Agreement#: AG-159063
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Amended Leases

Effective Date: October 31, 1997
Parties:

Mariner Health Care

Sectors: Health Products and Services
Governing Law:  Massachusetts
EXHIBIT 10.31


AMENDMENT TO AMS PROPERTIES, INC.
FACILITY LEASES


AMENDMENT dated as of October 31, 1997 between HEALTH AND RETIREMENT PROPERTIES TRUST (known in Wisconsin as "Health and Rehabilitation Properties REIT"), a real estate investment trust formed under the laws of the State of Maryland ("HRP") and AMS PROPERTIES, INC., a Delaware corporation ("AMS
--- --- Properties") - ----------


W I T N E S S E T H:


WHEREAS, HRP, as landlord, and AMS Properties, as tenant, have entered into a Master Lease Document, General Terms and Conditions dated as of December 28, 1990, as amended (the "Master Lease"), and have also executed Facility Leases
------------ which incorporate by reference the Master Lease (collectively, the "Facility
-------- Leases") relating to the health care facilities described on Exhibit A-2 to the - ------ Master Lease;


WHEREAS, HRP and AMS Properties have agreed to amend the Facility Leases as hereinafter provided;


NOW, THEREFORE, in consideration of the foregoing, and of other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, HRP and AMS Properties agree as follows:


SECTION 1. AMENDMENTS TO FACILITY LEASES


1.1 Paragraphs 4 and 5 of the Facility Lease for each Leased Property is hereby amended in full to read as follows:


4. Fixed Term. The Fixed Term of this Lease is twenty-two (22) years
----------
and thirty four (34) days, commencing on December 28, 1990 (the
"Commencement Date"), and ending on January 31, 2013.
-----------------


5. Extended Terms. Subject to the provisions of Section 2.4 of the
--------------
Master Lease, Tenant is hereby granted the right to renew the Lease for two
(2) 10-year consecutive optional renewal terms for a maximum term if all
such options are exercised of twenty (20) years after the expiration of the
Fixed Term.


1.2 The first sentence of Paragraph 6 of the Facility Lease for each Leased Property listed on Schedule 1 hereto is hereby amended to provide that
---------- the annual amount of initial Minimum Rent and the amount of each monthly installment of initial Minimum Rent for such Leased Property are the respective amounts set forth on Schedule 1 hereto.
----------


-2-


SECTION 2. EFFECT ON FACILITY LEASES


1.3 Except as specifically provided above, the Facility Leases shall remain in full force and effect and each is hereby ...

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