EXHIBIT 10.1

SECOND AMENDMENT TO LEASE AGREEMENT

THIS SECOND AMENDMENT TO LEASE AGREEMENT (this “Second Amendment”) is entered into as of September 30, 2003 by and between SNH CHS PROPERTIES TRUST, a Maryland real estate investment trust (“Landlord”), and FVE-CHS LLC, a Delaware limited liability company (“Tenant”).

W I T N E S S E T H :

WHEREAS, Landlord and Tenant are parties to that certain Lease Agreement dated as of October 25, 2002, as amended by that certain First Amendment to Lease Agreement dated as of May 30, 2003 (as so amended, the “Lease”), for twelve (12) properties, as more particularly described in the Lease; and

WHEREAS, Landlord and Tenant wish to amend the Lease to add one (1) additional property, subject to and upon the terms and conditions hereinafter provided;

NOW, THEREFORE, in consideration of the foregoing and for other consideration, the mutual receipt and legal sufficiency of which are hereby acknowledged, Landlord and Tenant hereby agree as follows:

1.                                       The definition of “Agreement” set forth in Article 1 of the Lease is hereby amended by deleting the existing definition and inserting the following in place thereof:

“Agreement” shall mean this Lease Agreement, including Exhibits A-1 through A-13 hereto, as it and they may be amended from time to time as herein provided.

2.                                       The definition of “Minimum Rent” set forth in Article 1 of the Lease is hereby amended by deleting the existing definition and inserting the following in place thereof:

“Minimum Rent” shall mean an amount equal to Eight Million One Hundred Sixty-Five Thousand and 00/100 Dollars ($8,165,000.00) per annum.

3.                                       The definition of “Leased Property” set forth in Section 2.1 of the Lease is hereby amended by deleting subparagraph (a) thereof and replacing it with the following:

(a)                                  those certain tracts, pieces and parcels of land, as more particularly described in Exhibits A-1 through A-13, attached hereto and made a part hereof (the “Land”);

4.                                       Exhibit A-13 attached hereto is hereby added to the Lease as Exhibit A-13.

5.                                       As amended hereby, the Lease is hereby ratified and confirmed.

[SIGNATURE PAGE FOLLOWS]

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

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Exhibit A-13

Rio Las Palmas