SIXTH AMENDMENT TO PURCHASE AND SALE AGREEMENT

Exhibit 10.1

SIXTH AMENDMENT TO
PURCHASE AND SALE AGREEMENT

THIS SIXTH AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of August 1, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE II, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE IV, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE VI, L.L.C., an Indiana limited liability company, E&F REALTY CO., L.L.P., an Indiana limited liability partnership, AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company, and AMERICAN SENIOR HOME CARE OF FT. XXXXX, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

RECITALS:

WHEREAS, the Purchaser and the Sellers are parties to that certain Purchase and Sale Agreement, dated as of March 18, 2011, as amended by that certain First Amendment to Purchase and Sale Agreement, dated as of April 27, 2011, that certain Second Amendment to Purchase and Sale Agreement, dated as of May 9, 2011, that certain Third Amendment to Purchase and Sale Agreement, dated May as of 11, 2011, that certain Fourth Amendment to Purchase and Sale Agreement, dated as of May 12, 2011, and that certain Fifth Amendment to Purchase and Sale Agreement, dated as of July 1, 2011 (as so amended, the “Purchase Agreement”), with respect to certain real property and related property known as and located at (a) Forest Creek Commons, 0000 X.X. 00 Xxxxx, Xxxxxxxxxxxx, Xxxxxxx, (b) Xxxxxxxxx Commons, 0000 Xxxxxxxxx Xxxxxxx Xxxxx, Xxxx Xxxxx, Xxxxxxx, and (c) Northwoods Commons, 0000 Xxxxxxxxxx Xxxxxxxxx, Xxxxxx, Xxxxxxx, all as further described in the Purchase Agreement; and

WHEREAS, the Purchaser and the Sellers desire to amend the Purchase Agreement to extend the Outside Closing Date, all subject to the terms and conditions contained herein;

NOW, THEREFORE, in consideration of the mutual agreements and covenants herein contained and other good and valuable consideration, the mutual receipt and legal sufficiency of which are hereby acknowledged, the Purchaser and the Sellers, intending to be legally bound, hereby agree as follows:

1. Capitalized Terms.  All capitalized terms used and not otherwise defined in this Amendment shall have the meanings given such terms in the Purchase Agreement.

2. Closing Date.  Section 1.1 (Definitions) of the Purchase Agreement is hereby amended by deleting the definition of “Outside Closing Date” located therein in its entirety and inserting the following definition in its place:

“Outside Closing Date”  means September 1, 2011.

3. Counterparts.  This Amendment may be executed in any number of counterparts, each of which shall be deemed an original, but all such counterparts shall together constitute one and the same agreement.  Any such counterpart may be delivered by facsimile or e-mail (in .pdf format) and any such counterpart so delivered shall be deemed an original for all purposes.

[Remainder of page intentionally left blank; signature page follows]

IN WITNESS WHEREOF, the parties have caused this Amendment to be executed as a sealed instrument as of the date first above written.

	PURCHASER:
	FIVE STAR QUALITY CARE, INC.,
	a Maryland corporation
	By:	/s/ Xxxxx X. Xxxxxx Xx.
	Name:	Xxxxx X. Xxxxxx Xx.
	Its:	President
	SELLERS:
	RESIDENTIAL CARE II, L.L.C.,
	an Indiana limited liability company
	By:	/s/ Xxxxx X. Xxxxxxx
	Name:	Xxxxx X. Xxxxxxx
	Its:	Manager
	RESIDENTIAL CARE IV, L.L.C.,
	an Indiana limited liability company
	By:	/s/ Xxxxx X. Xxxxxxx
	Name:	Xxxxx X. Xxxxxxx
	Its:	Manager
	RESIDENTIAL CARE VI, L.L.C.,
	an Indiana limited liability company
	By:	/s/ Xxxxx X. Xxxxxxx
	Name:	Xxxxx X. Xxxxxxx
	Its:	Manager

[Signature page to Sixth Amendment to Purchase and Sale Agreement]

	E&F REALTY CO., L.L.P.,
	an Indiana limited liability partnership
	By:	E.J.J. Limited Partnership No. 3,
		an Indiana limited partnership,
		its Partner
		By:	E.J.J., Inc.,
			an Indiana corporation,
			its General Partner
			By:	/s/ Xxxxx X. Xxxxxxx
			Name:	Xxxxx X. Xxxxxxx
			Its:	Vice President
	AMERICAN SENIOR HOME CARE, L.L.C.,
	an Indiana limited liability company
	By:	/s/ Xxxxx X. Xxxxxxx
	Name:	Xxxxx X. Xxxxxxx
	Its:	Manager
	AMERICAN SENIOR HOME CARE OF FT. XXXXX, L.L.C., an Indiana limited liability company
	By:	/s/ Xxxxx X. Xxxxxxx
	Name:	Xxxxx X. Xxxxxxx
	Its:	Manager

[Signature page to Sixth Amendment to Purchase and Sale Agreement]