Second Amendment to Lease Agreement dated as of July 31, 2019 by and between MHI-MC San Antonio, LP, a Delaware limited partnership (Landlord), and MCA Mainstreet Tenant, LLC, a Tennessee limited liability company (Tenant) and the First Amendment to such Lease Agreement, dated as of June 29, 2018 and the Lease Agreement, dated December 16, 2016 (the Original Lease), regarding the memory care facility located on the Leased Property and commonly known as Memory Care of Westover Hills