Exhibit 12.1

FIVE STAR QUALITY CARE, INC.

COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES

(in thousands except ratios)

	Nine Months Ended
	September 30,			Year Ended December 31,
	2015			2014			2013			2012			2011			2010
Earnings	$	54,472		$	105,541		$	133,878		$	138,136		$	193,239		$	191,077
Fixed Charges	88,641			128,593			128,847			120,764			176,212			166,062
Ratio of earnings to fixed charges	—		(1)	—		(1)	1.0x			1.1x			1.1x			1.2x
Deficiency	$	(34,169	)	$	(23,052	)	—			—			—			—
Calculation of earnings:
Income (loss) from continuing operations before income tax expense	$	(34,099	)	$	(22,965	)	$	5,365		$	17,688		$	17,166		$	25,014
Equity in (earnings) losses of AIC	(70		)	(87		)	(334		)	(316		)	(139		)	1
Fixed charges	88,641			128,593			128,847			120,764			176,212			166,062
Adjusted Earnings	$	54,472		$	105,541		$	133,878		$	138,136		$	193,239		$	191,077
Calculation of Fixed Charges:
Interest expense (2)	3,597			5,131			5,892			6,703			4,377			3,045
Estimated interest component of rent expense	85,044			123,462			122,955			114,061			171,835			163,017
Fixed Charges	$	88,641		$	128,593		$	128,847		$	120,764		$	176,212		$	166,062

(1) Earnings were insufficient to cover fixed charges by approximately $34.2 million and $23.1 million for the nine months ended September 30, 2015 and the year ended December 31, 2014, respectively; accordingly, no ratio is presented for such periods.

(2) Interest expense represents interest charges from continuing and discontinued operations and includes net amortization of debt discounts, premiums and deferred financing fees.