<?xml version="1.0"?>
<!-- - EDGAR Ease Plus 1.0                                   04/22/03  TZ    -->
<ownershipDocument>
    <schemaVersion>X0101</schemaVersion>

    <documentType>4</documentType>
   <periodOfReport>2003-07-15</periodOfReport>
    <issuer>
        <issuerCik>0001159281</issuerCik>
        <issuerName>FIVE STAR QUALITY CARE INC</issuerName>
        <issuerTradingSymbol>AMEX &quot;FVE&quot;</issuerTradingSymbol>
   </issuer>
   <reportingOwner>
      <reportingOwnerId>
            <rptOwnerCik>0001241553</rptOwnerCik>
            <rptOwnerName>BENTON EVRETT W</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>  </rptOwnerStreet1>
            <rptOwnerStreet2>  </rptOwnerStreet2>
            <rptOwnerCity>  </rptOwnerCity>
            <rptOwnerState>  </rptOwnerState>
            <rptOwnerZipCode>  </rptOwnerZipCode>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
         <isDirector>0</isDirector>
         <isOfficer>1</isOfficer>
         <isTenPercentOwner>0</isTenPercentOwner>
         <isOther>0</isOther>
         <officerTitle>President, CEO, Secretary</officerTitle>
       </reportingOwnerRelationship>
   </reportingOwner>
   <nonDerivativeSecurity>
      <securityTitle>
         <value>Common Stock</value>
      </securityTitle>
      <transactionDate>
         <value>2003-07-15</value>
      </transactionDate>
      <transactionCoding>
         <transactionFormType>4</transactionFormType>
         <transactionCode>A</transactionCode>
         <equitySwapInvolved>0</equitySwapInvolved>
      </transactionCoding>
      <transactionAmounts>
         <transactionShares>
           <value>20000</value>
         </transactionShares>
         <transactionValue>
           <value>0</value>
         </transactionValue>
         <transactionAcquiredDisposedCode>
           <value>A</value>
         </transactionAcquiredDisposedCode>
      </transactionAmounts>
     <postTransactionAmounts>
         <sharesOwnedFollowingTransaction>
           <value>20405</value>
            <footnoteId id="F1"/>
         </sharesOwnedFollowingTransaction>
      </postTransactionAmounts>
      <ownershipNature>
         <directOrIndirectOwnership>
            <value>D</value>
         </directOrIndirectOwnership>
      </ownershipNature>
   </nonDerivativeSecurity>
   <footnotes>
<footnote id="F1"> On December 31, 2001, Senior Housing Properties Trust (&quot;Senior Housing&quot;) distributed 4,342,170 shares of common stock of its subsidiary, Five Star Quality Care, Inc. (&quot;Five Star&quot;), to Senior Housing common shareholders of record on December 17, 2001 (the &quot;Record Date&quot;). The distribution was one share of Five Star common stock for every 10 common shares of Senior Housing owned on the Record Date. On December 31, 2001, HRPT Properties Trust (&quot;HRPT Properties&quot;), which was a shareholder of Senior Housing and received shares of Five Star common stock in Senior Housing's distribution, distributed 1,288,087.5 shares of Five Star common stock to its shareholders of record on the Record Date. The distribution was one share of Five Star common stock for every 100 common shares of HRPT Properties owned on the Record Date. Mr. Benton received an aggregate of 405 shares of Five Star common stock as a result of the distributions.</footnote>
   </footnotes>
   <ownerSignature>
      <signatureName>/s/ Evrett Benton</signatureName>
      <signatureDate>2003-07-16</signatureDate>
   </ownerSignature>
</ownershipDocument>

