INTEGRATED HEALTH SERVICES INC
SC 14D1/A, 1997-09-29
SKILLED NURSING CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                ----------------



                                  SCHEDULE 14D-1


                       TENDER OFFER STATEMENT PURSUANT TO
             SECTION 14(D)(1) OF THE SECURITIES EXCHANGE ACT OF 1934
                                      
                       (Amendment No.3 - Final Admendment)

                                      and

                                  SCHEDULE 13D
                               (Amendment No. 2)
       (PURSUANT TO SECTION 13(D) OF THE SECURITIES EXCHANGE ACT OF 1934)


                         COMMUNITY CARE OF AMERICA, INC.
                            (NAME OF SUBJECT COMPANY)



                           IHS ACQUISITION XXVI, INC.
                          A WHOLLY OWNED SUBSIDIARY OF



                        INTEGRATED HEALTH SERVICES, INC.
                                    (Bidders)


                    COMMON STOCK, PAR VALUE $.0025 PER SHARE
                         (Title of Class of Securities)


                                    20363B 10


                      (CUSIP Number of Class of Securities)


                            MARSHALL A. ELKINS, ESQ.
                        INTEGRATED HEALTH SERVICES, INC.
                             10065 RED RUN BOULEVARD
                          OWINGS MILLS, MARYLAND 21117
                             TELEPHONE: 410-998-8400

                                      
            (Name, Address and Telephone Number of Person Authorized
                                      
           to Receive Notices and Communications on Behalf of Bidders)



                                   COPIES TO:




<TABLE>
<S>                                          <C>
     Carl E. Kaplan, Esq.                    Leslie A. Glew, Esq.
     Fulbright & Jaworski L.L.P.             Integrated Health Services, Inc.
     666 Fifth Avenue                        10065 Red Run Boulevard
     New York, New York 10103                Owings Mills, Maryland 21117
     Telephone: (212) 318-3000               Telephone: (410) 998-8400
</TABLE>

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<PAGE>
- --------------------------------------------------------------------------------
CUSIP NO. 20363B10
- --------------------------------------------------------------------------------
1.   NAME OF REPORTING PERSON
     S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

     INTEGRATED HEALTH SERVICES, INC. (I.R.S. #23-2428312)
- --------------------------------------------------------------------------------
2.   CHECK THE APPROPRIATE BOX IF A MEMBER OF GROUP                      (A) [ ]
     (SEE INSTRUCTIONS)                                                  (B) [ ]
- --------------------------------------------------------------------------------
3.   SEC USE ONLY
- --------------------------------------------------------------------------------
4.   SOURCES OF FUNDS (SEE INSTRUCTIONS)

     BK, WC
- --------------------------------------------------------------------------------
5.   CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
     TO ITEMS 2(E) OR 2(F)                                                   [ ]
- --------------------------------------------------------------------------------
6.   CITIZENSHIP OR PLACE OF ORGANIZATION

     STATE OF DELAWARE
- --------------------------------------------------------------------------------
7.   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

     7,597,801
- --------------------------------------------------------------------------------
8.   CHECK IF THE AGGREGATE AMOUNT IN ROW (7) EXCLUDES CERTAIN SHARES        [ ]
     (SEE INSTRUCTIONS)
- --------------------------------------------------------------------------------
9.   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (7)

     100%
- --------------------------------------------------------------------------------
10.  TYPE OF REPORTING PERSON (SEE INSTRUCTION)

     CO
- --------------------------------------------------------------------------------
<PAGE>

CUSIP NO. 20363B10
- --------------------------------------------------------------------------------
1.   NAME OF REPORTING PERSON
     S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSON

     IHS ACQUISITION XXVI, INC. A WHOLLY OWNED SUBSIDIARY OF INTEGRATED HEALTH
     SERVICES, INC. (I.R.S. #: PENDING)
- --------------------------------------------------------------------------------
2.   CHECK THE APPROPRIATE BOX IF A MEMBER OF GROUP                      (A) [ ]
     (SEE INSTRUCTIONS)                                                  (B) [ ]
- --------------------------------------------------------------------------------
3.   SEC USE ONLY
- --------------------------------------------------------------------------------
4.   SOURCES OF FUNDS (SEE INSTRUCTIONS)

     AF
- --------------------------------------------------------------------------------
5.   CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
     TO ITEMS 2(E) OR 2(F)                                                   [ ]
- --------------------------------------------------------------------------------
6.   CITIZENSHIP OR PLACE OF ORGANIZATION

     STATE OF DELAWARE
- --------------------------------------------------------------------------------
7.   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

     7,597,801
- --------------------------------------------------------------------------------
8.   CHECK IF THE AGGREGATE AMOUNT IN ROW (7) EXCLUDES CERTAIN SHARES        [ ]
     (SEE INSTRUCTIONS)
- --------------------------------------------------------------------------------
9.   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (7)

     100%
- --------------------------------------------------------------------------------
10.  TYPE OF REPORTING PERSON (SEE INSTRUCTION)

     CO
- --------------------------------------------------------------------------------

                                       2

<PAGE>


     This  Amendment No. 3 (this  "Amendment")  is filed to supplement and amend
the  information  set forth in the Tender Offer  Statement on Schedule 14D-1 and
Amendment No. 1 to Schedule 13D filed by  Integrated  Health  Services,  Inc., a
Delaware  corporation  ("IHS"),  and IHS  Acquisition  XXVI,  Inc.,  a  Delaware
corporation and a wholly-owned subsidiary of IHS (the "Purchaser"), on August 7,
1997, as amended by Amendment No. 1 filed  September 8, 1997 and Amendment No. 2
filed September 22, 1997 (as amended, the "Schedule 14D-1"), with respect to the
shares of Common  Stock,  par value  $.0025  per  share,  of  Community  Care of
America,  Inc.,  a  Delaware  corporation  (the  "Company").   Unless  otherwise
indicated,  the capitalized terms used herein shall have the meanings  specified
in the  Schedule  14D-1,  including  the Offer to  Purchase  attached as Exhibit
(a)(1)  thereto.  This filing  constitutes  the final  amendment to the Schedule
14D-1.

     This Amendment is also Amendment No. 2 to the Schedule 13D of IHS.

ITEM 6.  INTEREST IN SECURITIES OF THE SUBJECT COMPANY.

     The  information  set  forth  in  paragraphs  (a)  and (b) of Item 6 of the
Schedule 14D-1 is hereby amended and supplemented by the following information:

     The  Offer,  as  extended,  expired at 5:00  p.m.,  New York City time,  on
September 25, 1997.  According to a  preliminary  count by Citibank,  N.A.,  the
depositary for the Offer,  as of 5:00 p.m., New York City time, on September 25,
1997,  there  were  validly  tendered  pursuant  to the Offer  7,255,691  Shares
(including  3,920 Shares  tendered  pursuant to the  procedures  for  guaranteed
delivery set forth in the Offer to Purchase),  representing  approximately 95.5%
of the total number of Shares currently outstanding.  Pursuant to the Offer, the
Purchaser  has  accepted  for  payment  all  such  Shares  validly  tendered  in
accordance with the terms of the Offer. Because the Purchaser owned at least 90%
of the outstanding Shares, the Merger was consummated, effective at 6:00 p.m. on
September 25, 1997,  without a stockholder  vote in accordance with the Delaware
GCL.

     The  information  set forth in the press release issued by IHS on September
25, 1997 is incorporated  herein by reference and is filed as Exhibit (a)(10) to
this Amendment.

                                       3
<PAGE>

ITEM 10. ADDITIONAL INFORMATION.

Item 10(f) of the Schedule  14D-1 is hereby  supplemented  and amended by adding
the following information thereto:

     The  information  set forth in the press release issued by IHS on September
25, 1007 is incorporated  herein by reference and is filed as Exhibit (a)(10) to
this Amendment.


ITEM 11. MATERIAL TO BE FILED AS EXHIBITS.

     (a)(10). Press  Release dated  September  25,  1997,  issued  by Integrated
              Health Services, Inc.


                                       4
<PAGE>

                                  SIGNATURES

     After due inquiry  and to the best of my  knowledge  and belief,  I certify
that the information set forth in this statement is true, complete and correct.




Dated: September 29, 1997


                           IHS ACQUISITION XXVI, INC.



                           By     /s/ Brian Davidson
                                  ------------------------------------
                                  Name:  Brian Davidson
                                  Title: Executive Vice President-Development


                           INTEGRATED HEALTH SERVICES, INC.



                           By     /s/ Brian Davidson
                                  ------------------------------------
                                  Name:  Brian Davidson
                                  Title: Executive Vice President-Development

                                       5
<PAGE>


                                 EXHIBIT INDEX



EXHIBIT
  NO.                                DESCRIPTION
- --------   ---------------------------------------------------------------------

(a)(10)     Press Release, dated September 25, 1997, issued by Integrated Health
            Services, Inc.






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