Document:

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                                                                  Exhibit 10.109

                                AMENDED TERM NOTE

Lender:  LFSRI II Assisted Living LLC                         New York, New York
Principal Amount:  $11,500,000                                    April 24, 2002

     FOR VALUE RECEIVED, the undersigned ARV Assisted Living Inc., a Delaware
corporation (the "Borrower"), hereby promises to pay to the order of the Lender
set forth above or its assigns or transferees (the "Holder") the Principal
Amount set forth above, or, if less, the aggregate unpaid principal amount of
the Term Loans (as defined in the Loan Agreement referred to below) owing to the
Holder, payable at such times, and in such amounts, as are specified herein.

     The Borrower promises to pay interest on the unpaid Principal Amount of the
Term Loans from the date made until such Principal Amount is paid in full, at a
per annum interest rate equal to LIBOR plus the Applicable Margin (computed on
the basis of a year of 360 days and the actual number of days elapsed) in such
manner as specified in the Loan Agreement.

     The Borrower promises to make payments of the Principal Amount to the
Holder on the dates and in the amounts as follows:

     July 1, 2002 ........................................  $1,500,000
     July 1, 2003 ........................................  $1,500,000
     July 1, 2004 ........................................  $8,500,000

Any amounts outstanding under the Note (including, but not limited to, Principal
Amounts, interest, fees and expenses) shall be fully due and payable on July 1,
2004.

     Any amounts paid pursuant to the foregoing or prepaid in accordance with
the terms of the Loan Agreement may not be reborrowed under the Loan Agreement
or this Amended Term Note. Any prepayment of the Principal Amount shall be
applied against and reduce the Principal Amount in the order of maturity
commencing on the earliest Payment Date following the date of such prepayment.

     Both principal and interest are payable in Dollars to the Holder, at LFSRI
II Assisted Living LLC, c/o Lazard Freres Real Estate Investors L.L.C., 30
Rockefeller Plaza, New York, NY 10020, Attention: Chief Financial Officer and
General Counsel, or any other address indicated in writing by the Holder to the
Borrower, in immediately available funds.

     This Amended Term Note is entitled to the benefits of the Term Loan
Agreement, dated as of April 24, 2000, as amended by that certain Amendment to
the Term Loan Agreement, dated as of April 24, 2002, between the Borrower and
the Holder (as amended, restated, supplemented or otherwise modified from time
to time) (the "Loan Agreement"). Capitalized terms used herein and not defined
herein are used herein as defined in the Loan Agreement.

     Pursuant to the Loan Agreement, that certain Term Note, dated as of April

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24, 2000, made by the Borrower in favor of the Holder in the principal amount of
$10,000,000 was replaced and the indebtedness evidenced thereunder (together
with the amounts advanced by the Holder on the date hereof) shall be evidenced
by this Amended Term Note. All obligations and rights of the Borrower and the
Holder relating to the Term Loans shall be governed by the Loan Agreement and
this Amended Term Note.

     The Loan Agreement, among other things, contains provisions for
acceleration of the maturity of the unpaid principal amount of this Amended Term
Note upon the happening of certain stated events and also for prepayments on
account of the Principal Amount hereof prior to the maturity hereof, upon the
terms and conditions therein specified.

     Demand, diligence, presentment, protest and notice of non-payment and
protest are hereby waived by the Borrower.

     The parties hereto intend to conform to and contract in strict conformance
with all applicable usury laws. The provisions of this Amended Term Note and of
all agreements between the Borrower and the Holder are hereby expressly limited
so that in no contingency or event whatsoever, whether by reason of prepayment,
late payment, default, demand for payment, acceleration of the maturity of this
Amended Term Note or otherwise, shall the amount contracted for, charged, paid
or agreed to be paid to the Holder for the use, forbearance or detention of
money to be loaned under this Amended Term Note or otherwise exceed the maximum
amount permissible under applicable law (the "Maximum Rate"). If, from any
circumstance whatsoever, performance or fulfillment of any provision hereof or
of any agreement between the Borrower and the Holder shall, at the time of the
execution and delivery thereof or at the time performance of such provision
shall be due, involve or purport to require any payment in excess of the limits
prescribed by law, the obligation to be performed or fulfilled shall be reduced
automatically to the limit of such validity without the necessity of execution
of any amendment or new document. If, from any circumstance whatsoever, the
Holder shall ever receive anything of value deemed interest under applicable law
which would exceed interest at the Maximum Rate, an amount equal to any amount
which would have been excessive interest shall be applied to the reduction of
the outstanding principal balance of this Amended Term Note in the inverse order
of its maturity and not to the payment of interest, or if such amount which
would have been excessive interest exceeds the outstanding principal balance of
this Amended Term Note, such excess shall be refunded to the Borrower. All sums
contracted for, charged, paid or agreed to be paid to the Holder for the use,
forbearance or detention of the indebtedness of the Borrower to the Holder
shall, to the extent permitted by applicable law, be amortized, prorated,
allocated, and spread throughout the full stated term of such indebtedness so
that the amount of interest on account of such indebtedness does not exceed the
Maximum Rate. Notwithstanding anything to the contrary contained herein, it is
not the intention of the Holder to accelerate the maturity of any interest that
has not accrued at the time of such acceleration or to collect unearned interest
at the time of such acceleration. The provisions of this paragraph shall control
all existing and future agreements between the Borrower and the Holder.

     Except as otherwise stated herein, the Loan Agreement shall be in full

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force and effect and is hereby confirmed and ratified in all respects. This
Amended Term Note shall be governed by, and construed and interpreted in
accordance with, the law of the State of New York.

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     IN WITNESS WHEREOF, the Borrower has caused this Amended Term Note to be
executed and delivered by its duly authorized officer as of the day and year and
at the place set forth above.

                                ARV ASSISTED LIVING, INC.

                                By: /s/ Abdo Khoury
                                    ------------------------------------
                                    Name: Abdo Khoury

                                    Title: President and Chief Financial Officer

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                                                                  Exhibit 10.110

                      AMENDMENT TO THE TERM LOAN AGREEMENT

     AMENDMENT TO THE TERM LOAN AGREEMENT (this "Amendment"), dated as of April
24, 2002, by and between ARV ASSISTED LIVING, INC., a Delaware corporation (the
"Borrower") and LFSRI II ASSISTED LIVING LLC, a Delaware limited liability
company (the "Lender").

W I T N E S S E T H:

     WHEREAS, the Borrower and the Lender entered into that certain Term Loan
Agreement, dated as of April 24, 2000, between the Borrower and the Lender (the
"Original Loan Agreement") pursuant to which the Lender advanced $10,000,000
(the "Term Loan") to the Borrower as evidenced by that certain Term Note, dated
as of April 24, 2000 (the "Note");

     WHEREAS, under the terms of the Original Loan Agreement, the Initial
Maturity Date (as defined in the Original Loan Agreement) of the Term Loan and
the Note is April 24, 2002;

     WHEREAS, the Original Loan Agreement provides for, among other things, the
Borrower's right, subject to certain conditions set forth therein, to extend the
Maturity Date of the Note to April 24, 2003 and pursuant to a letter dated
February 12, 2002, the Borrower has notified the Lender that the Borrower
intends to extend such Maturity Date;

     WHEREAS, the Borrower and Prometheus Assisted Living LLC, a Delaware
limited liability company and an affiliate of the Lender ("Prometheus"), entered
into that certain Amended and Restated Promissory Note (the "Prometheus Note"),
dated as of December 27, 2001, in the principal amount of $1,500,000;

     WHEREAS, the Borrower desires to pay to Prometheus all amounts outstanding
under the Prometheus Note;

     WHEREAS, the Borrower has requested the Lender to (i) increase the amounts
available to be borrowed under the Original Loan Agreement from $10,000,000 to
$11,500,000, (ii) make an additional term loan in the amount of $1,500,000 under
the Original Loan Agreement (as amended by this Amendment) and (iii) extend the
Maturity Date to July 1, 2004;

     WHEREAS, the Note shall be replaced and the indebtedness evidenced
thereunder, together with any additional indebtedness to be incurred by the
Borrower under the terms of this Amendment, shall be evidenced by an amended
term note, dated as of the date of this Amendment, made by the Borrower in favor
of the Lender in the aggregate principal amount of $11,500,000 (the "Amended
Note"); and

     WHEREAS, the Lender is willing to amend the Original Loan Agreement and the
Note upon the terms and conditions set forth herein and in the Amended Note.

     NOW, THEREFORE, in consideration of the premises and the covenants
contained herein, the parties hereby agree as follows:

     Section 1. Defined Terms. Capitalized terms used herein without definition
shall have the meanings ascribed to such terms as set forth in the Original Loan
Agreement.

     Section 2. Amendments to the Original Loan Agreement. The Original Loan
Agreement is hereby amended as follows:

          A. Definitions. The following definitions set forth in Section 1.1 of
the Original Loan Agreement are hereby amended and restated in their entirety as
follows:

             "Amendment" means the Amendment to the Term Loan Agreement, dated
as of April 24, 2002, by and between the Borrower and the Lender.

             "Applicable Margin" means 9.54% per annum.

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             "Commitment" means the Commitment of the Lender to make Term
Loans to the Borrower in the aggregate principal amount not to exceed
$11,500,000.

             "Maturity Date" means July 1, 2004.

             "Maturity Date Extension Fee" means an amount equal to $250,000.

             "Note" means the amended term note, dated as of April 24, 2002,
made by the Borrower in favor of the Lender in the principal amount of
$11,500,000.

             "Original Loan Agreement" means that certain Term Loan Agreement,
dated as of April 24, 2000, between the Borrower and the Lender.

             "Payment Date" shall have the meaning set forth in Section 2.3.

             "Prometheus Note" means that certain amended and restated
promissory note, dated as of December 27, 2001, issued by the Borrower for the
benefit of Prometheus Assisted Living LLC in the principal amount of $1,500,000.

          B. Term Loan. Section 2.1 of the Original Loan Agreement is hereby
amended and restated in its entirety as follows:

             "Section 2.1. The Term Loans. On the terms and subject to the
     conditions contained in the Original Loan Agreement, the Lender loaned
     $10,000,000 to the Borrower (the "Term Loan"). On the terms and subject to
     the conditions set forth in the Amendment, on the date of the Amendment,
     the Lender shall make available to the Borrower an additional term loan in
     the amount of $1,500,000 for the sole purpose of the repayment of the
     Prometheus Note by the Borrower. Such additional term loan shall be a "Term
     Loan" for purposes of this Agreement. The Lender shall not have any
     obligation to make available any additional funds to the Borrower pursuant
     to this Agreement."

          C. Repayment of Term Loan. Section 2.3 of the Original Loan Agreement
is hereby amended and restated in its entirety as follows:

             "Section 2.3. Repayment of Term Loans. The Borrower shall repay
     the outstanding principal amount of the Term Loans, together with accrued
     and unpaid interest to the date of such payment on the principal amount
     paid, on the dates (each a "Payment Date") and in the amounts as follows:

               July 1, 2002 .............................    $1,500,000
               July 1, 2003 .............................    $1,500,000
               July 1, 2004 .............................    $8,500,000

     Any amounts outstanding under the Note (including, but not limited to,
     principal, interest, fees and expenses) shall be fully due and payable on
     the Maturity Date."

          D. Optional Prepayments. Section 2.5 of the Original Loan Agreement is
hereby amended and restated in its entirety as follows:

             "Section 2.5. Optional Prepayments. (a) The Borrower may at any
     time, upon at least ten Business Days' prior notice to the Lender stating
     the proposed date and aggregate principal amount of the prepayment, prepay
     the outstanding principal amount of the Term Loans, in whole or part,
     together with accrued and unpaid interest to the date of such prepayment on
     the principal amount prepaid, without any premium or penalty (other than
     amounts owing pursuant to Section 2.11(b)). Any prepayment of the principal
     amount shall be applied against and reduce the principal amount in the
     order of maturity commencing on the earliest Payment Date following the
     date of such repayment. Upon the giving of such notice of prepayment, the
     principal amount of the Term Loans specified to be prepaid shall become
     irrevocably due and payable on the date specified for such prepayment.

             (b) Amounts of any Term Loan prepaid, may not be reborrowed."

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          E. Costs and Expenses. "Fried, Frank, Harris, Shriver & Jacobson"
shall be inserted following the words "Lender's counsel," in the parenthetical
to the first sentence of Section 9.3 of the Original Loan Agreement.

          F. Notices, Etc. The addresses set forth for the provision of notice
to Lender in paragraph (b) of Section 9.6 of the Original Loan Agreement are
hereby amended and restated in their entirety as follows:

             "if to the Lender:
             LFSRI II Assisted Living LLC
             c/o Lazard Freres Real Estate Investors L.L.C.
             30 Rockefeller Plaza
             New York, NY 10020
             Attention: Chief Financial Officer and General Counsel
             Telecopy no: (212) 332-5641 and (212) 332-1793

             with a copy to:
             Fried, Frank, Harris, Shriver & Jacobson
             One New York Plaza
             New York, NY  10004
             Attention: Lee S. Parks, Esq.
             Telecopy no: (212) 859-4000"

          G. Entire Agreement. The words "the Amendment and the Amended Term
Note" shall be inserted following the words "This Agreement" in the first
sentence of Section 9.14 of the Original Loan Agreement.

          H. Form of Note. Exhibit A of the Original Loan Agreement is hereby
amended and replaced in its entirety by replacing such exhibit with the Form of
Amended Term Note attached hereto as Annex A.

          I. Interpretation. The following is hereby inserted as Section 9.16 of
the Original Loan Agreement:

             "Section 9.16. Interpretation. For avoidance of doubt, all
     references to "the date hereof" or "the Closing Date" in the Agreement
     refer to April 24, 2000, the closing date of the original loan
     transaction."

          J. Deletions. Sections 2.2, 2.7 and 2.9 of the Original Loan Agreement
are hereby deleted in their entirety, the words "intentionally omitted" shall be
inserted in their place and the numbering of the remaining sections of the
Agreement shall not be changed.

     Section 3. Representations and Warranties of Borrower. To induce the Lender
to enter into this Amendment, the Borrower represents and warrants to the Lender
that, on and as of the date of this Amendment (a) the representations and
warranties set forth in Article IV of the Original Loan Agreement are true and
correct in all material respects on and as of the date of this Amendment and
with the same effect as though made on and as of such date, (b) no Default or
Event of Default has occurred and is continuing, (c) the transactions
contemplated herein do not and will not violate any Requirement of Law with
respect to the Borrower, its Subsidiaries or the Lender and are not enjoined,
temporarily, preliminarily or permanently and (d) there has not been a Material
Adverse Change since

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December 31, 2001 and there have been no events or developments that in the
aggregate have had a Material Adverse Effect.

     Section 4. Cancellation of the Notes; Issuance of Amended Note. On the date
of this Amendment, the Note and the Prometheus Note shall be cancelled and
Borrower shall issue to the Lender the Amended Note.

     Section 5. Payment of Maturity Date Extension Fee. On the date of this
Amendment, the Borrower shall deliver an amount equal to the Maturity Date
Extension Fee in immediately available funds to the Lender.

     Section 6. Officer's Certificate. On the date of this Amendment, the
Borrower shall deliver a certificate executed on its behalf by one of its duly
authorized officers certifying that the representations and warranties set forth
in Section 3 hereof are true and correct as of the date of this Amendment.

     Section 7. Conditions to Funding and Effectiveness of Amendment. This
Amendment shall not be effective and the Lender shall not be obligated to extend
any amounts pursuant hereto unless (i) the representations and warranties set
forth in Section 3 hereof are true and correct as of the date of this Amendment,
(ii) the Borrower has issued the Amended Note to the Lender, (iii) the Borrower
has paid the Maturity Date Extension Fee to the Lender in accordance with
Section 5 hereof, and (iv) the Lender has received an officer's certificate in
accordance with Section 6 hereof. Notwithstanding anything to the contrary
contained in Section 3.2 of the Original Loan Agreement, other than the
conditions set forth in this Section 7, there are no conditions precedent to the
making of the Term Loan in the amount of $1,500,000 pursuant to this Amendment.

     Section 8. Repayment of Prometheus Note. Immediately following the
completion of the transactions contemplated herein, the Borrower shall repay to
Prometheus all amounts owing under the Prometheus Note, including, but not
limited to, accrued and unpaid interest to the date of such repayment, in
accordance with the terms of the Prometheus Note.

     Section 9. Original Loan Agreement in Full Force and Effect. Except as
expressly provided herein or in the Amended Note, the Original Loan Agreement
and all other documents relating thereto shall remain in full force and effect
and are hereby confirmed and ratified in all respects.

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     IN WITNESS WHEREOF, the parties have executed this Amendment as of the date
first above written.

                                ARV ASSISTED LIVING, INC.

                                By:   /s/ ABDO KHOURY
                                      ------------------------------------------
                                      Name:  Abdo Khoury
                                      Title: President & Chief Financial Officer

                                LFSRI II ASSISTED LIVING LLC

                                By:   LF Strategic Realty Investors II L.P.
                                      Its Managing Member

                                By:   Lazard Freres Real Estate Investors L.L.C.
                                      Its General Partner

                                By:   __________________________________________
                                      Name:
                                      Title:

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