Exhibit 10.2 AMENDMENT NO. 1 (this "Amendment"), dated as of June 25, 2004, to the Credit, Security, Guaranty and Pledge Agreement dated as of December 1, 2003 (as the same may be amended from time to time, the "Credit Agreement"), among (i) GENESIS...Credit, Security, Guaranty and Pledge Agreement • August 11th, 2004 • Genesis Healthcare Corp • Services-skilled nursing care facilities • New York
