Document:

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                                                                   EXHIBIT 10.23

                                 AMENDMENT NO. 1

                                       TO

                     REVOLVING CREDIT AND SECURITY AGREEMENT

         THIS AMENDMENT NO. 1 (this "Amendment") is entered into as of October
30, 2003, by and among the Borrowers signatory hereto (each individually a
"BORROWER" and collectively, the "BORROWERS") and CAPITALSOURCE FINANCE LLC, a
Delaware limited liability company ("CAPITALSOURCE"), as administrative agent
and Agent for Lenders (in such capacities, the "AGENT"), and Lenders party
hereto.

                                   BACKGROUND

         Certain Borrowers, Agent and Lenders entered into a Revolving Credit
and Security Agreement dated as of August 19, 2003 (as amended, restated,
supplemented or otherwise modified from time to time, the "Loan Agreement")
pursuant to which Agent and Lenders provide Borrowers with certain financial
accommodations.

         Borrowers have requested that Agent and Lenders make certain amendments
to the Loan Agreement, and Agent and Lenders are willing to do so on the terms
and conditions hereafter set forth.

         NOW, THEREFORE, in consideration of any loan or advance or grant of
credit heretofore or hereafter made to or for the account of Borrowers by Agent
and Lenders, and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereto hereby agree as
follows:

         1.       Definitions. All capitalized terms not otherwise defined
herein shall have the meanings given to them in the Loan Agreement.

         2.       Amendment to Loan Agreement. Subject to satisfaction of the
conditions precedent set forth in Section 3 below, the Loan Agreement is hereby
amended as follows:

                  (a)      Appendix A is amended as follows:

                           (i)      the following defined terms are added in
                  their appropriate alphabetical order:

                           "Collateral Account" means a general interest bearing
                           deposit account established at and maintained by
                           Agent in the name of and for the benefit of Agent,
                           L/C Banks and Lenders and under the exclusive
                           dominion and control of Agent, into which Collateral
                           in the form of cash shall be deposited and as to
                           which Agent has "control" pursuant to Section 9-104
                           of the UCC.

                           "Funded L/C Exposure" means the aggregate principal
                           amount, as of any date of determination, of all
                           payments that were made by Agent or any

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                           L/C Bank under any Letter of Credit, but which have
                           not been reimbursed to Agent or such L/C Bank by the
                           Borrowers or converted into Advances pursuant to the
                           terms of this Agreement.

                           "L/C Bank" means, any bank that issues a Letter of
                           Credit for the account of the Borrowers.

                           "L/C Exposure" means the sum, as of any date of
                           determination, of the Unfunded L/C Exposure and the
                           Funded L/C Exposure.

                           "L/C Sublimit" shall mean One Million and 00/100
                           Dollars ($1,000,000).

                           "Letter of Credit" means each letter of credit issued
                           by Agent or any L/C Bank for or on behalf of
                           Borrowers, which (i) is a standby letter of credit,
                           (ii) issued for the purpose for which the Borrowers
                           have historically obtained letters of credit, or for
                           such other purpose as is reasonably acceptable to the
                           Agent, and, in all cases, for a purpose permitted for
                           use of proceeds hereunder, (iii) is denominated in
                           Dollars; (iv) is governed by the Uniform Customs and
                           Practices for Documentary Credits (1993 Revision),
                           International Chamber of Commerce Publication 500,
                           except as otherwise agreed by the Agent or the
                           applicable L/C Bank, and (v) is in form reasonably
                           satisfactory to the Agent and the applicable L/C
                           Bank.

                           "Unfunded L/C Exposure" means the maximum amount
                           which Agent or the L/C Banks may be required, under
                           all Letters of Credit outstanding as of any date of
                           determination, to pay on such date or at any future
                           time. Unfunded L/C Exposure shall not include any
                           amounts outstanding within the meaning of Funded L/C
                           Exposure.

                           (ii)     the following defined term is amended in its
                  entirety to provide as follows:

                           "Requisite Lenders" shall mean Lenders holding or
                           being responsible for (i) 100%, if there are only two
                           Lenders, and (ii) at least 66-2/3% if there are more
                           than two Lenders, in each case, of the sum of (a) all
                           outstanding Loans and (b) all unutilized Commitments,
                           including Unfunded L/C Exposure.

                  (b)      Section 2.1(a) is hereby amended by inserting the
phrase ", including Advances in connection with the issuance of Letters of
Credit," after the phrase "Pro Rata Share of Advances" in the second and third
lines thereof.

                  (c)      A new Section 2.16 is hereby inserted in its
appropriate sectional order to read as follows:

                           "2.16.   Letters of Credit

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                           (a)      Letter of Credit Commitment. On the terms
                           and subject to the conditions herein set forth, the
                           Borrowing Agent, on behalf of Borrowers, may, at any
                           time and from time to time after the date hereof and
                           prior to the Termination Date, request that Agent
                           issue, and on the terms and subject to the conditions
                           contained herein, Agent, if so requested, shall
                           issue, or shall cause an L/C Bank to issue, within
                           ten (10) Business Days after the request for such
                           Letter of Credit, for the account of the Borrowers
                           one or more Letters of Credit; provided that no
                           Letter of Credit shall be issued if and to the extent
                           that after giving effect to its issuance, the
                           Unfunded L/C Exposure, (i) exceeds the L/C Sublimit
                           or (ii) taken together with the outstanding Advances,
                           including, without duplication, any Funded L/C
                           Exposure, would exceed the lesser of the Facility Cap
                           or the Availability. Borrowers acknowledge that
                           Availability shall be reduced by a reserve in the
                           full face amount of any such Letter of Credit.

                           (b)      Related Letter of Credit Restrictions. If a
                           requested Letter of Credit is to have or is for the
                           purpose of replacing an existing Letter of Credit
                           that has, an expiry date falling after the Maturity
                           Date, then Borrower shall, on or before the
                           Termination Date (x) provide a "back-to-back" letter
                           of credit to Agent or the applicable L/C Bank in form
                           and substance reasonably satisfactory to Agent or the
                           applicable L/C Bank, as the case may be, issued by a
                           bank reasonably satisfactory to Agent or the
                           applicable L/C Bank, as the case may be, in an amount
                           equal to the Relevant Percentage of the then undrawn
                           stated amount of all outstanding Letters of Credit
                           and/or (y) deposit cash in the Collateral Account in
                           an amount equal to the Relevant Percentage of the
                           then undrawn stated amount of each such outstanding
                           Letter of Credit with respect to which a
                           "back-to-back" letter of credit was not issued to
                           Agent or the applicable L/C Bank; provided, however,
                           that notwithstanding the provision of such
                           "back-to-back" letter(s) of credit and/or the funding
                           of such Collateral Account, Borrowers shall remain
                           liable with respect to all Funded L/C Exposure and
                           Unfunded L/C Exposure, pursuant to the terms of this
                           Section 2.16 until the earlier of such time as each
                           such Letter of Credit expires by its terms without
                           any draws being made in respect thereof or such
                           Letter of Credit has been returned to Agent or the
                           applicable L/C Bank undrawn and marked "cancelled".
                           For this purpose, "Relevant Percentage" means, with
                           respect to the Termination Date, 105%, and with
                           respect to each annual anniversary thereafter, two
                           percent more than the Relevant Percentage for the
                           preceding annual anniversary.

                           (c)      Issuance of Letters of Credit. If the
                           Borrowers wish Agent to issue, or arrange for
                           issuance by an L/C Bank of, a Letter of Credit, the
                           Borrowing Agent, on behalf of Borrowers, shall give
                           Agent notice to that effect, specifying the proposed
                           issuance date for such Letter of Credit (which shall
                           be a Business Day), the stated amount of the Letter
                           of Credit so requested, the proposed expiration date
                           of such Letter of Credit and the name and address of
                           the beneficiary of such Letter of Credit (as well as

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                           such further information, relating to the use of such
                           Letter of Credit and otherwise, as Agent or the
                           applicable L/C Bank may reasonably request), at least
                           ten Business Days before the proposed issuance date
                           (or such shorter period as may be agreed upon in
                           writing by Agent or the applicable L/C Bank, as the
                           case may be, and the Borrowers).

                           (d)      Advances Arising from Letter of Credit
                           Payments. Any payment by Agent or the applicable L/C
                           Bank in respect of any Letter of Credit shall
                           constitute for all purposes of this Agreement the
                           making by Agent of an Advance in the amount of such
                           payment (and if such payment is made by an L/C Bank,
                           Agent shall reimburse such L/C Bank in the amount of
                           such payment). All Funded L/C Amounts shall bear
                           interest as provided pursuant to Section 2.3. With
                           respect to each Advance made pursuant to this Section
                           2.16, Borrowers shall be deemed to have certified the
                           statements contained in Section V as of the date the
                           payment constituting such Advance was made by Agent;
                           provided, however, that in the event any such
                           statement was not true and correct in all material
                           respects as of such date, such Advance shall be
                           repayable on demand; provided, further, that upon any
                           such repayment, the failure of any such statement to
                           be true and correct in all material respects as of
                           such date shall not constitute an Event of Default
                           hereunder, unless the failure of any such statement
                           to be true and correct in all material respects as of
                           such date would have constituted an Event of Default
                           hereunder even if such repaid Advance had never been
                           made.

                           (e)      Absolute Nature of Loan Obligations Relating
                           to Letters of Credit. The obligations of the
                           Borrowers in respect of Advances that arise as a
                           result of payments under Letters of Credit shall be
                           unconditional and irrevocable and shall be paid
                           strictly in accordance with the terms of this
                           Agreement under all circumstances, including, without
                           limitation: (i) any lack of validity or
                           enforceability of any Letter of Credit; (ii) the
                           existence of any claim, setoff, defense or other
                           right which any Borrower may have at any time against
                           a beneficiary of any Letter of Credit or the Agent or
                           the applicable L/C Bank; (iii) the fact that, or any
                           allegation that, any draft, demand, certificate or
                           other document presented under such Letter of Credit
                           is or was forged, fraudulent, invalid or insufficient
                           in any respect, or any statement therein is or was
                           untrue or inaccurate in any respect; (iv) any breach
                           of contract or dispute among or between any Borrower,
                           Agent, any L/C Bank, any Lender, or any other Person;
                           (v) payment by the Agent or any L/C Bank to the
                           beneficiary under any Letter of Credit against
                           presentation of a demand, draft or certificate or
                           other document which does not comply with the terms
                           of such Letter of Credit; (vi) any other circumstance
                           or happening whatsoever, which is similar to any of
                           the foregoing; or (vii) the fact that any Event of
                           Default shall have occurred and be continuing (it
                           being understood that any such payment by the
                           Borrowers of its obligations hereunder in respect of
                           any such Advance shall be without prejudice to, and
                           shall not constitute a waiver of, any

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                           rights any Party hereto may have or might acquire
                           against the beneficiary of any Letter of Credit or
                           against the Agent or any L/C Bank).

                           (f)      Risks Related to Letters of Credit. (i)
                           Borrowers assume all risks of the acts or omissions
                           of any beneficiary or transferee of any Letter of
                           Credit with respect to the use of any Letter of
                           Credit. Each party hereto agrees that the Agent,
                           Lenders and the L/C Banks and their respective
                           directors, officers or employees shall not be liable
                           or responsible, except that any such Person shall not
                           be excused hereby on account of its gross negligence
                           or willful misconduct, for (i) the use which may be
                           made of any Letter of Credit or for any acts or
                           omissions of any beneficiary or transferee in
                           connection therewith; (ii) any reference which may be
                           made to this Agreement or to any Letter of Credit in
                           any agreements, instruments or other documents; (iii)
                           the validity, sufficiency or genuineness of any
                           document, or of any endorsement thereon, even if such
                           document or endorsement should in fact prove to be in
                           any or all respects invalid, insufficient, fraudulent
                           or forged or any statement therein prove to be untrue
                           or inaccurate in any respect whatsoever; (iv) payment
                           by the Agent or any L/C Bank (acting in good faith)
                           to the beneficiary thereof against presentation of
                           documents which do not strictly comply with the terms
                           of any Letter of Credit; or (v) any other
                           circumstances whatsoever in making or failing to make
                           payment under any Letter of Credit, but the foregoing
                           is without prejudice to any claim that any Loan Party
                           may have against Agent, any L/C Bank or any Lender.
                           Agent or the applicable L/C Bank may, in connection
                           with any Letter of Credit accept any document that
                           appears on its face to be in order, without
                           responsibility for further investigation. The
                           determination whether a demand is properly presented
                           under any Letter of Credit prior to its expiration or
                           whether a demand presented under any Letter of Credit
                           is in proper and sufficient form may be made by the
                           Agent or the applicable L/C Bank in its sole
                           discretion, and such determination shall be
                           conclusive and binding upon the Borrowers to the
                           extent permitted by law. The Borrowers hereby waive
                           any right to object to any payment to the beneficiary
                           thereof made under any Letter of Credit on
                           presentation of any demand that is in the form
                           provided in the Letter of Credit but varies with
                           respect to punctuation, capitalization, spelling or
                           similar matters of form.

                                    (ii)     Each Lender shall to the extent of
                           the percentage amount equal to the such Lender's Pro
                           Rata Share of the aggregate Funded L/C Exposure be
                           deemed to have irrevocably purchased an undivided
                           participation ("Pro Rata Purchase") in (i) each such
                           Funded L/C Exposure, (ii) Agent's credit support
                           enhancement provided to any L/C Bank which issues any
                           Letter of Credit and (iii) each Advance made as a
                           consequence of the issuance of a Letter of Credit and
                           all disbursements thereunder (the items set forth in
                           clauses (i) (ii) and (iii) collectively referenced as
                           "L/C Advances"), in each case in an amount equal to
                           such Lender's applicable Pro Rata Share of the
                           outstanding amount of the Letters of Credit and

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                           disbursements thereunder. In the event that at the
                           time a disbursement is made the unpaid balance of
                           Advances exceeds or would exceed, with the making of
                           such disbursement, the amount permitted under Section
                           2.16(a), and such disbursement is not reimbursed by
                           Borrower within two (2) Business Days, Agent shall
                           promptly notify each Lender and upon Agent's demand
                           each Lender shall pay to Agent such Lender's Pro Rata
                           Share of such unreimbursed disbursement together with
                           such Lender's Pro Rata Share of Agent's unreimbursed
                           costs and expenses relating to such unreimbursed
                           disbursement. Upon receipt by Agent of a repayment
                           from Borrower of any amount disbursed by Agent for
                           which Agent had already been reimbursed by Lenders,
                           Agent shall deliver to each Lender that Lender's Pro
                           Rata Share of such repayment. Each Lender's
                           participation commitment shall continue until the
                           last to occur of any of the following events: (A)
                           Agent ceases to be obligated to issue or cause to be
                           issued Letters of Credit hereunder; (B) no Letters of
                           Credit issued hereunder remains outstanding and
                           uncancelled or (C) all Persons (other than the
                           Borrowers) have been fully reimbursed for all
                           payments made under or relating to Letters of Credit.

                           (g)      Letter of Credit Fee. On the first day of
                           each month, commencing on the first such day
                           following the Closing Date and continuing thereafter
                           until the date the Unfunded L/C Exposure has been
                           reduced to zero, including on the Termination Date,
                           the Borrowers shall pay to Agent, for the account of
                           Lenders to the extent of their participation in the
                           Unfunded L/C Exposure a letter of credit fee (the
                           "Letter of Credit Fee"), computed by applying the
                           Letter of Credit Fee rate set forth in Section 3.6
                           below, to the Unfunded L/C Exposure from day to day
                           in the prior month or partial month, as the case may
                           be (and, in the case of the first payment of this
                           fee, without duplication of fees paid under Section
                           3.6 from the Closing Date).

                           (h)      The aggregate stated amount available for
                           Letters of Credit issued by Agent or any L/C Bank
                           from time to time outstanding shall not exceed the
                           L/C Sublimit."

                  (d)      Sections 3.2 and 3.3 are hereby amended in their
entirety to read as follows:

                           "3.2.    Unused Line Fee.

                           (a)      Borrower shall pay to Agent for the ratable
                           benefit of Lenders monthly an unused line fee (the
                           "UNUSED LINE FEE") in an amount equal to 0.042% per
                           month of the difference derived by subtracting (i)
                           the daily average amount of the balances under the
                           Revolving Facility (excluding any Unfunded L/C
                           Exposure under the L/C Sublimit) outstanding during
                           the preceding month, from (ii) the Facility Cap. The
                           Unused Line Fee shall be payable monthly in arrears
                           on the first day of each successive

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                           calendar month (starting with the first calendar
                           month following the month in which the Closing Date
                           occurs).

                           (b)      In the event the daily average amount of the
                           balances under the Revolving Facility (excluding any
                           Unfunded L/C Exposure under the L/C Sublimit)
                           outstanding during any calendar month is less than
                           $3,000,000 (the "MINIMUM AVERAGE MONTHLY LOAN
                           AMOUNT") Borrowers shall pay to Agent for the benefit
                           of Lenders a minimum loan fee in an amount equal to
                           0.042% per month on the amount by which the Minimum
                           Average Monthly Loan Amount exceeds such daily
                           average amount of unpaid balances. Such fee shall be
                           calculated on the basis of a year of 360 days and
                           actual days elapsed and such fee shall be charged to
                           Borrowers' account on the first day of each month
                           with respect to the prior month. In the event
                           Borrowers request that Agent cease charging the
                           minimum loan fee set forth in this Section 3.2(b),
                           the Unused Line Fee shall automatically increase to
                           0.083% per month effective on the first month
                           following the date of such request.

                           3.3.     Collateral Management Fee.

                           Borrower shall pay Agent for its own account as
                           additional interest a monthly collateral management
                           fee (the "COLLATERAL MANAGEMENT FEE") equal to 0.083%
                           per month calculated on the basis of the daily
                           average amount of the balances under the Revolving
                           Facility (including any Unfunded L/C Exposure under
                           the L/C Sublimit) outstanding during the preceding
                           month. The Collateral Management Fee shall be payable
                           monthly in arrears on the first day of each
                           successive calendar month (starting with the first
                           calendar month following the month in which the
                           Closing Date occurs)."

                  (e)      A new Section 3.6 is inserted in its appropriate
sectional order to read as follows:

                           "3.6.    Letter of Credit Fee.

                           Borrower shall pay to Agent for the benefit of
                           Lenders to the extent of their participation in the
                           Unfunded L/C Exposure a Letter of Credit Fee of 3.5 %
                           per annum of the Unfunded L/C Exposure, plus any
                           administrative charges or expenses incurred by Agent
                           or customarily charged by Agent for such Letters of
                           Credit, which fee shall be payable monthly in arrears
                           on each day that interest under the Revolving
                           Facility is payable hereunder. Upon the occurrence
                           and during the continuance of an Event of Default,
                           all Letter of Credit Fees shall be payable on demand
                           at a rate equal to the Letter of Credit Fee plus 3%
                           per annum."

                  (f)      Section 4.2(c) is amended in its entirety to provide
as follows:

<PAGE>

                           "(c)     immediately after giving effect to the
                           requested Advance, the sum of (i) the aggregate
                           outstanding principal amount of Advances under the
                           Revolving Facility, including Advances in connection
                           with the Letters of Credit, and (ii) the Unfunded L/C
                           Exposure, shall not exceed the lesser of the
                           Availability and the Facility Cap and the L/C
                           Exposure shall not exceed the L/C Sublimit;"

                  (g)      Section 8(a) is amended in its entirety to provide as
follows:

                           "(a)     Borrower shall fail to pay any amount on the
                           Obligations, including any Funded L/C Exposure, or
                           provided for in any Loan Document when due (whether
                           on any payment date, at maturity, by reason of
                           acceleration, by notice of intention to prepay, by
                           required prepayment or otherwise);"

                  (h)      Section 11.1 is amended by adding the following
immediately prior to the period at the end thereof:

                           "; provided that if all Obligations (other than
                           Unmatured Surviving Obligations and Unfunded L/C
                           Exposure) have been satisfied and the Borrowers have
                           satisfied the requirements set forth in Section
                           2.16(b) to provide a `back-to-back' letter of credit
                           or deposit cash in the Collateral Account, then the
                           Liens granted to Agent, for the benefit of itself and
                           Lenders, under the Security Documents shall be
                           released".

         3.       Conditions of Effectiveness. This Amendment shall become
effective upon satisfaction of the following conditions precedent: Agent shall
have received (i) four (4) copies of this Amendment executed by Borrowers and
Lenders and (ii) and such other certificates, instruments, documents and
agreements as may be reasonably required by Agent or its counsel, each of which
shall be in form and substance reasonably satisfactory to Agent and its counsel.

         4.       Representations and Warranties. Each Borrower hereby
represents and warrants as follows:

                  (a)      This Amendment and the Loan Agreement, as amended
hereby, constitute legal, valid and binding obligations of Borrowers and are
enforceable against Borrowers in accordance with their respective terms.

                  (b)      Upon the effectiveness of this Amendment, each
Borrower hereby reaffirms all covenants, representations and warranties made in
the Loan Agreement to the extent the same are not amended hereby and agree that
all such covenants, representations and warranties shall be deemed to have been
remade as of the effective date of this Amendment.

                  (c)      No Event of Default or Default has occurred and is
continuing or would exist after giving effect to this Amendment.

                  (d)      No Borrower has any defense, counterclaim or offset
with respect to the Loan Agreement.

<PAGE>

         5.       Effect on the Loan Agreement.

                  (a)      Upon the effectiveness of Section 2 hereof, each
reference in the Loan Agreement to "this Agreement," "hereunder," "hereof,"
"herein" or words of like import shall mean and be a reference to the Loan
Agreement as amended hereby.

                  (b)      Except as specifically amended herein, the Loan
Agreement, and all other documents, instruments and agreements executed and/or
delivered in connection therewith, shall remain in full force and effect, and
are hereby ratified and confirmed.

                  (c)      The execution, delivery and effectiveness of this
Amendment shall not operate as a waiver of any right, power or remedy of Agent
or Lenders, nor constitute a waiver of any provision of the Loan Agreement, or
any other documents, instruments or agreements executed and/or delivered under
or in connection therewith.

         6.       Governing Law. This Amendment shall be binding upon and inure
to the benefit of the parties hereto and their respective successors and assigns
and shall be governed by and construed in accordance with the laws of the State
of New York.

         7.       Headings. Section headings in this Amendment are included
herein for convenience of reference only and shall not constitute a part of this
Amendment for any other purpose.

         8.       Counterparts; Facsimile. This Amendment may be executed by the
parties hereto in one or more counterparts, each of which shall be deemed an
original and all of which when taken together shall constitute one and the same
agreement. Any signature delivered by a party by facsimile transmission shall be
deemed to be an original signature hereto.

<PAGE>

         IN WITNESS WHEREOF, this Amendment has been duly executed as of the day
and year first written above.

                               BORROWERS

                               BRIARCLIFF NURSING AND REHABILITATION CENTER, LP
                                   By:    Briarcliff Nursing and Rehabilitation
                                          Center GP, LLC, its general partner

                               CAREHOUSE HEALTHCARE CENTER, LLC
                               CLAIRMONT BEAUMONT, LP
                                   By:    Clairmont Beaumont GP, LLC, its
                                          general partner

                               CLAIRMONT LONGVIEW, LP
                                   By:    Clairmont Longview GP, LLC, its
                                          general partner

                               THE CLAIRMONT TYLER, LP
                                   By:    The Clairmont Tyler GP, LLC, its
                                          general partner

                               COLONIAL NEW BRAUNFELS CARE CENTER, LP
                                   By:    Colonial New Braunfels GP, LLC, its
                                          general partner

                               COLONIAL TYLER CARE CENTER, LP
                                   By:    Colonial Tyler GP, LLC, its general
                                          partner

                               COMANCHE NURSING CENTER, LP
                                   By:    Comanche Nursing Center GP, LLC, its
                                          general partner

                               CORONADO NURSING CENTER, LP
                                   By:    Coronado Nursing Center GP, LLC, its
                                          general partner

                               DEVONSHIRE CARE CENTER, LLC
                               THE EARLWOOD, LLC
                               FLATONIA OAK MANOR, LP
                                   By:    Flatonia Oak Manor GP, LLC, its
                                          general partner

                               FOUNTAIN CARE CENTER, LLC
                               FOUNTAIN SENIOR ASSISTED LIVING, LLC
                               GUADALUPE VALLEY NURSING CENTER, LP
                                   By:    Guadalupe Valley Nursing Center GP,
                                          LLC, its general partner

<PAGE>

                               HALLETTSVILLE REHABILITATION AND NURSING CENTER,
                               LP
                                   By:    Hallettsville Rehabilitation GP, LLC
                                          its general partner

                               HOSPITALITY NURSING AND REHABILITATION CENTER, LP
                                   By:    Hospitality Nursing GP, LLC, its
                                          general partner

                               LIVE OAK NURSING CENTER, LP
                                   By:    Live Oak Nursing Center GP, LLC, its
                                          general partner

                               MONUMENT REHABILITATION AND NURSING CENTER, LP
                                   By:    Monument Rehabilitation Center GP,
                                          LLC, its general partner

                               OAK CREST NURSING CENTER, LP
                                   By:    Oak Crest Nursing Center GP, LLC, its
                                          general partner

                               OAKLAND MANOR NURSING CENTER, LP
                                   By:    Oakland Manor, GP, LLC, its general
                                          partner

                               SKILLED HEALTHCARE II, LLC
                               SOUTHWOOD CARE CENTER, LP
                                   By:    Southwood Care Center GP, LLC, its
                                          general partner

                               SPRING SENIOR ASSISTED LIVING, LLC
                               TEXAS CITYVIEW CARE CENTER, LP
                                   By:    Texas Cityview Care Center, GP, LLC,
                                          its general partner

                               TEXAS HERITAGE OAKS NURSING AND REHABILITATION
                               CENTER, LP
                                   By:    Texas Heritage Oaks Nursing and
                                          Rehabilitation Center GP, LLC, its
                                          general partner

                               TOWN AND COUNTRY MANOR, LP
                                   By:    Town and Country Manor GP, LLC, its
                                          general partner

                               VALLEY HEALTHCARE CENTER, LLC
                               VILLA MARIA HEALTHCARE CENTER, LLC
                               WEST SIDE CAMPUS OF CARE, LP
                                   By:    West Side Campus of Care GP, LLC, its
                                          general partner

<PAGE>

                               WILLOW CREEK HEALTHCARE CENTER, LLC

                               By:    \s\ Roland G. Rapp
                                      ------------------------------------------
                               Name:  Roland G. Rapp
                               Title: Secretary

                               AGENT AND SOLE LENDER

                               CAPITALSOURCE FINANCE LLC

                               By:    \s\ J. Anthony Romero
                                      ------------------------------------------
                               Name:  J. Anthony Romero
                               Its:   Portfolio Manager<PAGE>

                                                                   EXHIBIT 10.24

                                COMMERCIAL LEASE

                                     BETWEEN

                            MATMEL ENTERPRISES, INC.

                                       AND

                               FOUNTAIN VIEW, INC.

                               EUREKA, CALIFORNIA

                                 AUGUST 25, 2003

<PAGE>

                                COMMERCIAL LEASE

         THIS COMMERCIAL LEASE ("Lease") is entered into as of August 25, 2003
by and between MATMEL ENTERPRISES, INC., a California corporation formerly known
as REDWOOD CARE CENTERS, INC. ("Landlord"), whose address and facsimile number
for the purpose of this Lease are 4060 Campton Road, Eureka, California 95503,
(707) 443-6964, and FOUNTAIN VIEW, INC., a California corporation ("Tenant")
whose address and facsimile number for the purpose of this Lease are 2355 23rd
Street, Eureka, California, 95601, (707) 444-9640.

         1.       PREMISES. Landlord leases to Tenant, and Tenant leases from
Landlord, that certain improved real property consisting of four separate
skilled nursing facilities and one office building and certain furniture,
fixtures, improvements and other tangible personal property contained therein
that is owned by Landlord, commonly known, respectively, as the Sunset Care
Center, located at 2353 23rd Street, Eureka, California 95501, the Granada Care
Center, located at 2885 Harris Street, Eureka, California 95501, the Pacific
Care Center, located at 2211 Harrison Avenue, Eureka, California 95501, the
Seaview Care Center, located at 8400 Purdue Drive, Eureka, California 95503
(individually, a "Care Center" and collectively, the "Care Centers") and the
Redwood Care Center Office Building (the "Office Building"), located at 2355
23rd Street, Eureka, California 95501, as described more particularly in EXHIBIT
A (the Care Centers and the Office Building are collectively referred to herein
as the "Premises"). Upon the Commencement Date as defined below, Landlord shall
deliver possession of the Premises to Tenant, and Tenant shall take possession
of the Premises.

         2.       TERM.

                  2.1      INITIAL TERM. The initial term ("Initial Term") of
this Lease shall be five (5) years commencing ten (10) business days (or
earlier, at the option of Tenant) after the date when all the following
conditions precedent (the "Conditions Precedent") shall have been fulfilled (the
"Commencement Date"), and expiring on the fifth (5th) year anniversary of the
Commencement Date. If the Conditions Precedent have not been fulfilled or waived
by Tenant such that the Commencement Date may be fixed as of no later than
October 1, 2003, then either Landlord or Tenant may rescind this Lease; and it
shall thereafter become null and void and of no further force or effect. The
Conditions Precedent are the following:

                           2.1.1    TERMINATION OF EXISTING LEASE AND SUBLEASE.
Landlord shall have obtained a written acknowledgement and agreement from
Unified Health Services, LLC ("UHS"), the current tenant of the Premises,
terminating UHS' existing leases to the Premises and a written acknowledgement
and agreement from SunBridge Healthcare Group, Inc. ("Sun"), the current
subtenant to the Premises, terminating the existing subleases and setting forth
Sun's commitment to vacate the Premises, promptly upon receipt of notice that
Tenant is duly licensed to operate the Premises under the laws of the State of
California and is certified to participate in Medicare and Medi-Cal, by no later
than October 1, 2003. Landlord agrees to use reasonable business efforts to
obtain such written acknowledgement and agreement as soon as is practicable.

                           2.1.2    SKILLED NURSING FACILITY APPROVAL. Tenant
shall have obtained the required licensure and permits from the California
Department of Health Services to operate

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the Care Centers as skilled nursing facilities and to permit such skilled
nursing facilities to participate in the Medicare and Medi-Cal reimbursement
programs. Tenant agrees to use its reasonable business efforts to seek and
obtain such licensure and permits as soon as is practicable.

                           2.1.3    OPERATIONS TRANSFER AGREEMENT WITH SUN.
Tenant shall have entered into a Operations Transfer Agreement and any related
transfer and other documents, with Sun relating to Tenant's succeeding Sun as
operator of the Care Centers, in the form acceptable to Tenant in its sole
discretion, and Sun shall have fully performed thereunder on or concurrent with
the Commencement Date hereunder. Tenant agrees to use its reasonable business
efforts to seek and obtain such agreement with Sun as soon as is practicable.

                           2.1.4    SIDE LETTER AGREEMENT WITH SUNDANCE
REHABILITATION CORPORATION. Tenant shall have entered into a Side Letter with
SunDance Rehabilitation Corporation ("SunDance") in the form acceptable to
Tenant in its sole discretion, acknowledging that (a) all employees of SunDance
will be released from any employment restrictions that would otherwise prevent
them from accepting employment with Tenant or its affiliates; (b) SunDance will
not solicit these same employees for employment at its other facilities, and (c)
SunDance has released all claims to any property or equipment remaining at the
Premises.

                           2.1.5    NO MATERIAL ADVERSE CHANGE. No material
adverse change, loss, damage or destruction to, or any interruption in the use
of, the Premises, whether or not covered by insurance, shall have occurred,
including without limitation any change in the number of licensed beds.

                  2.2      OPTIONS TO EXTEND.

                           2.2.1    FIRST EXTENDED TERM. Tenant is hereby given
the option to extend the Initial Term for a period of five (5) years (the "First
Extended Term") following the expiration of the Initial Term, by giving Landlord
written notice of Tenant's exercise of the option ("Option Notice") no later
than one hundred eighty (180) days, nor sooner than three hundred sixty (360)
days, before expiration of the Initial Term.

                           2.2.2    SECOND EXTENDED TERM. Provided Tenant
exercises its option for the First Extended Term, Tenant is given the additional
option to extend the First Extended Term for an additional period of five (5)
years (the "Second Extended Term") following expiration of the First Extended
Term, by giving Landlord an Option Notice no later than one hundred eighty (180)
days, nor sooner than three hundred sixty (360) days, before expiration of the
First Extended Term.

                           2.2.3    THIRD EXTENDED TERM. Provided Tenant
exercises its option for the Second Extended Term, Tenant is given the
additional option to extend the Second Extended Term for an additional period of
five (5) years (the "Third Extended Term") following expiration of the Second
Extended Term, by giving Landlord an Option Notice no later than one hundred
eighty (180) days, nor sooner than three hundred sixty (360) days, before
expiration of the Second Extended Term.

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                           2.2.4    PROVISIONS APPLICABLE TO OPTIONS. The
preceding provisions to the contrary notwithstanding, if Tenant is in default of
this Lease on the date of giving an Option Notice, then, at Landlord's sole
election, such Option Notice shall be totally ineffective. If Tenant is in
default of this Lease and any cure period provided hereunder with respect to
such default has expired without such default having been cured on the date any
Extended Term is to commence, then, at Landlord's sole election, such Extended
Term shall not commence; and this Lease shall expire at the end of the then
Term.

                           2.2.5    PROVISIONS APPLICABLE TO EXTENDED TERMS.
Each Extended Term shall be upon all of the terms and conditions of the Lease
except as follows:

                                    (a)      Monthly Rent shall be as provided
in SECTION 3.1.

                                    (b)      Apart from the Right of First
Refusal set forth in SECTION 18, Tenant will have no option to extend the Term
of this Lease beyond the Third Extended Term.

                                    (c)      The word "Term" as used in this
Lease shall include the Initial Term and the three Extended Terms (to the extent
Tenant exercises its options to implement such Extended Terms) unless
specifically provided to the contrary.

                  2.3      OPTION TO PURCHASE THE PREMISES. Landlord, Landlord's
sole shareholder, the Sutton Family Living Trust uta dated 4/16/97 ("Sutton")
and Tenant are parties to that certain Option Agreement dated May 30, 2003 (the
"Option Agreement") pursuant to which Sutton and Landlord granted to Tenant the
right and option to purchase all outstanding capital stock of Landlord ("Stock")
upon and subject to the terms and conditions set forth therein (the "Stock
Purchase Option"). In the event that Tenant is entitled to exercise such Stock
Purchase Option and for any reason is barred from consummating such transaction
pursuant to applicable law or Tenant exercises such Stock Purchase Option within
the time and in the manner provided therein but is unwilling or unable to close
the transaction contemplated thereby because Landlord or Sutton is in default or
breach of any of its representations, warranties or covenants thereunder, then
as a material consideration for Tenant's  execution and delivery of this Lease,
Tenant shall have the option to purchase the Premises pursuant to this Lease at
the fair market value of the Premises as determined pursuant to the process set
forth in the Option Agreement and upon the same other terms that Tenant would
have purchased the Stock under the Option Agreement, except that the provisions
of Section 16.5 of the Option Agreement shall apply to any transfer and
conveyance of the Premises pursuant to this option.

         3.       MONETARY PROVISIONS.

                  3.1      MONTHLY RENT.

                           3.1.1    FIRST 24 MONTHS. Tenant shall pay as monthly
rent ("Monthly Rent") during the first twenty four (24) months of the Initial
Term an amount equal to the lower of (a) Ninety Four Thousand Eight Hundred
Seventy Five Dollars ($94,875) or (b) Two Hundred Seventy Five Dollars ($275)
per licensed bed at the Care Center.

                                     - 3 -
<PAGE>

                           3.1.2    NEXT 24 MONTHS. Tenant shall pay as monthly
rent ("Monthly Rent") during the months 25 through 48 of the Initial Term an
amount equal to the lower of (a) Ninety Eight Thousand Three Hundred Twenty Five
Dollars ($98,325) or (b) Two Hundred Eighty Five Dollars ($285) per licensed bed
at the Care Center.

                           3.1.3    NEXT 12 MONTHS. Tenant shall pay as monthly
rent ("Monthly Rent") during the months 49 through 60 of the Initial Term an
amount equal to the lower of (a) One Hundred One Thousand Seven Hundred Seventy
Five Dollars ($101,775) or (b) Two Hundred Ninety Five Dollars ($295) per
licensed bed at the Care Center.

                           3.1.4    EXTENDED TERMS. As of the commencement of
each Lease Year during the Extended Terms, if any, Monthly Rent shall be
increased by two percent (2%) of the Monthly Rent in effect immediately prior to
the adjustment, subject to not exceeding one hundred two percent (102%) of such
immediately preceding rate per licensed bed on the Premises.

                           3.1.5    PERIODIC ADJUSTMENT OF MONTHLY RENT.
Notwithstanding SECTION 3.1.1 through SECTION 3.1.4 above, Monthly Rent shall be
adjusted on a monthly basis throughout the Term if and to the extent there are
any capacity adjustments to the licensed beds made by the Centers for Medicare
and Medicaid Services ("CMS"). In the event of such a capacity adjustment, the
Monthly Rent for the Premises shall be adjusted downward by an amount equal to
(a) the Monthly Rent in effect immediately prior to the adjustment multiplied by
(b) a fraction, (i) the numerator of which shall be the number of licensed beds
as of the Commencement Date less the number of licensed beds lost in capacity
due to such CMS requirement, and (ii) the denominator of which shall be the
number of licensed beds as of the Commencement Date.

                           3.1.6    GENERAL PROVISIONS. Monthly rent shall be
payable in advance on the first day of each calendar month of the Term, without
deduction, offset, prior notice or demand, and in lawful money of the United
States of America. If Tenant's obligation to pay monthly rent does not commence
on the first day of a calendar month, Tenant shall pay to Landlord on the date
when Tenant's obligation arises, a portion of the monthly rent for such month,
prorated on a daily basis. When monthly rent changes during the Term as provided
herein, and if a change occurs on a date other than the first day of a month,
the monthly rent for the month in which the change takes effect shall be
prorated between the monthly rent in effect before the change and the amount of
monthly rent after the change. Rent shall be deemed paid when received by
Landlord.

                           3.1.7    LEASE YEAR. The phrase "Lease Year" as used
in this Lease is a period of twelve (12) full months during the Term, with the
first Lease Year commencing on the date the Initial Term commences.

                  3.2      TAXES.

                           3.2.1    PERSONAL PROPERTY TAXES. Tenant shall pay
before delinquency all taxes, assessments, license fees and other charges that
are levied and assessed on or as a result of Tenant's personal property,
alterations, Tenant's Improvements and/or Tenant's Trade

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<PAGE>

Fixtures (as such terms are defined in SECTION 19.4). Tenant shall furnish
Landlord with satisfactory evidence of these payments from time to time upon
request from Landlord.

                           3.2.2    REAL PROPERTY TAXES. In addition to all
other sums payable under this Lease, Tenant shall pay, promptly when due and
otherwise in the manner and at the times set forth in this section, Real
Property Taxes (as defined below) levied and assessed against the Premises (land
and improvements) during the Term. Notwithstanding any contrary provision set
forth in this section, Tenant shall not be responsible for the payment of Real
Property Taxes assessed or imposed on a particular Care Center or Office
Building if Tenant elects to terminate its rights and obligations relating to
such Care Center or Office Building pursuant to the terms of this Lease.

                                    (a)      DEFINITION OF REAL PROPERTY TAXES.
The term "Real Property Taxes" as used in this Lease shall mean and include all
taxes, assessments and other governmental charges, general and special,
including, without limitation, assessments for public improvements or benefits,
which shall, during the Term, be assessed, levied and imposed upon the land and
improvements that comprise the Premises. Real Property Taxes shall also include,
without limitation, any tax, fee or excise levied, assessed and/or based on
rent, on the square footage of the Premises, on the act of entering into leases,
on the occupancy of space in the Premises, on the receipt of rents, and any
other tax, fee or excise, however described, in substitution for or in addition
to Real Property Taxes, including, without limitation, a so-called value added
tax; provided, however, Real Property Taxes shall not include any municipal,
county, state or federal income or franchise taxes of Landlord, any excess
profits taxes, franchise taxes, gift taxes, capital stock taxes, inheritance and
succession taxes, estate taxes or other taxes to the extent applicable to
Landlord's general or net income, or any transfer taxes of Landlord in
connection with the sale or other transfer of the Premises to a third party.
With respect to any assessment which may be levied against or upon the Premises
and which under the laws then in force may be evidenced by improvement or other
bonds, or may be paid in annual installments, there shall be included within the
definition of Real Property Taxes with respect to any tax fiscal year only the
current installments (including both principal and interest) for such tax fiscal
year. In addition, in the event of any sale or change in ownership of the
Premises occurring at any time prior to the expiration of the Initial Term, and
as a direct result of which the Premises are reassessed for real estate tax
purposes, the amount of the additional real estate taxes resulting from such
reassessment shall be excluded from Real Property Taxes payable by Tenant
hereunder.

                                    (b)      TAX CONTEST. Tenant shall have the
right, in Tenant's or Landlord's name, but at Tenant's sole cost and expense, to
contest the validity of any tax or assessment by appropriate proceedings timely
instituted; provided (a) Tenant gives Landlord written notice of Tenant's
intention to do so at least ten (10) days prior to the delinquency thereof, and
(b) Tenant diligently prosecutes any such contest, at all times effectively
stays or prevents any official or judicial sale of the Premises, under execution
or otherwise, pays any final judgment enforcing any tax or assessment so
contested, and promptly procures record satisfaction thereof. Landlord shall, if
requested by Tenant, cooperate with Tenant in any such proceedings; provided,
however, that Landlord shall not be liable for any expenses whatsoever in
connection therewith, and Tenant shall protect and indemnify Landlord against
all loss, cost, expense, attorneys' fees or damages resulting therefrom.

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<PAGE>

                                    (c)      PAYMENTS. During each tax fiscal
year, Landlord shall notify Tenant of the total Real Property Taxes, and with
such notification Landlord shall provide Tenant with a copy of the current tax
bill. Tenant shall pay the Real Property Taxes semiannually, no later than each
delinquency date (i.e., April 10 and December 10), provided that Landlord has
supplied the notification of such taxes as set forth above at least ten (10)
business days prior to such due date, and concurrently therewith furnish
Landlord with a copy of Tenant's checks used in such payment.

                                    (d)      PRORATION OF TENANT'S LIABILITY.
Tenant's liability to pay the Real Property Taxes shall be prorated on the basis
of a three hundred sixty five (365) day year to account for any fractional
portion of a tax fiscal year included in the Term at its commencement or
expiration.

                           3.2.3    TRANSFER TAXES ON LEASE. If any governmental
authority levies, assesses and/or imposes on Landlord a transfer tax as a result
of this Lease, Landlord shall pay such tax directly to the governmental
authority.

                  3.3      UTILITIES AND OTHER CHARGES.

                           3.3.1    PAYMENT OF UTILITIES AND SERVICES. Tenant
shall promptly pay all charges for heat, water, gas, electricity, telephone,
sewage, air conditioning, ventilating, refuse and any other utilities, services
and materials used or consumed by Tenant on the Premises.

                           3.3.2    INTERRUPTION OF UTILITY SERVICES. Landlord
shall not be liable to Tenant in damages or otherwise (a) if any utility becomes
unavailable from any public utility company, public authority or any other
person or entity supplying or distributing such utility unless due to Landlord's
negligence or willful misconduct; or (b) for any disruption in any utility
services caused by the making of any repairs or improvements or by any other
cause unless due to Landlord's negligence or willful misconduct, and such
interruption (subject to such exemption) shall not constitute a termination of
this Lease or an eviction of Tenant, and/or give Tenant the right to reduce or
abate Rent or other sums payable hereunder. In the event of any interruption in
utility services or other interference in Tenant's full use of the Premises for
a period of more than one hundred and eighty (180) days resulting from
Landlord's negligence or willful misconduct, in addition to and without limiting
Tenant's other legal or equitable remedies, the rent payable by Tenant hereunder
shall be abated until such utilities are fully reinstated or such other
interference or breach is cured.

                           3.3.3    POSSIBLE RATIONING. Tenant acknowledges that
the Premises may become subject to the rationing of utility services or
restrictions on use by utility providers and/or governmental agencies.
Notwithstanding any such rationing or restrictions on use of any such utility
services, Tenant acknowledges and agrees that its tenancy and occupancy
hereunder shall be subject to such rationing restrictions as are now or which
may be imposed upon Landlord, Tenant or the Premises, and Tenant shall in no
event be excused or relieved from any covenant or obligation to be kept or
performed by Tenant by reason of any such rationing or restrictions. Tenant
shall comply with any restrictions reasonably imposed by any empowered utility
provider or governmental authority that directly arise from any such rationing.

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<PAGE>

Notwithstanding the foregoing, Landlord represents that it does not know of any
currently applicable or pending rationing of utility services or similar
restrictions.

                  3.4      LATE CHARGES; INTEREST.

                           3.4.1    LATE CHARGES. Tenant hereby acknowledges
that late payment by Tenant to Landlord of Rent will cause Landlord to incur
costs not contemplated by this Lease, the exact amount of which will be
extremely difficult to ascertain. Accordingly, if any installment of Rent due
from Tenant shall not be received by Landlord within three (3) days after
receipt by Tenant of a notice of non-payment from Landlord, Tenant shall pay to
Landlord a late charge equal to five percent (5%) of such overdue amount, and
Tenant hereby agrees that such late charge represents a fair and reasonable
estimate of the costs that Landlord shall incur by reason of late payment by
Tenant. Acceptance of such late charge by Landlord shall in no event constitute
a waiver of Tenant's default with respect to such overdue amount, nor prevent
Landlord from exercising any of its other rights and remedies.

                           3.4.2    INTEREST. In addition to the late charges
provided in SECTION 3.4.1, any Rent not paid on the date such Rent is due as
provided in this Lease shall bear interest from the due date until it is paid at
a rate equal to the lower of the highest legal rate then permissible or eighteen
percent (18%) per annum. Payment of any late charges and/or interest as called
for herein shall not, however, excuse or cure any breach or default in payment
of Monthly Rent or other Rent amounts, or any other performance by Tenant
hereunder, and Landlord shall remain entitled to availability of all other
remedies at law or under equity, including, if applicable, termination of this
Lease and eviction.

                  3.5      RENT. Except as otherwise specifically provided
"Rent" refers not only to Monthly Rent but also to all other sums payable by
Tenant under this Lease.

                  3.6      SECURITY DEPOSIT. Concurrently with the execution of
this Lease, Tenant has paid to Landlord the aggregate sum of One Hundred Eighty
Nine Thousand Seven Hundred Fifty Dollars ($189,750) as a security deposit (the
"Security Deposit") for the faithful performance by Tenant of all of the terms,
covenants and conditions of this Lease to be kept and performed by Tenant during
the Term hereof. If Tenant defaults with respect to any provision of this Lease,
including, but not limited to, the provisions relating to the payment of Monthly
Rent and any of the monetary sums due hereunder, Landlord may (but shall not be
required to) use, apply or retain all or any part of this Security Deposit for
the payment of any other amount which Landlord may spend by reason of Tenant's
default or to compensate Landlord for any other loss or damage which Landlord
may suffer by reason of Tenant's default. If any portion of the Security Deposit
is so used or applied, Tenant shall, within five (5) days after written demand
therefor, deposit cash with Landlord in the amount sufficient to restore the
Security Deposit to its original amount. Tenant's failure to do so shall be a
material breach of this Lease. Landlord shall not be required to keep this
Security Deposit separate from its general funds, and Tenant shall not be
entitled to interest on such Security Deposit. Within a reasonable time
following the expiration or earlier termination of this Lease and after Tenant
has vacated the Premises, the Security Deposit or any unapplied balance thereof
shall be returned to Tenant (or at Landlord's option, to the last assignee of
Tenant's interest hereunder); provided, however, that Landlord may withhold
therefrom the amount necessary to cure any then uncured default by Tenant under

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this Lease. In the event of termination of Landlord's interest in this Lease,
Landlord shall transfer the Security Deposit to Landlord's successor in
interest, whereupon Tenant agrees to release Landlord from liability for the
return of the Security Deposit or the accounting therefor. Tenant hereby waives
the protection of Section 1950.7 of the California Civil Code.

         4.       USE.

                  4.1      AUTHORIZED USE. Tenant shall use each Care Center
solely for the purpose of the operation of a skilled nursing facility, including
without limitation all uses incidental to the operation of such skilled nursing
facility, and the Office Building solely for business offices, and for no other
purpose or use. Tenant shall actively and continuously operate the Premises for
such purposes throughout the Term in keeping with prudent industry practices and
all applicable Laws (as defined below). Landlord agrees, at no cost or expense
to itself, to assist and cooperate with Tenant in Tenant's obtaining any
required permits for such use.

                  4.2      ADDITIONAL COVENANTS OF TENANT.

                           4.2.1    LAWS, STATUTES. Tenant shall, at Tenant's
sole cost, promptly comply with all laws, statutes, ordinances, regulations,
guidelines or requirements (collectively "Laws") now in force or hereafter
enacted, whether or not foreseen and/or anticipated as of the date when this
Lease is executed, of any governmental authority having jurisdiction over the
Premises, boards of insurance underwriters, utility companies serving the
Premises, boards or agencies regulating health care and business operations at
the Premises; other similar bodies now or hereafter constituted, relating to or
affecting Tenant's business at the Premises and/or the condition, use or
occupancy of the Premises by Tenant. It is the specific intention of the parties
that Tenant shall, except as otherwise provided herein, be obligated to make, at
Tenant's cost, all alterations, improvements and/or repairs to the Premises
required by any such Laws when during the Term such alterations, improvements
and/or repairs are required to be made, which do not exceed an aggregate of One
Hundred Thousand Dollars ($100,000) in any individual Lease Year. All
alterations, improvements and/or repairs to the Premises required by any such
Laws that exceed One Hundred Thousand Dollars ($100,000) in any Lease Year shall
be made by Landlord, at Landlord's cost. The judgment of any court of competent
jurisdiction or the admission of Tenant in any action against Tenant, whether
Landlord is a party thereto or not, that Tenant has violated any of the
foregoing shall be conclusive of that fact between Landlord and Tenant. Tenant
shall immediately furnish Landlord with a copy of any notices received from any
governmental agency, insurance company, regulatory board or agency or inspection
bureau in connection with the Premises. Notwithstanding the foregoing, Landlord
represents that it does not know of any conditions of the Premises that are not
in current legal compliance under the Laws.

                           4.2.2    FIRE HAZARDS. Tenant shall not cause,
maintain or permit anything to be done in the Premises nor keep or permit to be
kept anything in the Premises which is prohibited by any insurance company
providing coverage for the Premises or which will, in the opinion of Landlord,
increase the possibility of fire or other casualty or increase the then existing
premiums for or void the coverage of any insurance upon the Premises or contents
of the Premises.

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<PAGE>

                           4.2.3    PROHIBITED USES. Tenant shall not use the
Premises for or carry on or permit in or upon the Premises, or any part thereof,
any offensive, noisy or dangerous trade, business, manufacture or occupation, or
any nuisance, or anything against public policy. Tenant agrees to use best
efforts not to cause, permit or suffer any waste, damage, disfigurement or
injury to the Premises or to the fixtures or equipment thereon, and Tenant shall
not permit or suffer any overloading of the floor and/or other parts of the
Premises.

                           4.2.4    ELECTRICAL EQUIPMENT. Tenant shall not
install, operate or maintain in the Premises any electrical equipment which does
not bear the Underwriters Laboratory approval, or which equipment would overload
any portion of the electrical system of the Premises.

                  4.3      SIGNS. Tenant, at Tenant's cost, shall erect and
maintain on the exterior of the Premises only such sign or signs of the type,
color, style, size and location permitted and approved by the City of Eureka and
County of Humboldt.

                  4.4      ACCESS BY LANDLORD. Landlord reserves the right for
Landlord and Landlord's Authorized Representatives or any of Landlord's lenders
or their Authorized Representatives to enter the Premises at any reasonable time
during business hours upon at least twenty-four (24) hours' prior advance notice
(except that in the event of an emergency no notice shall be necessary) (a) to
inspect the Premises; (b) to show the Premises to prospective lenders,
purchasers or, during the last one hundred eighty (180) days of the then
existing Term (unless Tenant has elected to renew the Term as permitted herein)
tenants; (c) to install, maintain, repair, replace or relocate any pipe, duct,
conduit, wire or equipment serving the Premises as long as same does not
materially interfere with Tenant's business at the Premises (but only after
first notifying Tenant and, if due to a failure by Tenant to maintain, replace
or repair, only after first providing to Tenant a description of any repairs
which Landlord intends to perform, along with a copy of any plans and
specifications for such repairs); (d) to determine whether Tenant is complying
with Tenant's obligations hereunder; (e) to perform any other obligation of
Tenant after Tenant's failure to perform same within the period provided
therefor, including any applicable cure period; or (f) upon default by Tenant
under this Lease which is not cured within any applicable cure period. In
addition, Landlord and Landlord's Authorized Representatives shall have the
right from time to time to reasonably request Tenant to deliver to Landlord
documentation and other evidence verifying such compliance with the Laws. If
Landlord enters the Premises for the purposes set forth in items (c) or (e) of
the first sentence of this SECTION 4.4, Landlord may erect scaffolding and store
tools, material and equipment in the Premises when required by the character of
the work to be performed. Notwithstanding the foregoing, Landlord shall not
unreasonably interfere with Tenant's business at the Premises in exercising its
rights under this SECTION 4.4, unless an emergency situation exists, and in all
cases, Landlord's right of access to the Premises and requests for evidence
verifying compliance with all applicable Laws shall be subject to any and all
restrictions protecting the privacy of patients and confidential patient records
and information, including without limitation the execution of any
confidentiality or other agreements as may be required by law.

         5.       REPAIRS AND MAINTENANCE.

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                  5.1      LANDLORD'S REPAIR OBLIGATIONS. Landlord shall have no
obligations to repair and/or maintain the Premises; notwithstanding the
foregoing or any other term in this Lease to the contrary, Landlord shall repair
any damage or injury to the Premises caused by the negligent acts or omissions
of Landlord or Landlord's Authorized Representatives. If during the Term
Landlord is required to repair any Care Center(s) and/or the Office Building
pursuant to this SECTION 5.1, and such repairs interfere with the intended use
of such Care Center(s) and/or the Office Building for a period of more than
ninety (90) days, Tenant shall have the option to (a) terminate the Lease or (b)
terminate Tenant's rights and responsibilities under this Lease relating only to
the particular Care Center and/or Office Building affected by such repair
without terminating the Lease.

                  5.2      TENANT'S REPAIR OBLIGATIONS. Subject to the casualty
provisions of SECTION 7 and Landlord's obligations pursuant to SECTION 5.1,
Tenant, at Tenant's cost, shall maintain (including making necessary repairs and
replacement) the Premises in as good order, condition and repair as on the
Commencement Date including, without limitation, the following: interior
surfaces of walls and ceilings; exterior walls and roof; floors; wall and floor
coverings; interior and exterior windows and plate glass; window coverings;
doors; locks on closing devices; window casements and frames; storefronts;
signs; awnings, canopies and display windows; plumbing and electrical systems
serving the Premises (including replacement of light bulbs and tubes); exterior
entrances; and all switches, fixtures and equipment in the Premises. Tenant
shall, at Tenant's expense, immediately replace all broken or damaged glass with
like-kind glass. Tenant shall at all times during the Term maintain (including
making repairs and replacements) the parking areas within the Premises in good
condition including, without limitation, sweeping, removal of litter and debris
and restriping when necessary. In addition, Tenant shall repair (including
making of required replacements) any damage or injury to other parts of the
Premises caused by the acts or omission of Tenant or Tenant's Authorized
Representatives. Notwithstanding the foregoing, Tenant shall not be responsible
for the maintenance or repair of any Care Center(s) and/or Office Building
Tenant has elected to terminate its rights and obligations relating to pursuant
to the terms of this Lease.

                  5.3      SURRENDER. Upon the expiration or earlier termination
of this Lease, or upon the exercise by Landlord of Landlord's right to reenter
the Premises without terminating this Lease following a default by Tenant,
Tenant shall surrender the Premises in as good condition and repair as on the
Commencement Date, except for (a) ordinary wear and tear, and (b) casualty
covered by SECTION 7. So long as Tenant is not in default under this Lease,
Tenant shall have the right to remove from the Premises, and Landlord shall have
the right to compel Tenant to remove exterior signs placed thereon or erected by
Tenant, Tenant's Trade Fixtures placed on the Premises and/or other items of
Tenant's personal property, as well as any or all non-structural improvements
constructed thereon by Tenant. Tenant agrees to repair, at Tenant's cost, any
damage or injury to the Premises resulting from the removal of any such items,
including, without limitation, repairing the floor and patching and painting the
walls where reasonably required by Landlord.

                  5.4      IMPROVEMENTS AND ALTERATIONS BY TENANT.

                           5.4.1    LANDLORD'S CONSENT REQUIRED. Subject to the
exceptions and qualifications set forth in SECTION 5.4.4, Tenant shall not
construct any improvements and/or

                                     - 10 -
<PAGE>

alterations to the Premises which include or affect any structural component of
the Premises without Landlord's consent in accordance with the provisions of
this section. If Tenant intends to construct any improvements and/or alterations
("Tenant's Improvements") to the Premises which require Landlord's consent
hereunder, Tenant shall provide Landlord with complete plans and specifications
covering the improvements and alterations ("Tenant's Plans"). Landlord shall
approve or disapprove of Tenant's Plans within thirty (30) days of receipt
thereof. If Landlord disapproves of Tenant's Plans, Landlord shall state with
specificity the reason(s) for Landlord's disapproval.

                           5.4.2    CONDITIONS APPLICABLE TO TENANT'S WORK. The
following provisions apply to the conduct of Tenant's work in connection with
improvements and/or alterations to the Premises:

                                    (a)      Prior to the commencement of
Tenant's work, Tenant shall obtain all permits, approvals and authorization from
governmental agencies having jurisdiction over Tenant's work, and Tenant shall
deliver copies thereof to Landlord.

                                    (b)      Tenant's contractors (which term
includes all subcontractors) shall diligently perform Tenant's work in a first
class, workmanlike manner.

                                    (c)      Tenant's contractors shall be
responsible for the repair, replacement and/or clean-up of any damage and/or
injury to the Premises done by them.

                                    (d)      All trash and surplus construction
materials shall be properly stored and shall be promptly removed on a regular
basis so as to avoid such material from accumulating.

                                    (e)      Tenant and Tenant's contractors
shall be responsible for compliance with all Laws (as defined in SECTION 4.2.1)
applicable to the performance of Tenant's work.

                                    (f)      Tenant shall notify Landlord of
Tenant's intention to commence Tenant's work at least ten (10) days before
commencement thereof, or delivery of any materials. Landlord shall have the
right to post and maintain at the Premises notices of nonresponsibility provided
for under applicable law.

                                    (g)      If Tenant's work involves aggregate
construction expense on a particular improvement or alteration project of One
Hundred Thousand Dollars ($100,000) or more, Landlord shall have the right to
require a performance and completion bond covering Tenant's work. The form,
substance and amount of the bond, and the surety company issuing the bond, shall
be subject to Landlord's approval.

                           5.4.3    TENANT'S CONTRACTORS. Tenant shall furnish
Landlord with a true copy of Tenant's contract(s) with its general contractor(s)
together with evidence of such contractors' financial condition and Tenant's
ability to pay for the anticipated construction costs, and where the aggregate
construction expense on a particular improvement or alteration project equals or
exceeds One Hundred Thousand Dollars ($100,000), Tenant shall obtain Landlord's
approval thereof, which approval shall not be unreasonably withheld or delayed.
The contract(s)

                                     - 11 -
<PAGE>

shall give Landlord the right, but not the obligation, to assume Tenant's
obligations and rights under the contract(s) with the general contractors if
Tenant should default. The provisions of the preceding sentence shall be
incorporated into the contract(s).

                           5.4.4    EXCEPTIONS. The preceding provisions of
SECTION 5.4.1 and SECTION 5.4.3 to the contrary notwithstanding, Landlord's
consent shall not be required for any interior nonstructural alterations at a
particular Care Center or the Office Building that Tenant may make so long as
the aggregate cost of such alterations does not exceed One Hundred Thousand
Dollars ($100,000) during any Lease Year. The provisions of SECTION 5.4.2 shall
be applicable to such alterations regardless of cost.

                  5.5      MECHANICS' LIENS. Tenant shall keep the Premises free
from any liens arising out of work performed, materials furnished or obligations
incurred at Tenant's cost by or on behalf of Tenant; provided, however, that
Tenant shall have the right to contest the validity of any such lien if Tenant
posts for the benefit of Landlord the statutory bond applicable to Tenant's
contest of the lien issued by a company acceptable to Landlord.

         6.       INSURANCE.

                  6.1      INSURANCE REQUIRED OF TENANT. Tenant shall, at
Tenant's cost, maintain in full force and effect at all times during the Term,
and during any period of occupancy prior to the commencement of the Term,
insurance coverages identical to those required of Landlord in the provisions
(in which Landlord is referred to as "Trustee") attached as EXHIBIT B hereto,
which Landlord represents and warrants are the insurance requirements to which
it is subject under its outstanding loan from LTC Properties, Inc. ("LTC").

                  6.2      CERTIFICATES OF INSURANCE. Tenant shall deliver to
Landlord, at least three (3) business days before the Commencement Date and
thereafter at least ten (10) days prior to the expiration of such policy, a
Certificate of Insurance clearly showing compliance by Tenant with Tenant's
obligations under this Lease for at least the succeeding twelve (12) months.
Should Tenant fail to deliver such Certificate in a timely manner, Landlord may
obtain insurance coverage required of Tenant under this Lease and Tenant shall
promptly, on demand, reimburse Landlord for the cost thereof as additional Rent.

                  6.3      WAIVER OF SUBROGATION. The parties hereby release
each other, and their respective Authorized Representatives, from any claims for
damage and/or injury to the Premises, Tenant's Trade Fixtures, personal
property, Tenant's Improvements and alterations of either Landlord or Tenant in
or on the Premises that are caused by or result from risks insured against under
any insurance policies required to be or actually carried by the parties and in
force at the time of any such damage to the extent of the available insurance
proceeds. Each party shall cause each casualty or property damage insurance
policy carried by it to be written to provide that the insurance company waives
all right of recovery by way of subrogation against either party in connection
with any damage covered by any policy.

         7.       DESTRUCTION OF PREMISES.

                  7.1      HANDLING OF INSURANCE PROCEEDS. Subject to SECTION
7.4 hereof, all proceeds from any policy of insurance required by SECTION 6 of
this Lease shall be paid to

                                     - 12 -
<PAGE>

Landlord and held in trust by Landlord (subject to the provisions of SECTION
7.6) and shall be made available for reconstruction, repair or replacement, as
the case may be, of any damage to or destruction of all or any portion of the
Premises to which such proceeds relate, and shall be paid out by Landlord from
time to time subject to the provisions hereof for the cost of such
reconstruction, repair or replacement. Any unused portion shall be retained by
Landlord free and clear upon completion of such repair and restoration but shall
be applied by Landlord against Tenant's obligations for Monthly Rent next coming
due under this Lease. If neither Landlord nor Tenant is required or elects to
repair and restore, then all such insurance proceeds shall be retained by
Landlord. All salvage resulting form any risk covered by insurance shall belong
to Landlord, except that any salvage relating to Tenant's personal property or
Tenant's Trade Fixtures shall be the property of Tenant.

                  7.2      RECONSTRUCTION IN THE EVENT OF DAMAGE OR DESTRUCTION
COVERED BY INSURANCE.

                           7.2.1    TOTAL OR SUBSTANTIALLY TOTAL DESTRUCTION.
Except a provided in SECTION 7.5, if during the Term a portion or all of any of
the Care Centers and/or the Office Building is totally or substantially
destroyed by a risk covered by the insurance described in SECTION 6 so that such
Care Center(s) and/or Office Building is thereby rendered unsuitable for its
primary intended use under this Lease (taking into account all relevant factors,
including but not limited to the number of useable beds, the amount of square
footage reasonably available for use by Tenant and the type and amount of gross
revenues lost) (the "Impacted Premises"), Tenant shall at its option (a) restore
the Impacted Premises to substantially the same condition as existed immediately
before the damage or destruction pursuant to the terms and conditions herein,
(b) offer to purchase the Premises or the Impacted Premises (which will upon
such purchase terminate Tenant's rights and responsibilities under this Lease
relating to such Impacted Premises) at the then fair market value therefor, (c)
terminate the Lease with respect to the Premises, or (d) terminate Tenant's
rights and responsibilities under this Lease relating only to the Impacted
Premises without terminating the Lease, effective upon Landlord's receipt of the
insurance proceeds and any Shortfall (as hereinafter defined); and in such event
Landlord shall be entitled to retain or collect for its own benefit the
insurance proceeds; provided that, in the event the amount of the insurance
proceeds received by Landlord is less than the amounts which would be payable in
the aggregate under the insurance policies specified in SECTION 6, such
termination shall not be effective until Tenant pays Landlord the amount of such
shortfall ("Shortfall") in cash.

                           7.2.2    RESTORATION. If Tenant restores the Impacted
Premises, the insurance proceeds shall be paid out by Landlord to tenant or its
designee from time to time as reasonably requested by Tenant to pay for the
reasonable costs of such restoration and any excess proceeds remaining after
such restoration shall be retained by Tenant.

                           7.2.3    PARTIAL DESTRUCTION. Except as provided in
SECTION 7.5, if during the Term, the Tenant's Improvements or Tenant's Trade
Fixtures are partially destroyed due to a risk covered by the insurance
described in SECTION 6 but the Impacted Premises are not thereby rendered
unsuitable for their primary intended use (taking into account all relevant
factors, including but not limited to the number of useable beds, the amount of
square footage reasonably available for use by Tenant and the amount of gross
revenues lost), Tenant shall be entitled to

                                     - 13 -
<PAGE>

restore the Impacted Premises to substantially the same condition as existed
immediately before the damage or destruction and be reimbursed from the
insurance proceeds. Such damage or destruction shall not terminate this Lease;
provided, however, that if Tenant cannot, with reasonable diligence and within
ninety (90) days, obtain all government approvals, including building permits,
licenses, conditional use permits and any certificates of need, necessary to
perform all required repair and restoration work and to operate the Impacted
Premises in substantially the same manner and for the primary intended use,
Tenant shall either (a) offer to purchase the Premises for the then fair market
value thereof, (b) continue to operate under the Lease, which shall remain in
full force and effect and Landlord shall be entitled to retain the insurance
proceeds, less the amount needed to restore the Premises so that the portion of
the Premises unaffected by the casualty can be used as a complete architectural
unit; or (c) terminate the Lease. If Tenant shall make such offer and Landlord
does not accept the same within one hundred twenty (120) days of Landlord's
receipt of such offer, Tenant may either (a) withdraw such offer, in which case
this Lease shall remain in full force and effect and Tenant shall proceed to
restore the Impacted Premises as soon as reasonably practicable to substantially
the same condition as existed immediately before such damage or destruction, or
(b) terminate this Lease after recovery by Landlord of all insurance proceeds
and the payment by Tenant of any Shortfall in cash. If Tenant so restores the
Impacted Premises, insurance proceeds shall be paid out by Landlord form time to
time as reasonably requested by Tenant to pay for the reasonable costs of such
restoration, and any excess proceeds remaining after such restoration shall be
retained by Tenant.

                           7.2.4    DETERMINATION OF FAIR MARKET VALUE. If
Tenant offers to purchase the Premises, and the parties are unable to agree on
the fair market value therefor, it shall be determined by arbitration in the
same manner as Fair Market Value is to be determined as provided in the Option
Agreement.

                           7.2.5    PAYMENT OF COSTS OF RESTORATION IN EXCESS OF
INSURANCE PROCEEDS. If Tenant elects to repair or restore any damage or
destruction to the Premises and the cost of any such repair or restoration
exceeds the amount of proceeds received by Landlord from the insurance required
under SECTION 6, Tenant shall contribute any and all excess amounts necessary to
repair or restore the Premises so long as such amount does not exceed One
Hundred Thousand Dollars ($100,000). In the event the excess amount necessary to
repair or retire the Premises exceeds One Hundred Thousand Dollars ($100,000),
Tenant shall have the option to (a) terminate the Lease, or (b) terminate its
rights and responsibilities under this Lease relating only to the particular
Care Center(s) and/or Office Building affected by such damage or destruction
without terminating the Lease..

                  7.3      RECONSTRUCTION IN THE EVENT OF DAMAGE OR DESTRUCTION
NOT COVERED BY INSURANCE. Except as provided in SECTION 7.5 below, if during the
Term any or all of the Care Centers and/or the Office Building is totally
destroyed or materially damaged (a) from a risk not covered by insurance
described in SECTION 6 but that would have been covered if Tenant carried the
insurance customarily maintained by, and generally available to, the operators
of reputable facilities which are used for the primary intended use in the
region in which the Premises are located (other than a risk of an earthquake),
or (b) from a risk for which insurance coverage is voided due to any act or
omission by Tenant, whether or not such damage or destruction renders the
Impacted Premises unsuitable for their primary intended use (taking into

                                     - 14 -
<PAGE>

account all relevant factors, including but not limited to the number of useable
beds, the amount of square footage reasonably available for use by Tenant and
the amount of gross revenues lost), Tenant shall restore the Impacted Premises
to substantially the same condition as existed immediately before such damage or
destruction and not terminate this Lease. Otherwise, if any or all of the Care
Centers and/or the Office Building is totally destroyed or materially damaged by
a risk not covered by insurance such that the Care Center(s) and/or the Office
Building shall be unusable for their primary intended use, except as provided
below, this Lease shall terminate at the option of Tenant or Landlord within
ninety (90) days of such destruction or damage; provided that Tenant may elect
to (a) terminate its rights and responsibilities under this Lease relating only
to the particular Care Center(s) and/or Office Building affected by such
destruction or damage without terminating the Lease otherwise, or (b) restore
the Impacted Premises, in which event this Lease shall continue in full force
and effect. Upon Tenant's election under clause (a) of the preceding sentence,
Landlord shall not have the right to terminate the entire Lease If such damage
or destruction does not render the Impacted Premises unusable for its primary
intended use, Tenant shall also restore the Impacted Premises to substantially
the same condition as existed immediately before the damage or destruction.

                  7.4      PAYMENT OF PROCEEDS ON TENANT'S TRADE FIXTURES AND
TENANT'S IMPROVEMENTS. Notwithstanding any provision herein, all insurance
proceeds payable by reason of any loss or damage to any of Tenant's Trade
Fixtures or Tenant's Improvements shall be paid to Tenant and Tenant shall hold
such insurance in trust to pay the cost of repairing or replacing damaged
Tenant's Trade Fixtures or Tenant's Improvements; provided, however, that if the
damaged Tenant's Trade Fixtures or Tenant's Improvements were no longer
necessary to Tenant's operations prior to their destruction, Tenant shall not be
obligated to repair or replace them.

                  7.5      DAMAGE NEAR END OF TERM. Notwithstanding any
provisions of this section to the contrary, if damage to or destruction of any
or all Care Centers and/or the Office Building occurs during the last twelve
(12) months of the then applicable Term (whether the Initial Term, the First
Extended Term, the Second Extended Term or the Third Extended Term), if Tenant
has not elected or has no right to extend such Term, and if such damage or
destruction cannot be fully repaired and restored within six (6) months
immediately following the date of loss, then Tenant shall have the right to
terminate this Lease by giving written Notice thereof to Landlord within thirty
(30) days after the date of such damage or destruction, or terminate its rights
and responsibilities under this Lease relating only to the particular Care
Center(s) and/or Office Building affected by such damage or destruction without
terminating the Lease. In either event, Landlord shall collect any insurance
proceeds to which it is entitled, and Tenant shall assign Tenant's rights in any
additional insurance proceeds. In the event that any or all Care Centers and/or
the Office Building is totally destroyed or damaged (a) from a risk not covered
by insurance described in SECTION 6 but that would have been covered if Tenant
carried the insurance customarily maintained by and generally available to the
operators of reputable facilities which are used for the primary intended use in
the region in which the Premises are located (other than a risk of an
earthquake), or (b) from a risk for which insurance coverage is voided due to
any act or omission by Tenant, whether or not such damage or destruction renders
such Care Center(s) and/or the Office Building unsuitable for its primary
intended use (taking into account all relevant factors, including but not
limited to the number of useable beds, the amount of square footage reasonably
available for use by Tenant and the amount of gross

                                     - 15 -
<PAGE>

revenues lost), then Tenant shall pay to Landlord a sum equal to the amount
reasonably necessary to repair such damage or destruction.

                  7.6      TERMINATION OF OPTION TO PURCHASE. Any termination of
this Lease pursuant to this section shall cause any option to purchase the
Premises granted to Tenant under the Option Agreement to terminate, and
thereafter to be null and void.

                  7.7      NO ABATEMENT OR REDUCTION OF RENT. There shall be no
abatement or reduction of Rent as a result of any damage or destruction of the
Premises, except if due to Landlord's negligence or willful misconduct, in which
case Rent shall be abated proportionately to the degree to which such damage or
destruction impairs Tenant's use of the Premises, commencing with the date of
such damage or destruction and continuing during the period of repair,
reconstruction and restoration.

                  7.8      INAPPLICABILITY OF CIVIL CODE SECTIONS. The
provisions of California Civil Code Sections 1932(2) and 1933(4), and any
successor statutes, are inapplicable with respect to any destruction of the
Premises, such sections providing that a lease terminates upon the destruction
of the Premises unless otherwise agreed between the parties to the contrary.

         8.       CONDEMNATION.

                  8.1      DEFINITIONS. "Condemnation" means (a) the exercise of
any governmental power of eminent domain, whether by legal proceedings or
otherwise, by a condemnor; and (b) a voluntary sale or transfer by Landlord to
any condemnor, either under threat of condemnation or while legal proceedings
for condemnation are pending. The word "taking" as used herein shall be
synonymous with the word "condemnation" as defined herein. "Date of taking"
means the date the condemnor has the right to possession of the property being
condemned. "Award" means all compensation, sums, or anything of value awarded,
paid, or received on a total or partial condemnation. "Condemnor" means any
public or quasi-public authority, or private corporation or individual, having
the power of condemnation.

                  8.2      EFFECT ON LEASE. If there is a taking of all the
Premises, or part of the Premises so that the remaining part of the Premises is
rendered unsuitable for Tenant's continued use of the Premises, either party
shall have the election to terminate this Lease upon the date of taking. The
election to terminate this Lease as provided herein shall be exercised, if at
all, within sixty (60) days after the taking; otherwise, this Lease shall remain
in full force and effect. Notwithstanding the foregoing, if the taking does not
affect all Care Centers and the Office Building, then Tenant shall have the
option to terminate it's rights and responsibilities under this Lease relating
only to the particular Care Center(s) and/or Office Building affected by such
taking without terminating the Lease.

                  8.3      AWARD; DISTRIBUTION. The award shall belong to and be
paid to Landlord; however, Tenant shall receive from the award a sum
attributable to the then unamortized cost of Tenant's Trade Fixtures and
Tenant's Improvements which have become part of the realty and which Tenant has
a right to remove as provided in this Lease but elects not to remove, if a
separate award is made for Tenant's Trade Fixtures and Tenant's Improvements. In
addition, Tenant shall have the right to seek from the condemnor an independent
award for the value of

                                     - 16 -
<PAGE>

the loss of Tenant's business at the Premises (including, without limitation,
relocation assistance) provided such award for loss of Tenant's business does
not diminish the award that Landlord is entitled to receive under this section.
The parties agree that under no circumstances shall Tenant be entitled to any
award based upon so-called bonus value in this Lease, either directly and/or
indirectly as an element of goodwill, and Tenant assigns to Landlord any right
Tenant has to such bonus value. The phrase "bonus value" refers to the excess,
if any, of the fair rental value of the Premises over the actual Rent and other
sums payable by Tenant under this Lease. Landlord agrees to utilize so much of
the remainder of the award as may be necessary to restore the remaining Premises
and render them usable by Tenant in the event of a partial taking.

                  8.4      INAPPLICABILITY OF CODE SECTION. The provisions of
California Code of Civil Procedure Section 1265.130, and any successor statute,
are inapplicable, which section allows either party to petition the Superior
Court to terminate this Lease in the event of condemnation.

         9.       ASSIGNMENT AND SUBLETTING.

                  9.1      DEFINITION OF ASSIGNMENT. The use of the words
"assignment," "assign," "assigned," "subletting" or "sublet" and any derivations
thereof in this SECTION 9 shall include, without limitation (a) the pledging,
mortgaging or encumbering of Tenant's interest in this Lease or the Premises or
any part thereof; (b) the total or partial occupation of all or any part of the
Premises by any person, firm, partnership or corporation or any groups of
persons, firms, partnerships or corporations, or any combination thereof, other
than Tenant and the residents of the Care Centers; (c) an assignment or transfer
by operation of law; and (d) a transfer by sale, assignment, bequest,
inheritance, operation of law or other disposition, or by subscription, of any
part or all of the equity ownership of Tenant so as to result in any change in
the present effective voting control of Tenant (i.e., fifty percent (50%) or
more) by the party or parties holding such voting control on the date of this
Lease.

                  9.2      LANDLORD'S CONSENT. Subject to the provisions of this
SECTION 9, Tenant shall not assign this Lease or sublet all or any portion of
the Premises without the prior written consent of Landlord, which consent shall
not be unreasonably withheld provided the requirements of this SECTION 9 are
satisfied in full. If consent to any assignment or subletting is given by
Landlord, such consent shall not relieve Tenant or any guarantor of this Lease
from any obligation or liability under this Lease, nor shall such consent
constitute a waiver of the provisions of this SECTION 9 with respect to any
future assignment or subletting. Landlord and Tenant agree, by way of example
and without limitation, that it shall be reasonable for Landlord to withhold its
consent if any one or more of the following situations exist or may exist:

                           9.2.1    In Landlord's reasonable business judgment,
the proposed assignee or subtenant lacks sufficient business experience to
operate a successful business at the Premises.

                           9.2.2    In Landlord's reasonable business judgment,
the present net worth of the proposed assignee or subtenant is inadequate.

                           9.2.3    The proposed assignment or subletting would
breach any covenant of Landlord in any other lease, financing agreement, or
other agreement relating to the Premises.

                                     - 17 -
<PAGE>

                           9.2.4    The assignee or subtenant requires any
material change or changes to the provisions of this Lease.

                  9.3      PROCEDURES. Should Tenant desire to enter into an
assignment of this Lease or to sublease all or part of the Premises, Tenant
shall give notice thereof to Landlord by requesting in writing Landlord's
consent to such transaction at least thirty (30) days before the proposed
effective date of any such transaction and shall provide Landlord with each of
the following:

                           9.3.1    The full particulars of the proposed
transaction, including its nature, effective date, terms and conditions, and
copies of any offers, draft agreements, subleases, letters of commitment or
intent, and other documents pertaining to such proposed transaction.

                           9.3.2    A description of the identity, net worth and
previous business experience of the proposed assignee or subtenant, including,
without limitation, copies of the latest income, balance sheet and change of
financial position statements (with accompanying notes and disclosures of all
material changes thereto) in audited form, if available, and certified as
accurate by the proposed assignee or subtenant.

                           9.3.3    Any further information relevant to the
transaction that Landlord shall have reasonably requested within fifteen (15)
days following receipt of Tenant's request for consent.

                           9.3.4    Within ten (10) days after receipt of
Tenant's request for consent and the materials required by this SECTION 9.3,
Landlord shall have the election to (a) consent to the assignment or subletting;
or (b) refuse to consent to the assignment or subletting as allowed herein and
stating the reasons therefore. If Landlord fails or refuses to consent or refuse
its consent within such ten- (10-) day period, Landlord shall be deemed to have
consented to such assignment or subletting.

                  9.4      EXCEPTIONS. Notwithstanding the foregoing, Tenant
shall be entitled, without Landlord's approval and subject only to providing
written notice and verification to Landlord, to assign or sublease the Premises
to any Affiliate of Tenant or to any party which acquires substantially all of
the business or assets of Tenant, it being understand that any such assignment
or sublease shall not release Tenant of its obligations hereunder.

                  9.5      SCOPE. If this Lease is assigned, or the Premises or
any part thereof is sublet or occupied by anyone other than Tenant (or residents
of the Care Centers), Landlord may collect Rent and other sums payable from the
assignee, subtenant or occupant and apply the net amount collected to the Rent
and other sums payable under this Lease.

                  9.6      DOCUMENTATION AND EXPENSES. Any assignment or
sublease to which Landlord has consented or for which consent is not required
shall be evidenced by an instrument made in such written form as is reasonably
satisfactory to Landlord and executed by Tenant and the assignee or subtenant.
By such instrument, in the event of an assignment, the assignee shall assume for
the direct benefit of Landlord the terms, covenants and conditions of this Lease
that are the obligations of Tenant. Notwithstanding any permitted assignment or
subletting, Tenant

                                     - 18 -
<PAGE>

and any guarantors shall remain fully liable for the performance of the Tenant's
obligations under this Lease. Tenant shall, on demand of Landlord, pay to
Landlord the amount of Eight Hundred Fifty Dollars ($850) (adjusted by a
percentage equal to the percentage increase in the Cost of Living Index from the
Commencement Date) to reimburse the reasonable legal fees incurred by Landlord
in obtaining advice and preparing documentation in connection with any proposed
assignment or subletting, whether or not Landlord's consent is given.

         10.      DEFAULT; REMEDIES.

                  10.1     DEFAULTS BY TENANT. The occurrence of any of the
following shall constitute an event of default under this Lease by Tenant:

                           10.1.1   Any failure by Tenant to pay Rent and other
sums payable hereunder when due, if the failure continues for five (5) business
days after notice has been given by Landlord to Tenant.

                           10.1.2   Any failure by Tenant to observe and perform
any other provisions of this Lease to be observed and performed by Tenant, where
such failure is curable and continues uncured for thirty (30) days after notice
by Landlord to Tenant, provided that, if the nature of the failure is such that
it cannot be reasonably cured within thirty (30) days, Tenant shall not be
deemed in default if it shall commence curing the failure within such thirty-
(30-) day period and diligently prosecutes same to completion.

                           10.1.3   The abandonment or vacating of any of the
Care Centers or the Office Building (absence from the Care Center or Office
Building or Tenant's ceasing to do business from any of the Care Centers for ten
(10) consecutive days or more) shall conclusively be deemed an abandonment or
vacating of the Premises).

                           10.1.4   Tenant's interest in this Lease or in all or
a part of the Premises is taken by process of law directed against Tenant (other
than condemnation or other governmental taking), or becomes subject to any
attachment at the instance of any creditor of or claimant against Tenant, and
such attachment is not discharged within ninety (90) days.

                           10.1.5   Tenant or any guarantor of Tenant's
obligations under this Lease (a) is unable to pay such party's debts generally
as they become due; (b) makes an assignment of all or a substantial part of such
party's property for the benefit of creditors; (c) convenes or attends a meeting
of such party's creditors, or any class thereof, for purposes of effecting a
moratorium upon or extension or consolidation of such party's debts; (d) applies
for or consents to or acquiesces to the appointment of a receiver, trustee,
liquidator or custodian of such party or of all or a substantial part of such
party's property or of the Premises or of Tenant's interest in this Lease; or
(e) files a voluntary petition in bankruptcy or a petition or an answer seeking
reorganization under the Bankruptcy Code or any other law relating to
bankruptcy, insolvency, reorganization or relief of debtors or an arrangement
with creditors, or takes advantage of any insolvency law or files an answer
admitting the material allegations of a petition filed against such party in any
bankruptcy, relief, reorganization or insolvency proceedings.

                           10.1.6   The entry of a court order, judgment or
decree against Tenant or the guarantor of Tenant's obligations under this Lease
without the application, approval or

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<PAGE>

consent of such party, approving a petition seeking reorganization of such party
or relief of debtors under the Bankruptcy Code or any other law relating to
bankruptcy, insolvency, reorganization or relief of debtors or granting an order
for relief against it as debtor or appointing a receiver, trustee, liquidator or
custodian of such party or of all or a substantial part of such party's property
or of the Premises or of Tenant's interest in this Lease, or adjudicating such
party bankrupt or insolvent, and such order, judgment or decree will not be
vacated, set aside or dismissed within thirty (30) days from the date of entry.

                           10.1.7   Failure by Tenant to observe and perform any
material provisions of this Lease to be observed and performed by Tenant, where
such failure is not curable.

                           10.1.8   The occurrence of an event of default or
breach by Tenant under any other agreement or lease between Landlord and Tenant,
or between Tenant and THOMAS E. SUTTON, SANDRA A. SUTTON and/or the SUTTON
FAMILY LIVING TRUST, where under the terms of such agreement or lease there is
no period provided for the cure of such default or breach, or if a cure period
is provided thereunder, then the expiration of such cure period without Tenant's
having effected such cure.

                           10.1.9   The occurrence of an event of default or
breach by Tenant under any instrument evidencing the subordination of this Lease
to any deed of trust in favor of LTC or any default by Tenant under any other
agreement or instrument required by LTC as a condition to LTC's consenting to
the terms of this Lease, where under the terms of such agreement or instrument
there is no period provided for the cure of such default or breach, or if a cure
period is provided thereunder, then the expiration of such cure period without
Tenant's having effected such cure.

The notices required under this SECTION 10.1 are the only notices required to be
given by Landlord to Tenant in the event of Tenant's default and are not in
addition to any statutory notices otherwise required by the unlawful detainer
statutes of California.

                  10.2     TERMINATION OF LEASE AND REMEDIES. If an event of
default by Tenant occurs, then, in addition to any and all other rights and
remedies available to Landlord at law or in equity, Landlord shall have the
right to immediately terminate this Lease and all rights of Tenant hereunder by
giving written notice to Tenant of such election by Landlord. If Landlord shall
elect to terminate this Lease, then it may recover all of the following from
Tenant as provided by California law:

                           10.2.1   The worth at the time of the award of any
unpaid Rent that had been earned at the time of termination.

                           10.2.2   The worth at the time of the award of the
amount by which the unpaid Rent that would have been earned after termination
until the time of the award exceeds the amount of the loss of such Rent that
Tenant proves could have been reasonably avoided.

                           10.2.3   The worth at the time of the award of the
amount by which the unpaid Rent for the balance of the Term after the time of
the award exceeds the amount of the loss of such Rent that Tenant proves could
have been reasonably avoided.

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<PAGE>

                           10.2.4   Any other amount necessary to compensate
Landlord for the detriment proximately caused by Tenant's default or which in
the ordinary course of things would be likely to result therefrom.

                           10.2.5   At Landlord's election, such other amounts
in addition to or in lieu of the foregoing as may be permitted from time to time
by applicable California law.

As used in SECTION 10.2.1 and SECTION 10.2.2 above, the "worth at the time of
the award" is computed by allowing interest at the rate of interest as provided
in SECTION 3.6.2. As used in SECTION 10.2.3 above, the "worth at the time of the
award" is computed by discounting such amount at the discount rate of the
Federal Reserve Bank of San Francisco at the time of the award plus one percent
(1%).

                  10.3     RIGHT OF REENTRY. In the event of any default by
Tenant, Landlord shall also have the right to the extent consistent with
applicable Laws and available protections for the residents of the Care Centers,
with or without terminating this Lease, to reenter the Premises and remove all
property and persons therefrom, and any such property may be removed and stored
in a public warehouse or elsewhere at the cost and for the account of Tenant.

                  10.4     LEASE NOT TERMINATED. If Landlord has not elected to
terminate this Lease upon Tenant's default as permitted by SECTION 10.2,
Landlord may either recover all Rent and other sums payable hereunder as it
becomes due or relet the Premises or any part or parts thereof for such term or
terms and upon such provisions as Landlord, in its sole judgment, may deem
advisable, and Landlord shall have the right to make repairs and alterations to
the Premises. No re-entry or taking possession of the Premises by Landlord under
SECTION 10.3 shall be construed as an election to terminate this Lease unless a
written notice of such termination is given to Tenant or unless the termination
thereof be adjudged by a court of competent jurisdiction.

                  10.5     ELECTION TO RELET. If Landlord shall elect to relet
the Premises as provided in SECTION 10.4, the rentals received by Landlord from
such reletting shall be applied as follows:

                           10.5.1   To the payment of any indebtedness other
than Rent due under this Lease from Tenant.

                           10.5.2   To the payment of all costs and expenses
incurred by Landlord in connection with such reletting.

                           10.5.3   To the payment of the costs of any
alterations or any repairs to the Premises.

                           10.5.4   To the payment of Rent and other sums due
and unpaid under this Lease, and the residue, if any, shall be held by Landlord
and applied in payment of future Rent as the same may become due and payable
hereunder. In no event shall Tenant be entitled to any excess Rent received by
Landlord over and above that which Tenant is obligated to pay under this Lease.
Should that portion of such rentals received from such reletting during any
month which is applied to the payment of Rent and other sums payable hereunder
be less than the Rent payable under this Lease during that month by Tenant, then
Tenant shall pay such deficiency to

                                     - 21 -
<PAGE>

Landlord immediately upon demand. Such deficiency shall be calculated and paid
monthly. Tenant shall also pay Landlord, as soon as ascertained and upon demand,
all costs and expenses incurred by Landlord in connection with such reletting
efforts and in making any such alterations and repairs that are not covered by
the Rents received from reletting. Notwithstanding any reletting without
termination by Landlord because of Tenant's default, Landlord may at any time
after such reletting elect to terminate this Lease because of such default.

                  10.6     LANDLORD'S RIGHT TO CURE TENANT'S DEFAULTS. Landlord,
at any time after Tenant commits an act of default and any applicable cure
period therefor as provided herein has expired, upon ten (10) days' notice, or a
shorter period in an emergency situation, may cure the act of default for the
account and at the expense of Tenant (but only after first notifying Tenant and,
if the default concerns a failure by Tenant to maintain, replace or repair, only
after first providing to Tenant a description of any repairs which Landlord
intends to perform, along with a copy of any plans and specifications for such
repairs). Except in an emergency, Landlord shall provide Tenant with a full
description of Landlord's planned action, for Tenant's prompt comments. If
Landlord at any time, by reason of an act of Tenant's default, is compelled to
pay, or elects to pay, any sum of money or to do any act that will incur the
payment of any sum of money, or is compelled to incur any expense, including
reasonable attorneys' fees in instituting, prosecuting or defending any actions
or proceedings to enforce Landlord's rights under this Lease, the sum or sums
paid by Landlord (together with interest accruing until paid at the rate of
interest as provided in SECTION 3.6.2(A), in addition to all other costs and
damages and shall be due from Tenant to Landlord immediately upon receipt of
written demand as additional Rent.

                  10.7     REMEDIES CUMULATIVE. All rights and remedies of
Landlord under this Lease shall be nonexclusive of and in addition to any other
remedy available to Landlord at law or in equity.

                  10.8     ATTORNEYS' FEES. In the event of any legal action
arising out of this Lease, the prevailing party shall be entitled to reasonable
attorneys' fees, costs and disbursements in addition to other relief to which
such party is entitled.

                  10.9     WAIVER. No covenant, term or condition or the breach
thereof shall be deemed waived, except by written consent of the party against
whom the waiver is claimed and any waiver of the breach of any covenant, term or
condition shall not be deemed to be a waiver of any preceding or succeeding
breach of the same or any other covenant, term or condition. Acceptance by
Landlord of any performance by Tenant after the time the same was due shall not
constitute a waiver by Landlord of the breach or default of any covenant, term
or condition unless otherwise expressly agreed to by Landlord in writing.

         11.      ESTOPPEL CERTIFICATES. Either party shall, from time to time,
within ten (10) days after receipt of a request from the other party or any
lender of the other party, execute, acknowledge and deliver to the other party
or such lender either a statement in writing or a three party agreement among
the requesting party, the responding party and such lender, in reasonable and
customary form, (a) certifying that this Lease is unmodified and in full force
and effect (or, if modified, stating the nature of such modification and
certifying that this Lease, as so modified, is in full force and effect) and the
date to which Rent and other sums are paid in advance, if any; (b) acknowledging
that there are not, to the responding party's knowledge, any uncured defaults

                                     - 22 -
<PAGE>

on the part of the other party under this Lease, or specifying such defaults if
any are claimed; and (c) specifying any further information and agreeing to such
notice provisions and other matters reasonably requested by the requesting party
or such lender. Any such statement may be conclusively relied upon by a
prospective purchaser or lender of the Premises. A party's failure to deliver
such statement within ten (10) days will constitute a default under this Lease.

         12.      SUBORDINATION AND ATTORNMENT. Subject to and on the condition
that the mortgagee, deed of trust beneficiary, trustee or ground lessor consents
to honor and refrain from disturbing Tenant's tenancy in the absence of a breach
or default (which, if curable hereunder, is not cured within the applicable
period therefore) (a "covenant of nondisturbance"), this Lease is and shall be
subject and subordinate to all ground or underlying leases which may hereafter
be executed affecting the Premises and to the lien and provisions of any
mortgages or deeds of trust hereafter placed against the Premises or against
Landlord's interest or estate in the Premises or on or against any ground or
underlying lease, and any renewals, modifications, consolidations and extensions
of such lease, without the necessity of the execution and delivery of any
further instruments on the part of Tenant to effect such subordination. If any
mortgagee, deed of trust, beneficiary, trustee or ground lessor elects to have
this Lease prior to the lien of such mortgagee's, beneficiary's, trustee's or
ground lessor's mortgage or deed of trust or ground lease, and gives notice of
such election to Tenant, this Lease shall be deemed prior to the lien of such
mortgage or deed of trust or ground lease, whether this Lease is dated prior or
subsequent to the date of such mortgage, deed of trust, or ground lease, or the
date of the recording thereof. Tenant shall execute and deliver, within ten (10)
days of request from Landlord, such further instruments evidencing the
subordination of this Lease to any ground or underlying lease, and to any
mortgage or deed of trust, provided such instrument shall provide that as long
as Tenant is not in default of this Lease, Tenant's possession of the Premises
shall not be affected by any foreclosure proceedings or ground lease
termination. In the event any proceedings are brought for default under any
ground or underlying lease or in the event of foreclosure or the exercise of the
power of sale under any mortgage or deed of trust against the Premises, Tenant
shall, upon request of any person or party succeeding to the interest of
Landlord as a result of such proceedings, attorn to such successor in interest
and recognize such successor in interest as Landlord under this Lease on the
condition that such successor-in-interest enters into a covenant of
nondisturbance.

         13.      LANDLORD'S INTEREST.

                  13.1     NOTICE TO LENDER. If Landlord defaults under this
Lease, (a) Tenant shall give notice of such default (specifying the exact nature
of such default and how such default may be cured) to Landlord and to any lessor
under a ground lease or any lender of the Premises who has notified Tenant prior
to such time of default of such lessor's or lender's interest in the Premises
and mailing address, and (b) Landlord and/or such lessor and/or lender shall
have the right to cure, or to cause to be cured, such default within thirty (30)
days after Landlord's or such lessor's or lender's, as the case may be, receipt
of notice; provided, if the nature of the default is such that it cannot
reasonably be cured within such thirty (30) day period, Landlord shall not be
deemed to be in default if Landlord and/or such lessor and/or lender shall
within the thirty (30) day period commence curing the default and thereafter
diligently prosecute the same to completion. However, if such default cannot
reasonably be cured within or is not cured within

                                     - 23 -
<PAGE>

one hundred eighty (180) days after Landlord's or such lessor's or lender's
receipt of notice, then Tenant, by written notice to Landlord, may terminate
this Lease.

                  13.2     SALE OF THE PREMISES. The term "Landlord" shall mean
only the owner at the time in question of the fee title or a tenant's interest
in a ground lease of the Premises. The obligations contained in this Lease to be
performed by Landlord shall be binding on Landlord and Landlord's successors and
assigns only during their respective periods of ownership. In the event of a
sale of the Premises or assignment of this Lease by Landlord, Landlord shall be
released from any liability thereafter accruing under this Lease. Tenant shall,
upon the written request of any person or party succeeding to the interest of
Landlord, attorn to such successor in interest and recognize such successor in
interest as Landlord under this Lease, provided that such successor assumes
Landlord's obligations under this Lease and agrees to respect Tenant's rights to
occupancy and nondisturbance in the absence of a breach or default by Tenant
(which, if subject to a cure period, is not cured within the applicable period
therefor) and agrees to abide by all of the terms of this Lease as successor
Landlord.

         14.      NOTICES. Wherever in this Lease it is required or permitted
that a request, notice or demand be given or served or consent be obtained by
either party to, on or from the other, such request, notice, demand or consent
shall be in writing and delivered by personal delivery, certified United States
mail (postage prepaid, first class, return receipt requested), recognized
commercial delivery firm with a computer tracking system or facsimile
transmission, to the addresses or facsimile numbers of the parties specified in
the Introductory Paragraph of this Lease. Either party may change such address
by notice to the other. Rent shall be paid to Landlord at Landlord's address as
set forth in the Introductory Paragraph of this Lease, or as changed pursuant to
a notice delivered to Tenant in the manner specified above. Notice shall be
deemed given when personally delivered, one (1) business day after deposited
with a commercial carrier for overnight delivery or sent by facsimile with
machine confirmation of transmission, or three (3) business days after the date
of the United States Postal Service postmark.

         15.      BROKERS. Each of the parties represents and warrants that it
has had no dealings with any real estate broker, agent, or finder in connection
with the negotiation or execution of this Lease. Each of the parties shall
indemnify, protect, defend and hold harmless the other party from commissions or
other compensation or charges claimed by any broker, agent and/or finder, in
connection with this Lease.

         16.      MUTUAL INDEMNITIES.

                  16.1     LANDLORD'S INDEMNITY. Except as covered under the
provisions of SECTION 16.2, Landlord shall indemnify, protect, defend and hold
Tenant and its Authorized Representatives harmless from and against all claims,
losses or damages and from liability to any person on account of any damage to
person or property to the extent caused by the negligent or willful misconduct
of Landlord or its Authorized Representatives or any third party action, claim
or suit regarding the Premises or this Lease to the extent such third party
action, claim or suit arises as a result of an act or failure to act on the part
of Landlord. Landlord shall not be responsible or liable at any time for damage
to Tenant's equipment, fixtures or other personal property or to Tenant's
business, and Landlord shall not be responsible or liable to Tenant or to those
claiming by, through or under Tenant for any damage to person or property that
may be

                                     - 24 -
<PAGE>

occasioned by the acts or omissions of third parties and Landlord shall not be
responsible or liable for any defect in the Premises or any of the equipment,
machinery, utilities, appliances or apparatus therein, nor shall it be
responsible or liable for any damage to any person or to any property of Tenant
or other person caused by bursting, breakage or leakage, including roof leaks,
steam or the running, seepage or overflow of water or sewage in any part of the
Premises or for any damage caused by or resulting from acts of God or the
elements or for any damage caused by or resulting from any defect or negligence
in the occupancy, construction, operation or use of any of the Premises,
building, machinery, apparatus or equipment by any other person or by or from
the acts or negligence of any occupant of the Premises, except to the extent
such defect, damage or loss is caused by the negligent or willful misconduct of
Landlord or its Authorized Representatives. In the event Tenant, without fault
on Tenant's part, is made a party to any litigation commenced by or against
Landlord, then Landlord shall protect, defend, indemnify, and hold Tenant
harmless and shall pay all costs, expenses and attorneys' fees incurred or paid
by Tenant in connection with such litigation.

                  16.2     TENANT'S INDEMNITY. Except as covered under the
provisions of SECTION 16.1, Tenant shall indemnify, protect, defend and hold
Landlord and its Authorized Representatives harmless from all claims arising
from or in connection with (a) the conduct or management of the Premises or of
any business therein, or any work or thing whatsoever done, or any condition
created in or about the Premises during the Term; (b) any act, omission or
negligence of Tenant or any of Tenant's Authorized Representatives, invitees,
subtenants, licensees and/or contractors of Tenant or of Tenant's subtenants or
licensees during the Term and any holding over; (c) any accident, injury or
damage whatsoever occurring in or at the Premises during the Term and any
holding over; (d) any breach or default by Tenant in the full and prompt payment
of any amount due Landlord under this Lease and for any breach, violation or
nonperformance of any term, condition, covenant or other obligation of Tenant
under this Lease or any representation made by Tenant or any guarantor of
Tenant's obligations in connection with this Lease; (e) all damages sustained by
Landlord as a result of any holdover by Tenant in the Premises including, but
not limited to, any claims by another tenant resulting from a delay by Landlord
in delivering possession of the Premises to such tenant; (f) the contesting of
any taxes by Tenant; and (g) any liens or encumbrances arising out of any work
performed or materials furnished by or for Tenant, unless such claim is caused
by the negligent or willful misconduct of Landlord or its Authorized
Representatives. In the event Landlord, without fault on Landlord's part, is
made a party to any litigation commenced by or against Tenant, then Tenant shall
protect, defend, indemnify, and hold Landlord harmless and shall pay all costs,
expenses and attorneys' fees incurred or paid by Landlord in connection with
such litigation.

         17.      ENVIRONMENTAL PROVISIONS.

                  17.1     NOTICE OF HAZARDOUS MATERIALS. Landlord has no
knowledge, nor has reasonable cause to believe, that a release of Hazardous
Materials has occurred at the Premises prior to the Commencement Date except if
and as disclosed on the Phase I report heretofore furnished by or on behalf of
Landlord to Tenant with respect to the Premises.

                                     - 25 -
<PAGE>

                  17.2     USE OF HAZARDOUS MATERIALS.

                           17.2.1   CERTAIN DEFINITIONS. For purposes of this
Lease, the following terms shall have the following meanings:

                                    (a)      ENVIRONMENTAL LAWS. All present and
future statutes, ordinances, orders, rules and regulations of all federal, state
or local governmental agencies relating to the use, generation, manufacture,
installation, release, discharge, storage or disposal of Hazardous Materials,
including the Federal Water Pollution Act, as amended (33 U.S.C. Section 1251 et
seq.), the Resource Conservation and Recovery Act, as amended (42 U.S.C. Section
6901 et seq.), the Comprehensive Environmental Response, Compensation and
Liability Act of 1980, as amended (42 U.S.C. Section 9601 et seq.), the
Hazardous Materials Transportation Act, as amended (49 U.S.C. Section 1801 et
seq.), or comparable provisions of the laws of the State of California.

                                    (b)      HAZARDOUS MATERIALS. Petroleum,
asbestos, polychlorinated biphenyls, radioactive materials, radon gas or any
chemical, materials or substance now or hereafter defined as or included in the
definition of "hazardous substances, hazardous wastes, hazardous materials,
extremely hazardous waste, restricted hazardous waste," or "toxic substances,"
or words of similar import, under any Environmental Laws.

                           17.2.2   REGULATION OF USE. Landlord, for itself
and/or all prior owners, occupants, tenants, licensees or invitees up to the
Commencement Date, and Tenant from and after the Commencement Date, shall
refrain from using or allowing the use of Hazardous Materials on, about, under
or in the Premises, except as part of its business operation conducted therein
in the ordinary course in accordance with Environmental Laws, prudent industry
practice and the standards of this Lease. In the event of a release in, about,
under or on the Premises, or any portion thereof, of any Hazardous Materials,
Landlord (if such occurred prior to the Commencement Date) or Tenant if such
occurred on or after the Commencement Date) shall immediately take such remedial
actions as may be necessary to clean up the same in accordance with the
requirements of Environmental Laws. Tenant shall use, handle and store any
Hazardous Materials hereunder in accordance with the applicable requirements of
Environmental Laws. Each party shall promptly notify the other party of any such
release of Hazardous Materials of which it gains knowledge or receives notice,
and of any violation of Environmental Laws of which it receives notice from any
governmental agency having jurisdiction.

                           17.2.3   INDEMNITY. Each party shall indemnify,
defend, protect and hold the other party harmless from and against any and all
claims, actions, suits, proceedings, loss, liabilities, damages, deficiencies,
fines, penalties, costs or expense (including sums paid in settlement of claims,
reasonable attorneys' fees, consultants' fees, investigation and laboratory
fees, court costs and litigation expenses), which arise out of or in connection
with the indemnifying party's breach of the provisions of SECTION 17.2.2 (with
regard to the parties' use and/or release of Hazardous Materials).

         18.      RIGHT OF FIRST REFUSAL. At the expiration of the Third
Extended Term, if Tenant shall have exercised its option rights to extend the
Term for a full twenty (20) Lease Years and if Tenant shall not have committed
any uncured act of material breach or default under this Lease

                                     - 26 -
<PAGE>

beforehand, Tenant shall be entitled to exercise a right of first refusal (the
"Right of First Refusal") if Landlord, at any time prior to the expiration of
the Lease or within the first thirty (30) days following the expiration of the
Lease, wishes to enter into a new lease for the Care Centers and/or the Office
Building, to commence upon or after the expiration of the Term. In any such
case, Landlord agrees to furnish written notice of its intention to enter into
one or more new leases, describing in such notice the portion of the Premises to
be leased and all material terms of the proposed new lease (the "New Lease
Notice"). Tenant shall have the period of ten (10) business days from the date
of its receipt of the New Lease Notice to notify Landlord in writing that Tenant
accepts the terms of the new lease as set forth in the New Lease Notice. If
Tenant fails or declines to accept such terms within such ten- (10-) day period,
then Landlord shall be free to enter into a new lease with any one or more third
parties on terms no less favorable to Landlord than as set forth in the New
Lease Notice. If, however, Landlord wishes, during the period while Tenant's
Right of First Refusal remains in effect, to accept any terms for a new lease
that are less favorable to Landlord than as described in the New Lease Notice,
such proposed new terms shall be deemed a new proposal, requiring that Landlord
first provide Tenant de novo with a separate New Lease Notice and a new ten (10)
day period in which to accept such new terms before Landlord shall be free to
commit to or conclude a new lease with any one or more third parties on such
terms.

         19.      LEASEHOLD MORTGAGEE. Notwithstanding anything to the contrary
in this Lease, Tenant may mortgage its interest in this Lease or any part
thereof under any first or other leasehold mortgage and upon Landlord being
notified of the making of any such mortgage Landlord agrees that (a) as a result
of any default there shall be no cancellation, amendment or termination of this
Lease by joint action of Landlord and Tenant without first providing the
leasehold mortgage lender a reasonable opportunity, not to exceed a period of
ten (10) days to cure any monetary default or thirty (30) days to cure any
non-monetary default, to satisfy said default; (b) Landlord shall give any
leasehold mortgage lender simultaneous notice of any default and such party
shall have the same period after service of such notice to remedy the default
and Landlord shall accept such performance as if the same had been done by
Tenant; and (c) Landlord will execute any agreement acknowledging the above
rights of any leasehold mortgage lender and granting to such lender reasonable
notice of any default hereunder and an opportunity to cure the same as may be
requested by Tenant. Such agreement may also include the option right of the
leasehold mortgage lender, upon written notice to Landlord within thirty (30)
days following any rejection in bankruptcy or other early termination of this
Lease, to enter into a new lease with Landlord upon the same terms and
conditions of this Lease for the balance of the unexpired Term hereof.

         20.      INTERPRETATION.

                  20.1     CAPTIONS. The captions of the sections and
subsections of this Lease are for convenience only and shall not affect the
interpretation or construction of any provision of this Lease.

                  20.2     ATTACHMENTS. Exhibits attached hereto and referred to
in this Lease are deemed to constitute part of this Lease and are incorporated
into this Lease.

                                     - 27 -
<PAGE>

                  20.3     NUMBER; GENDER. The words "Landlord" and "Tenant", as
used in this Lease, shall include the plural as well as the singular. Words used
in the neuter gender include the masculine and feminine and words in the
masculine or feminine gender include the other and the neuter.

                  20.4     DEFINED TERMS. As used in this Lease, the following
words and phrases shall have the following meanings:

                           20.4.1   AFFILIATE. Any entity which controls, is
controlled by or is under common control with Tenant, where "control" means the
ability to elect a majority of the Directors or otherwise direct the business of
the entity.

                           20.4.2   AUTHORIZED REPRESENTATIVES. Any officer,
director, partner, agent, contractor or employee of a party.

                           20.4.3   COST OF LIVING INDEX. The Cost of Living
Index for all urban workers, all items, published by the Department of Labor,
Bureau of Industrial Statistics, for the region of which Humboldt County,
California is a part (1992-94 = 100), or any successor index.

                           20.4.4   TENANT'S IMPROVEMENTS. Any addition to or
modification of the Premises made by Tenant during the Term including, without
limitation, fixtures (including Tenant's Trade Fixtures, as defined herein).

                           20.4.5   TENANT'S TRADE FIXTURES. Any property
installed in or on the Premises by Tenant for purposes of trade, manufacture,
ornament, or related use.

                  20.5     ENTIRE AGREEMENT; COUNTERPARTS; DELIVERY. This Lease,
including any exhibits, together with the Option Agreement, constitute the
entire agreement between Landlord and Tenant relative to the Premises. Landlord
and Tenant agree hereby that all prior or contemporaneous oral or written
agreements, or letters of intent, between them or their Authorized
Representatives, including any leasing agents, relative to the leasing of the
Premises are superseded in or revoked by this Lease. This Lease may be executed
in counterparts. Delivery of this Lease may be made by facsimile transmission of
a signed counterpart, with machine confirmation of transmission.

                  20.6     AMENDMENT; WAIVER. This Lease may be altered, amended
or revoked only by an instrument in writing signed by both Landlord and Tenant,
and not orally nor by any course of conduct.

                  20.7     SEVERABILITY. If any term or provision of this Lease
is, to any extent, determined by a court of competent jurisdiction to be invalid
or unenforceable, the remainder of this Lease shall not be affected thereby, and
each remaining term and provision of this Lease shall be valid and enforceable
to the fullest extent permitted by law.

                  20.8     TIME OF ESSENCE. Time is of the essence of this Lease
and each and every provision of this Lease.

                                     - 28 -
<PAGE>

                  20.9     RELATIONSHIP OF PARTIES. Landlord is not and shall
not, in any way or for any purpose, become an agent or partner of Tenant in its
business or otherwise, or a joint venturer or a member of any joint enterprise
with Tenant solely as a result of this Lease.

                  20.10    BINDING EFFECT. Subject to any provisions of this
Lease restricting assignment or subletting by Tenant or releasing Landlord upon
sale of all or part of the Premises, all of the provisions of this Lease shall
bind and inure to the benefit of the parties to this Lease and their respective
heirs, legal representatives, successors and assigns.

                  20.11    SUBTENANCIES. The voluntary or other surrender of
this Lease by Tenant, or a mutual cancellation thereof, shall not work a merger
of estates and shall, at the option of Landlord, operate as an assignment to
Landlord of any or all subleases or subtenancies.

                  20.12    NO RESERVATION. Submission by Landlord of this
instrument to Tenant for examination or signature does not constitute a
reservation of or option for lease. This Lease shall be effective as a lease or
otherwise only upon execution and delivery by both Landlord and Tenant.

                  20.13    CONSENTS AND APPROVALS. Any consent or approval that
a party is obligated to give to the other party shall not be unreasonably
withheld or delayed, subject to any specific provision to the contrary contained
in this Lease.

                  20.14    LEGAL AUTHORITY. Each individual executing or
attesting this Lease on behalf of Tenant, as well as Tenant, hereby covenants,
warrants and represents (a) that he is duly authorized to execute or attest and
deliver this Lease on behalf of Tenant in accordance with a duly adopted
resolution of Tenant's Board of Directors and in accordance with Tenant's
Articles of Incorporation and Bylaws; (b) that this Lease is binding upon
Tenant; (c) that Tenant is a duly organized and legally existing corporation
under the laws of the State of California; and (d) the execution and delivery of
this Lease by Tenant shall not result in any breach of, or constitute a default
under any mortgage, deed of trust, lease, loan, credit agreement, partnership
agreement or other contract or instrument to which Tenant is a party or by which
Tenant may be bound.

                  20.15    CHOICE OF LAW. This Lease will be construed under,
governed by and enforced in accordance with the laws of the State of California
without regard to conflicts of laws principals.

                  20.16    SURVIVAL OF OBLIGATIONS. Any obligations and
liabilities that arise during the Term shall survive expiration or earlier
termination of the Term, unless specifically provided to the contrary.

                  (REMAINDER OF PAGE INTENTIONALLY LEFT BLANK)

                                     - 29 -
<PAGE>

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

LANDLORD:                                   TENANT:

MATMEL ENTERPRISES, INC.                    FOUNTAIN VIEW, INC.

By  /s/ Thomas E. Sutton                    By   /s/ Jose Lynch
   -------------------------------              ----------------------------
   THOMAS E. SUTTON, President                  JOSE LYNCH, President

                                     - 30 -
<PAGE>

                                    EXHIBIT A

                             DESCRIPTION OF PREMISES

<PAGE>

                                    EXHIBIT B

                              INSURANCE PROVISIONS

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