Exhibit 99.1

Five Star Quality Care, Inc. Reports Third Quarter 2010 Results

Newton, MA (October 27, 2010).  Five Star Quality Care, Inc. (NYSE Amex: FVE) today announced its financial results for the quarter and nine months ended September 30, 2010.

Third Quarter 2010 Financial Highlights:

·                  Total revenues for the third quarter of 2010 increased 6.7% to $315.1 million from $295.3 million for the same period last year.

·                  Income from continuing operations for the third quarter of 2010 was $5.6 million compared to $4.4 million for the same period last year.

·                  Income per share from continuing operations for the third quarter of 2010 was $0.16 and $0.15 per share, basic and diluted, respectively compared to $0.13 per basic and diluted share for the same period last year.

·                  Income from continuing operations for the third quarter of 2010 included a gain on early extinguishment of debt that resulted in a positive impact of $66,000 to our earnings, but had no impact on our earnings per share from continuing operations.  Income from continuing operations for the third quarter of 2009 included several items that, in aggregate, resulted in a positive impact of $4.0 million, or $0.12 and $0.10 per share, basic and diluted, respectively, to our earnings.

·                  Earnings before interest, taxes, depreciation and amortization, or EBITDA, for the third quarter of 2010 was $10.1 million compared to $9.4 million for the same period last year.  As discussed above:  EBITDA for the third quarter of 2010 included a gain on early extinguishment of debt of $66,000; and EBITDA for the third quarter of 2009 had items that, in aggregate, had a positive impact of $4.0 million.  EBITDA excluding these items was $10.0 million in the third quarter 2010 compared with $5.4 million for the same period last year.

·                  A reconciliation of income from continuing operations determined in accordance with U.S. generally accepted accounting principles, or GAAP, to EBITDA and EBITDA excluding certain items for the quarters ended September 30, 2010 and 2009 appears later in this press release.

Third Quarter 2010 Operating Highlights (Senior Living Communities):

·                  Senior living occupancy for the third quarter of 2010 was 86.2% compared to 86.4% for the same period last year and 86.2% for the second quarter of 2010.

·                  Senior living average daily rate for the third quarter of 2010 increased by 2.7% to $148.40 from $144.54 in the same period last year.

·                  The percentage of senior living revenues derived from private and sources other than Medicare and Medicaid for the third quarter of 2010 increased to 70.1% from 69.7% for the same period last year.

·                  For those senior living communities that we have operated continuously since July 1, 2009 (comparable communities), occupancy for the third quarter of 2010 was 86.1% compared to 86.4% for the same period last year and 86.1% for the second quarter of 2010.

·                  The average daily rate at comparable communities for the third quarter of 2010 increased by 2.9% to $148.80 from $144.54 in the same period last year.

Year to Date Financial Highlights:

·                  Total revenues for the nine months ended September 30, 2010 increased 6.0% to $935.3 million from $882.5 million for the same period last year.

·                  Income from continuing operations for the nine months ended September 30, 2010 was $18.2 million compared to income from continuing operations of $38.9 million for the same period last year.

·                  Income per share from continuing operations for the nine months ended September 30, 2010 was $0.51 and $0.50, basic and diluted, respectively, compared to $1.18 and $1.06, basic and diluted, respectively, for the same period last year.

·                  Income from continuing operations for the nine months ended September 30, 2010 included several items that, in aggregate, resulted in a positive impact of $626,000, or $0.02 per share, basic and diluted, to our earnings.  These items were a $4.9 million unrealized gain on our holdings of auction rate securities and a $484,000 gain on early extinguishment of debt, offset by a $4.7 million unrealized loss on our UBS put right related to auction rate securities.  Income from continuing operations for the nine months ended September 30, 2009 included several items that, in aggregate, resulted in a positive impact of $32.8 million, or $1.00 and $0.85 per share, basic and diluted, respectively.  These items included a $34.3 million gain on early extinguishment of debt, and a $3.4 million unrealized gain on our holdings of auction rate securities and a $795,000 gain on sale of available for sale securities held by our captive insurance company, offset by a $2.9 million loss due to the impairment of our investments in certain marketable securities held by our captive insurance company and a $2.8 million unrealized loss on our UBS put right related to auction rate securities.

·                  EBITDA for the nine months ended September 30, 2010 was $32.4 million compared to $54.4 million for the same period last year.  As discussed above: EBITDA for the first nine months of 2010 had items that, in aggregate, resulted in a positive impact of $626,000; and EBITDA for the first nine months of 2009 had items that, in aggregate, resulted in a positive impact of $32.8 million.  EBITDA excluding these items was $31.8 million for the first nine months of 2010 compared with $21.6 million for the same period last year.

·                  A reconciliation of income from continuing operations determined in accordance with GAAP to EBITDA and EBITDA excluding certain items for the nine months ended September 30, 2010 and 2009 appears later in this press release.

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Other Highlights:

During July 2010, we repaid one of our United States Department of Housing and Urban Development, or HUD, insured mortgage notes, with a principal balance of $4.5 million.  As a result, we recorded a $134,000 prepayment penalty.

During July 2010, at our request, our landlord Senior Housing Properties Trust, or SNH, sold four skilled nursing facilities located in Nebraska with aggregate 196 living units that we leased from SNH and our rent to SNH decreased by approximately $145,000 per year.

During the nine months ended September 30, 2010, we purchased and retired $8.6 million par value of our outstanding convertible senior notes due in 2026 for $7.8 million, plus accrued interest, and recorded a $618,000 gain, net of related unamortized costs, on this early extinguishment of debt.  This gain was partially offset by the $134,000 related to the penalty to prepay the HUD insured mortgage note.

On August 2, 2010, we commenced operations at a continuing care retirement community with a total of 110 independent, assisted living and skilled nursing units that we acquired from an unrelated party.

Conference Call:

On October 27, 2010 at 5:00 p.m. Eastern Time, Bruce J. Mackey Jr., President and Chief Executive Officer, and Paul V. Hoagland, Treasurer and Chief Financial Officer, will host a conference call to discuss the third quarter financial results.  Following the Company’s remarks, there will be a question and answer period.

The conference call telephone number is (800) 230-1059.  Participants calling from outside the United States and Canada should dial (612) 234-9960. No pass code is necessary to access the call from either number. Participants should dial in about 15 minutes prior to the scheduled start of the call.  A replay of the conference call will be available through 11:59 p.m. Eastern Daylight Time Wednesday, November 3, 2010. To hear the replay, dial (800) 475-6701 or (320) 365-3844 from outside the United States and Canada.  The replay pass code is 169582.

A live audio webcast of the conference call will also be available in a listen only mode on the Company’s web site at www.fivestarqualitycare.com.  Participants wanting to access the webcast should visit the Company’s web site about five minutes before the call.  The archived webcast will be available for replay on the Company’s web site for about one week after the call.

About Five Star Quality Care, Inc.:

Five Star Quality Care, Inc. is a senior living and healthcare services company.  Five Star owns or leases and operates 214 senior living communities with 22,774 living units located in 30 states.  These communities include independent living, assisted living and skilled nursing communities.  Five Star also operates five institutional pharmacies and two rehabilitation hospitals.  Five Star is headquartered in Newton, Massachusetts.

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FIVE STAR QUALITY CARE, INC.

CONDENSED CONSOLIDATED STATEMENT OF INCOME

(in thousands, except share data)

(unaudited)

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FIVE STAR QUALITY CARE, INC.

CONDENSED CONSOLIDATED BALANCE SHEET DATA

(in thousands, except share data)

(unaudited)

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FIVE STAR QUALITY CARE, INC.

SENIOR LIVING COMMUNITY OPERATING DATA(1)

(dollars in thousands, except average daily rate)

(1)            Excludes data for institutional pharmacy, rehabilitation hospital operations and discontinued senior living operations.

(2)            Community expenses equal senior living wages and benefits and other senior living operating expenses as shown on our consolidated statement of income.

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FIVE STAR QUALITY CARE, INC.

COMPARABLE SENIOR LIVING COMMUNITY OPERATING DATA(1)

(dollars in thousands, except average daily rate)

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FIVE STAR QUALITY CARE, INC.

SENIOR LIVING COMMUNITY FINANCIAL DATA(1)

(dollars in thousands, except average daily rate)

(1)            Excludes data for discontinued senior living operations.

(2)            Includes rehabilitation and other specialty service revenues provided at residential facilities and expenses associated with our captive insurance company.

COMPARABLE SENIOR LIVING COMMUNITY FINANCIAL DATA(1)

(1)            Excludes data for discontinued senior living operations.

(2)            Includes rehabilitation and other specialty service revenues provided at residential facilities and expenses associated with our captive insurance company.

(3)            Communities that we have continuously operated since July 1, 2009.

(4)            Communities that we have continuously operated since January 1, 2009.

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FIVE STAR QUALITY CARE, INC.

OTHER OPERATING DATA(1)

(dollars in thousands, except average daily rate)

(1)            Excludes data for institutional pharmacy operations and discontinued senior living operations.

(2)            Communities are categorized by the type of living units which constitute a majority of the total living units at the community.

(3)            Includes 2,025 and 1,885 skilled nursing units in communities where assisted living and independent living services are the predominant services provided for the three and nine months ended September 30, 2010 and 2009, respectively.

(4)            Includes 95 assisted living and independent living units in communities where skilled nursing services are the predominant services provided for the three and nine months ended September 30, 2010 and 2009.

(5)            Other senior living revenues relates primarily to rehabilitation and other specialty service revenues provided at residential facilities and does not include revenues from institutional pharmacy or rehabilitation hospital operations.

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FIVE STAR QUALITY CARE, INC.

RECONCILIATION OF NON-GAAP FINANCIAL MEASURES

(in thousands, except per share data)

The reconciliation of income from continuing operations to earnings before interest, taxes, depreciation and amortization, or EBITDA, and EBITDA excluding certain items for the three and nine months ended September 30, 2010 is below.  EBITDA and EBITDA excluding certain items are not financial measures determined according to U.S. generally accepted accounting principles, or GAAP.  We consider EBITDA and EBITDA excluding certain items to be a meaningful disclosure because we believe that the inclusion of these non-GAAP financial measures may help investors to gain a better understanding of changes in our core operating results, and may also help investors who wish to make comparisons between us and other companies on both a GAAP and a non-GAAP basis. EBITDA and EBITDA excluding certain items as presented may not, however, always be comparable to amounts calculated by other companies. These non-GAAP financial measures are used by management to evaluate financial performance and resource allocation for our communities and for us as a whole and for comparing such performance to that of prior periods and to the performance of our competitors.  This information should not be considered as an alternative to net income or any other financial operating or performance measure established by GAAP.

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