SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549



                             -----------------------



                                    FORM 8-K



                                 CURRENT REPORT
                     PURSUANT TO SECTION 13 OR 15(d) OF THE
                         SECURITIES EXCHANGE ACT OF 1934



       Date of Report (Date of earliest event reported): October 25, 2002



                          FIVE STAR QUALITY CARE, INC.
               (Exact name of registrant as specified in charter)




          Maryland                    001-16817               04-3516029
(State or other jurisdiction         (Commission           (I.R.S. employer
     of incorporation)               file number)       identification number)




400 Centre Street, Newton, Massachusetts                       02458
(Address of principal executive offices)                     (Zip code)




        Registrant's telephone number, including area code: 617-796-8387


Item 2.    Acquisition or Disposition of Assets.

         On October 25, 2002,  Five Star Quality Care, Inc. ("we," "us" or "Five
Star," which term  includes  our  consolidated  subsidiaries  unless the context
requires  otherwise),   Senior  Housing  Properties  Trust  ("Senior  Housing"),
Constellation   Health   Services,   Inc.   and  certain  of  its   subsidiaries
(collectively "CHSI") completed the transactions  contemplated by a Purchase and
Sale  Agreement  dated  August 26, 2002,  between  Senior  Housing and CHSI,  as
amended by the First  Amendment to Purchase and Sale Agreement dated October 25,
2002,  among Five Star,  Senior  Housing  and CHSI ( as amended,  the  "Purchase
Agreement").  Under the Purchase  Agreement,  we and SNH acquired assets of CHSI
consisting  of 15 senior  living  communities  that have an  aggregate  of 1,016
units, as more fully described below.

         We  acquired  seven  senior  living  communities   directly  from  CHSI
(collectively, the "Five Star Communities"). Senior Housing acquired eight other
senior living  communities  (the "Leased  Communities")  and we acquired certain
operating  assets and  liabilities of the Leased  Communities and entered into a
lease with Senior Housing for the Leased Communities.

         We and  Senior  Housing  are  jointly  and  severally  liable  for  the
obligations and liabilities  under the Purchase  Agreement.  Except as otherwise
provided in our lease for the Leased  Communities,  we and Senior  Housing  have
agreed that we will each have all of the rights and remedies, perform all of the
obligations,  and assume the  liabilities,  each under the  Purchase  Agreement,
relating to the Five Star Communities and the Leased Communities, respectively.

         The purchase price paid to CHSI pursuant to the Purchase  Agreement was
$77.15  million,  comprised of cash and the  assumption  of certain  liabilities
relating  to the 15  senior  living  communities.  We paid  $27  million  of the
Purchase  Agreement's  total  purchase  price by assuming  $15.8  million of HUD
insured mortgage debt encumbering one of the Five Star Communities and by paying
CHSI the balance of $11.2 million in cash.

         Simultaneously  with the closing under the Purchase  Agreement:  (i) we
sold to Senior  Housing our senior living  community  located in Overland  Park,
Kansas, for approximately  $12.7 million in cash; and (ii) we leased from Senior
Housing  the Leased  Communities  and the  property  located in  Overland  Park,
Kansas.

         The  material  terms of our lease with  Senior  Housing  for the Leased
Communities and Overland Park are  substantially the same as our existing leases
with Senior Housing, except as follows: We are required to pay to Senior Housing
for the  Leased  Communities  and  Overland  Park  minimum  rent equal to $6.285
million  per  year.  In  addition,  starting  in 2005,  we are  required  to pay
additional  rent with  respect  to each  lease  year in an amount  equal to four
percent  (4%) of net patient  revenues at each leased  facility in excess of net
patient  revenues at such facility during 2004. The initial term of the lease is
for 17 years,  expiring December 31, 2019. We have the option to renew the lease
for all, but not less than all, of the Leased  Communities and Overland Park for
one renewal term of 15 years thereafter.




         We intend to continue to operate  the 15 CHSI  communities  acquired as
senior living communities.

         All of our  directors,  except for Dr.  Bruce M. Gans,  are trustees of
Senior  Housing.  Our  president  and  treasurer  are  also  employees  of  Reit
Management & Research LLC ("RMR"), the investment manager to Senior Housing. RMR
also provides certain administrative  services to us. Gerard M. Martin and Barry
M.  Portnoy,  our two managing  directors,  are directors and 50% owners of RMR.
Substantially  all of our  properties  are leased from Senior  Housing.  Messrs.
Martin and Portnoy also own the building in which our  headquarters are located,
and we lease the headquarters under a lease expiring in 2011. We have previously
disclosed other relationships  between us, Messrs. Martin and Portnoy and Senior
Housing in our Annual Report on Form 10-K for the year ended December 31, 2001.



                  WARNING REGARDING FORWARD LOOKING STATEMENTS

         THIS CURRENT  REPORT ON FORM 8-K CONTAINS  FORWARD  LOOKING  STATEMENTS
WITHIN THE MEANING OF THE PRIVATE  SECURITIES  LITIGATION REFORM ACT OF 1995 AND
FEDERAL SECURITIES LAWS, INCLUDING STATEMENTS REGARDING FIVE STAR'S INTENTION TO
CONTINUE TO OPERATE THE NEWLY ACQUIRED COMMUNITIES AS SENIOR LIVING COMMUNITIES.
FIVE STAR MAY BE UNABLE OR UNWILLING  TO CONTINUE TO OPERATE THE NEWLY  ACQUIRED
COMMUNITIES AS SENIOR LIVING COMMUNITIES.  SIMILARLY, THE OPERATION OF THE NEWLY
ACQUIRED  COMMUNITIES  OR OTHER  ASPECTS OF FIVE  STAR'S  BUSINESS  MAY  PRODUCE
OPERATING  LOSSES WHICH MAKE IT  IMPOSSIBLE  FOR FIVE STAR TO PAY RENT TO SENIOR
HOUSING.  FORWARD  LOOKING  STATEMENTS  ARE  EXPRESSIONS  OF FIVE STAR'S CURRENT
BELIEFS AND  EXPECTATIONS,  BUT THEY ARE NOT  GUARANTEED.  INVESTORS  SHOULD NOT
PLACE UNDUE RELIANCE UPON FORWARD LOOKING STATEMENTS.

Item 7.  Financial Statements, Pro Forma Financial Information and Exhibits.

         (a)      Financial  Statements.  The financial  statements  required by
                  Item 7(a) are not included in this initial  Current  Report on
                  Form  8-K and will be filed  by  amendment  within  75 days of
                  October 25, 2002.

         (b)      Pro Forma Financial Information.  Five Star Quality Care, Inc.
                  sold a property located in Overland Park,  Kansas, and the pro
                  forma financial  information  relating to this  disposition is
                  set forth  below.  The other pro forma  financial  information
                  required by Item 7(b) relating to our acquisition and lease of
                  senior  living  communities  is not  included in this  initial
                  Current  Report  on Form 8-K and  will be  filed by  amendment
                  within 75 days of October 25, 2002.

                                                                          PAGE

  Unaudited Pro Forma Consolidated Balance Sheet at June 30, 2002         F-2




  Unaudited Pro Forma Consolidated Statement of Operations for
  the year ended December 31, 2001                                        F-3

  Unaudited Pro Forma Consolidated Statement of Operations for
  the six months ended June 30, 2002                                      F-4

  Notes to Unaudited Pro Forma Consolidated Financial Statements     F-5 to F-9



          (c)     Exhibits.

2.1      Purchase and Sale Agreement,  dated as of August 26, 2002, by and among
         Constellation Health Services, Inc. and certain of its subsidiaries, as
         Seller, and Constellation  Real Estate Group,  Inc., as Guarantor,  and
         Senior Housing Properties Trust, as Buyer.

2.2      First Amendment to Purchase and Sale Agreement, dated as of October 25,
         2002, by and among Constellation  Health Services,  Inc. and certain of
         its subsidiaries,  as Seller,  and Senior Housing  Properties Trust and
         Five Star Quality Care, Inc., collectively as Buyer.

2.3      Lease  Agreement,  dated as of October 25, 2002, by and between SNH CHS
         Properties Trust, as Landlord, and FVE-CHS LLC, as Tenant.




Item 7(b).  Pro Forma Financial Information.

            INTRODUCTION TO UNAUDITED PRO FORMA FINANCIAL STATEMENTS

         The unaudited  pro forma  balance sheet at June 30, 2002,  presents the
financial position of Five Star as if the sale/leaseback of its facility located
in Overland Park, Kansas had been completed as of June 30, 2002, as described in
the notes thereto.  The unaudited pro forma  statement of operations for the six
months ended June 30, 2002,  presents the results of  operations of Five Star as
if its acquisition of five senior living  communities and the  sale/leaseback of
its facility  located in Overland Park,  Kansas had been completed as of January
1, 2001, as described in the notes thereto. The unaudited pro forma statement of
operations  for the year  ended  December  31,  2001,  presents  the  results of
operations of Five Star as if the events described in the immediately preceeding
sentence,  its  merger  with  FSQ,  Inc.,  the  commencement  of its lease of 31
facilities  from Senior  Housing  Properties  Trust  managed by Marriott  Senior
Living Services, Inc., its offering of 3,823,300 shares of its common stock, and
its spin-off  from Senior  Housing had been  completed as of January 1, 2001, as
described in the notes thereto.

         The unaudited pro forma  financial  statements and related notes do not
reflect our  acquisition  of seven senior living  communities  from CHSI and our
lease of eight additional senior living communities from Senior Housing, each of
which were  formerly  owned and operated by CHSI (the "CHSI  Transaction").  Our
sale/leaseback  of the Overland Park  facility  with Senior  Housing was done in
order  to  finance  our  acquisition  of the  seven  senior  living  communities
previously owned and operated by CHSI.

         These  unaudited  pro forma  financial  statements do not represent our
financial  condition  or results of  operations  for any future  date or period.
Actual  future  results  may be  materially  different  from pro forma  results.
Differences could arise from many factors,  including, but not limited to, those
related to our  operations  as a separate  public  company,  competition  in our
business,   the  impact  of  changes  to  rates  under   Medicare  and  Medicaid
reimbursement  programs,  our ability to successfully  attract  residents to our
facilities,  our ability to control operating expenses and our capital structure
and other changes. These unaudited pro forma financial statements should be read
in connection with our audited financial statements and the related Management's
discussion  and  analysis  of  financial  condition  and  results of  operations
included in our Annual Report on Form 10-K for the year ended December 31, 2001.
In addition,  in connection with these unaudited pro forma financial statements,
you should read the financial statements of the 31 Marriott facilities, as owned
and operated by Crestline Capital  Corporation and which are entitled CSL Group,
Inc. and  Subsidiaries as Partitioned For Sale to SNH/CSL  Properties  Trust, as
well as the financial  statements of ILM II Senior Living, Inc. and ILM II Lease
Corporation,  the owner and operator,  respectively,  of the five communities we
acquired,  each of which are included in our Registration Statement on Form S-1,
File No. 333-83648.

                                      F-1







                                            Five Star Quality Care, Inc.
                                   Unaudited Pro Forma Consolidated Balance Sheet
                                                  At June 30, 2002
                                  (amounts in thousands, except per share amounts)

                                                                               Adjustments
                                                                               -----------
                                                                                Overland
                                                                                  Park
                                                        Historical                Sale                 Pro Forma
                                                        ----------                ----                 ---------
                                                                                  (A)
                                                                                              

ASSETS

Current assets
Cash                                                    $   4,983               $  12,700               $  17,683
Accounts receivable, net                                   27,388                    --                    27,388
Due from Marriott Senior Living Services                   12,722                    --                    12,722
Prepaid expenses and other current assets                   4,009                    --                     4,009
                                                        ---------               ---------               ---------
Total current assets                                       49,102                  12,700                  61,802

Restricted cash                                             4,318                    --                     4,318
Fixed assets, net                                          50,455                 (12,663)                 37,792
                                                        ---------               ---------               ---------
Total assets                                            $ 103,875               $      37               $ 103,912
                                                        =========               =========               =========

LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilities
Accounts payable and accrued expenses                   $  16,823               $    --                 $  16,823
Accrued compensation                                        5,858                    --                     5,858
Accrued real estate taxes                                   1,519                    --                     1,519
Due to affilates, net                                          20                    --                        20
Other liabilities                                             542                    --                       542
                                                        ---------               ---------               ---------
Total current liabilities                                  24,762                    --                    24,762

Long term liabilities                                      11,568                      37                  11,605

Shareholders' equity
   Common stock, par value $0.01 per share                     85                    --                        85
   Additonal paid in capital                               78,948                    --                    78,948
   Accumulated deficit                                    (11,488)                   --                   (11,488)
                                                        ---------               ---------               ---------
Total shareholders' equity                                 67,545                    --                    67,545

Total liabilities and shareholders' equity              $ 103,875               $      37               $ 103,912
                                                        =========               =========               =========



                                      F-2





                                                    Five Star Quality Care, Inc.
                                      Unaudited Pro Forma Consolidated Statement of Operations
                                                For the Year ended December 31, 2001
                                          (amounts in thousands, except per share amounts)



                                                          Spin-Off        Lease of 31 Marriott Facilities
                                                          and FSQ        --------------------------------     Offering
                                         Historical     Adjustments      Historical           Adjustments    Adjustments
                                         ----------     -----------      ----------           -----------    -----------
                                                                           (G)                                   (M)

                                                                                                 

Revenues                                 $ 229,235      $      --         $ 277,499           $     --          $ --      $ 506,734

EXPENSES
Property level operating costs and
   expenses                                211,850             --           185,042                 --            --        396,892
Depreciation and amortization                1,274            (868) (B)      24,155             (24,155) (H)      --            406
General and administrative                  15,627          (3,298) (C)      20,115                (307) (I)      --         32,137
Rent                                          --             7,000  (D)         --               63,000  (J)      --         70,000
FF&E Rent                                     --               --               --                7,354  (K)      --          7,354
Interest, net                                  (43)             43  (E)      19,335             (19,335) (L)      --            --
                                         ---------      ----------      -----------           ---------        -------    ---------
Total expenses                             228,708           2,877          248,647              26,557           --        506,789

Income (loss) before income taxes              527          (2,877)          28,852             (26,557)          --            (55)

Provision for income taxes                     --             (823)          10,098              (9,295)          --            (20)
                                         ---------      ----------      -----------           ---------        -------    ---------

Net Income                               $     527      $   (2,054)     $    18,754           $ (17,262)       $  --      $     (35)
                                         =========      ==========      ===========           =========        ======     =========

Weighted Average Shares Outstanding          4,374             250  (F)                                         3,823         8,447

Earnings per Share                       $    0.12




                                                April 1, 2002 Acquisition                        Overland
                                         ----------------------------------                        Park
                                             Historical     Adjustments                      Sale / Leaseback      Pro forma
                                             ----------     -----------                      ----------------      ---------
                                                                (N)


                                                                                                     
Revenues                                 $  14,217           $    --           $ 520,951         $     --          $ 520,951

EXPENSES
Property level operating costs and
   expenses                                  8,505                --             405,397               --            405,397
Depreciation and amortization                  313                722  (O)         1,441              (360) (R)        1,081
General and administrative                   1,462             (1,377) (P)        32,222               --             32,222
Rent                                         4,579             (4,579) (Q)        70,000             1,268  (S)       71,268
FF&E Rent                                      --                 --               7,354               --              7,354
Interest, net                                  --                 --                 --                --               --
                                         ---------           --------          ---------         ---------         ---------
Total expenses                              14,859             (5,234)           516,414               908           517,322

Income (loss) before income taxes             (642)             5,234              4,537              (908)            3,629

Provision for income taxes                    (225)             1,832              1,587              (318)            1,269 (T)
                                         ---------           --------          ---------         ---------         ---------

Net Income                               $    (417)          $  3,402            $ 2,950         $    (590)        $   2,360
                                         =========           ========          =========         =========         =========

Weighted Average Shares Outstanding                                                                                    8,447

Earnings per Share                                                                                                    $ 0.28



                                       F-3





                                                 Five Star Quality Care, Inc.
                                   Unaudited Pro Forma Consolidated Statement of Operations
                                            For the six months ended June 30, 2002
                                       (amounts in thousands, except per share amounts)





                                                                                     April 1, 2002
                                                                                    Acquisition and
                                                                                     Overland Park
                                                               Historical           Sale / Leaseback             Pro Forma
                                                               ----------           ----------------             ---------
                                                                                                   
Revenues:
   Revenues from residents                                     $ 249,238             $   3,627    (U)            $ 252,865
   Interest income                                                   182                  --                           182
                                                               ---------             ---------                   ---------
                                                                 249,420                 3,627                     253,047

Expenses:
  Property level operating expenses                              201,157                 2,316    (U)              203,473
  Management fee to Marriott                                       8,056                  --                         8,056
  Rent expense                                                    36,977                   634    (V)               37,611
  General and administrative                                       7,690                  --                         7,690
  Depreciation                                                       671                  (180)   (W)                  491
  Impairment of assets                                             1,649                  --                         1,649
  Restructuring costs                                                112                  --                           112
  Spin off and merger expense, non recurring                       2,829                  --                         2,829
                                                               ---------             ---------                   ---------
Total expenses                                                   259,141                 2,770                     261,911

Loss from continuing operations before income taxes               (9,721)                  857                      (8,864)

Provision for income taxes                                          --                    --                          --
                                                               ---------             ---------                   ---------

Loss from continuing operations                                   (9,721)                  857                      (8,864)

Loss from discontinued operations                                   (978)                 --                          (978)
                                                               ---------             ---------                   ---------

Net loss                                                       $ (10,699)            $     857                   $  (9,842)
                                                               =========             =========                   =========

Weighted Average Shares Outstanding                                6,644                                             6,644

Basic and diluted loss per share from:
  Continuing operations                                        $   (1.46)                                        $   (1.33)
  Discontinued operations                                          (0.15)                                            (0.15)
                                                               ---------                                         ---------

Net loss per share                                             $   (1.61)                                        $   (1.48)
                                                               =========                                         =========




                                      F-4


                          Five Star Quality Care, Inc.

               NOTES TO UNAUDITED PRO FORMA CONSOLIDATED FINANCIAL
                                   STATEMENTS
                (amounts in thousands, except per share amounts)



Pro Forma Consolidated Balance Sheet Adjustments

A.       Represents  our sale of the  unencumbered  Overland  Park  facility  to
         Senior  Housing for cash in the amount of $12,700 on October 25,  2002.
         Adjustments equal cash received less book value of asset on October 25,
         2002.  Subsequent  to the sale of this  facility,  we used this cash to
         purchase other  facilities in the CHSI Transaction.  Adjustments  are
         calculated as follows:

              Cash received                                     $  12,700
              Book value as of October 25, 2002                    12,663
                                                                ---------
              Deferred Gain on sale of assets                   $      37
                                                                =========

Pro Forma  Consolidated  Statement of Operations for the year ended December 31,
2001

B.       As  part  of  the  spin  off  from  Senior   Housing,   we  transferred
         substantially  all of our real and personal property to Senior Housing,
         and then  leased that  property,  and certain  ancillary  property  was
         transferred  by Senior  Housing to us. This  adjustment  represents the
         elimination  of  historical  depreciation  expense  from  the  real and
         personal  property  transferred  by us to  Senior  Housing  net  of the
         depreciation  expense from the real estate  transferred  to us, and the
         addition of depreciation expense related to fixed assets acquired by us
         in the FSQ, Inc. merger, calculated as follows:



                                                                                                      
Elimination of historical depreciation expense on assets transferred from us, net of depreciation
  expense on real estate transferred to us..........................................................      $(1,096)
Addition of FSQ, Inc. depreciation..................................................................          228
                                                                                                          -------

Total adjustment....................................................................................      $  (868)
                                                                                                          =======

C.       In connection with our stabilization of facilities' operations which we
         assumed  from former  tenants of Senior  Housing,  we incurred  certain
         costs which are not  expected to recur.  Also,  as required by REIT tax
         rules  applicable to Senior Housing and us during 2001, we engaged FSQ,
         Inc. to manage our facilities, and FSQ, Inc. purchased certain services
         from Reit Management & Research LLC. Since our acquisition of FSQ, Inc.
         we manage our  facilities  directly and have entered a shared  services
         agreement  with Reit  Management  to purchase the  services  previously

                                      F-5

         provided by Reit  Management  to FSQ,  Inc. The net  adjustment  to our
         general and  administrative  costs is intended to reflect these charges
         and is calculated as follows:



                                                                                                                
Elimination  of costs related to Senior  Housing's  repossession  of Mariner and Integrated
  facilities and our stabilization of operations which are not expected to recur(1)................                     $(4,167)
Elimination of management fees paid to FSQ, Inc. during 2001.......................................                     (11,460)
Addition of FSQ, Inc. expenses.....................................................................                      10,954
Shared services fee:
Pro forma revenues.................................................................................    $229,235
Contract rate......................................................................................        0.6%           1,375
                                                                                                       ------------------------
Total adjustment...................................................................................                     $(3,298)
                                                                                                                        =======


(1)      These costs  represent  payments to third parties to convert  financial
         and patient data previously  maintained by Mariner  Post-Acute  Network
         and Integrated Health Services, Inc. to our systems.


D.       Our lease for 56  facilities  requires  minimum rent payments of $7,000
         per year to Senior  Housing.  In  addition  to minimum  rent under this
         lease,  beginning in 2004 we must pay percentage rent payments equal to
         three percent (3%) of net patient  revenues at each leased  facility in
         excess of net patient revenues at such facility during 2003.

E.       Represents  elimination of interest,  net on mortgage debts and related
         compensating cash balances on properties transferred to Senior Housing,
         which debts Senior Housing assumed as part of the spin-off.

F.       Represents shares issued as consideration in the FSQ, Inc. merger.

G.       Represents the 2001 historical operating revenue and facility operating
         expenses  for the 31  Marriott  facilities  which  we began to lease on
         January 11, 2002. The 31 Marriott facilities' results are accounted for
         on the basis of 13 four-week periods per fiscal year. Amounts presented
         as 2001 and related adjustments  represent the period from December 30,
         2000 through  December 28, 2001.  General and  administrative  expenses
         include  management  fees  paid to  Marriott  under  the  terms  of its
         management agreements.

H.       Represents the elimination of historical  depreciation and amortization
         expense related to the 31 Marriott  facilities.  These  facilities were
         acquired by Senior Housing and leased to us. Accordingly,  depreciation
         and amortization expense will be incurred by Senior Housing.


                                       F-6

I.       Represents  the  elimination  of  historical  expenses  incurred by the
         former  owner of the 31 Marriott  facilities,  and the  addition to our
         shared services agreement fee applicable to these operations:


Elimination of corporate expenses of seller.........                    $(1,972)
Shared services fee:
     Pro forma revenues.............................  $277,499
     Contract rate..................................      0.6%            1,665
                                                      -------------------------


Total adjustment....................................                    $  (307)
                                                                        =======

J.       Our lease for the 31 Marriott facilities requires minimum rent payments
         of $63,000 per annum.  In  addition  to minimum  rent under this lease,
         beginning  in 2003 we must  make  percentage  rent  payments  to Senior
         Housing in an amount equal to five percent (5%) of net patient revenues
         at each  leased  facility  in excess of net  patient  revenues  at such
         facility during 2002.

K.       Represents  deposits  made into  reserves for capital  improvements  in
         accordance   with  the  management   agreements  for  the  31  Marriott
         facilities and which, under our lease with Senior Housing, will be paid
         to Senior Housing as additional rent.

L.       Represents the elimination of historical interest expense.  Incident to
         its acquisition of the 31 Marriott  facilities,  Senior Housing prepaid
         or assumed this debt and the obligation for this expense.

M.       Represents our issuance of 3,823,300  shares of common stock offered in
         March and April 2002 pursuant to an underwritten public offering.

N.       Represents   historical   operating  revenues  and  facility  operating
         expenses of the five  facilities  we  acquired  in April 2002.  Amounts
         presented are for the seller's year ended November 30, 2001.

O.       Represents  elimination  of  historical  depreciation  expense  and the
         addition of our depreciation expense based upon the purchase price plus
         closing costs totaling $46,000:



                                                                                      

Elimination of historical depreciation expense on five communities acquired..........     $  (313)
Addition of depreciation expense based on purchase price plus closing costs..........       1,035
                                                                                          -------

Total adjustment.....................................................................     $   722
                                                                                          =======

P.       Represents  the  elimination  of  historically   incurred  general  and
         administrative costs of the seller of the five communities acquired net
         of our additional costs under our shared services agreement  calculated
         as follows:

                                       F-7



                                                                          

Elimination of seller's general and administrative expenses........              $(1,462)
Shared services fee:
     Pro forma revenues............................................  14,217
     Contract rate.................................................    0.6%           85
                                                                     -------------------


Total adjustment...................................................              $(1,377)
                                                                                 =======


Q.       Represents the  elimination of  historically  incurred  rental expense.
         These  five  communities  are owned by us  without a lease  obligation.

R.       Represents  elimination  of  annual  depreciation  expense  related  to
         Overland Park.

S.       We lease nine senior living communities,  including Overland Park, from
         Senior  Housing  under a lease that  requires  minimum rent payments of
         $6,285 per year to Senior Housing,  of which $1,270 is allocable to the
         Overland Park  facility.  In addition to minimum rent under this lease,
         beginning in 2005 we must pay  percentage  rent payments  equal to four
         percent  (4%) of net  resident  revenues  in  excess  of net  resident
         revenues at each facility  during 2004.  Rent expense  allocable to the
         Overland  Park  facility is offset by  amortization  of deferred  gain.
         Amount is calculated as follows:


              Annual rent expense                                $  1,270
              Amortization of deferred gain                            (2)
                                                                 --------

              Total adjustment                                   $  1,268

T.       The pro forma tax  provision  is based on a blended  federal  and state
         income tax rate of 35%.

Pro Forma Consolidated Statement of Operations for the six months ended June 30,
2002

U.       Adjustment  represents the  operational  results of the acquired assets
         for the five senior living communities we acquired on April 1, 2002 for
         the  period  January  1, 2002 to the date of their  acquisition.  These
         properties were acquired by us on April 1, 2002.

V.       We lease nine senior living communities,  including Overland Park, from
         Senior  Housing  under a lease that  requires  minimum rent payments of
         $6,285 per year to Senior Housing,  of which $1,270 is allocable to the
         Overland Park  facility.  In addition to minimum rent under this lease,
         beginning in 2005 we must pay  percentage  rent payments  equal to four
         percent  (4%) of net  resident  revenues  in  excess  of net  resident
         revenues  at each  facility  during  2004.  Rent  expense  is offset by
         amortization of deferred gain. Amount is calculated as follows:

                                       F-8


                Annual rent expense                  $     1,270
                Amortization of deferred gain                 (2)
                                                     -----------

                Total annual adjustment                    1,268

                Prorated for six months              $       634


W.       Represents  elimination of six months  depreciation  expense related to
         Overland Park.


                                       F-9


                                   SIGNATURES

         Pursuant to the  requirements  of the Securities  Exchange Act of 1934,
the  registrant  has duly  caused  this report to be signed on its behalf by the
undersigned hereunto duly authorized.

                                     FIVE STAR QUALITY CARE, INC.


                                     By: /s/  Bruce J. Mackey Jr.
                                         Name:    Bruce J. Mackey Jr.
                                         Title:   Treasurer and Chief Financial
                                                  Officer



Date:  November 12, 2002