Exhibit 3.61

State of Delaware

Secretary of State

Division of Corporations

Delivered 06:37 PM 04/23/2014

FILED 06:10 PM 04/23/2014

SRV 140509768 – 4171388 FILE

STATE OF DELAWARE

CERTIFICATE OF AMENDMENT

TO

CERTIFICATE OF TRUST

OF

CSE PENNSYLVANIA HOLDINGS

Pursuant to Title 12, Section 3810(b) of the Delaware Statutory Trust Act, the undersigned Trust executed the following Certificate of Amendment:

1.           Name.  The Name of the Statutory Trust is CSE Pennsylvania Holdings (the “Trust”).

2.           Delaware Trustee.  The Certificate of Trust of the Trust is hereby amended by changing the name and principal place of business address of the Delaware trustee of the Trust to the following:

CSC Trust Company of Delaware

2711 Centerville Road, Suite 210

Wilmington, Delaware 19808

(New Castle County)

3.           Effective Date.  This Certificate of Amendment to Certificate of Trust shall be effective upon its filing with the Secretary of State of Delaware.

[SIGNATURE PAGE FOLLOWS]

IN WITNESS WHEREOF, the undersigned has executed this Certificate of Amendment to Certificate of Trust in accordance with Section 3811(a)(2) of the Act.

CSE PENNSYLVANIA HOLDINGS, a Delaware Statutory Trust
By:	OHI ASSET (PA), LLC, a Delaware
	limited liability company, its Managing
	Trustee
	By:	/s/ Robert O. Stephenson
		Robert O. Stephenson
		Chief Financial Officer and
		Treasurer

2