in section 101(2) of the
Bankruptcy Code). This cross-default provision supersedes all cross-default
provisions contained in the California Leases, which shall be of no further
force or effect. Thus, any Event of Default (as defined in the applicable
California Lease) which occurs under one California Lease shall be deemed an
Event of Default as defined in the other California Lease, but shall not
constitute an Event of Default (as defined in the applicable Illinois Leases)
under either of the Illinois Leases.

                           b.       Evergreen hereby covenants and agrees that
all of the Illinois Leases shall be cross-defaulted with one another, but shall
not be cross-defaulted to any other leases, obligations or agreements of the
Tenants or any of their Affiliates. This cross-default provision supersedes all
cross-default provisions contained in the Illinois Leases, which shall be of no
further force or effect. Thus, any Event of Default (as defined in the
applicable Illinois Lease) which occurs under one Illinois Lease shall be deemed
an Event of Default as defined in the other Illinois Lease, but shall not
constitute an Event of Default (as defined in the applicable California Leases)
under either of the California Leases.

                  6.       Modification of California Driftwood Lease.

                  The California Driftwood Lease shall be amended as follows:

                           a.       Any and all references to, and/or payment
obligations in respect of, the Driftwood-Gilroy Facility under the California
Driftwood Lease shall be deleted from the California Driftwood Lease, with the
effect that California Driftwood Lease shall

                                       5
<PAGE>

relate only to the three Facilities commonly described as the Driftwood
Manor--Haywood Facility, the Almaden Health Care Center, and the Driftwood
Health Care Center--Santa Cruz. As a result of the foregoing, the following
terms related to the payment obligations under the California Driftwood Lease
shall be amended as follows:

                                    i)       "Minimum Rent" means $1,196,088;

                                    ii)      "Break Point" means $11,328,945;
and

                                    iii)     "Base Year Gross Revenues" means
$7,907,728, as such sum may be adjusted during any renewal term; and

                           b.       Paragraph 19.1(a) shall be amended to delete
any reference therein to "Guarantor."

                           c.       Paragraphs 4.3 through 4.5 of the California
Driftwood Lease are deleted in their entirety and replaced by the following:

                  4.3      Additional Rent. Commencing with the Lease Year
         immediately following the Base Year and in addition to the Minimum
         Rent, during the Initial Lease Term Tenant shall pay to Landlord
         additional rent (the "Initial Term Additional Rent") which shall be an
         amount equal to five and three-quarters percent (5.75%) of the amount
         by which the Gross Revenues for the applicable quarter of the Lease
         Year exceed the Gross Revenues for the corresponding quarter of the
         Base Year up to and including one quarter of the amount of the Break
         Point, plus five and one-half percent (5.5%) of the amount by which the
         Gross Revenues for the applicable quarter of the Lease Year exceed the
         Gross Revenues for the corresponding quarter of the Base Year in excess
         of one quarter of the Break Point. During any Renewal Term and in
         addition to the Renewal Term Minimum Rent, Tenant shall pay to Landlord
         additional rent (the "Renewal Term Additional Rent") which shall be an
         amount equal to five and one-half percent (5.5%) of the amount by which
         the Gross Revenues for the applicable quarter of the Lease Year exceed
         the Gross Revenues for the corresponding quarter of the Base Year. As
         used in the Lease, "Additional Rent" shall mean the Initial Term
         Additional Rent or the Renewal Term Additional Rent, as applicable.

                  4.4      Payment of Additional Rent. Tenant shall calculate
         and pay Additional Rent on a quarterly basis in arrears no more than
         forty-five (45) days after the end of each calendar quarter. Each
         payment of Additional Rent shall be accompanied by a certificate
         similar in form to that attached hereto as Exhibit B setting forth the
         calculation of the Additional Rent.

                  4.5      [Intentionally Blank]

                                       6
<PAGE>

                  7.       Modification of California Monterey Palms Lease.

                  The California Monterey Palms Lease shall be amended in its
entirety to delete GranCare as a co-tenant thereunder, with the result that GCI
shall be the sole tenant under the California Monterey Palms Lease and GranCare
shall have no further liability of any type under the California Monterey Palms
Lease.

                  8.       Uniform Financial Reporting Requirement. The
financial reporting requirements of the California and Illinois Leases shall be
modified, amended as superseded as set forth below:

                           a.       Paragraph 9 of the California Monterey Palms
Lease shall be deleted in its entirety, shall be of no further force and effect,
and shall be replaced by the following:

         9.       Financial, Management and Regulatory Reports.

                  9.1      Monthly Facility Reports. Within thirty (30) days
         after the end of each calendar month during the Term, Tenant shall
         prepare and deliver to Landlord monthly financial reports consisting of
         a reasonably detailed income statement, total patient days, occupancy
         and payor mix concerning the business conducted at the Premises.

                  9.2      Quarterly Financial Statements. Within forty-five
         (45) days of the end of each of the first three fiscal quarters of the
         fiscal year of the Guarantor, Tenant shall deliver to Landlord
         unaudited quarterly consolidated financial statements of Guarantor
         consisting of a balance sheet, income statement and statement of cash
         flows.

                  9.3      Annual Financial Statements. Within one hundred
         twenty (120) days of the fiscal year end of the Guarantor, Tenant shall
         deliver to Landlord the annual consolidated financial statements of
         Guarantor consisting of a balance sheet, income statement and statement
         of cash flow, audited by a reputable certified public accounting firm.

                  9.4      Securities and Exchange Filings. Within fifteen (15)
         days of filing with the Securities and Exchange Commission, Tenant
         shall deliver to Landlord Guarantor's annual report on form 10-K, any
         final prospectus with respect to the public offering of debt or equity
         securities of Guarantor or a subsidiary of Guarantor, and any final
         prospectus and proxy statement with respect to a business combination
         involving the Guarantor.

                                       7
<PAGE>

                  9.5      Accounting Principles. All of the reports and
         statements required hereby shall be prepared in conformity with GAAP
         (and with respect to annual financial statements, in accordance with
         GAAP), with Guarantor's accounting principles consistently applied.

                  9.6      Regulatory Reports. In addition, Tenant shall deliver
         to Landlord:

                           9.6.1    Within thirty (30) days of receipt thereof,
         copies of surveys performed by the appropriate governmental agencies
         for licensing or certification purposes, and any plan of correction
         related thereto, including state department of health licensing
         surveys, Medicare certification surveys and life safety code reports;
         and

                           9.6.2    Within five (5) days of receipt, copies of
         any notice of intent (or similar document) to revoke or suspend any
         material license, certification, certificate of need or similar item
         relating to the Facility or its operation, as well as any notice of a
         termination or restriction on the admission of patients to the facility
         operated at the Premises.

                  b.       Article XXIII of each of the California Driftwood
Lease shall be deleted in its entirety, shall be of no further force and effect,
and shall be replaced by the following:

                  23.1     Monthly Facility Reports. Within thirty (30) days
         after the end of each calendar month during the Term, Tenant shall
         prepare and deliver to Landlord monthly financial reports consisting of
         a reasonably detailed income statement, total patient days, occupancy
         and payor mix concerning the business conducted at the Premises.

                  23.2     Quarterly Financial Statements. Within forty-five
         (45) days of the end of each of the first three fiscal quarters of the
         fiscal year of the Guarantor, Tenant shall deliver to Landlord
         unaudited quarterly consolidated financial statements of Guarantor
         consisting of a balance sheet, income statement and statement of cash
         flows.

                  23.3     Annual Financial Statements. Within one hundred
         twenty (120) days of the fiscal year end of the Guarantor, Tenant shall
         deliver to Landlord the annual consolidated financial statements of
         Guarantor consisting of a balance sheet, income statement and statement
         of cash flow, audited by a reputable certified public accounting firm.

                                       8
<PAGE>

                  23.4     Securities and Exchange Filings. Within fifteen (15)
         days of filing with the Securities and Exchange Commission, Tenant
         shall deliver to Landlord Guarantor's annual report on form 10-K, any
         final prospectus with respect to the public offering of debt or equity
         securities of Guarantor or a subsidiary of Guarantor, and any final
         prospectus and proxy statement with respect to a business combination
         involving the Guarantor.

                  23.5     Accounting Principles. All of the reports and
         statements required hereby shall be prepared in conformity with GAAP
         (and with respect to annual financial statements, in accordance with
         GAAP), with Guarantor's accounting principles consistently applied.

                  23.6     Regulatory Reports. In addition, Tenant shall deliver
         to Landlord:

                           23.6.1   Within thirty (30) days of receipt thereof,
         copies of surveys performed by the appropriate governmental agencies
         for licensing or certification purposes, and any plan of correction
         related thereto, including state department of health licensing
         surveys, Medicare certification surveys and life safety code reports;
         and

                           23.6.2   Within five (5) days of receipt, copies of
         any notice of intent (or similar document) to revoke or suspend any
         material license, certification, certificate of need or similar item
         relating to the Facility or its operation, as well as any notice of a
         termination or restriction on the admission of patients to the
         Facility.

                  c.       Article XXV of each of the Illinois Leases shall be
deleted in its entirety, be of no further force and effect, and shall be
replaced by the following:

                  25.1     Monthly Facility Reports. Within thirty (30) days
         after the end of each calendar month during the Term, Tenant shall
         prepare and deliver to Landlord monthly financial reports consisting of
         a reasonably detailed income statement, total patient days, occupancy
         and payor mix concerning the business conducted at the Premises.

                  25.2     Quarterly Financial Statements. Within forty-five
         (45) days of the end of each of the first three fiscal quarters of the
         fiscal year of the Guarantor, Tenant shall deliver to Landlord
         unaudited quarterly

                                       9
<PAGE>

         consolidated financial statements of Guarantor consisting of a balance
         sheet, income statement and statement of cash flows.

                  25.3     Annual Financial Statements. Within one hundred
         twenty (120) days of the fiscal year end of the Guarantor, Tenant shall
         deliver to Landlord the annual consolidated financial statements of
         Guarantor consisting of a balance sheet, income statement and statement
         of cash flow, audited by a reputable certified public accounting firm.

                  25.4     Securities and Exchange Filings. Within fifteen (15)
         days of filing with the Securities and Exchange Commission, Tenant
         shall deliver to Landlord Guarantor's annual report on form 10-K, any
         final prospectus with respect to the public offering of debt or equity
         securities of Guarantor or a subsidiary of Guarantor, and any final
         prospectus and proxy statement with respect to a business combination
         involving the Guarantor.

                  25.5     Accounting Principles. All of the reports and
         statements required hereby shall be prepared in conformity with GAAP
         (and with respect to annual financial statements, in accordance with
         GAAP), with Guarantor's accounting principles consistently applied.

                  25.6     Regulatory Reports. In addition, Tenant shall deliver
         to Landlord:

                           25.6.1   Within thirty (30) days of receipt thereof,
         copies of surveys performed by the appropriate governmental agencies
         for licensing or certification purposes, and any plan of correction
         related thereto, including state department of health licensing
         surveys, Medicare certification surveys and life safety code reports;
         and

                           25.6.2   Within five (5) days of receipt, copies of
         any notice of intent (or similar document) to revoke or suspend any
         material license, certification, certificate of need or similar item
         relating to the Facility or its operation, as well as any notice of a
         termination or restriction on the admission of patients to the
         Facility.

                  In addition to the reporting requirements delineated above for
the California Leases and the Illinois Leases, Tenants for each facility shall
provide within thirty (30) days of Landlord's written request such other
financial, physical, operational and regulatory information that Landlord may
reasonably request. Notwithstanding the foregoing, all information requested by
Landlord pursuant to this paragraph that is not otherwise available to Landlord
under the preceding paragraphs and that is considered by Tenants to be
non-public information, shall be

                                       10
<PAGE>

delivered to Landlord only following execution of a confidentiality agreement
that is acceptable to Landlord and Tenants.

                  9.       Guaranty. Concurrently with the execution of this
Addendum, MPAN shall execute a guaranty in favor of Landlord in the form annexed
hereto as Exhibit B, thereby guarantying the full and faithful performance of
each and every obligation of each Tenant under each Lease.

                  10.      Controlling Documents. In the event of any
inconsistency among the terms of this Addendum, the terms of the Settlement
Agreement, and the terms of any Lease, the terms of the Settlement Agreement
shall control over the terms of this Addendum and the terms of any Lease, and
the terms of this Addendum shall control over the terms of any Lease. Except to
the extent expressly amended pursuant to the Settlement Agreement or this
Addendum, the terms and provisions of each Lease shall remain in full force and
effect without modification.

                  11.      Attorneys' Fees. If either party commences an action
against the other to interpret or enforce any of the terms of this Addendum or
because of the breach by the other party of any of the terms hereof, the losing
party shall pay to the prevailing party reasonable attorneys' fees, costs and
expenses and court costs and other costs of action incurred in connection with
the prosecution or defense of such action, whether or not the action is
prosecuted to final judgment.

                  12.      Governing Law. This Addendum shall be construed and
enforced in accordance with internal laws of the State of California (without
regard to conflicts of law principles).

                  13.      Recordation. Tenants shall be entitled at Tenants'
sole cost to record a memorandum of this Addendum in the real property records
in each county where the facilities subject to the Leases are located.

                  14.      Counterparts. This Addendum may be executed in
several counterparts, each of which shall be deemed an original, but all of
which shall constitute one and the same document.

                                       11
<PAGE>

                  IN WITNESS WHEREOF, the undersigned have executed this
Addendum as of the date first written above.

         LANDLORD:                  NATIONWIDE HEALTH PROPERTIES, INC.,
                                    A MARYLAND CORPORATION

                                    By
                                      -----------------------------------------
                                            Its
                                               --------------------------------

          TENANTS:                  GRANCARE, INC., A DELAWARE CORPORATION,
                                    DEBTOR AND DEBTOR IN POSSESSION

                                    By
                                      -----------------------------------------
                                            Its
                                               --------------------------------

                                    GCI PALM COURT, INC., A CALIFORNIA
                                    CORPORATION, DEBTOR AND DEBTOR IN
                                    POSSESSION

                                    By
                                      -----------------------------------------
                                            Its
                                               --------------------------------

                                    EVERGREEN HEALTHCARE LTD., L.P.,
                                    AN INDIANA LIMITED PARTNERSHIP,
                                    DEBTOR AND DEBTOR IN POSSESSION

                                    BY EVERGREEN HEALTHCARE, INC.,
                                    AN INDIANA CORPORATION, GENERAL PARTNER AND
                                    DEBTOR AND DEBTOR IN POSSESSION

                                    By
                                      -----------------------------------------
                                            Its
                                               --------------------------------

                                       12
<PAGE>

                                    EXHIBIT A

                              DESCRIPTION OF LEASES

1.       Lease and Security Agreement dated September 26, 1991 with respect to
         Driftwood Manor (Hayward), Driftwood San Jose (Almaden Health and
         Rehabilitation Center), and Driftwood Santa Cruz, as amended
         ("California Driftwood Lease");

2.       Lease dated April 20, 1994 with respect to Monterey Palms Health Care
         Center, Palm Desert, California, as amended (the "California Monterey
         Palms Lease" and with the California Driftwood Lease, the "California
         Leases");

3.       Lease dated May 1, 1989 with respect to Care Inn Convalescent Center,
         LaSalle, Illinois, as amended (the "Illinois LaSalle Lease"); and

4.       Lease dated May 1, 1989 with respect to Litchfield Convalescent Center,
         Litchfield, Illinois, as amended (the "Illinois Litchfield Lease" and
         with the Illinois LaSalle Lease, the "Illinois Leases").

                                       13

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