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Exhibit 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SEC. 1350

        In connection with the filing by Five Star Quality Care, Inc. (the "Company") of the Annual Report on Form 10-K for the year ended December 31, 2012 (the "Report"), each of the undersigned hereby certifies, to the best of his knowledge:

1.

The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and



2.

The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ BRUCE J. MACKEY JR.
Bruce J. Mackey Jr.
President and Chief Executive Officer

/s/ PAUL V. HOAGLAND

Paul V. Hoagland
Treasurer and Chief Financial Officer

Date: February 19, 2013

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Exhibit 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SEC. 1350