Exhibit

Exhibit 10.79

FIRST AMENDMENT TO

PURCHASE AND SALE AGREEMENT AND ESCROW INSTRUCTIONS

THIS FIRST AMENDMENT TO PURCHASE AND SALE AGREEMENT AND ESCROW INSTRUCTIONS (this “Amendment”) is made and entered into this 18th day of July, 2018 by and among the owner selling parties identified on Exhibit A attached hereto (referred to herein as “Owner Seller” or “Owner Sellers”), the operator parties identified on Exhibit A attached hereto (referred to herein as “Operator” or “Operators”), and TLG II, L.L.P., a Missouri limited liability partnership (“Parent Guarantor”); GAHC4 MISSOURI SNF PORTFOLIO, LLC, a Delaware limited liability company, its successors and assigns (“Purchaser”); and FIRST AMERICAN TITLE INSURANCE COMPANY (“Escrow Agent”).

R E C I T A L S:

WHEREAS, each of Owner Sellers, Operators, Parent Guarantor and Purchaser entered into that certain Purchase and Sale Agreement and Escrow Instructions (the “Agreement”), dated as of June 7, 2018, for the purchase and sale of certain real property and improvements located in Missouri (collectively, the “Property”) under the terms and conditions as more particularly described in the Agreement; and

WHEREAS, Owner Sellers, Operators, Parent Guarantor and Purchaser desire to amend the Agreement as set forth herein.

NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows:


1.	Recitals and Definitions. The foregoing recitals are true and correct and are hereby incorporated herein by reference. All terms used herein are as defined in the Agreement unless otherwise defined in this Amendment.


2.	DDP Expiration Date. Section 4.02 of the Agreement, as amended, is hereby deleted in its entirety and replaced with the following:

Purchaser may terminate this Agreement by delivering written notice to Sellers (a “DDP Termination Notice”) for any reason or for no reason at any time from the Effective Date until August 7, 2018 (the “DDP Expiration Date”). If, by the DDP Expiration Date, Purchaser fails to deliver a DDP Termination Notice to Sellers, such failure shall be deemed an election by Purchaser to proceed with the transactions contemplated hereby with respect to the applicable Facilities, subject to the terms and conditions of this Agreement. Upon timely delivery of the DDP Termination Notice, this Agreement shall automatically terminate with respect to all (but not less than all) of the applicable Facilities, in which event the Deposit shall immediately and uncontestably be returned to Purchaser and neither party will have any further rights or obligations

hereunder, except for any obligations that expressly survive termination. Notwithstanding anything herein to the contrary, Purchaser’s failure to timely deliver a DDP Termination Notice shall not be deemed to be a waiver by Purchaser of any other rights of termination it may have as set forth herein.

All references to the DDP Expiration Date in the Agreement shall be deemed to refer to the DDP Expiration Date, as extended.


3.	Consent of the Escrow Agent. The Escrow Agent hereby joins in the execution of this Amendment for purposes of consenting to and accepting the terms of this Amendment.


4.	Counterparts. This Amendment may be executed in multiple counterparts which shall together constitute a single document; however, this Amendment shall not be effective unless and until all counterpart signatures have been obtained. A facsimile or other electronic transmission of an original shall be binding hereunder.

Miscellaneous. All other terms and conditions of the Agreement not specifically modified or supplemented by this Amendment shall remain unchanged and in full force and effect, and the Agreement, as supplemented by this Amendment, is hereby ratified and confirmed. This Amendment (a) shall be governed by and construed under the internal laws of the State of Missouri without regard to the principles of conflicts of law, (b) contains the entire understanding of the parties with respect to the provisions of the Agreement amended and supplemented hereby, (c) may not be modified except by a writing signed by the parties, and (d) shall be binding upon and inure to the benefit of Owner Sellers, Operators, Parent Guarantor and Purchaser, and their respective successors and permitted assigns.

[Remainder of page intentionally left blank; signatures to follow on next pages.]



IN WITNESS WHEREOF, the undersigned parties have caused this Agreement to be executed and delivered as of the date first written above.
SELLERS:
BKY PROPERTIES OF ST ELIZABETH LLC, a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President	MMA HEALTHCARE OF ST ELIZABETH, INC. D/B/A ST. ELIZABETH CARE CENTER, a Missouri corporation By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President
BRIDGEWOOD ASSOCIATES, L.L.C., a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President	BRIDGEWOOD HEALTH CARE CENTER, L.L.C. D/B/A BRIDGEWOOD HEALTH CARE CENTER, a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President
CRESTWOOD ASSOCIATES, L.L.C., a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President	CRESTWOOD HEALTH CARE CENTER, L.L.C. D/B/A CRESTWOOD HEALTH CARE CENTER, a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President
EASTVIEW ASSOCIATES, L.L.C., a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President	EASTVIEW MANOR, INC. D/B/A EASTVIEW MANOR CARE CENTER, a Missouri corporation By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President
MILAN ASSOCIATES, L.L.C., a Missouri limited liability company	BKY HEALTHCARE OF MILAN, INC. D/B/A MILAN HEALTH CARE CENTER, a Missouri corporation



By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President	By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President
M‑S ASSOCIATES, L.P., a Missouri limited partnership By: Randolph Pettis GP LLC, a Missouri limited liability company, its General Partner By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President	NORTH VILLAGE PARK, L.L.C. D/B/A NORTH VILLAGE PARK, a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President
SALISBURY ASSOCIATES LLC, a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President	CHARITON PARK HEALTH CARE CENTER, L.L.C., a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President
SEDALIA ASSOCIATES, L.P., a Missouri limited partnership By: Brunswick Park Associates, Inc., a Missouri corporation, its General Partner By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President	FOUR SEASONS LIVING CENTER, L.L.C. D/B/A FOUR SEASONS LIVING CENTER, a Missouri limited liability company By: /s/ Richard J. DeStefane, President Richard J. DeStefane, President

PARENT GUARANTOR:

TLG II, L.L.P.,

a Missouri limited liability partnership

By: RCG, Inc., a Missouri corporation,

its General Partner

By: /s/ Richard J. DeStefane, President

Richard J. DeStefane, President

PURCHASER:

GAHC4 MISSOURI SNF PORTFOLIO, LLC,

a Delaware limited liability company

By: Griffin‑American Healthcare REIT IV Holdings, LP,

a Delaware limited partnership, its Sole Member

By: Griffin‑American Healthcare REIT IV, Inc.,

a Maryland corporation, its General Partner

By: /s/ Danny Prosky

Name: Danny Prosky

Its: President and Chief Operating Officer



ESCROW AGENT	FIRST AMERICAN TITLE INSURANCE COMPANY

	By: /s/ Brian M. Serikaku
	Name: /s/ Brian M. Serikaku
	Its: Escrow Officer

Exhibit A

OWNER SELLERS AND OPERATORS



OWNER SELLER	OPERATOR
Bridgewood Associates, L.L.C.	Bridgewood Health Care Center, L.L.C. d/b/a Bridgewood Health Care Center
SALISBURY ASSOCIATES LLC	CHARITON PARK HEALTH CARE CENTER, L.L.C. d/b/a Chariton Park Health Care Center
Crestwood Associates, L.L.C.	Crestwood Health Care Center, L.L.C. d/b/a Crestwood Health Care Center
SEDALIA ASSOCIATES, L.P.	FOUR SEASONS LIVING CENTER, L.L.C. d/b/a Four Seasons Living Center
Milan Associates, L.L.C.	BKY Healthcare of Milan, Inc. d/b/a Milan Health Care Center
Eastview Associates, L.L.C.	Eastview Manor, Inc. d/b/a Eastview Manor Care Center
M-S ASSOCIATES, L.P.	North Village Park, L.L.C. d/b/a North Village Park
BKY Properties of St Elizabeth LLC	MMA Healthcare of St. Elizabeth, Inc. d/b/a St. Elizabeth Care Center