Exhibit 10.3 SKILLED HEALTHCARE GROUP, INC. INSTRUMENT OF JOINDER This Instrument of Joinder (this "AGREEMENT") dated as of May 11, 2007 is entered into by and between Skilled Healthcare Group, Inc. (formerly known as SHG Holding Solutions, Inc.), a...Instrument of Joinder • August 9th, 2007 • Skilled Healthcare Group, Inc. • Services-skilled nursing care facilities • New York
