EXHIBIT 3.81


                            ARTICLES OF INCORPORATION
                                       OF
                      OAK HILL HOME OF REST AND CARE, INC.


                  In compliance with the requirements of the Business
Corporation Law, approved the 5th day of May, A. D. 1933, P. L 364, as amended,
the undersigned, all of whom are of full age end at least two-thirds of whom are
citizens of the United States or its territories or possessions, desiring that
they may be incorporated as a business corporation, do hereby certify:

                  1. The name of the corporation is: Oak Hill Home of Rest and
Care, Inc.

                  2. The location and post office address of its initial
registered office in this Commonwealth is:





           R. D. #7                                                  Greensburg,                 Westmoreland
----------------------------------------------------------------------------------------------------------------
            Number                        Street                        City                        County


                  3. The purpose or purposes of the corporation are:

                  To own and operate a nursing and convalescence home and
provide all the services necessary and incidental thereto.

                  4. The term of its existence is Perpetual.

                  5. The aggregate number of shares which the corporation shall
have authority to issue is 25,000 shares with a par value of $1 per share

                  6. The names and addresses of each of the first directors, who
shall serve until the first annual meeting, are:



             NAME                                       ADDRESS
                                         (INCLUDING STREET AND NUMBER, IF ANY)
                                      
George J. Kucenic                         R. D. #7, Greensburg, Pennsylvania
Doris C. Kucenic                          R. D. #7, Greensburg, Pennsylvania
Paula K. Fox                              R. D. #7, Greensburg, Pennsylvania





                  7. The names and addresses of each of the Incorporators and
the number and class of shares subscribed by each are:




               NAME                                       ADDRESS                                 NUMBER AND
                                           (INCLUDING STREET AND NUMBER, IF ANY)               CLASS OF SHARES
                                                                                         
Emmett C. Boyle, Jr.                 15 East Otterman Street, Greensburg, Pa.                     1 - common
Richard A. Harwick                   15 East Otterman Street, Greensburg, Pa.                     1 - common
William C. Stillwagon                15 East Otterman Street, Greensburg, Pa.                     1 - common