<?xml version="1.0" encoding="US-ASCII"?>
<!--XBRL Document Created with Wdesk from Workiva-->
<!-- -->
<linkbase xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd" xmlns="http://www.xbrl.org/2003/linkbase" xmlns:xbrldt="http://xbrl.org/2005/xbrldt" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <roleRef roleURI="http://www.adcarehealth.com/role/AccruedExpenses" xlink:href="adk-20160331.xsd#AccruedExpenses" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/AccruedExpensesDetails" xlink:href="adk-20160331.xsd#AccruedExpensesDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/AccruedExpensesTables" xlink:href="adk-20160331.xsd#AccruedExpensesTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/AntiDilutiveSecuritiesDetails" xlink:href="adk-20160331.xsd#AntiDilutiveSecuritiesDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/CommitmentsAndContingencies" xlink:href="adk-20160331.xsd#CommitmentsAndContingencies" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/CommonAndPreferredStock" xlink:href="adk-20160331.xsd#CommonAndPreferredStock" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/CommonAndPreferredStockCommonAndPreferredStockTables" xlink:href="adk-20160331.xsd#CommonAndPreferredStockCommonAndPreferredStockTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/CommonAndPreferredStockDetails" xlink:href="adk-20160331.xsd#CommonAndPreferredStockDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/ConsolidatedBalanceSheets" xlink:href="adk-20160331.xsd#ConsolidatedBalanceSheets" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/ConsolidatedBalanceSheetsParenthetical" xlink:href="adk-20160331.xsd#ConsolidatedBalanceSheetsParenthetical" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/ConsolidatedStatementOfStockholdersEquityDeficit" xlink:href="adk-20160331.xsd#ConsolidatedStatementOfStockholdersEquityDeficit" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/ConsolidatedStatementsOfCashFlows" xlink:href="adk-20160331.xsd#ConsolidatedStatementsOfCashFlows" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/ConsolidatedStatementsOfOperations" xlink:href="adk-20160331.xsd#ConsolidatedStatementsOfOperations" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/DiscontinuedOperations" xlink:href="adk-20160331.xsd#DiscontinuedOperations" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/DiscontinuedOperationsActivityOfDiscontinuedOperationsDetails" xlink:href="adk-20160331.xsd#DiscontinuedOperationsActivityOfDiscontinuedOperationsDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/DiscontinuedOperationsAssetsAndLiabilitiesOfDisposalGroupsHeldForSaleDetails" xlink:href="adk-20160331.xsd#DiscontinuedOperationsAssetsAndLiabilitiesOfDisposalGroupsHeldForSaleDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/DiscontinuedOperationsDetailsTextual" xlink:href="adk-20160331.xsd#DiscontinuedOperationsDetailsTextual" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/DiscontinuedOperationsTables" xlink:href="adk-20160331.xsd#DiscontinuedOperationsTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/DocumentAndEntityInformation" xlink:href="adk-20160331.xsd#DocumentAndEntityInformation" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/EarningsPerShare" xlink:href="adk-20160331.xsd#EarningsPerShare" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/EarningsPerShareTables" xlink:href="adk-20160331.xsd#EarningsPerShareTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwill" xlink:href="adk-20160331.xsd#IntangibleAssetsAndGoodwill" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwillCarryingAmountOfGoodwillDetails" xlink:href="adk-20160331.xsd#IntangibleAssetsAndGoodwillCarryingAmountOfGoodwillDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwillExpectedAmortizationExpenseForAllDefiniteLivedIntangiblesDetails" xlink:href="adk-20160331.xsd#IntangibleAssetsAndGoodwillExpectedAmortizationExpenseForAllDefiniteLivedIntangiblesDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwillIntangibleAssetsDetails" xlink:href="adk-20160331.xsd#IntangibleAssetsAndGoodwillIntangibleAssetsDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwillTables" xlink:href="adk-20160331.xsd#IntangibleAssetsAndGoodwillTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/Leases" xlink:href="adk-20160331.xsd#Leases" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/LeasesFuturePaymentsReceivabledetails" xlink:href="adk-20160331.xsd#LeasesFuturePaymentsReceivabledetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/LeasesLeaseAndSubleasedFacilitiesToThirdPartyOperatorsDetails" xlink:href="adk-20160331.xsd#LeasesLeaseAndSubleasedFacilitiesToThirdPartyOperatorsDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/LeasesOperatingLeasesDetails" xlink:href="adk-20160331.xsd#LeasesOperatingLeasesDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/LeasesTables" xlink:href="adk-20160331.xsd#LeasesTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/LiquidityAndProfitability" xlink:href="adk-20160331.xsd#LiquidityAndProfitability" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/LiquidityAndProfitabilityDetailsTextual" xlink:href="adk-20160331.xsd#LiquidityAndProfitabilityDetailsTextual" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/NotesPayableAndOtherDebt" xlink:href="adk-20160331.xsd#NotesPayableAndOtherDebt" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtDetailsOfLongTermDebtDetails" xlink:href="adk-20160331.xsd#NotesPayableAndOtherDebtDetailsOfLongTermDebtDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtNarrativeDetails" xlink:href="adk-20160331.xsd#NotesPayableAndOtherDebtNarrativeDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtScheduleOfLongTermDebtDetails" xlink:href="adk-20160331.xsd#NotesPayableAndOtherDebtScheduleOfLongTermDebtDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtScheduledMaturitiesDetails" xlink:href="adk-20160331.xsd#NotesPayableAndOtherDebtScheduledMaturitiesDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtTables" xlink:href="adk-20160331.xsd#NotesPayableAndOtherDebtTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/OrganizationAndSignificantAccountingPolicies" xlink:href="adk-20160331.xsd#OrganizationAndSignificantAccountingPolicies" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/OrganizationAndSignificantAccountingPoliciesDetailsTextual" xlink:href="adk-20160331.xsd#OrganizationAndSignificantAccountingPoliciesDetailsTextual" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/OrganizationAndSignificantAccountingPoliciesPolicies" xlink:href="adk-20160331.xsd#OrganizationAndSignificantAccountingPoliciesPolicies" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/PropertyAndEquipment" xlink:href="adk-20160331.xsd#PropertyAndEquipment" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/PropertyAndEquipmentDetails" xlink:href="adk-20160331.xsd#PropertyAndEquipmentDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/PropertyAndEquipmentTables" xlink:href="adk-20160331.xsd#PropertyAndEquipmentTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/PropertyAndEquipmentTextualDetails" xlink:href="adk-20160331.xsd#PropertyAndEquipmentTextualDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/ReconciliationOfNetIncomeLossForContinuingAndDiscontinuedOperationsDetails" xlink:href="adk-20160331.xsd#ReconciliationOfNetIncomeLossForContinuingAndDiscontinuedOperationsDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/RelatedPartyTransactions" xlink:href="adk-20160331.xsd#RelatedPartyTransactions" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/RelatedPartyTransactionsDetailsTextual" xlink:href="adk-20160331.xsd#RelatedPartyTransactionsDetailsTextual" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/RestrictedCash" xlink:href="adk-20160331.xsd#RestrictedCash" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/RestrictedCashDetails" xlink:href="adk-20160331.xsd#RestrictedCashDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/RestrictedCashTables" xlink:href="adk-20160331.xsd#RestrictedCashTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensation" xlink:href="adk-20160331.xsd#StockBasedCompensation" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensationAssumptionsUsedInCalculatingFairValueOfCommonStockOptionsAndWarrantsGrantedDetails" xlink:href="adk-20160331.xsd#StockBasedCompensationAssumptionsUsedInCalculatingFairValueOfCommonStockOptionsAndWarrantsGrantedDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensationExercisePriceRangeDetails" xlink:href="adk-20160331.xsd#StockBasedCompensationExercisePriceRangeDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensationNarrativeDetails" xlink:href="adk-20160331.xsd#StockBasedCompensationNarrativeDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensationOptionsAndWarrantsOutstandingByExercisePriceDetails" xlink:href="adk-20160331.xsd#StockBasedCompensationOptionsAndWarrantsOutstandingByExercisePriceDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensationRecognizedStockBasedCompensationDetails" xlink:href="adk-20160331.xsd#StockBasedCompensationRecognizedStockBasedCompensationDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensationRestrictedStockActivityDetails" xlink:href="adk-20160331.xsd#StockBasedCompensationRestrictedStockActivityDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensationStockOptionActivityDetails" xlink:href="adk-20160331.xsd#StockBasedCompensationStockOptionActivityDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensationTables" xlink:href="adk-20160331.xsd#StockBasedCompensationTables" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/StockBasedCompensationWarrantsActivityDetails" xlink:href="adk-20160331.xsd#StockBasedCompensationWarrantsActivityDetails" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/SubsequentEvents" xlink:href="adk-20160331.xsd#SubsequentEvents" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/SubsequentEventsDetailsTextual" xlink:href="adk-20160331.xsd#SubsequentEventsDetailsTextual" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/VariableInterestEntities" xlink:href="adk-20160331.xsd#VariableInterestEntities" xlink:type="simple" />
  <roleRef roleURI="http://www.adcarehealth.com/role/VariableInterestEntitiesDetailsTextual" xlink:href="adk-20160331.xsd#VariableInterestEntitiesDetailsTextual" xlink:type="simple" />
  <arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/all" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#all" xlink:type="simple" />
  <arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#dimension-default" xlink:type="simple" />
  <arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#dimension-domain" xlink:type="simple" />
  <arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/domain-member" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#domain-member" xlink:type="simple" />
  <arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#hypercube-dimension" xlink:type="simple" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/AccruedExpenses" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/AccruedExpensesDetails" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/AccruedExpensesTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/AntiDilutiveSecuritiesDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareLineItems" xlink:label="loc_us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareLineItems_9437A8FF738E33DCF4F79B5899AB0BAC" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfAntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareTable" xlink:label="loc_us-gaap_ScheduleOfAntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareTable_08169FAF936CF1D091129B5899AB40E8" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareLineItems_9437A8FF738E33DCF4F79B5899AB0BAC" xlink:to="loc_us-gaap_ScheduleOfAntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareTable_08169FAF936CF1D091129B5899AB40E8" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareByAntidilutiveSecuritiesAxis" xlink:label="loc_us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareByAntidilutiveSecuritiesAxis_19B7D11064C7D66437869B5899AB472F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfAntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareTable_08169FAF936CF1D091129B5899AB40E8" xlink:to="loc_us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareByAntidilutiveSecuritiesAxis_19B7D11064C7D66437869B5899AB472F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AntidilutiveSecuritiesNameDomain" xlink:label="loc_us-gaap_AntidilutiveSecuritiesNameDomain_8C7A18EB9723285706FA9B5899AB426E_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareByAntidilutiveSecuritiesAxis_19B7D11064C7D66437869B5899AB472F" xlink:to="loc_us-gaap_AntidilutiveSecuritiesNameDomain_8C7A18EB9723285706FA9B5899AB426E_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AntidilutiveSecuritiesNameDomain" xlink:label="loc_us-gaap_AntidilutiveSecuritiesNameDomain_8C7A18EB9723285706FA9B5899AB426E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareByAntidilutiveSecuritiesAxis_19B7D11064C7D66437869B5899AB472F" xlink:to="loc_us-gaap_AntidilutiveSecuritiesNameDomain_8C7A18EB9723285706FA9B5899AB426E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EmployeeStockOptionMember" xlink:label="loc_us-gaap_EmployeeStockOptionMember_76753CCA19E2BC815C6F9B5899AB6CDF" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_AntidilutiveSecuritiesNameDomain_8C7A18EB9723285706FA9B5899AB426E" xlink:to="loc_us-gaap_EmployeeStockOptionMember_76753CCA19E2BC815C6F9B5899AB6CDF" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_EmployeeWarrantMember" xlink:label="loc_adk_EmployeeWarrantMember_344B767E000A3C4D163E9B5899ABB14A" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_AntidilutiveSecuritiesNameDomain_8C7A18EB9723285706FA9B5899AB426E" xlink:to="loc_adk_EmployeeWarrantMember_344B767E000A3C4D163E9B5899ABB14A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ConvertibleDebtSecuritiesMember" xlink:label="loc_us-gaap_ConvertibleDebtSecuritiesMember_44B01999E016AAA7EC049B5899AB7262" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_AntidilutiveSecuritiesNameDomain_8C7A18EB9723285706FA9B5899AB426E" xlink:to="loc_us-gaap_ConvertibleDebtSecuritiesMember_44B01999E016AAA7EC049B5899AB7262" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount" xlink:label="loc_us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount_A7AC0869E71D249559479B5899ABEF26" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareLineItems_9437A8FF738E33DCF4F79B5899AB0BAC" xlink:to="loc_us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount_A7AC0869E71D249559479B5899ABEF26" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/CommitmentsAndContingencies" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/CommonAndPreferredStock" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/CommonAndPreferredStockCommonAndPreferredStockTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/CommonAndPreferredStockDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ClassOfStockLineItems" xlink:label="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfStockByClassTable" xlink:label="loc_us-gaap_ScheduleOfStockByClassTable_16A10AA425A553C88147B7F36D2306C9" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_ScheduleOfStockByClassTable_16A10AA425A553C88147B7F36D2306C9" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeAxis" xlink:label="loc_us-gaap_SubsequentEventTypeAxis_1E25F2484FB4903FA1B5B7F36D235E94" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfStockByClassTable_16A10AA425A553C88147B7F36D2306C9" xlink:to="loc_us-gaap_SubsequentEventTypeAxis_1E25F2484FB4903FA1B5B7F36D235E94" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeDomain" xlink:label="loc_us-gaap_SubsequentEventTypeDomain_8C37B905EDF19C51A7AEB7F36D2369BF_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_SubsequentEventTypeAxis_1E25F2484FB4903FA1B5B7F36D235E94" xlink:to="loc_us-gaap_SubsequentEventTypeDomain_8C37B905EDF19C51A7AEB7F36D2369BF_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeDomain" xlink:label="loc_us-gaap_SubsequentEventTypeDomain_8C37B905EDF19C51A7AEB7F36D2369BF" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_SubsequentEventTypeAxis_1E25F2484FB4903FA1B5B7F36D235E94" xlink:to="loc_us-gaap_SubsequentEventTypeDomain_8C37B905EDF19C51A7AEB7F36D2369BF" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventMember" xlink:label="loc_us-gaap_SubsequentEventMember_B52626FE8A8DBC271616B7F36D2349F4" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventTypeDomain_8C37B905EDF19C51A7AEB7F36D2369BF" xlink:to="loc_us-gaap_SubsequentEventMember_B52626FE8A8DBC271616B7F36D2349F4" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementClassOfStockAxis" xlink:label="loc_us-gaap_StatementClassOfStockAxis_2BE3FDF1404C8BED08E5B7F36D231F98" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfStockByClassTable_16A10AA425A553C88147B7F36D2306C9" xlink:to="loc_us-gaap_StatementClassOfStockAxis_2BE3FDF1404C8BED08E5B7F36D231F98" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ClassOfStockDomain" xlink:label="loc_us-gaap_ClassOfStockDomain_6423FA7A31479E789B45B7F36D2387F3_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementClassOfStockAxis_2BE3FDF1404C8BED08E5B7F36D231F98" xlink:to="loc_us-gaap_ClassOfStockDomain_6423FA7A31479E789B45B7F36D2387F3_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ClassOfStockDomain" xlink:label="loc_us-gaap_ClassOfStockDomain_6423FA7A31479E789B45B7F36D2387F3" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementClassOfStockAxis_2BE3FDF1404C8BED08E5B7F36D231F98" xlink:to="loc_us-gaap_ClassOfStockDomain_6423FA7A31479E789B45B7F36D2387F3" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SeriesAPreferredStockMember" xlink:label="loc_us-gaap_SeriesAPreferredStockMember_38224B3E50ED29A8B25BB7F36D23AC95" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockDomain_6423FA7A31479E789B45B7F36D2387F3" xlink:to="loc_us-gaap_SeriesAPreferredStockMember_38224B3E50ED29A8B25BB7F36D23AC95" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockRepurchasedDuringPeriodShares" xlink:label="loc_us-gaap_StockRepurchasedDuringPeriodShares_956320EF1A85F113B6D6B7F36D240F51" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_StockRepurchasedDuringPeriodShares_956320EF1A85F113B6D6B7F36D240F51" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TreasuryStockAcquiredAverageCostPerShare" xlink:label="loc_us-gaap_TreasuryStockAcquiredAverageCostPerShare_ACEC258C024006BBBA02B7F36D24D42C" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_TreasuryStockAcquiredAverageCostPerShare_ACEC258C024006BBBA02B7F36D24D42C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockRepurchaseProgramNumberOfSharesAuthorizedToBeRepurchased" xlink:label="loc_us-gaap_StockRepurchaseProgramNumberOfSharesAuthorizedToBeRepurchased_9D004CC996D493980DFEB7F36D24F605" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_StockRepurchaseProgramNumberOfSharesAuthorizedToBeRepurchased_9D004CC996D493980DFEB7F36D24F605" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockRepurchaseProgramRemainingNumberOfSharesAuthorizedToBeRepurchased" xlink:label="loc_us-gaap_StockRepurchaseProgramRemainingNumberOfSharesAuthorizedToBeRepurchased_0AD02048E16DCE734467B7F36D246E2A" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_StockRepurchaseProgramRemainingNumberOfSharesAuthorizedToBeRepurchased_0AD02048E16DCE734467B7F36D246E2A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PreferredStockLiquidationPreference" xlink:label="loc_us-gaap_PreferredStockLiquidationPreference_C7B3DF05D00D8DD48DFEB7F36D255D0B" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_PreferredStockLiquidationPreference_C7B3DF05D00D8DD48DFEB7F36D255D0B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PreferredStockDividendsPerShareCashPaid" xlink:label="loc_us-gaap_PreferredStockDividendsPerShareCashPaid_46666FC24AC6A8B43931B7F36D2527A7" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_PreferredStockDividendsPerShareCashPaid_46666FC24AC6A8B43931B7F36D2527A7" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PreferredStockDividendRatePercentage" xlink:label="loc_us-gaap_PreferredStockDividendRatePercentage_C56C162A42C71041888CB7F36D258560" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_PreferredStockDividendRatePercentage_C56C162A42C71041888CB7F36D258560" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PreferredStockSharesIssued" xlink:label="loc_us-gaap_PreferredStockSharesIssued_1E8A1502F91264EE98D2B7F36D251248" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_PreferredStockSharesIssued_1E8A1502F91264EE98D2B7F36D251248" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ProceedsfromIssuanceorSaleofEquityNetofIssuanceCost" xlink:label="loc_adk_ProceedsfromIssuanceorSaleofEquityNetofIssuanceCost_8865AB88A8CBA94872D0B7F36D254354" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_adk_ProceedsfromIssuanceorSaleofEquityNetofIssuanceCost_8865AB88A8CBA94872D0B7F36D254354" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockIssuedDuringPeriodSharesNewIssues" xlink:label="loc_us-gaap_StockIssuedDuringPeriodSharesNewIssues_4A4F002423BF8C75079DB7F36D25E7FE" xlink:type="locator" />
    <definitionArc order="10" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_StockIssuedDuringPeriodSharesNewIssues_4A4F002423BF8C75079DB7F36D25E7FE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_Dividends" xlink:label="loc_us-gaap_Dividends_520C968AB7DDFF1CCF56B7F36D25C2FD" xlink:type="locator" />
    <definitionArc order="11" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockLineItems_14E6832ED2353E74B74FB7F36D23CB79" xlink:to="loc_us-gaap_Dividends_520C968AB7DDFF1CCF56B7F36D25C2FD" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/ConsolidatedBalanceSheets" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/ConsolidatedBalanceSheetsParenthetical" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/ConsolidatedStatementOfStockholdersEquityDeficit" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementLineItems" xlink:label="loc_us-gaap_StatementLineItems_574CFEFA8DF60B2A7BBFA876E69A34EB" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementTable" xlink:label="loc_us-gaap_StatementTable_F5E22818C8E5DB02BB63A876E699CEEE" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_StatementLineItems_574CFEFA8DF60B2A7BBFA876E69A34EB" xlink:to="loc_us-gaap_StatementTable_F5E22818C8E5DB02BB63A876E699CEEE" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementEquityComponentsAxis" xlink:label="loc_us-gaap_StatementEquityComponentsAxis_EFD3AE52BEAD6E73AFC2A876E6993B5D" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_StatementTable_F5E22818C8E5DB02BB63A876E699CEEE" xlink:to="loc_us-gaap_StatementEquityComponentsAxis_EFD3AE52BEAD6E73AFC2A876E6993B5D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_9044F1814F5F60EE5DB5A876E69AB7EE_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_EFD3AE52BEAD6E73AFC2A876E6993B5D" xlink:to="loc_us-gaap_EquityComponentDomain_9044F1814F5F60EE5DB5A876E69AB7EE_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_9044F1814F5F60EE5DB5A876E69AB7EE" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_EFD3AE52BEAD6E73AFC2A876E6993B5D" xlink:to="loc_us-gaap_EquityComponentDomain_9044F1814F5F60EE5DB5A876E69AB7EE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_CommonStockMember" xlink:label="loc_us-gaap_CommonStockMember_86721B9713A1DDDB5F82A876E69A877D" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_EquityComponentDomain_9044F1814F5F60EE5DB5A876E69AB7EE" xlink:to="loc_us-gaap_CommonStockMember_86721B9713A1DDDB5F82A876E69A877D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember" xlink:label="loc_us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember_C63C06D7C4ACA1413FCFA876E69A6C8A" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_EquityComponentDomain_9044F1814F5F60EE5DB5A876E69AB7EE" xlink:to="loc_us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember_C63C06D7C4ACA1413FCFA876E69A6C8A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RetainedEarningsMember" xlink:label="loc_us-gaap_RetainedEarningsMember_E635168521FF5483F99FA876E69AAC29" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_EquityComponentDomain_9044F1814F5F60EE5DB5A876E69AB7EE" xlink:to="loc_us-gaap_RetainedEarningsMember_E635168521FF5483F99FA876E69AAC29" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncreaseDecreaseInStockholdersEquityRollForward" xlink:label="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_StatementLineItems_574CFEFA8DF60B2A7BBFA876E69A34EB" xlink:to="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest" xlink:label="loc_us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest_F67A432A08569E344901A876E69A8C90" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:to="loc_us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest_F67A432A08569E344901A876E69A8C90" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_CommonStockSharesIssued" xlink:label="loc_us-gaap_CommonStockSharesIssued_A2961FC79AAB154773E0A876E69A8887" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:to="loc_us-gaap_CommonStockSharesIssued_A2961FC79AAB154773E0A876E69A8887" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue" xlink:label="loc_us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue_8BCB7424307AC1682DA7A876E69A5C12" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:to="loc_us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue_8BCB7424307AC1682DA7A876E69A5C12" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockRepurchasedDuringPeriodShares" xlink:label="loc_us-gaap_StockRepurchasedDuringPeriodShares_073A46A2818E9B03A2D5A8F2176CBEDD" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:to="loc_us-gaap_StockRepurchasedDuringPeriodShares_073A46A2818E9B03A2D5A8F2176CBEDD" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockRepurchasedDuringPeriodValue" xlink:label="loc_us-gaap_StockRepurchasedDuringPeriodValue_E7F998439F6DFBB732D2A8F182EAF144" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:to="loc_us-gaap_StockRepurchasedDuringPeriodValue_E7F998439F6DFBB732D2A8F182EAF144" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardNetOfForfeitures" xlink:label="loc_us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardNetOfForfeitures_DD35CF1FE4832D82A967A876E69A9547" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:to="loc_us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardNetOfForfeitures_DD35CF1FE4832D82A967A876E69A9547" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DividendsPreferredStock" xlink:label="loc_us-gaap_DividendsPreferredStock_2A820AE1EE8B0EC8E9E8A876E69A2DC4" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:to="loc_us-gaap_DividendsPreferredStock_2A820AE1EE8B0EC8E9E8A876E69A2DC4" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ProfitLoss" xlink:label="loc_us-gaap_ProfitLoss_D847B032903DBFBBD403A876E69A1D31" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncreaseDecreaseInStockholdersEquityRollForward_058E63B0D609FBC0FCD7A876E69A5A83" xlink:to="loc_us-gaap_ProfitLoss_D847B032903DBFBBD403A876E69A1D31" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/ConsolidatedStatementsOfCashFlows" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/ConsolidatedStatementsOfOperations" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/DiscontinuedOperations" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/DiscontinuedOperationsActivityOfDiscontinuedOperationsDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems" xlink:label="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_521254D76F01EB4227D09BF70A2333CF" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable" xlink:label="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_409A34440122A5866A919BF70A238B64" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_521254D76F01EB4227D09BF70A2333CF" xlink:to="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_409A34440122A5866A919BF70A238B64" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementOperatingActivitiesSegmentAxis" xlink:label="loc_us-gaap_StatementOperatingActivitiesSegmentAxis_921C7774AC7AD4175D5A9BF70A236C46" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_409A34440122A5866A919BF70A238B64" xlink:to="loc_us-gaap_StatementOperatingActivitiesSegmentAxis_921C7774AC7AD4175D5A9BF70A236C46" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentOperatingActivitiesDomain" xlink:label="loc_us-gaap_SegmentOperatingActivitiesDomain_7A3B9DAF8E14FC7F7B7D9BF70A233E0C_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementOperatingActivitiesSegmentAxis_921C7774AC7AD4175D5A9BF70A236C46" xlink:to="loc_us-gaap_SegmentOperatingActivitiesDomain_7A3B9DAF8E14FC7F7B7D9BF70A233E0C_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentOperatingActivitiesDomain" xlink:label="loc_us-gaap_SegmentOperatingActivitiesDomain_7A3B9DAF8E14FC7F7B7D9BF70A233E0C" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementOperatingActivitiesSegmentAxis_921C7774AC7AD4175D5A9BF70A236C46" xlink:to="loc_us-gaap_SegmentOperatingActivitiesDomain_7A3B9DAF8E14FC7F7B7D9BF70A233E0C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentDiscontinuedOperationsMember" xlink:label="loc_us-gaap_SegmentDiscontinuedOperationsMember_BFF8DAC4F199967D356F9BF70A230FEE" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentOperatingActivitiesDomain_7A3B9DAF8E14FC7F7B7D9BF70A233E0C" xlink:to="loc_us-gaap_SegmentDiscontinuedOperationsMember_BFF8DAC4F199967D356F9BF70A230FEE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue" xlink:label="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue_FC8E646E4AFF8CBA6DBA9BF70A237519" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_521254D76F01EB4227D09BF70A2333CF" xlink:to="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue_FC8E646E4AFF8CBA6DBA9BF70A237519" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationCostsOfGoodsSold" xlink:label="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationCostsOfGoodsSold_65A4FD18FC8F629E77709C3431ED8820" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_521254D76F01EB4227D09BF70A2333CF" xlink:to="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationCostsOfGoodsSold_65A4FD18FC8F629E77709C3431ED8820" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss" xlink:label="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss_64671F14AADF7B349E939BF70A23935E" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_521254D76F01EB4227D09BF70A2333CF" xlink:to="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss_64671F14AADF7B349E939BF70A23935E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationInterestExpense" xlink:label="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationInterestExpense_77383A2CBFFDA9470D649BF70A231887" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_521254D76F01EB4227D09BF70A2333CF" xlink:to="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationInterestExpense_77383A2CBFFDA9470D649BF70A231887" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/DiscontinuedOperationsAssetsAndLiabilitiesOfDisposalGroupsHeldForSaleDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems" xlink:label="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_84B717DB6C1DACC04AC6AB30E4582094" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable" xlink:label="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_7FF2BE6C0C65E4DCC071AB30E458398F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_84B717DB6C1DACC04AC6AB30E4582094" xlink:to="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_7FF2BE6C0C65E4DCC071AB30E458398F" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupClassificationAxis" xlink:label="loc_us-gaap_DisposalGroupClassificationAxis_47F0671123FBC91B109CAB30E4580961" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_7FF2BE6C0C65E4DCC071AB30E458398F" xlink:to="loc_us-gaap_DisposalGroupClassificationAxis_47F0671123FBC91B109CAB30E4580961" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupClassificationDomain" xlink:label="loc_us-gaap_DisposalGroupClassificationDomain_1E0822C8C0D2562F02BFAB30E458646E_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_DisposalGroupClassificationAxis_47F0671123FBC91B109CAB30E4580961" xlink:to="loc_us-gaap_DisposalGroupClassificationDomain_1E0822C8C0D2562F02BFAB30E458646E_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupClassificationDomain" xlink:label="loc_us-gaap_DisposalGroupClassificationDomain_1E0822C8C0D2562F02BFAB30E458646E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_DisposalGroupClassificationAxis_47F0671123FBC91B109CAB30E4580961" xlink:to="loc_us-gaap_DisposalGroupClassificationDomain_1E0822C8C0D2562F02BFAB30E458646E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DiscontinuedOperationsHeldforsaleMember" xlink:label="loc_us-gaap_DiscontinuedOperationsHeldforsaleMember_5B24DC42FFE42FC48DB6AB30E4586E58" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DisposalGroupClassificationDomain_1E0822C8C0D2562F02BFAB30E458646E" xlink:to="loc_us-gaap_DiscontinuedOperationsHeldforsaleMember_5B24DC42FFE42FC48DB6AB30E4586E58" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationPropertyPlantAndEquipment" xlink:label="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationPropertyPlantAndEquipment_CEBCA615A0C98F289303AB30E458C262" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_84B717DB6C1DACC04AC6AB30E4582094" xlink:to="loc_us-gaap_DisposalGroupIncludingDiscontinuedOperationPropertyPlantAndEquipment_CEBCA615A0C98F289303AB30E458C262" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent" xlink:label="loc_us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent_27BAECB6085413EE46B5AB30E4586A00" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_84B717DB6C1DACC04AC6AB30E4582094" xlink:to="loc_us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent_27BAECB6085413EE46B5AB30E4586A00" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DisposalGroupIncludingDiscontinuedOperationNotesPayable" xlink:label="loc_adk_DisposalGroupIncludingDiscontinuedOperationNotesPayable_E81F48AF703880D36224AB30E4585639" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_84B717DB6C1DACC04AC6AB30E4582094" xlink:to="loc_adk_DisposalGroupIncludingDiscontinuedOperationNotesPayable_E81F48AF703880D36224AB30E4585639" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent" xlink:label="loc_us-gaap_LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent_84B51DB80A3BB0907385AB30E458CB76" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_84B717DB6C1DACC04AC6AB30E4582094" xlink:to="loc_us-gaap_LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent_84B51DB80A3BB0907385AB30E458CB76" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/DiscontinuedOperationsDetailsTextual" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems" xlink:label="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_2350978B5B4527118AA4BA3209EF3706" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable" xlink:label="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_DABCC303E8BF38DA0324BA3209EE1DC3" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_2350978B5B4527118AA4BA3209EF3706" xlink:to="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_DABCC303E8BF38DA0324BA3209EE1DC3" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementGeographicalAxis" xlink:label="loc_us-gaap_StatementGeographicalAxis_45B8F189F6061D86F0CABA34D77505B5" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_DABCC303E8BF38DA0324BA3209EE1DC3" xlink:to="loc_us-gaap_StatementGeographicalAxis_45B8F189F6061D86F0CABA34D77505B5" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentGeographicalDomain" xlink:label="loc_us-gaap_SegmentGeographicalDomain_A404186DF9661ECC3CA9BA34D8B20D0B_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementGeographicalAxis_45B8F189F6061D86F0CABA34D77505B5" xlink:to="loc_us-gaap_SegmentGeographicalDomain_A404186DF9661ECC3CA9BA34D8B20D0B_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentGeographicalDomain" xlink:label="loc_us-gaap_SegmentGeographicalDomain_A404186DF9661ECC3CA9BA34D8B20D0B" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementGeographicalAxis_45B8F189F6061D86F0CABA34D77505B5" xlink:to="loc_us-gaap_SegmentGeographicalDomain_A404186DF9661ECC3CA9BA34D8B20D0B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.sec.gov/stpr/2011/stpr-2011-01-31.xsd#stpr_AR" xlink:label="loc_stpr_AR_F690994440213D90946DBA34FAA7082C" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentGeographicalDomain_A404186DF9661ECC3CA9BA34D8B20D0B" xlink:to="loc_stpr_AR_F690994440213D90946DBA34FAA7082C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementScenarioAxis" xlink:label="loc_us-gaap_StatementScenarioAxis_FA8B598884D69ACADB38BA3209EEFCA0" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_DABCC303E8BF38DA0324BA3209EE1DC3" xlink:to="loc_us-gaap_StatementScenarioAxis_FA8B598884D69ACADB38BA3209EEFCA0" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScenarioUnspecifiedDomain" xlink:label="loc_us-gaap_ScenarioUnspecifiedDomain_D64DB9C819A409C078AFBA3209EED85D_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementScenarioAxis_FA8B598884D69ACADB38BA3209EEFCA0" xlink:to="loc_us-gaap_ScenarioUnspecifiedDomain_D64DB9C819A409C078AFBA3209EED85D_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScenarioUnspecifiedDomain" xlink:label="loc_us-gaap_ScenarioUnspecifiedDomain_D64DB9C819A409C078AFBA3209EED85D" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementScenarioAxis_FA8B598884D69ACADB38BA3209EEFCA0" xlink:to="loc_us-gaap_ScenarioUnspecifiedDomain_D64DB9C819A409C078AFBA3209EED85D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScenarioForecastMember" xlink:label="loc_us-gaap_ScenarioForecastMember_C66D1CCA970EB9D8053DBA3209EED552" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ScenarioUnspecifiedDomain_D64DB9C819A409C078AFBA3209EED85D" xlink:to="loc_us-gaap_ScenarioForecastMember_C66D1CCA970EB9D8053DBA3209EED552" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupClassificationAxis" xlink:label="loc_us-gaap_DisposalGroupClassificationAxis_ABC29D9290710F291A27BA3209EEC8F6" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_DABCC303E8BF38DA0324BA3209EE1DC3" xlink:to="loc_us-gaap_DisposalGroupClassificationAxis_ABC29D9290710F291A27BA3209EEC8F6" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupClassificationDomain" xlink:label="loc_us-gaap_DisposalGroupClassificationDomain_B5027E44D3CC4079DB47BA3209EE2B43_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_DisposalGroupClassificationAxis_ABC29D9290710F291A27BA3209EEC8F6" xlink:to="loc_us-gaap_DisposalGroupClassificationDomain_B5027E44D3CC4079DB47BA3209EE2B43_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupClassificationDomain" xlink:label="loc_us-gaap_DisposalGroupClassificationDomain_B5027E44D3CC4079DB47BA3209EE2B43" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_DisposalGroupClassificationAxis_ABC29D9290710F291A27BA3209EEC8F6" xlink:to="loc_us-gaap_DisposalGroupClassificationDomain_B5027E44D3CC4079DB47BA3209EE2B43" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DiscontinuedOperationsHeldforsaleMember" xlink:label="loc_us-gaap_DiscontinuedOperationsHeldforsaleMember_F54F2F646D4F0640AEF1BA3209EE8FDA" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DisposalGroupClassificationDomain_B5027E44D3CC4079DB47BA3209EE2B43" xlink:to="loc_us-gaap_DiscontinuedOperationsHeldforsaleMember_F54F2F646D4F0640AEF1BA3209EE8FDA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DiscontinuedOperationsHeldForSaleOrDisposedOfBySaleMember" xlink:label="loc_us-gaap_DiscontinuedOperationsHeldForSaleOrDisposedOfBySaleMember_C539D309E8FFC146F372BA3209EF430D" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DisposalGroupClassificationDomain_B5027E44D3CC4079DB47BA3209EE2B43" xlink:to="loc_us-gaap_DiscontinuedOperationsHeldForSaleOrDisposedOfBySaleMember_C539D309E8FFC146F372BA3209EF430D" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DiscontinuedOperationNumberofAssetsHeldforSale" xlink:label="loc_adk_DiscontinuedOperationNumberofAssetsHeldforSale_D7A4423B028B5B16FBE0BA3209EFABD4" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_2350978B5B4527118AA4BA3209EF3706" xlink:to="loc_adk_DiscontinuedOperationNumberofAssetsHeldforSale_D7A4423B028B5B16FBE0BA3209EFABD4" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ProceedsFromSalesOfBusinessAffiliateAndProductiveAssets" xlink:label="loc_us-gaap_ProceedsFromSalesOfBusinessAffiliateAndProductiveAssets_B9ACA73C9D10193D0E29BA3209EF07CA" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_2350978B5B4527118AA4BA3209EF3706" xlink:to="loc_us-gaap_ProceedsFromSalesOfBusinessAffiliateAndProductiveAssets_B9ACA73C9D10193D0E29BA3209EF07CA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_GainLossOnSaleOfProperties" xlink:label="loc_us-gaap_GainLossOnSaleOfProperties_B89F2E3368BB7E0FF379BA3209EFD38B" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_2350978B5B4527118AA4BA3209EF3706" xlink:to="loc_us-gaap_GainLossOnSaleOfProperties_B89F2E3368BB7E0FF379BA3209EFD38B" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/DiscontinuedOperationsTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/DocumentAndEntityInformation" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/EarningsPerShare" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/EarningsPerShareTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwill" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwillCarryingAmountOfGoodwillDetails" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwillExpectedAmortizationExpenseForAllDefiniteLivedIntangiblesDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsLineItems" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsLineItems_84EA39C2F440BCE04C629B58991B86F6" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfFiniteLivedIntangibleAssetsTable" xlink:label="loc_us-gaap_ScheduleOfFiniteLivedIntangibleAssetsTable_617806F5D79C3186B19D9B58990E126A" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsLineItems_84EA39C2F440BCE04C629B58991B86F6" xlink:to="loc_us-gaap_ScheduleOfFiniteLivedIntangibleAssetsTable_617806F5D79C3186B19D9B58990E126A" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis_3CAB18CF4594F28913CE9B58990EE23D" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfFiniteLivedIntangibleAssetsTable_617806F5D79C3186B19D9B58990E126A" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis_3CAB18CF4594F28913CE9B58990EE23D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_6070C2781BEAF45C6E359B58990E6E90_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis_3CAB18CF4594F28913CE9B58990EE23D" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_6070C2781BEAF45C6E359B58990E6E90_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_6070C2781BEAF45C6E359B58990E6E90" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis_3CAB18CF4594F28913CE9B58990EE23D" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_6070C2781BEAF45C6E359B58990E6E90" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_BedLicensesIncludedInPropertyAndEquipmentMember" xlink:label="loc_adk_BedLicensesIncludedInPropertyAndEquipmentMember_1030DA8B6E8879BC012F9B58990E01B0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_6070C2781BEAF45C6E359B58990E6E90" xlink:to="loc_adk_BedLicensesIncludedInPropertyAndEquipmentMember_1030DA8B6E8879BC012F9B58990E01B0" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseAgreementsMember" xlink:label="loc_us-gaap_LeaseAgreementsMember_20253A776A50930F8F709B58990E6D10" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_6070C2781BEAF45C6E359B58990E6E90" xlink:to="loc_us-gaap_LeaseAgreementsMember_20253A776A50930F8F709B58990E6D10" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear_68D873BBE3459FB5E7469B58991B04E5" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsLineItems_84EA39C2F440BCE04C629B58991B86F6" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear_68D873BBE3459FB5E7469B58991B04E5" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo_BFE1F7C6FA98BD8A34F99B58991B4A99" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsLineItems_84EA39C2F440BCE04C629B58991B86F6" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo_BFE1F7C6FA98BD8A34F99B58991B4A99" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree_9B3BCCE28B4B494C48C49B58991BB601" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsLineItems_84EA39C2F440BCE04C629B58991B86F6" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree_9B3BCCE28B4B494C48C49B58991BB601" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour_563578D4DFD0624B2C7E9B58991BBA69" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsLineItems_84EA39C2F440BCE04C629B58991B86F6" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour_563578D4DFD0624B2C7E9B58991BBA69" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive_25BE01DF8A37E8CD40879B58991BBAA1" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsLineItems_84EA39C2F440BCE04C629B58991B86F6" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive_25BE01DF8A37E8CD40879B58991BBAA1" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive_2485F72ACC02D28C2ED49B58991BFFC4" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsLineItems_84EA39C2F440BCE04C629B58991B86F6" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive_2485F72ACC02D28C2ED49B58991BFFC4" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsNet" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsNet_A076D55102B589EAD89F9B58991C7B4B" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsLineItems_84EA39C2F440BCE04C629B58991B86F6" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsNet_A076D55102B589EAD89F9B58991C7B4B" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwillIntangibleAssetsDetails" xlink:type="extended">
    <loc xlink:href="adk-20160331.xsd#adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassLineItems" xlink:label="loc_adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassLineItems_2971A38A9D67EACE75169B58992B18F3" xlink:type="locator" />
    <loc xlink:href="adk-20160331.xsd#adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassTable" xlink:label="loc_adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassTable_DCBFBA054EB63CFC47529B58992B1BAC" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassLineItems_2971A38A9D67EACE75169B58992B18F3" xlink:to="loc_adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassTable_DCBFBA054EB63CFC47529B58992B1BAC" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis" xlink:label="loc_us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis_47B824A4E954754E76859B58992B6774" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassTable_DCBFBA054EB63CFC47529B58992B1BAC" xlink:to="loc_us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis_47B824A4E954754E76859B58992B6774" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IndefiniteLivedIntangibleAssetsMajorClassNameDomain" xlink:label="loc_us-gaap_IndefiniteLivedIntangibleAssetsMajorClassNameDomain_0DD60BAEB295FCEDFCDF9B58992BE099_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis_47B824A4E954754E76859B58992B6774" xlink:to="loc_us-gaap_IndefiniteLivedIntangibleAssetsMajorClassNameDomain_0DD60BAEB295FCEDFCDF9B58992BE099_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IndefiniteLivedIntangibleAssetsMajorClassNameDomain" xlink:label="loc_us-gaap_IndefiniteLivedIntangibleAssetsMajorClassNameDomain_0DD60BAEB295FCEDFCDF9B58992BE099" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis_47B824A4E954754E76859B58992B6774" xlink:to="loc_us-gaap_IndefiniteLivedIntangibleAssetsMajorClassNameDomain_0DD60BAEB295FCEDFCDF9B58992BE099" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_BedLicensesSeparableMember" xlink:label="loc_adk_BedLicensesSeparableMember_0DC710004572BD28F6689B58992B5FF8" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IndefiniteLivedIntangibleAssetsMajorClassNameDomain_0DD60BAEB295FCEDFCDF9B58992BE099" xlink:to="loc_adk_BedLicensesSeparableMember_0DC710004572BD28F6689B58992B5FF8" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis_33076297FCD4014A9F239B58992BFC02" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassTable_DCBFBA054EB63CFC47529B58992B1BAC" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis_33076297FCD4014A9F239B58992BFC02" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_D096C70A356EB05F9CE49B58992BC85A_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis_33076297FCD4014A9F239B58992BFC02" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_D096C70A356EB05F9CE49B58992BC85A_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_D096C70A356EB05F9CE49B58992BC85A" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis_33076297FCD4014A9F239B58992BFC02" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_D096C70A356EB05F9CE49B58992BC85A" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_BedLicensesIncludedInPropertyAndEquipmentMember" xlink:label="loc_adk_BedLicensesIncludedInPropertyAndEquipmentMember_E909DC312DFD56035F5E9B58992BB5DD" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_D096C70A356EB05F9CE49B58992BC85A" xlink:to="loc_adk_BedLicensesIncludedInPropertyAndEquipmentMember_E909DC312DFD56035F5E9B58992BB5DD" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseAgreementsMember" xlink:label="loc_us-gaap_LeaseAgreementsMember_139C09932C9CAF2C1D9A9B58992B9572" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain_D096C70A356EB05F9CE49B58992BC85A" xlink:to="loc_us-gaap_LeaseAgreementsMember_139C09932C9CAF2C1D9A9B58992B9572" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsRollForward" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsRollForward_2F6A27130F628D9944769B58992B6D45" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassLineItems_2971A38A9D67EACE75169B58992B18F3" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsRollForward_2F6A27130F628D9944769B58992B6D45" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_FiniteAndIndefiniteLivedIntangibleAssetsGross" xlink:label="loc_adk_FiniteAndIndefiniteLivedIntangibleAssetsGross_1CCE0EE98AA8B52B1C169B58992BD144" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsRollForward_2F6A27130F628D9944769B58992B6D45" xlink:to="loc_adk_FiniteAndIndefiniteLivedIntangibleAssetsGross_1CCE0EE98AA8B52B1C169B58992BD144" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization_D4881802F09BEC42193C9B58992B8794" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsRollForward_2F6A27130F628D9944769B58992B6D45" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization_D4881802F09BEC42193C9B58992B8794" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IntangibleAssetsNetExcludingGoodwill" xlink:label="loc_us-gaap_IntangibleAssetsNetExcludingGoodwill_E6E1ECD3AB49A3F956019B58992B3D5E" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsRollForward_2F6A27130F628D9944769B58992B6D45" xlink:to="loc_us-gaap_IntangibleAssetsNetExcludingGoodwill_E6E1ECD3AB49A3F956019B58992B3D5E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AmortizationOfIntangibleAssets" xlink:label="loc_us-gaap_AmortizationOfIntangibleAssets_8D4FBD6A09B09DFF169A9B58992C2C47" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_FiniteLivedAndIndefiniteLivedIntangibleAssetsByMajorClassLineItems_2971A38A9D67EACE75169B58992B18F3" xlink:to="loc_us-gaap_AmortizationOfIntangibleAssets_8D4FBD6A09B09DFF169A9B58992C2C47" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/IntangibleAssetsAndGoodwillTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/Leases" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/LeasesFuturePaymentsReceivabledetails" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/LeasesLeaseAndSubleasedFacilitiesToThirdPartyOperatorsDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_OperatingLeasedAssetsLineItems" xlink:label="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfOperatingLeasedAssetsTable" xlink:label="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_E28797DF6D8058A9757AA876E6316C23" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_E28797DF6D8058A9757AA876E6316C23" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.sec.gov/dei/2014/dei-2014-01-31.xsd#dei_LegalEntityAxis" xlink:label="loc_dei_LegalEntityAxis_8440484176F22086753CA876E631E5B9" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_E28797DF6D8058A9757AA876E6316C23" xlink:to="loc_dei_LegalEntityAxis_8440484176F22086753CA876E631E5B9" xlink:type="arc" />
    <loc xlink:href="http://xbrl.sec.gov/dei/2014/dei-2014-01-31.xsd#dei_EntityDomain" xlink:label="loc_dei_EntityDomain_3DCBCB1C34832D95F7D8A876E631A781_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_dei_LegalEntityAxis_8440484176F22086753CA876E631E5B9" xlink:to="loc_dei_EntityDomain_3DCBCB1C34832D95F7D8A876E631A781_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.sec.gov/dei/2014/dei-2014-01-31.xsd#dei_EntityDomain" xlink:label="loc_dei_EntityDomain_3DCBCB1C34832D95F7D8A876E631A781" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_dei_LegalEntityAxis_8440484176F22086753CA876E631E5B9" xlink:to="loc_dei_EntityDomain_3DCBCB1C34832D95F7D8A876E631A781" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_HighlandsArkansasHoldingsLLCMember" xlink:label="loc_adk_HighlandsArkansasHoldingsLLCMember_D63169498D3AB5C5038AA876E6317326" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_dei_EntityDomain_3DCBCB1C34832D95F7D8A876E631A781" xlink:to="loc_adk_HighlandsArkansasHoldingsLLCMember_D63169498D3AB5C5038AA876E6317326" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis" xlink:label="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_7B789B95E0C812245DE4A876E631848D" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_E28797DF6D8058A9757AA876E6316C23" xlink:to="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_7B789B95E0C812245DE4A876E631848D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ReceivableTypeDomain" xlink:label="loc_us-gaap_ReceivableTypeDomain_5AF684C8BE6148C4A04FA876E631CE86_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_7B789B95E0C812245DE4A876E631848D" xlink:to="loc_us-gaap_ReceivableTypeDomain_5AF684C8BE6148C4A04FA876E631CE86_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ReceivableTypeDomain" xlink:label="loc_us-gaap_ReceivableTypeDomain_5AF684C8BE6148C4A04FA876E631CE86" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_7B789B95E0C812245DE4A876E631848D" xlink:to="loc_us-gaap_ReceivableTypeDomain_5AF684C8BE6148C4A04FA876E631CE86" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_NotesReceivableMember" xlink:label="loc_us-gaap_NotesReceivableMember_7624A985479685F05457A876E631AAFE" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ReceivableTypeDomain_5AF684C8BE6148C4A04FA876E631CE86" xlink:to="loc_us-gaap_NotesReceivableMember_7624A985479685F05457A876E631AAFE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseArrangementTypeAxis" xlink:label="loc_us-gaap_LeaseArrangementTypeAxis_BD4E3A3359C4814E2CC5A876E6322373" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_E28797DF6D8058A9757AA876E6316C23" xlink:to="loc_us-gaap_LeaseArrangementTypeAxis_BD4E3A3359C4814E2CC5A876E6322373" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseArrangementTypeDomain" xlink:label="loc_us-gaap_LeaseArrangementTypeDomain_AE8E5D38FE754E634E80A876E632860F_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_LeaseArrangementTypeAxis_BD4E3A3359C4814E2CC5A876E6322373" xlink:to="loc_us-gaap_LeaseArrangementTypeDomain_AE8E5D38FE754E634E80A876E632860F_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseArrangementTypeDomain" xlink:label="loc_us-gaap_LeaseArrangementTypeDomain_AE8E5D38FE754E634E80A876E632860F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_LeaseArrangementTypeAxis_BD4E3A3359C4814E2CC5A876E6322373" xlink:to="loc_us-gaap_LeaseArrangementTypeDomain_AE8E5D38FE754E634E80A876E632860F" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_AriaSubleasesMember" xlink:label="loc_adk_AriaSubleasesMember_7491A6B455A9B2C09317A876E632377E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LeaseArrangementTypeDomain_AE8E5D38FE754E634E80A876E632860F" xlink:to="loc_adk_AriaSubleasesMember_7491A6B455A9B2C09317A876E632377E" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SkylineLeaseMember" xlink:label="loc_adk_SkylineLeaseMember_2C34EAE3721F1E36A4B3A876E632AE44" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LeaseArrangementTypeDomain_AE8E5D38FE754E634E80A876E632860F" xlink:to="loc_adk_SkylineLeaseMember_2C34EAE3721F1E36A4B3A876E632AE44" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OperatingLeasesNumberofSkilledNursingFacilitiesLeased" xlink:label="loc_adk_OperatingLeasesNumberofSkilledNursingFacilitiesLeased_0A5525EFD145889719EBA876E6321C45" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_adk_OperatingLeasesNumberofSkilledNursingFacilitiesLeased_0A5525EFD145889719EBA876E6321C45" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LesseeLeasingArrangementsOperatingLeasesRenewalTerm" xlink:label="loc_us-gaap_LesseeLeasingArrangementsOperatingLeasesRenewalTerm_F6EEBF9B39FBB4A9D675A876E6326359" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_us-gaap_LesseeLeasingArrangementsOperatingLeasesRenewalTerm_F6EEBF9B39FBB4A9D675A876E6326359" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OperatingLeaseAnnualRentPerAgreement" xlink:label="loc_adk_OperatingLeaseAnnualRentPerAgreement_962D6327C94CECF17781A876E632DDDA" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_adk_OperatingLeaseAnnualRentPerAgreement_962D6327C94CECF17781A876E632DDDA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AccountsAndNotesReceivableNet" xlink:label="loc_us-gaap_AccountsAndNotesReceivableNet_983ED09BE59309B570C9A876E63245CA" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_us-gaap_AccountsAndNotesReceivableNet_983ED09BE59309B570C9A876E63245CA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LessorLeasingArrangementsOperatingLeasesTermOfContract" xlink:label="loc_us-gaap_LessorLeasingArrangementsOperatingLeasesTermOfContract_6CF378A1C95529CDB93DA876E632BC90" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_us-gaap_LessorLeasingArrangementsOperatingLeasesTermOfContract_6CF378A1C95529CDB93DA876E632BC90" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_LesseeLeasingArrangementsOperatingLeasesNumberofRenewalTerms" xlink:label="loc_adk_LesseeLeasingArrangementsOperatingLeasesNumberofRenewalTerms_7E44C7F5AF11C2D7E87CA876E6326C8B" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_adk_LesseeLeasingArrangementsOperatingLeasesNumberofRenewalTerms_7E44C7F5AF11C2D7E87CA876E6326C8B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LessorLeasingArrangementsOperatingLeasesRenewalTerm" xlink:label="loc_us-gaap_LessorLeasingArrangementsOperatingLeasesRenewalTerm_BDD9C68A29A8C6747823A876E632C809" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_us-gaap_LessorLeasingArrangementsOperatingLeasesRenewalTerm_BDD9C68A29A8C6747823A876E632C809" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OperatingLeaseEscalationPercentageInitialTermPercentage" xlink:label="loc_adk_OperatingLeaseEscalationPercentageInitialTermPercentage_2E2631A1F773688A8D42A876E632BDD6" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_adk_OperatingLeaseEscalationPercentageInitialTermPercentage_2E2631A1F773688A8D42A876E632BDD6" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_PropertyPlantandEquipmentAgreementtoSellValue" xlink:label="loc_adk_PropertyPlantandEquipmentAgreementtoSellValue_B3F3F8DC4179030C743AA876E632B909" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_adk_PropertyPlantandEquipmentAgreementtoSellValue_B3F3F8DC4179030C743AA876E632B909" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_PropertyPlantandEquipmentAgreedUponSellingPrice" xlink:label="loc_adk_PropertyPlantandEquipmentAgreedUponSellingPrice_604CB9F8DC1537EC11FEA876E6320981" xlink:type="locator" />
    <definitionArc order="10" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_EFD42E3BA89AB6DAAB4AA876E6326A31" xlink:to="loc_adk_PropertyPlantandEquipmentAgreedUponSellingPrice_604CB9F8DC1537EC11FEA876E6320981" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/LeasesOperatingLeasesDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_OperatingLeasedAssetsLineItems" xlink:label="loc_us-gaap_OperatingLeasedAssetsLineItems_FEF71C2872FB8183A971B82FB896FE7F" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfOperatingLeasedAssetsTable" xlink:label="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_A9C0537F2C6749B66A53B82FB8941C90" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_FEF71C2872FB8183A971B82FB896FE7F" xlink:to="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_A9C0537F2C6749B66A53B82FB8941C90" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeAxis" xlink:label="loc_us-gaap_SubsequentEventTypeAxis_9976CBCAA01AF6DA86F1B82FE532143A" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_A9C0537F2C6749B66A53B82FB8941C90" xlink:to="loc_us-gaap_SubsequentEventTypeAxis_9976CBCAA01AF6DA86F1B82FE532143A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeDomain" xlink:label="loc_us-gaap_SubsequentEventTypeDomain_214D0990945EEBE75D27B82FE5321ADA_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_SubsequentEventTypeAxis_9976CBCAA01AF6DA86F1B82FE532143A" xlink:to="loc_us-gaap_SubsequentEventTypeDomain_214D0990945EEBE75D27B82FE5321ADA_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeDomain" xlink:label="loc_us-gaap_SubsequentEventTypeDomain_214D0990945EEBE75D27B82FE5321ADA" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_SubsequentEventTypeAxis_9976CBCAA01AF6DA86F1B82FE532143A" xlink:to="loc_us-gaap_SubsequentEventTypeDomain_214D0990945EEBE75D27B82FE5321ADA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventMember" xlink:label="loc_us-gaap_SubsequentEventMember_8C8F41230312CC0B82E2B8300BF3AD88" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventTypeDomain_214D0990945EEBE75D27B82FE5321ADA" xlink:to="loc_us-gaap_SubsequentEventMember_8C8F41230312CC0B82E2B8300BF3AD88" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OperatingLeasesNumberofSkilledNursingFacilitiesLeased" xlink:label="loc_adk_OperatingLeasesNumberofSkilledNursingFacilitiesLeased_AD2B4F9E927E7B14BD70B7F36D8939B7" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_FEF71C2872FB8183A971B82FB896FE7F" xlink:to="loc_adk_OperatingLeasesNumberofSkilledNursingFacilitiesLeased_AD2B4F9E927E7B14BD70B7F36D8939B7" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OperatingLeaseNumberofFacilitiesWithDefaultNotice" xlink:label="loc_adk_OperatingLeaseNumberofFacilitiesWithDefaultNotice_52E1BFA4AAF2D8BF2A92B80D1EDD2D19" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_FEF71C2872FB8183A971B82FB896FE7F" xlink:to="loc_adk_OperatingLeaseNumberofFacilitiesWithDefaultNotice_52E1BFA4AAF2D8BF2A92B80D1EDD2D19" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OperatingLeaseSubLeaseNumberofFacilitiesWithDefaultNotice" xlink:label="loc_adk_OperatingLeaseSubLeaseNumberofFacilitiesWithDefaultNotice_DD758894DF1C61ADBDA0B81095357B31" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_FEF71C2872FB8183A971B82FB896FE7F" xlink:to="loc_adk_OperatingLeaseSubLeaseNumberofFacilitiesWithDefaultNotice_DD758894DF1C61ADBDA0B81095357B31" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/LeasesTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/LiquidityAndProfitability" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/LiquidityAndProfitabilityDetailsTextual" xlink:type="extended">
    <loc xlink:href="adk-20160331.xsd#adk_LiquidityAndProfitabilityLineItems" xlink:label="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:type="locator" />
    <loc xlink:href="adk-20160331.xsd#adk_LiquidityAndProfitabilityTable" xlink:label="loc_adk_LiquidityAndProfitabilityTable_2A96B59F8312929B327CAB051B3EA9BC" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_LiquidityAndProfitabilityTable_2A96B59F8312929B327CAB051B3EA9BC" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeAxis" xlink:label="loc_us-gaap_SubsequentEventTypeAxis_6E7F92A61D7F86D1E57BAB2F125F028D" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_adk_LiquidityAndProfitabilityTable_2A96B59F8312929B327CAB051B3EA9BC" xlink:to="loc_us-gaap_SubsequentEventTypeAxis_6E7F92A61D7F86D1E57BAB2F125F028D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeDomain" xlink:label="loc_us-gaap_SubsequentEventTypeDomain_510D39CA364958D26686AB2F1333EC4B_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_SubsequentEventTypeAxis_6E7F92A61D7F86D1E57BAB2F125F028D" xlink:to="loc_us-gaap_SubsequentEventTypeDomain_510D39CA364958D26686AB2F1333EC4B_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeDomain" xlink:label="loc_us-gaap_SubsequentEventTypeDomain_510D39CA364958D26686AB2F1333EC4B" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_SubsequentEventTypeAxis_6E7F92A61D7F86D1E57BAB2F125F028D" xlink:to="loc_us-gaap_SubsequentEventTypeDomain_510D39CA364958D26686AB2F1333EC4B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventMember" xlink:label="loc_us-gaap_SubsequentEventMember_9CFC378FC5EFD485E8BCAB2F4159B906" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventTypeDomain_510D39CA364958D26686AB2F1333EC4B" xlink:to="loc_us-gaap_SubsequentEventMember_9CFC378FC5EFD485E8BCAB2F4159B906" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementGeographicalAxis" xlink:label="loc_us-gaap_StatementGeographicalAxis_FA85F61154B20644FB4DAB19F754174A" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_adk_LiquidityAndProfitabilityTable_2A96B59F8312929B327CAB051B3EA9BC" xlink:to="loc_us-gaap_StatementGeographicalAxis_FA85F61154B20644FB4DAB19F754174A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentGeographicalDomain" xlink:label="loc_us-gaap_SegmentGeographicalDomain_3625EEB737C148929AC1AB19F8DEF476_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementGeographicalAxis_FA85F61154B20644FB4DAB19F754174A" xlink:to="loc_us-gaap_SegmentGeographicalDomain_3625EEB737C148929AC1AB19F8DEF476_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentGeographicalDomain" xlink:label="loc_us-gaap_SegmentGeographicalDomain_3625EEB737C148929AC1AB19F8DEF476" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementGeographicalAxis_FA85F61154B20644FB4DAB19F754174A" xlink:to="loc_us-gaap_SegmentGeographicalDomain_3625EEB737C148929AC1AB19F8DEF476" xlink:type="arc" />
    <loc xlink:href="http://xbrl.sec.gov/stpr/2011/stpr-2011-01-31.xsd#stpr_AR" xlink:label="loc_stpr_AR_EE2DD26CC668BD428553AB1A295FB477" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentGeographicalDomain_3625EEB737C148929AC1AB19F8DEF476" xlink:to="loc_stpr_AR_EE2DD26CC668BD428553AB1A295FB477" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis" xlink:label="loc_us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_D9EADF4C01F02F25BD04AB051B3FB48B" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_adk_LiquidityAndProfitabilityTable_2A96B59F8312929B327CAB051B3EA9BC" xlink:to="loc_us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_D9EADF4C01F02F25BD04AB051B3FB48B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain" xlink:label="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_B8902915870262FA2BE0AB051B44EC07_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_D9EADF4C01F02F25BD04AB051B3FB48B" xlink:to="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_B8902915870262FA2BE0AB051B44EC07_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain" xlink:label="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_B8902915870262FA2BE0AB051B44EC07" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_D9EADF4C01F02F25BD04AB051B3FB48B" xlink:to="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_B8902915870262FA2BE0AB051B44EC07" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_QuailCreekNursingHomeMember" xlink:label="loc_adk_QuailCreekNursingHomeMember_B7264F45F16F73055AEDAB051B44D4C1" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_B8902915870262FA2BE0AB051B44EC07" xlink:to="loc_adk_QuailCreekNursingHomeMember_B7264F45F16F73055AEDAB051B44D4C1" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementClassOfStockAxis" xlink:label="loc_us-gaap_StatementClassOfStockAxis_C41BA2D42B1F237E28D9AB051B444E8B" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_adk_LiquidityAndProfitabilityTable_2A96B59F8312929B327CAB051B3EA9BC" xlink:to="loc_us-gaap_StatementClassOfStockAxis_C41BA2D42B1F237E28D9AB051B444E8B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ClassOfStockDomain" xlink:label="loc_us-gaap_ClassOfStockDomain_4CD3CDECB324149523D8AB051B449C0B_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementClassOfStockAxis_C41BA2D42B1F237E28D9AB051B444E8B" xlink:to="loc_us-gaap_ClassOfStockDomain_4CD3CDECB324149523D8AB051B449C0B_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ClassOfStockDomain" xlink:label="loc_us-gaap_ClassOfStockDomain_4CD3CDECB324149523D8AB051B449C0B" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementClassOfStockAxis_C41BA2D42B1F237E28D9AB051B444E8B" xlink:to="loc_us-gaap_ClassOfStockDomain_4CD3CDECB324149523D8AB051B449C0B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RedeemablePreferredStockMember" xlink:label="loc_us-gaap_RedeemablePreferredStockMember_E950CEA29FB4A2E8AF3BAB051B444609" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockDomain_4CD3CDECB324149523D8AB051B449C0B" xlink:to="loc_us-gaap_RedeemablePreferredStockMember_E950CEA29FB4A2E8AF3BAB051B444609" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SeriesAPreferredStockMember" xlink:label="loc_us-gaap_SeriesAPreferredStockMember_57F254E295147B72FCA0AB051B45B977" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassOfStockDomain_4CD3CDECB324149523D8AB051B449C0B" xlink:to="loc_us-gaap_SeriesAPreferredStockMember_57F254E295147B72FCA0AB051B45B977" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementScenarioAxis" xlink:label="loc_us-gaap_StatementScenarioAxis_B5823E35A88154D62F9DAB051B4580E9" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_adk_LiquidityAndProfitabilityTable_2A96B59F8312929B327CAB051B3EA9BC" xlink:to="loc_us-gaap_StatementScenarioAxis_B5823E35A88154D62F9DAB051B4580E9" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScenarioUnspecifiedDomain" xlink:label="loc_us-gaap_ScenarioUnspecifiedDomain_C18305B28B89525B97C8AB051B45F79F_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementScenarioAxis_B5823E35A88154D62F9DAB051B4580E9" xlink:to="loc_us-gaap_ScenarioUnspecifiedDomain_C18305B28B89525B97C8AB051B45F79F_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScenarioUnspecifiedDomain" xlink:label="loc_us-gaap_ScenarioUnspecifiedDomain_C18305B28B89525B97C8AB051B45F79F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementScenarioAxis_B5823E35A88154D62F9DAB051B4580E9" xlink:to="loc_us-gaap_ScenarioUnspecifiedDomain_C18305B28B89525B97C8AB051B45F79F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScenarioForecastMember" xlink:label="loc_us-gaap_ScenarioForecastMember_A5EE45F57F9D8F62462BAB051B4524A4" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ScenarioUnspecifiedDomain_C18305B28B89525B97C8AB051B45F79F" xlink:to="loc_us-gaap_ScenarioForecastMember_A5EE45F57F9D8F62462BAB051B4524A4" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeAxis" xlink:label="loc_us-gaap_LongtermDebtTypeAxis_548072A808091DAC5F00AB051B455901" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_adk_LiquidityAndProfitabilityTable_2A96B59F8312929B327CAB051B3EA9BC" xlink:to="loc_us-gaap_LongtermDebtTypeAxis_548072A808091DAC5F00AB051B455901" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeDomain" xlink:label="loc_us-gaap_LongtermDebtTypeDomain_1ACECC88DA2983439E4BAB051B45DA9B_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_LongtermDebtTypeAxis_548072A808091DAC5F00AB051B455901" xlink:to="loc_us-gaap_LongtermDebtTypeDomain_1ACECC88DA2983439E4BAB051B45DA9B_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeDomain" xlink:label="loc_us-gaap_LongtermDebtTypeDomain_1ACECC88DA2983439E4BAB051B45DA9B" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_LongtermDebtTypeAxis_548072A808091DAC5F00AB051B455901" xlink:to="loc_us-gaap_LongtermDebtTypeDomain_1ACECC88DA2983439E4BAB051B45DA9B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LineOfCreditMember" xlink:label="loc_us-gaap_LineOfCreditMember_38570CBE2D9F640959EFAB051B45055A" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_1ACECC88DA2983439E4BAB051B45DA9B" xlink:to="loc_us-gaap_LineOfCreditMember_38570CBE2D9F640959EFAB051B45055A" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtBondandMortgageIndebtednessMember" xlink:label="loc_adk_SeniorDebtBondandMortgageIndebtednessMember_B6C8797163F9D9F5AA81AB051B45B2CD" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_1ACECC88DA2983439E4BAB051B45DA9B" xlink:to="loc_adk_SeniorDebtBondandMortgageIndebtednessMember_B6C8797163F9D9F5AA81AB051B45B2CD" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RevolverDebtBondsandMortgageIndebtednessMember" xlink:label="loc_adk_RevolverDebtBondsandMortgageIndebtednessMember_7B924631A63BC8792E55AB051B4580B3" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_1ACECC88DA2983439E4BAB051B45DA9B" xlink:to="loc_adk_RevolverDebtBondsandMortgageIndebtednessMember_7B924631A63BC8792E55AB051B4580B3" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_CashAndCashEquivalentsAtCarryingValue" xlink:label="loc_us-gaap_CashAndCashEquivalentsAtCarryingValue_37523244C7AABD4371B2AB051B4503DF" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_CashAndCashEquivalentsAtCarryingValue_37523244C7AABD4371B2AB051B4503DF" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RestrictedCashAndInvestments" xlink:label="loc_us-gaap_RestrictedCashAndInvestments_7152DCCBCD0055E699E5AB051B45B495" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_RestrictedCashAndInvestments_7152DCCBCD0055E699E5AB051B45B495" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DiscontinuedOperationNumberOfAssistedLivingFacilitiesHeldForSale" xlink:label="loc_adk_DiscontinuedOperationNumberOfAssistedLivingFacilitiesHeldForSale_7A777E34F88E30CE244EAB051B457925" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_DiscontinuedOperationNumberOfAssistedLivingFacilitiesHeldForSale_7A777E34F88E30CE244EAB051B457925" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ProceedsFromSaleOfRealEstate" xlink:label="loc_us-gaap_ProceedsFromSaleOfRealEstate_A18B0E1F41477253447BAB051B4595BB" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_ProceedsFromSaleOfRealEstate_A18B0E1F41477253447BAB051B4595BB" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DiscontinuedOperationNumberofAssetsHeldforSale" xlink:label="loc_adk_DiscontinuedOperationNumberofAssetsHeldforSale_7F08E940F8AEDABE12F9AB051B45E240" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_DiscontinuedOperationNumberofAssetsHeldforSale_7F08E940F8AEDABE12F9AB051B45E240" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ProceedsfromSaleofPropertyPlantandEquipmentContractedtoSell" xlink:label="loc_adk_ProceedsfromSaleofPropertyPlantandEquipmentContractedtoSell_D2165B8C6BC53019E8C6AB051B45F49A" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_ProceedsfromSaleofPropertyPlantandEquipmentContractedtoSell_D2165B8C6BC53019E8C6AB051B45F49A" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_PreferredStockAgreementtoSell" xlink:label="loc_adk_PreferredStockAgreementtoSell_0F50AEB8F283C886D294AB051B45A703" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_PreferredStockAgreementtoSell_0F50AEB8F283C886D294AB051B45A703" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PreferredStockLiquidationPreference" xlink:label="loc_us-gaap_PreferredStockLiquidationPreference_0292AAEB28450932387BAB051B45620E" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_PreferredStockLiquidationPreference_0292AAEB28450932387BAB051B45620E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockIssuedDuringPeriodSharesNewIssues" xlink:label="loc_us-gaap_StockIssuedDuringPeriodSharesNewIssues_88E99BF0CEDC7D231F81AB051B466C9D" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_StockIssuedDuringPeriodSharesNewIssues_88E99BF0CEDC7D231F81AB051B466C9D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ProceedsFromIssuanceOfPreferredStockAndPreferenceStock" xlink:label="loc_us-gaap_ProceedsFromIssuanceOfPreferredStockAndPreferenceStock_7AAA5B48B0CFF208CB5FAB051B465399" xlink:type="locator" />
    <definitionArc order="10" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_ProceedsFromIssuanceOfPreferredStockAndPreferenceStock_7AAA5B48B0CFF208CB5FAB051B465399" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentInterestRateStatedPercentage" xlink:label="loc_us-gaap_DebtInstrumentInterestRateStatedPercentage_262CF88769DC378B09D0AB051B46C11D" xlink:type="locator" />
    <definitionArc order="11" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_DebtInstrumentInterestRateStatedPercentage_262CF88769DC378B09D0AB051B46C11D" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberofFacilitiesUnderAgreementtoSell" xlink:label="loc_adk_NumberofFacilitiesUnderAgreementtoSell_EF1CC175E04FDB5A77FBAB196129A2B4" xlink:type="locator" />
    <definitionArc order="12" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_NumberofFacilitiesUnderAgreementtoSell_EF1CC175E04FDB5A77FBAB196129A2B4" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_PropertyPlantandEquipmentAgreementtoSellValue" xlink:label="loc_adk_PropertyPlantandEquipmentAgreementtoSellValue_171EDA28186D34C052CAAB301841596A" xlink:type="locator" />
    <definitionArc order="13" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_PropertyPlantandEquipmentAgreementtoSellValue_171EDA28186D34C052CAAB301841596A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongTermDebt" xlink:label="loc_us-gaap_LongTermDebt_A9342363D3449B4E62B7AB051B4636B1" xlink:type="locator" />
    <definitionArc order="14" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_LongTermDebt_A9342363D3449B4E62B7AB051B4636B1" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_GainLossonSaleofPropertiesAnticipated" xlink:label="loc_adk_GainLossonSaleofPropertiesAnticipated_1A05800C3BD3F3BD9B3FAB21C6935D78" xlink:type="locator" />
    <definitionArc order="15" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_GainLossonSaleofPropertiesAnticipated_1A05800C3BD3F3BD9B3FAB21C6935D78" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DeferredFinanceCostsNet" xlink:label="loc_us-gaap_DeferredFinanceCostsNet_680F82FDF325F82A1E63AB27EA6E9409" xlink:type="locator" />
    <definitionArc order="16" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_DeferredFinanceCostsNet_680F82FDF325F82A1E63AB27EA6E9409" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtLongtermAndShorttermCombinedAmount" xlink:label="loc_us-gaap_DebtLongtermAndShorttermCombinedAmount_04A3505133347E42FF72AB051B46E84A" xlink:type="locator" />
    <definitionArc order="17" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_DebtLongtermAndShorttermCombinedAmount_04A3505133347E42FF72AB051B46E84A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShortTermBorrowings" xlink:label="loc_us-gaap_ShortTermBorrowings_6A8DAB2CBE6AA866BD31AB051B4630CF" xlink:type="locator" />
    <definitionArc order="18" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_ShortTermBorrowings_6A8DAB2CBE6AA866BD31AB051B4630CF" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DisposalGroupIncludingDiscontinuedOperationDebtPayableCurrent" xlink:label="loc_adk_DisposalGroupIncludingDiscontinuedOperationDebtPayableCurrent_FC6A8E9C9E6A34057228AB051B468905" xlink:type="locator" />
    <definitionArc order="19" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_DisposalGroupIncludingDiscontinuedOperationDebtPayableCurrent_FC6A8E9C9E6A34057228AB051B468905" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ProceedsFromRepaymentsOfDebt" xlink:label="loc_us-gaap_ProceedsFromRepaymentsOfDebt_EF2E41DFB13B0DBB8789AB051B469452" xlink:type="locator" />
    <definitionArc order="20" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_ProceedsFromRepaymentsOfDebt_EF2E41DFB13B0DBB8789AB051B469452" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity" xlink:label="loc_us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity_12AC691F0F1EE3D13ECAAB051B46F2DC" xlink:type="locator" />
    <definitionArc order="21" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity_12AC691F0F1EE3D13ECAAB051B46F2DC" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RepaymentsOfShortTermDebt" xlink:label="loc_us-gaap_RepaymentsOfShortTermDebt_448AF2E6CACC47D6F801AB051B46904C" xlink:type="locator" />
    <definitionArc order="22" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_RepaymentsOfShortTermDebt_448AF2E6CACC47D6F801AB051B46904C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AmortizationOfFinancingCosts" xlink:label="loc_us-gaap_AmortizationOfFinancingCosts_080C2AD78C1B5BB7506CAB051B462365" xlink:type="locator" />
    <definitionArc order="23" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_AmortizationOfFinancingCosts_080C2AD78C1B5BB7506CAB051B462365" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment" xlink:label="loc_us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment_823CBD86C67BDFF600A5AB051B465572" xlink:type="locator" />
    <definitionArc order="24" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment_823CBD86C67BDFF600A5AB051B465572" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RepaymentsOfOtherDebt" xlink:label="loc_us-gaap_RepaymentsOfOtherDebt_51B0EB7D177F1A4596C1AB051B4637F0" xlink:type="locator" />
    <definitionArc order="25" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_RepaymentsOfOtherDebt_51B0EB7D177F1A4596C1AB051B4637F0" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ProceedsFromDebtRefinancingAnticipated" xlink:label="loc_adk_ProceedsFromDebtRefinancingAnticipated_EE7CCE342CBE9D655BB1AB051B460B6A" xlink:type="locator" />
    <definitionArc order="26" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_ProceedsFromDebtRefinancingAnticipated_EE7CCE342CBE9D655BB1AB051B460B6A" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DebtInstrumentCommitmentforRefinanceAmount" xlink:label="loc_adk_DebtInstrumentCommitmentforRefinanceAmount_815F697C9A87F8785BF6AB051B46F3B6" xlink:type="locator" />
    <definitionArc order="27" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_DebtInstrumentCommitmentforRefinanceAmount_815F697C9A87F8785BF6AB051B46F3B6" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DebtInstrumentCommitmenttoIncreasetheCurrentMaturitiesAmount" xlink:label="loc_adk_DebtInstrumentCommitmenttoIncreasetheCurrentMaturitiesAmount_1676CD1A08B13857CEDDAB051B46DB45" xlink:type="locator" />
    <definitionArc order="28" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_DebtInstrumentCommitmenttoIncreasetheCurrentMaturitiesAmount_1676CD1A08B13857CEDDAB051B46DB45" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DebtInstrumentsMaturitiesMaturinginOneandTwoFiscalYears" xlink:label="loc_adk_DebtInstrumentsMaturitiesMaturinginOneandTwoFiscalYears_2E33E697D2C7E3E82198AB051B46E683" xlink:type="locator" />
    <definitionArc order="29" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_adk_DebtInstrumentsMaturitiesMaturinginOneandTwoFiscalYears_2E33E697D2C7E3E82198AB051B46E683" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtCurrent" xlink:label="loc_us-gaap_DebtCurrent_EB681196C3FCE19A9C28AB051B46D934" xlink:type="locator" />
    <definitionArc order="30" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_LiquidityAndProfitabilityLineItems_706BD1839F9CD2F31EF1AB051B45C33B" xlink:to="loc_us-gaap_DebtCurrent_EB681196C3FCE19A9C28AB051B46D934" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/NotesPayableAndOtherDebt" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtDetailsOfLongTermDebtDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentLineItems" xlink:label="loc_us-gaap_DebtInstrumentLineItems_EBE222BE5B3B8D0921C1AB30E4714C67" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentTable" xlink:label="loc_us-gaap_DebtInstrumentTable_58625B4FD18F895F19FEAB30E46EB294" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_DebtInstrumentLineItems_EBE222BE5B3B8D0921C1AB30E4714C67" xlink:to="loc_us-gaap_DebtInstrumentTable_58625B4FD18F895F19FEAB30E46EB294" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis" xlink:label="loc_us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_4EE1B583E0C6534B35E6AB30E46E15F0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_58625B4FD18F895F19FEAB30E46EB294" xlink:to="loc_us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_4EE1B583E0C6534B35E6AB30E46E15F0" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain" xlink:label="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_4EE1B583E0C6534B35E6AB30E46E15F0" xlink:to="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain" xlink:label="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_4EE1B583E0C6534B35E6AB30E46E15F0" xlink:to="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ThePavilionCareCenterMember" xlink:label="loc_adk_ThePavilionCareCenterMember_72215C1D5F5A22E5FF61AB30E46E89C0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_ThePavilionCareCenterMember_72215C1D5F5A22E5FF61AB30E46E89C0" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_HearthandCareofGreenfieldMember" xlink:label="loc_adk_HearthandCareofGreenfieldMember_D5A07DCD2DBB0FB2A6A5AB30E46EF8E9" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_HearthandCareofGreenfieldMember_D5A07DCD2DBB0FB2A6A5AB30E46EF8E9" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_WoodlandManorMember" xlink:label="loc_adk_WoodlandManorMember_A4F95E246343BA320656AB30E46EB55B" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_WoodlandManorMember_A4F95E246343BA320656AB30E46EB55B" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_GlenvueHealthandRehabilitationMember" xlink:label="loc_adk_GlenvueHealthandRehabilitationMember_7CE702B6CDCC7618DAF1AB30E46E473A" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_GlenvueHealthandRehabilitationMember_7CE702B6CDCC7618DAF1AB30E46E473A" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_AutumnBreezeFacilityMember" xlink:label="loc_adk_AutumnBreezeFacilityMember_251281C415E1C958B3D8AB30E46E5D99" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_AutumnBreezeFacilityMember_251281C415E1C958B3D8AB30E46E5D99" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_AttallaHealthCareMember" xlink:label="loc_adk_AttallaHealthCareMember_AA9E07F3E91C7A5960ADAB30E46E7904" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_AttallaHealthCareMember_AA9E07F3E91C7A5960ADAB30E46E7904" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_CoosaValleyHealthCareMember" xlink:label="loc_adk_CoosaValleyHealthCareMember_CBC9A9795B8F334EDAF0AB30E46E83D4" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_CoosaValleyHealthCareMember_CBC9A9795B8F334EDAF0AB30E46E83D4" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_MountainTraceRehabMember" xlink:label="loc_adk_MountainTraceRehabMember_5C38B7BE005883B00C3AAB30E46EA8D5" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_MountainTraceRehabMember_5C38B7BE005883B00C3AAB30E46EA8D5" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SouthlandHealthcareMember" xlink:label="loc_adk_SouthlandHealthcareMember_8466F0BF794B6EC7C022AB30E46EF61C" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_SouthlandHealthcareMember_8466F0BF794B6EC7C022AB30E46EF61C" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_HomesteadManorMember" xlink:label="loc_adk_HomesteadManorMember_012B97E91E25425938C7AB30E46E7F89" xlink:type="locator" />
    <definitionArc order="10" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_HomesteadManorMember_012B97E91E25425938C7AB30E46E7F89" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_CollegeParkMember" xlink:label="loc_adk_CollegeParkMember_332FC7269B84B09F1A63AB30E46E0CD4" xlink:type="locator" />
    <definitionArc order="11" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_CollegeParkMember_332FC7269B84B09F1A63AB30E46E0CD4" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_StoneCountyMember" xlink:label="loc_adk_StoneCountyMember_93E98C0DCD9B923603CEAB30E46EE7F1" xlink:type="locator" />
    <definitionArc order="12" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_StoneCountyMember_93E98C0DCD9B923603CEAB30E46EE7F1" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_EaglewoodCareCenterMember" xlink:label="loc_adk_EaglewoodCareCenterMember_A1B7E7252B074664B1C0AB30E46ED458" xlink:type="locator" />
    <definitionArc order="13" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_EaglewoodCareCenterMember_A1B7E7252B074664B1C0AB30E46ED458" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SumterValleyMember" xlink:label="loc_adk_SumterValleyMember_87C1BA7CC989A2B166C0AB30E46E91C2" xlink:type="locator" />
    <definitionArc order="14" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_SumterValleyMember_87C1BA7CC989A2B166C0AB30E46E91C2" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_GeorgetownHealthcareAndRehabMember" xlink:label="loc_adk_GeorgetownHealthcareAndRehabMember_83B82CD8785779D90E4FAB30E46F60DC" xlink:type="locator" />
    <definitionArc order="15" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_GeorgetownHealthcareAndRehabMember_83B82CD8785779D90E4FAB30E46F60DC" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NorthridgeHealthMember" xlink:label="loc_adk_NorthridgeHealthMember_36A7B1B7003E860C6FA0AB30E46F08C8" xlink:type="locator" />
    <definitionArc order="16" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_NorthridgeHealthMember_36A7B1B7003E860C6FA0AB30E46F08C8" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_WoodlandHillsMember" xlink:label="loc_adk_WoodlandHillsMember_92753297C60DDAA483A3AB30E46F31B1" xlink:type="locator" />
    <definitionArc order="17" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_WoodlandHillsMember_92753297C60DDAA483A3AB30E46F31B1" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_AbingtonPlaceHealthAndRehabCenterMember" xlink:label="loc_adk_AbingtonPlaceHealthAndRehabCenterMember_859CD432AAEC72417BB0AB30E46F0420" xlink:type="locator" />
    <definitionArc order="18" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_AbingtonPlaceHealthAndRehabCenterMember_859CD432AAEC72417BB0AB30E46F0420" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_HeritageParkMember" xlink:label="loc_adk_HeritageParkMember_8521D17E37D54BD30929AB30E46FD9E9" xlink:type="locator" />
    <definitionArc order="19" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_HeritageParkMember_8521D17E37D54BD30929AB30E46FD9E9" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RiverValleyHealthMember" xlink:label="loc_adk_RiverValleyHealthMember_9C8B10A02F0B30CEBFC8AB30E46F7826" xlink:type="locator" />
    <definitionArc order="20" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_RiverValleyHealthMember_9C8B10A02F0B30CEBFC8AB30E46F7826" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_QuailCreekNursingHomeMember" xlink:label="loc_adk_QuailCreekNursingHomeMember_B7FC3703F961C08273F2AB30E46FECBC" xlink:type="locator" />
    <definitionArc order="21" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_QuailCreekNursingHomeMember_B7FC3703F961C08273F2AB30E46FECBC" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_LittleRockHRMember" xlink:label="loc_adk_LittleRockHRMember_C007DAB98698B46C77C0AB30E46F9B29" xlink:type="locator" />
    <definitionArc order="22" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_LittleRockHRMember_C007DAB98698B46C77C0AB30E46F9B29" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NorthwestMember" xlink:label="loc_adk_NorthwestMember_6566C358DFC48FF92E18AB30E46F3680" xlink:type="locator" />
    <definitionArc order="23" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_NorthwestMember_6566C358DFC48FF92E18AB30E46F3680" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_HembreePropertyRoadMember" xlink:label="loc_adk_HembreePropertyRoadMember_1BE4AE1F12907B284F7DAB30E46FF521" xlink:type="locator" />
    <definitionArc order="24" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_A75D84457FED28A84A44AB30E46EB044" xlink:to="loc_adk_HembreePropertyRoadMember_1BE4AE1F12907B284F7DAB30E46FF521" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LineOfCreditFacilityAxis" xlink:label="loc_us-gaap_LineOfCreditFacilityAxis_2FB7FBE5B74929E4E235AB30E46F9BF7" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_58625B4FD18F895F19FEAB30E46EB294" xlink:to="loc_us-gaap_LineOfCreditFacilityAxis_2FB7FBE5B74929E4E235AB30E46F9BF7" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LineOfCreditFacilityLenderDomain" xlink:label="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_LineOfCreditFacilityAxis_2FB7FBE5B74929E4E235AB30E46F9BF7" xlink:to="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LineOfCreditFacilityLenderDomain" xlink:label="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_LineOfCreditFacilityAxis_2FB7FBE5B74929E4E235AB30E46F9BF7" xlink:to="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_CityofSpringfieldMember" xlink:label="loc_adk_CityofSpringfieldMember_F08697F5E365639F296BAB30E46FAF00" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_CityofSpringfieldMember_F08697F5E365639F296BAB30E46FAF00" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RedMortgageMember" xlink:label="loc_adk_RedMortgageMember_37F206A1026F3C9E53E6AB30E46F5109" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_RedMortgageMember_37F206A1026F3C9E53E6AB30E46F5109" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ReliantRehabilitationMember" xlink:label="loc_adk_ReliantRehabilitationMember_780DD4091A87CC77BEF8AB30E46FF8C4" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_ReliantRehabilitationMember_780DD4091A87CC77BEF8AB30E46FF8C4" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_FirstInsuranceFundingMember" xlink:label="loc_adk_FirstInsuranceFundingMember_3768673D2583E027D028AB30E46F08CE" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_FirstInsuranceFundingMember_3768673D2583E027D028AB30E46F08CE" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_BankofLasVegasMember" xlink:label="loc_adk_BankofLasVegasMember_6E8FA04C694071C961E2AB30E46F136B" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_BankofLasVegasMember_6E8FA04C694071C961E2AB30E46F136B" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SquareOneMember" xlink:label="loc_adk_SquareOneMember_764D71025CBE9F2A994AAB30E46F9B89" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_SquareOneMember_764D71025CBE9F2A994AAB30E46F9B89" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_CDCMember" xlink:label="loc_adk_CDCMember_BA55F6BFB4B104B20F57AB30E46F19FE" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_CDCMember_BA55F6BFB4B104B20F57AB30E46F19FE" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_BankofAtlantaMember" xlink:label="loc_adk_BankofAtlantaMember_7EF1BABBB3B9F527C5F9AB30E46F36CE" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_BankofAtlantaMember_7EF1BABBB3B9F527C5F9AB30E46F36CE" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_CommunityBankMember" xlink:label="loc_adk_CommunityBankMember_1E82E9AFC3617A5D3A7DAB30E46F4B03" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_CommunityBankMember_1E82E9AFC3617A5D3A7DAB30E46F4B03" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_MetroCityBankMember" xlink:label="loc_adk_MetroCityBankMember_5C1036D16EEABDE918BEAB30E46FA0DA" xlink:type="locator" />
    <definitionArc order="10" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_MetroCityBankMember_5C1036D16EEABDE918BEAB30E46FA0DA" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_PrivateBankMember" xlink:label="loc_adk_PrivateBankMember_55FB52D59E84F2D2C1D5AB30E470603A" xlink:type="locator" />
    <definitionArc order="11" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_PrivateBankMember_55FB52D59E84F2D2C1D5AB30E470603A" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_CongressionalBankMember" xlink:label="loc_adk_CongressionalBankMember_8138F6EB2B7041EC7E06AB30E47045C9" xlink:type="locator" />
    <definitionArc order="12" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_CongressionalBankMember_8138F6EB2B7041EC7E06AB30E47045C9" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_FirstCommercialBankMember" xlink:label="loc_adk_FirstCommercialBankMember_81FC3819344C3946FE4FAB30E4709BE4" xlink:type="locator" />
    <definitionArc order="13" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_FirstCommercialBankMember_81FC3819344C3946FE4FAB30E4709BE4" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_FidelityBankMember" xlink:label="loc_adk_FidelityBankMember_65EC43B9776CDB66FD44AB30E4700EB1" xlink:type="locator" />
    <definitionArc order="14" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_FidelityBankMember_65EC43B9776CDB66FD44AB30E4700EB1" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_KeyBankMember" xlink:label="loc_adk_KeyBankMember_CAAA704E3DE25A354ABFAB30E4705A6B" xlink:type="locator" />
    <definitionArc order="15" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_KeyBankMember_CAAA704E3DE25A354ABFAB30E4705A6B" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_PharmacyCareofArkansasMember" xlink:label="loc_adk_PharmacyCareofArkansasMember_95BC555D045E1AD09068AB30E470B36A" xlink:type="locator" />
    <definitionArc order="16" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_PharmacyCareofArkansasMember_95BC555D045E1AD09068AB30E470B36A" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_HeartlandBankMember" xlink:label="loc_adk_HeartlandBankMember_8ED0F860104249C84073AB30E470FBED" xlink:type="locator" />
    <definitionArc order="17" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LineOfCreditFacilityLenderDomain_394EB953609259A049A7AB30E46FB2E5" xlink:to="loc_adk_HeartlandBankMember_8ED0F860104249C84073AB30E470FBED" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeAxis" xlink:label="loc_us-gaap_LongtermDebtTypeAxis_E9624858DF68CB21B6E8AB30E4707570" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_58625B4FD18F895F19FEAB30E46EB294" xlink:to="loc_us-gaap_LongtermDebtTypeAxis_E9624858DF68CB21B6E8AB30E4707570" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeDomain" xlink:label="loc_us-gaap_LongtermDebtTypeDomain_21ED05D30C67E8220FCAAB30E47088C6_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_LongtermDebtTypeAxis_E9624858DF68CB21B6E8AB30E4707570" xlink:to="loc_us-gaap_LongtermDebtTypeDomain_21ED05D30C67E8220FCAAB30E47088C6_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeDomain" xlink:label="loc_us-gaap_LongtermDebtTypeDomain_21ED05D30C67E8220FCAAB30E47088C6" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_LongtermDebtTypeAxis_E9624858DF68CB21B6E8AB30E4707570" xlink:to="loc_us-gaap_LongtermDebtTypeDomain_21ED05D30C67E8220FCAAB30E47088C6" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_BondsMember" xlink:label="loc_us-gaap_BondsMember_8BC1D12CB0F3A42CC637AB30E470F21F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_21ED05D30C67E8220FCAAB30E47088C6" xlink:to="loc_us-gaap_BondsMember_8BC1D12CB0F3A42CC637AB30E470F21F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ConvertibleDebtMember" xlink:label="loc_us-gaap_ConvertibleDebtMember_CA0BABDA91FBF9B7BCFFAB30E470F32D" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_21ED05D30C67E8220FCAAB30E47088C6" xlink:to="loc_us-gaap_ConvertibleDebtMember_CA0BABDA91FBF9B7BCFFAB30E470F32D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SeniorDebtObligationsMember" xlink:label="loc_us-gaap_SeniorDebtObligationsMember_3566196132EE3F3E3350AB30E470AE06" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_21ED05D30C67E8220FCAAB30E47088C6" xlink:to="loc_us-gaap_SeniorDebtObligationsMember_3566196132EE3F3E3350AB30E470AE06" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentAxis" xlink:label="loc_us-gaap_DebtInstrumentAxis_CE35EDBAF6CA281F4855AB30E4701743" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_58625B4FD18F895F19FEAB30E46EB294" xlink:to="loc_us-gaap_DebtInstrumentAxis_CE35EDBAF6CA281F4855AB30E4701743" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentNameDomain" xlink:label="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_DebtInstrumentAxis_CE35EDBAF6CA281F4855AB30E4701743" xlink:to="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentNameDomain" xlink:label="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_DebtInstrumentAxis_CE35EDBAF6CA281F4855AB30E4701743" xlink:to="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtOtherMortgageIndebtednessMember" xlink:label="loc_adk_SeniorDebtOtherMortgageIndebtednessMember_398AC4ACF7922E57FB98AB30E4701A75" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_SeniorDebtOtherMortgageIndebtednessMember_398AC4ACF7922E57FB98AB30E4701A75" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtHUDMember" xlink:label="loc_adk_SeniorDebtHUDMember_99B19FD613674787DD42AB30E470F2A6" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_SeniorDebtHUDMember_99B19FD613674787DD42AB30E470F2A6" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ConvertibleSubordinatedPromissoryNotesIssuedinJuly2012Member" xlink:label="loc_adk_ConvertibleSubordinatedPromissoryNotesIssuedinJuly2012Member_C58372123B8D04BA3059AB30E470DE79" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_ConvertibleSubordinatedPromissoryNotesIssuedinJuly2012Member_C58372123B8D04BA3059AB30E470DE79" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ConvertibleDebtMember" xlink:label="loc_us-gaap_ConvertibleDebtMember_E3229FD4BFAE1615C941AB30E4706E21" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_us-gaap_ConvertibleDebtMember_E3229FD4BFAE1615C941AB30E4706E21" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OtherDebtMember" xlink:label="loc_adk_OtherDebtMember_5CAE0B67BB2FB3C9AE3AAB30E47022AA" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_OtherDebtMember_5CAE0B67BB2FB3C9AE3AAB30E47022AA" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_BondsSeriesAMember" xlink:label="loc_adk_BondsSeriesAMember_7CB4632D6B5057E1FD4CAB30E470E07C" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_BondsSeriesAMember_7CB4632D6B5057E1FD4CAB30E470E07C" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtSBAMember" xlink:label="loc_adk_SeniorDebtSBAMember_3CE3731E81BAA5CD2FC3AB30E470B653" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_SeniorDebtSBAMember_3CE3731E81BAA5CD2FC3AB30E470B653" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtUSDAMember" xlink:label="loc_adk_SeniorDebtUSDAMember_D80E87F565AB0E5606CEAB30E471AC2A" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_SeniorDebtUSDAMember_D80E87F565AB0E5606CEAB30E471AC2A" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_BondSeriesBMember" xlink:label="loc_adk_BondSeriesBMember_CE4FF40846D689B5FFF6AB30E4714735" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_BondSeriesBMember_CE4FF40846D689B5FFF6AB30E4714735" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ConvertibleDebtIssuedin2015Member" xlink:label="loc_adk_ConvertibleDebtIssuedin2015Member_3B2AB8B78A1766D1C509AB30E4713F63" xlink:type="locator" />
    <definitionArc order="10" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_ConvertibleDebtIssuedin2015Member_3B2AB8B78A1766D1C509AB30E4713F63" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtBondsMember" xlink:label="loc_adk_SeniorDebtBondsMember_E74A0083E8F715712E21AB30E471E9BA" xlink:type="locator" />
    <definitionArc order="11" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_E0B037001C1464BE887CAB30E4709F79" xlink:to="loc_adk_SeniorDebtBondsMember_E74A0083E8F715712E21AB30E471E9BA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VariableRateAxis" xlink:label="loc_us-gaap_VariableRateAxis_A1FCBCB7C26D9E6D0FB8AB30E47183A9" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_58625B4FD18F895F19FEAB30E46EB294" xlink:to="loc_us-gaap_VariableRateAxis_A1FCBCB7C26D9E6D0FB8AB30E47183A9" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VariableRateDomain" xlink:label="loc_us-gaap_VariableRateDomain_4A3DFF680FC19B7A77C4AB30E4712545_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_VariableRateAxis_A1FCBCB7C26D9E6D0FB8AB30E47183A9" xlink:to="loc_us-gaap_VariableRateDomain_4A3DFF680FC19B7A77C4AB30E4712545_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VariableRateDomain" xlink:label="loc_us-gaap_VariableRateDomain_4A3DFF680FC19B7A77C4AB30E4712545" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_VariableRateAxis_A1FCBCB7C26D9E6D0FB8AB30E47183A9" xlink:to="loc_us-gaap_VariableRateDomain_4A3DFF680FC19B7A77C4AB30E4712545" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LondonInterbankOfferedRateLIBORMember" xlink:label="loc_us-gaap_LondonInterbankOfferedRateLIBORMember_78B7BE077612750CCC86AB30E4711BE7" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VariableRateDomain_4A3DFF680FC19B7A77C4AB30E4712545" xlink:to="loc_us-gaap_LondonInterbankOfferedRateLIBORMember_78B7BE077612750CCC86AB30E4711BE7" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PrimeRateMember" xlink:label="loc_us-gaap_PrimeRateMember_62990E45796B0D2C2B30AB30E4711F1B" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VariableRateDomain_4A3DFF680FC19B7A77C4AB30E4712545" xlink:to="loc_us-gaap_PrimeRateMember_62990E45796B0D2C2B30AB30E4711F1B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentInterestRateStatedPercentage" xlink:label="loc_us-gaap_DebtInstrumentInterestRateStatedPercentage_CC70090E76C60888B3EBAB89A02F0DCA" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_EBE222BE5B3B8D0921C1AB30E4714C67" xlink:to="loc_us-gaap_DebtInstrumentInterestRateStatedPercentage_CC70090E76C60888B3EBAB89A02F0DCA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentInterestRateEffectivePercentage" xlink:label="loc_us-gaap_DebtInstrumentInterestRateEffectivePercentage_7ECAB9FE56742A8839F5AB88AD0553C0" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_EBE222BE5B3B8D0921C1AB30E4714C67" xlink:to="loc_us-gaap_DebtInstrumentInterestRateEffectivePercentage_7ECAB9FE56742A8839F5AB88AD0553C0" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtLongtermAndShorttermCombinedAmount" xlink:label="loc_us-gaap_DebtLongtermAndShorttermCombinedAmount_6C6E9DCBFA45444CAD03AB30E4710614" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_EBE222BE5B3B8D0921C1AB30E4714C67" xlink:to="loc_us-gaap_DebtLongtermAndShorttermCombinedAmount_6C6E9DCBFA45444CAD03AB30E4710614" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentBasisSpreadOnVariableRate1" xlink:label="loc_us-gaap_DebtInstrumentBasisSpreadOnVariableRate1_6AE4E5534E6D311A3E12AB30E471C3C3" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_EBE222BE5B3B8D0921C1AB30E4714C67" xlink:to="loc_us-gaap_DebtInstrumentBasisSpreadOnVariableRate1_6AE4E5534E6D311A3E12AB30E471C3C3" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtNarrativeDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentLineItems" xlink:label="loc_us-gaap_DebtInstrumentLineItems_CE520CBE758065BD0E56B8172ED31838" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentTable" xlink:label="loc_us-gaap_DebtInstrumentTable_D9631DD22C5A93EDE434B8172ED1B1D1" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_DebtInstrumentLineItems_CE520CBE758065BD0E56B8172ED31838" xlink:to="loc_us-gaap_DebtInstrumentTable_D9631DD22C5A93EDE434B8172ED1B1D1" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeAxis" xlink:label="loc_us-gaap_RangeAxis_E6A9263427772B8C17FEB8175245DC74" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_D9631DD22C5A93EDE434B8172ED1B1D1" xlink:to="loc_us-gaap_RangeAxis_E6A9263427772B8C17FEB8175245DC74" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeMember" xlink:label="loc_us-gaap_RangeMember_FDA6CC61FE8AD5A40612B8175247453F_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_RangeAxis_E6A9263427772B8C17FEB8175245DC74" xlink:to="loc_us-gaap_RangeMember_FDA6CC61FE8AD5A40612B8175247453F_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeMember" xlink:label="loc_us-gaap_RangeMember_FDA6CC61FE8AD5A40612B8175247453F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_RangeAxis_E6A9263427772B8C17FEB8175245DC74" xlink:to="loc_us-gaap_RangeMember_FDA6CC61FE8AD5A40612B8175247453F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_MinimumMember" xlink:label="loc_us-gaap_MinimumMember_D1F3C0D84DA695174EA4B8177A96DF74" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RangeMember_FDA6CC61FE8AD5A40612B8175247453F" xlink:to="loc_us-gaap_MinimumMember_D1F3C0D84DA695174EA4B8177A96DF74" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_MaximumMember" xlink:label="loc_us-gaap_MaximumMember_7DAD2704C40BB7E82539B817A060DF3D" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RangeMember_FDA6CC61FE8AD5A40612B8175247453F" xlink:to="loc_us-gaap_MaximumMember_7DAD2704C40BB7E82539B817A060DF3D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeAxis" xlink:label="loc_us-gaap_LongtermDebtTypeAxis_B73B4598FC26BF6E5880B8172ED28C64" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_D9631DD22C5A93EDE434B8172ED1B1D1" xlink:to="loc_us-gaap_LongtermDebtTypeAxis_B73B4598FC26BF6E5880B8172ED28C64" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeDomain" xlink:label="loc_us-gaap_LongtermDebtTypeDomain_906697855BE3C18AF9D1B8172ED23131_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_LongtermDebtTypeAxis_B73B4598FC26BF6E5880B8172ED28C64" xlink:to="loc_us-gaap_LongtermDebtTypeDomain_906697855BE3C18AF9D1B8172ED23131_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeDomain" xlink:label="loc_us-gaap_LongtermDebtTypeDomain_906697855BE3C18AF9D1B8172ED23131" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_LongtermDebtTypeAxis_B73B4598FC26BF6E5880B8172ED28C64" xlink:to="loc_us-gaap_LongtermDebtTypeDomain_906697855BE3C18AF9D1B8172ED23131" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentAxis" xlink:label="loc_us-gaap_DebtInstrumentAxis_9E377D46F897B45CC334B8172ED2F0B2" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_D9631DD22C5A93EDE434B8172ED1B1D1" xlink:to="loc_us-gaap_DebtInstrumentAxis_9E377D46F897B45CC334B8172ED2F0B2" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentNameDomain" xlink:label="loc_us-gaap_DebtInstrumentNameDomain_F4DD5911428AE384FFE3B8172ED28364_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_DebtInstrumentAxis_9E377D46F897B45CC334B8172ED2F0B2" xlink:to="loc_us-gaap_DebtInstrumentNameDomain_F4DD5911428AE384FFE3B8172ED28364_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentNameDomain" xlink:label="loc_us-gaap_DebtInstrumentNameDomain_F4DD5911428AE384FFE3B8172ED28364" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_DebtInstrumentAxis_9E377D46F897B45CC334B8172ED2F0B2" xlink:to="loc_us-gaap_DebtInstrumentNameDomain_F4DD5911428AE384FFE3B8172ED28364" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VariableRateAxis" xlink:label="loc_us-gaap_VariableRateAxis_90286B97A79714543091B8172ED2478F" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_D9631DD22C5A93EDE434B8172ED1B1D1" xlink:to="loc_us-gaap_VariableRateAxis_90286B97A79714543091B8172ED2478F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VariableRateDomain" xlink:label="loc_us-gaap_VariableRateDomain_5C3131FF62FB1AAF20ACB8172ED2410E_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_VariableRateAxis_90286B97A79714543091B8172ED2478F" xlink:to="loc_us-gaap_VariableRateDomain_5C3131FF62FB1AAF20ACB8172ED2410E_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VariableRateDomain" xlink:label="loc_us-gaap_VariableRateDomain_5C3131FF62FB1AAF20ACB8172ED2410E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_VariableRateAxis_90286B97A79714543091B8172ED2478F" xlink:to="loc_us-gaap_VariableRateDomain_5C3131FF62FB1AAF20ACB8172ED2410E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentRedemptionPeriodAxis" xlink:label="loc_us-gaap_DebtInstrumentRedemptionPeriodAxis_162DE86C12370DEED1D5B8172ED36679" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_D9631DD22C5A93EDE434B8172ED1B1D1" xlink:to="loc_us-gaap_DebtInstrumentRedemptionPeriodAxis_162DE86C12370DEED1D5B8172ED36679" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentRedemptionPeriodDomain" xlink:label="loc_us-gaap_DebtInstrumentRedemptionPeriodDomain_4DA9D286DB3E45F03078B8172ED3A341_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_DebtInstrumentRedemptionPeriodAxis_162DE86C12370DEED1D5B8172ED36679" xlink:to="loc_us-gaap_DebtInstrumentRedemptionPeriodDomain_4DA9D286DB3E45F03078B8172ED3A341_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentRedemptionPeriodDomain" xlink:label="loc_us-gaap_DebtInstrumentRedemptionPeriodDomain_4DA9D286DB3E45F03078B8172ED3A341" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_DebtInstrumentRedemptionPeriodAxis_162DE86C12370DEED1D5B8172ED36679" xlink:to="loc_us-gaap_DebtInstrumentRedemptionPeriodDomain_4DA9D286DB3E45F03078B8172ED3A341" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ProceedsFromDebtRefinancingAnticipated" xlink:label="loc_adk_ProceedsFromDebtRefinancingAnticipated_48A6FBA85F8D3620493EB7F36D62BB36" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_CE520CBE758065BD0E56B8172ED31838" xlink:to="loc_adk_ProceedsFromDebtRefinancingAnticipated_48A6FBA85F8D3620493EB7F36D62BB36" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RepaymentsOfDebt" xlink:label="loc_us-gaap_RepaymentsOfDebt_8AA0F9B3FF1585997D83B7F36D62624D" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_CE520CBE758065BD0E56B8172ED31838" xlink:to="loc_us-gaap_RepaymentsOfDebt_8AA0F9B3FF1585997D83B7F36D62624D" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_AmortizationofDeferredFinancingCostsPercentage" xlink:label="loc_adk_AmortizationofDeferredFinancingCostsPercentage_CFD8B94CBF72B148066DB816AE4C48F0" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_CE520CBE758065BD0E56B8172ED31838" xlink:to="loc_adk_AmortizationofDeferredFinancingCostsPercentage_CFD8B94CBF72B148066DB816AE4C48F0" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtScheduleOfLongTermDebtDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentLineItems" xlink:label="loc_us-gaap_DebtInstrumentLineItems_6B293F46578F7B24A343AAA60DAA27C2" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentTable" xlink:label="loc_us-gaap_DebtInstrumentTable_EDC8F4F016F48E3CA31CAAA60DA99179" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_DebtInstrumentLineItems_6B293F46578F7B24A343AAA60DAA27C2" xlink:to="loc_us-gaap_DebtInstrumentTable_EDC8F4F016F48E3CA31CAAA60DA99179" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeAxis" xlink:label="loc_us-gaap_LongtermDebtTypeAxis_75C54B5D28D722539321AAA60DA96D2B" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_EDC8F4F016F48E3CA31CAAA60DA99179" xlink:to="loc_us-gaap_LongtermDebtTypeAxis_75C54B5D28D722539321AAA60DA96D2B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeDomain" xlink:label="loc_us-gaap_LongtermDebtTypeDomain_F1930D14200B70B668BFAAA60DA948FF_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_LongtermDebtTypeAxis_75C54B5D28D722539321AAA60DA96D2B" xlink:to="loc_us-gaap_LongtermDebtTypeDomain_F1930D14200B70B668BFAAA60DA948FF_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongtermDebtTypeDomain" xlink:label="loc_us-gaap_LongtermDebtTypeDomain_F1930D14200B70B668BFAAA60DA948FF" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_LongtermDebtTypeAxis_75C54B5D28D722539321AAA60DA96D2B" xlink:to="loc_us-gaap_LongtermDebtTypeDomain_F1930D14200B70B668BFAAA60DA948FF" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SeniorDebtObligationsMember" xlink:label="loc_us-gaap_SeniorDebtObligationsMember_43A4753F2080C90C4908AAA60DA9D124" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_F1930D14200B70B668BFAAA60DA948FF" xlink:to="loc_us-gaap_SeniorDebtObligationsMember_43A4753F2080C90C4908AAA60DA9D124" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_BondsMember" xlink:label="loc_us-gaap_BondsMember_CBE5BEFF19E9B233A4F4AAA60DA9A27C" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_F1930D14200B70B668BFAAA60DA948FF" xlink:to="loc_us-gaap_BondsMember_CBE5BEFF19E9B233A4F4AAA60DA9A27C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ConvertibleDebtMember" xlink:label="loc_us-gaap_ConvertibleDebtMember_5FA6F9C5B66B8F8707C0AAA60DA981AC" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_F1930D14200B70B668BFAAA60DA948FF" xlink:to="loc_us-gaap_ConvertibleDebtMember_5FA6F9C5B66B8F8707C0AAA60DA981AC" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OtherDebtMember" xlink:label="loc_adk_OtherDebtMember_C8031808F5EDB0398115AAA60DA97DE2" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LongtermDebtTypeDomain_F1930D14200B70B668BFAAA60DA948FF" xlink:to="loc_adk_OtherDebtMember_C8031808F5EDB0398115AAA60DA97DE2" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentAxis" xlink:label="loc_us-gaap_DebtInstrumentAxis_AFEC6F5A468915680BB3AAA60DA98A6A" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_EDC8F4F016F48E3CA31CAAA60DA99179" xlink:to="loc_us-gaap_DebtInstrumentAxis_AFEC6F5A468915680BB3AAA60DA98A6A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentNameDomain" xlink:label="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_DebtInstrumentAxis_AFEC6F5A468915680BB3AAA60DA98A6A" xlink:to="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentNameDomain" xlink:label="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_DebtInstrumentAxis_AFEC6F5A468915680BB3AAA60DA98A6A" xlink:to="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtHUDMember" xlink:label="loc_adk_SeniorDebtHUDMember_4798C1D7BB800DE0D98BAAA60DA91F80" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E" xlink:to="loc_adk_SeniorDebtHUDMember_4798C1D7BB800DE0D98BAAA60DA91F80" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtUSDAMember" xlink:label="loc_adk_SeniorDebtUSDAMember_0AC80E81D4280BD01781AAA60DA96AA8" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E" xlink:to="loc_adk_SeniorDebtUSDAMember_0AC80E81D4280BD01781AAA60DA96AA8" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtSBAMember" xlink:label="loc_adk_SeniorDebtSBAMember_A5B1759F041F94047650AAA60DA923E7" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E" xlink:to="loc_adk_SeniorDebtSBAMember_A5B1759F041F94047650AAA60DA923E7" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtBondsMember" xlink:label="loc_adk_SeniorDebtBondsMember_2B00112227091644FA8BAAA60DAA6622" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E" xlink:to="loc_adk_SeniorDebtBondsMember_2B00112227091644FA8BAAA60DAA6622" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SeniorDebtOtherMortgageIndebtednessMember" xlink:label="loc_adk_SeniorDebtOtherMortgageIndebtednessMember_F50E3BB3088A6A6AE8D2AAA60DAA2932" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E" xlink:to="loc_adk_SeniorDebtOtherMortgageIndebtednessMember_F50E3BB3088A6A6AE8D2AAA60DAA2932" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OtherDebtMember" xlink:label="loc_adk_OtherDebtMember_423ABF4808E53E308B66AAA60DAAE9E9" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E" xlink:to="loc_adk_OtherDebtMember_423ABF4808E53E308B66AAA60DAAE9E9" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ConvertibleDebtMember" xlink:label="loc_us-gaap_ConvertibleDebtMember_51DA287D4AF4E5A14727AAA60DAA6F69" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentNameDomain_D18029EE3D91DABC5276AAA60DA9F08E" xlink:to="loc_us-gaap_ConvertibleDebtMember_51DA287D4AF4E5A14727AAA60DAA6F69" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtLongtermAndShorttermCombinedAmount" xlink:label="loc_us-gaap_DebtLongtermAndShorttermCombinedAmount_D929CAB2BAF8FE65411DAAA60DAAB514" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_6B293F46578F7B24A343AAA60DAA27C2" xlink:to="loc_us-gaap_DebtLongtermAndShorttermCombinedAmount_D929CAB2BAF8FE65411DAAA60DAAB514" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_UnamortizedDebtIssuanceExpense" xlink:label="loc_us-gaap_UnamortizedDebtIssuanceExpense_D553504730AB87A7C1C4AAA60DAA7D5F" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_6B293F46578F7B24A343AAA60DAA27C2" xlink:to="loc_us-gaap_UnamortizedDebtIssuanceExpense_D553504730AB87A7C1C4AAA60DAA7D5F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtCurrent" xlink:label="loc_us-gaap_DebtCurrent_5B9DEC8C23AC69F8D753AAA60DAA6F7F" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_6B293F46578F7B24A343AAA60DAA27C2" xlink:to="loc_us-gaap_DebtCurrent_5B9DEC8C23AC69F8D753AAA60DAA6F7F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent" xlink:label="loc_us-gaap_LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent_842ABA2A718C9C6508F0AAA60DAA5EAA" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_6B293F46578F7B24A343AAA60DAA27C2" xlink:to="loc_us-gaap_LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent_842ABA2A718C9C6508F0AAA60DAA5EAA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongTermNotesAndLoans" xlink:label="loc_us-gaap_LongTermNotesAndLoans_6DED76588D22035FD6EEAAA60DAAC9FB" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_6B293F46578F7B24A343AAA60DAA27C2" xlink:to="loc_us-gaap_LongTermNotesAndLoans_6DED76588D22035FD6EEAAA60DAAC9FB" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtScheduledMaturitiesDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentLineItems" xlink:label="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentTable" xlink:label="loc_us-gaap_DebtInstrumentTable_FE74D840EABDD2496B02AAA60D4C70E4" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_DebtInstrumentTable_FE74D840EABDD2496B02AAA60D4C70E4" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupClassificationAxis" xlink:label="loc_us-gaap_DisposalGroupClassificationAxis_232089DBF8439CD0551AAAA60D4D1533" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_DebtInstrumentTable_FE74D840EABDD2496B02AAA60D4C70E4" xlink:to="loc_us-gaap_DisposalGroupClassificationAxis_232089DBF8439CD0551AAAA60D4D1533" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupClassificationDomain" xlink:label="loc_us-gaap_DisposalGroupClassificationDomain_44B07C392F4D20A4727FAAA60D4DCD15_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_DisposalGroupClassificationAxis_232089DBF8439CD0551AAAA60D4D1533" xlink:to="loc_us-gaap_DisposalGroupClassificationDomain_44B07C392F4D20A4727FAAA60D4DCD15_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupClassificationDomain" xlink:label="loc_us-gaap_DisposalGroupClassificationDomain_44B07C392F4D20A4727FAAA60D4DCD15" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_DisposalGroupClassificationAxis_232089DBF8439CD0551AAAA60D4D1533" xlink:to="loc_us-gaap_DisposalGroupClassificationDomain_44B07C392F4D20A4727FAAA60D4DCD15" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DisposalGroupHeldForSaleOrDisposedOfBySaleNotDiscontinuedOperationsMember" xlink:label="loc_us-gaap_DisposalGroupHeldForSaleOrDisposedOfBySaleNotDiscontinuedOperationsMember_35A9105F39D671792F57AAA60D4DFCBD" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DisposalGroupClassificationDomain_44B07C392F4D20A4727FAAA60D4DCD15" xlink:to="loc_us-gaap_DisposalGroupHeldForSaleOrDisposedOfBySaleNotDiscontinuedOperationsMember_35A9105F39D671792F57AAA60D4DFCBD" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalRemainderOfFiscalYear" xlink:label="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalRemainderOfFiscalYear_D627EEB8BF0AD6C41A43AAA60D4D6611" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalRemainderOfFiscalYear_D627EEB8BF0AD6C41A43AAA60D4D6611" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo" xlink:label="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo_7C3D76C9550773501F7CAAA60D4D708F" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo_7C3D76C9550773501F7CAAA60D4D708F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree" xlink:label="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree_C8EB914B1E5701910E4BAAA60D4DF714" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree_C8EB914B1E5701910E4BAAA60D4DF714" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour" xlink:label="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour_24C6AFA6018272B1BA7EAAA60D4DD7E1" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour_24C6AFA6018272B1BA7EAAA60D4DD7E1" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive" xlink:label="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive_B88F7C0D2799D28F5F22AAA60D4DB521" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive_B88F7C0D2799D28F5F22AAA60D4DB521" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive" xlink:label="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive_649773C92EDF5B869E3BAAA60D4D34B4" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive_649773C92EDF5B869E3BAAA60D4D34B4" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DebtLongTermAndShortTermCombinedAmountBeforeUnamortizedDiscountPremium" xlink:label="loc_adk_DebtLongTermAndShortTermCombinedAmountBeforeUnamortizedDiscountPremium_5C7B505D85451B335E81AAA60D52F772" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_adk_DebtLongTermAndShortTermCombinedAmountBeforeUnamortizedDiscountPremium_5C7B505D85451B335E81AAA60D52F772" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentUnamortizedDiscount" xlink:label="loc_us-gaap_DebtInstrumentUnamortizedDiscount_22D9AACFF8C0617DCF73AAA60D536955" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_DebtInstrumentUnamortizedDiscount_22D9AACFF8C0617DCF73AAA60D536955" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_UnamortizedDebtIssuanceExpense" xlink:label="loc_us-gaap_UnamortizedDebtIssuanceExpense_3DD183CEABB7D2FADA27AAA60D53A476" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_UnamortizedDebtIssuanceExpense_3DD183CEABB7D2FADA27AAA60D53A476" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtLongtermAndShorttermCombinedAmount" xlink:label="loc_us-gaap_DebtLongtermAndShorttermCombinedAmount_BF2A976B8C545D059C2BAAA60D5335EF" xlink:type="locator" />
    <definitionArc order="10" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_us-gaap_DebtLongtermAndShorttermCombinedAmount_BF2A976B8C545D059C2BAAA60D5335EF" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberofOfficeBuildingsClassifiedasLiabilitiesofDisposalGroupHeldforSale" xlink:label="loc_adk_NumberofOfficeBuildingsClassifiedasLiabilitiesofDisposalGroupHeldforSale_6BB55FC56DEC0D70F20FAAA60D533C87" xlink:type="locator" />
    <definitionArc order="11" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_DebtInstrumentLineItems_8CA005A731E93EEE1F51AAA60D4D4449" xlink:to="loc_adk_NumberofOfficeBuildingsClassifiedasLiabilitiesofDisposalGroupHeldforSale_6BB55FC56DEC0D70F20FAAA60D533C87" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/NotesPayableAndOtherDebtTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/OrganizationAndSignificantAccountingPolicies" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/OrganizationAndSignificantAccountingPoliciesDetailsTextual" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_OperatingLeasedAssetsLineItems" xlink:label="loc_us-gaap_OperatingLeasedAssetsLineItems_58AC1371818326235425A876E6838BEF" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfOperatingLeasedAssetsTable" xlink:label="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_D721015568E96C65447BA876E68364D7" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_58AC1371818326235425A876E6838BEF" xlink:to="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_D721015568E96C65447BA876E68364D7" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis" xlink:label="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_1B54E7C46A11964D8861A876E6830637" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_D721015568E96C65447BA876E68364D7" xlink:to="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_1B54E7C46A11964D8861A876E6830637" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ReceivableTypeDomain" xlink:label="loc_us-gaap_ReceivableTypeDomain_7DF54B9151848DC17486A876E6832535_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_1B54E7C46A11964D8861A876E6830637" xlink:to="loc_us-gaap_ReceivableTypeDomain_7DF54B9151848DC17486A876E6832535_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ReceivableTypeDomain" xlink:label="loc_us-gaap_ReceivableTypeDomain_7DF54B9151848DC17486A876E6832535" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_1B54E7C46A11964D8861A876E6830637" xlink:to="loc_us-gaap_ReceivableTypeDomain_7DF54B9151848DC17486A876E6832535" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_PatientCareReceivablesMember" xlink:label="loc_adk_PatientCareReceivablesMember_5E4671540C8661C266D8A876E68348B4" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ReceivableTypeDomain_7DF54B9151848DC17486A876E6832535" xlink:to="loc_adk_PatientCareReceivablesMember_5E4671540C8661C266D8A876E68348B4" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_CounterpartyNameAxis" xlink:label="loc_us-gaap_CounterpartyNameAxis_1573C7CB3AF6EDF0A760A876E68345E7" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfOperatingLeasedAssetsTable_D721015568E96C65447BA876E68364D7" xlink:to="loc_us-gaap_CounterpartyNameAxis_1573C7CB3AF6EDF0A760A876E68345E7" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RepurchaseAgreementCounterpartyNameDomain" xlink:label="loc_us-gaap_RepurchaseAgreementCounterpartyNameDomain_E26CA33ACD9B6C617AA8A876E683A907_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_CounterpartyNameAxis_1573C7CB3AF6EDF0A760A876E68345E7" xlink:to="loc_us-gaap_RepurchaseAgreementCounterpartyNameDomain_E26CA33ACD9B6C617AA8A876E683A907_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RepurchaseAgreementCounterpartyNameDomain" xlink:label="loc_us-gaap_RepurchaseAgreementCounterpartyNameDomain_E26CA33ACD9B6C617AA8A876E683A907" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_CounterpartyNameAxis_1573C7CB3AF6EDF0A760A876E68345E7" xlink:to="loc_us-gaap_RepurchaseAgreementCounterpartyNameDomain_E26CA33ACD9B6C617AA8A876E683A907" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ThirdPartyOperatorsMember" xlink:label="loc_adk_ThirdPartyOperatorsMember_55F8F0C6298F4BC58D3FA876E6838BD3" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RepurchaseAgreementCounterpartyNameDomain_E26CA33ACD9B6C617AA8A876E683A907" xlink:to="loc_adk_ThirdPartyOperatorsMember_55F8F0C6298F4BC58D3FA876E6838BD3" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberOfFacilities" xlink:label="loc_adk_NumberOfFacilities_76D2C79F34F57D12C95CA876E6834BC3" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_58AC1371818326235425A876E6838BEF" xlink:to="loc_adk_NumberOfFacilities_76D2C79F34F57D12C95CA876E6834BC3" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberofSubleaseAgreementsExecutedOwnedbyCompany" xlink:label="loc_adk_NumberofSubleaseAgreementsExecutedOwnedbyCompany_B1483943C5620055CD5AA876E683BC67" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_58AC1371818326235425A876E6838BEF" xlink:to="loc_adk_NumberofSubleaseAgreementsExecutedOwnedbyCompany_B1483943C5620055CD5AA876E683BC67" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberofSubleaseAgreementsExecutedLeasedbyCompany" xlink:label="loc_adk_NumberofSubleaseAgreementsExecutedLeasedbyCompany_903F2AC62760EC2D9FCEA876E6836DCA" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_58AC1371818326235425A876E6838BEF" xlink:to="loc_adk_NumberofSubleaseAgreementsExecutedLeasedbyCompany_903F2AC62760EC2D9FCEA876E6836DCA" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberofLeaseAgreementsExecutedOwnedbyCompanyAssistedLivingFacility" xlink:label="loc_adk_NumberofLeaseAgreementsExecutedOwnedbyCompanyAssistedLivingFacility_49145FC565BE201BBBFDA876E68318D0" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_58AC1371818326235425A876E6838BEF" xlink:to="loc_adk_NumberofLeaseAgreementsExecutedOwnedbyCompanyAssistedLivingFacility_49145FC565BE201BBBFDA876E68318D0" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_AllowanceForUncollectibleAccountsPatientCareReceivables" xlink:label="loc_adk_AllowanceForUncollectibleAccountsPatientCareReceivables_0FFE2BFAE38EEFC42E79A876E68345FE" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_58AC1371818326235425A876E6838BEF" xlink:to="loc_adk_AllowanceForUncollectibleAccountsPatientCareReceivables_0FFE2BFAE38EEFC42E79A876E68345FE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AccountsReceivableNetCurrent" xlink:label="loc_us-gaap_AccountsReceivableNetCurrent_8691D8EDFE4E4ADDC20DA876E6848EE6" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_OperatingLeasedAssetsLineItems_58AC1371818326235425A876E6838BEF" xlink:to="loc_us-gaap_AccountsReceivableNetCurrent_8691D8EDFE4E4ADDC20DA876E6848EE6" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/OrganizationAndSignificantAccountingPoliciesPolicies" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/PropertyAndEquipment" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/PropertyAndEquipmentDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PropertyPlantAndEquipmentLineItems" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentLineItems_C14DA8964498596D8BE92A0CD703E220" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfPropertyPlantAndEquipmentTable" xlink:label="loc_us-gaap_ScheduleOfPropertyPlantAndEquipmentTable_36E2E598F4B6593EAF788BC7E21B49C4" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentLineItems_C14DA8964498596D8BE92A0CD703E220" xlink:to="loc_us-gaap_ScheduleOfPropertyPlantAndEquipmentTable_36E2E598F4B6593EAF788BC7E21B49C4" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PropertyPlantAndEquipmentByTypeAxis" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentByTypeAxis_3EC55E40D2385A6084947AE64F06CEB2" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfPropertyPlantAndEquipmentTable_36E2E598F4B6593EAF788BC7E21B49C4" xlink:to="loc_us-gaap_PropertyPlantAndEquipmentByTypeAxis_3EC55E40D2385A6084947AE64F06CEB2" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PropertyPlantAndEquipmentTypeDomain" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentTypeDomain_FB2018F496E3AE1F5F60713ADD8B8C6C_79426CE5E9E952A689A4970589F3694E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentByTypeAxis_3EC55E40D2385A6084947AE64F06CEB2" xlink:to="loc_us-gaap_PropertyPlantAndEquipmentTypeDomain_FB2018F496E3AE1F5F60713ADD8B8C6C_79426CE5E9E952A689A4970589F3694E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PropertyPlantAndEquipmentTypeDomain" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentTypeDomain_7FF4D028A92B58F9BEF94F1E701F0F5F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentByTypeAxis_3EC55E40D2385A6084947AE64F06CEB2" xlink:to="loc_us-gaap_PropertyPlantAndEquipmentTypeDomain_7FF4D028A92B58F9BEF94F1E701F0F5F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_BuildingAndBuildingImprovementsMember" xlink:label="loc_us-gaap_BuildingAndBuildingImprovementsMember_82DAC1483F7A5E00913393BDD130999A" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentTypeDomain_7FF4D028A92B58F9BEF94F1E701F0F5F" xlink:to="loc_us-gaap_BuildingAndBuildingImprovementsMember_82DAC1483F7A5E00913393BDD130999A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquipmentMember" xlink:label="loc_us-gaap_EquipmentMember_61EDF1C38DBA52C78FC436A20067440C" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentTypeDomain_7FF4D028A92B58F9BEF94F1E701F0F5F" xlink:to="loc_us-gaap_EquipmentMember_61EDF1C38DBA52C78FC436A20067440C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LandMember" xlink:label="loc_us-gaap_LandMember_2D5ED5650CBA586E9F912E7C3F7409BC" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentTypeDomain_7FF4D028A92B58F9BEF94F1E701F0F5F" xlink:to="loc_us-gaap_LandMember_2D5ED5650CBA586E9F912E7C3F7409BC" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ComputerEquipmentMember" xlink:label="loc_us-gaap_ComputerEquipmentMember_EFDDA833D8C356988430BC4967E43D62" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentTypeDomain_7FF4D028A92B58F9BEF94F1E701F0F5F" xlink:to="loc_us-gaap_ComputerEquipmentMember_EFDDA833D8C356988430BC4967E43D62" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ConstructionInProgressMember" xlink:label="loc_us-gaap_ConstructionInProgressMember_078AB469B44851FFAC980A71B7BD8919" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentTypeDomain_7FF4D028A92B58F9BEF94F1E701F0F5F" xlink:to="loc_us-gaap_ConstructionInProgressMember_078AB469B44851FFAC980A71B7BD8919" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeAxis" xlink:label="loc_us-gaap_RangeAxis_ACF05B5C77F450819DA79DFFE778AEDF" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfPropertyPlantAndEquipmentTable_36E2E598F4B6593EAF788BC7E21B49C4" xlink:to="loc_us-gaap_RangeAxis_ACF05B5C77F450819DA79DFFE778AEDF" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeMember" xlink:label="loc_us-gaap_RangeMember_969A51897FBDC889F8DD713ADD8C913F_79426CE5E9E952A689A4970589F3694E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_RangeAxis_ACF05B5C77F450819DA79DFFE778AEDF" xlink:to="loc_us-gaap_RangeMember_969A51897FBDC889F8DD713ADD8C913F_79426CE5E9E952A689A4970589F3694E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeMember" xlink:label="loc_us-gaap_RangeMember_9D6176B928D55052A729466DDA03FFA2" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_RangeAxis_ACF05B5C77F450819DA79DFFE778AEDF" xlink:to="loc_us-gaap_RangeMember_9D6176B928D55052A729466DDA03FFA2" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_MinimumMember" xlink:label="loc_us-gaap_MinimumMember_24D83ADF4EC451998439BCB0FE377F0F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RangeMember_9D6176B928D55052A729466DDA03FFA2" xlink:to="loc_us-gaap_MinimumMember_24D83ADF4EC451998439BCB0FE377F0F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_MaximumMember" xlink:label="loc_us-gaap_MaximumMember_89418C921B9E55F99DF90F6680F4F32D" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RangeMember_9D6176B928D55052A729466DDA03FFA2" xlink:to="loc_us-gaap_MaximumMember_89418C921B9E55F99DF90F6680F4F32D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PropertyPlantAndEquipmentGross" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentGross_693D4E3D2FDF5A5F9D3F548615028025" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentLineItems_C14DA8964498596D8BE92A0CD703E220" xlink:to="loc_us-gaap_PropertyPlantAndEquipmentGross_693D4E3D2FDF5A5F9D3F548615028025" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment" xlink:label="loc_us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment_122DAA6844AA5B498E6A2BCAC9169543" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentLineItems_C14DA8964498596D8BE92A0CD703E220" xlink:to="loc_us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment_122DAA6844AA5B498E6A2BCAC9169543" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PropertyPlantAndEquipmentNet" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentNet_934B4C318A8153838E163D720AE474B1" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentLineItems_C14DA8964498596D8BE92A0CD703E220" xlink:to="loc_us-gaap_PropertyPlantAndEquipmentNet_934B4C318A8153838E163D720AE474B1" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PropertyPlantAndEquipmentUsefulLife" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentUsefulLife_5E34B07874235BECBC6F2BAE13F39124" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentLineItems_C14DA8964498596D8BE92A0CD703E220" xlink:to="loc_us-gaap_PropertyPlantAndEquipmentUsefulLife_5E34B07874235BECBC6F2BAE13F39124" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/PropertyAndEquipmentTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/PropertyAndEquipmentTextualDetails" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/ReconciliationOfNetIncomeLossForContinuingAndDiscontinuedOperationsDetails" xlink:type="extended">
    <loc xlink:href="adk-20160331.xsd#adk_EarningsPerShareLineItems" xlink:label="loc_adk_EarningsPerShareLineItems_D090D6EAD5BC86A617B0AAA60ED46C02" xlink:type="locator" />
    <loc xlink:href="adk-20160331.xsd#adk_ScheduleOfEarningsPerShareByCommonClassTable" xlink:label="loc_adk_ScheduleOfEarningsPerShareByCommonClassTable_CCF138C577B98EF96F1CAAA60ED4C7CE" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_adk_EarningsPerShareLineItems_D090D6EAD5BC86A617B0AAA60ED46C02" xlink:to="loc_adk_ScheduleOfEarningsPerShareByCommonClassTable_CCF138C577B98EF96F1CAAA60ED4C7CE" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementOperatingActivitiesSegmentAxis" xlink:label="loc_us-gaap_StatementOperatingActivitiesSegmentAxis_659D702C4282CB94F412AAA60ED4D55A" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_adk_ScheduleOfEarningsPerShareByCommonClassTable_CCF138C577B98EF96F1CAAA60ED4C7CE" xlink:to="loc_us-gaap_StatementOperatingActivitiesSegmentAxis_659D702C4282CB94F412AAA60ED4D55A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentOperatingActivitiesDomain" xlink:label="loc_us-gaap_SegmentOperatingActivitiesDomain_54A0139C9E3A8490ADD9AAA60ED44A70_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementOperatingActivitiesSegmentAxis_659D702C4282CB94F412AAA60ED4D55A" xlink:to="loc_us-gaap_SegmentOperatingActivitiesDomain_54A0139C9E3A8490ADD9AAA60ED44A70_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentOperatingActivitiesDomain" xlink:label="loc_us-gaap_SegmentOperatingActivitiesDomain_54A0139C9E3A8490ADD9AAA60ED44A70" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementOperatingActivitiesSegmentAxis_659D702C4282CB94F412AAA60ED4D55A" xlink:to="loc_us-gaap_SegmentOperatingActivitiesDomain_54A0139C9E3A8490ADD9AAA60ED44A70" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentContinuingOperationsMember" xlink:label="loc_us-gaap_SegmentContinuingOperationsMember_8290EC38D38336642B44AAA60ED4F356" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentOperatingActivitiesDomain_54A0139C9E3A8490ADD9AAA60ED44A70" xlink:to="loc_us-gaap_SegmentContinuingOperationsMember_8290EC38D38336642B44AAA60ED4F356" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentDiscontinuedOperationsMember" xlink:label="loc_us-gaap_SegmentDiscontinuedOperationsMember_73B1552BF2985009A1F9AAA60ED4CB49" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentOperatingActivitiesDomain_54A0139C9E3A8490ADD9AAA60ED44A70" xlink:to="loc_us-gaap_SegmentDiscontinuedOperationsMember_73B1552BF2985009A1F9AAA60ED4CB49" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NetIncomeLossAvailableToCommonStockholdersBasicAndDilutedAbstract" xlink:label="loc_adk_NetIncomeLossAvailableToCommonStockholdersBasicAndDilutedAbstract_49384588B1D4FC6C5F65AAA60ED40917" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_EarningsPerShareLineItems_D090D6EAD5BC86A617B0AAA60ED46C02" xlink:to="loc_adk_NetIncomeLossAvailableToCommonStockholdersBasicAndDilutedAbstract_49384588B1D4FC6C5F65AAA60ED40917" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest" xlink:label="loc_us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest_2EB9B9D02196439D9A1BAAA60ED483F4" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_NetIncomeLossAvailableToCommonStockholdersBasicAndDilutedAbstract_49384588B1D4FC6C5F65AAA60ED40917" xlink:to="loc_us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest_2EB9B9D02196439D9A1BAAA60ED483F4" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DividendsPreferredStock" xlink:label="loc_us-gaap_DividendsPreferredStock_AEB7647CBF62D996F9CBAAA60ED51AC2" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_NetIncomeLossAvailableToCommonStockholdersBasicAndDilutedAbstract_49384588B1D4FC6C5F65AAA60ED40917" xlink:to="loc_us-gaap_DividendsPreferredStock_AEB7647CBF62D996F9CBAAA60ED51AC2" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax" xlink:label="loc_us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax_07C698EC7C055601A539AAA60ED5B75D" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_NetIncomeLossAvailableToCommonStockholdersBasicAndDilutedAbstract_49384588B1D4FC6C5F65AAA60ED40917" xlink:to="loc_us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax_07C698EC7C055601A539AAA60ED5B75D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_NetIncomeLossAttributableToNoncontrollingInterest" xlink:label="loc_us-gaap_NetIncomeLossAttributableToNoncontrollingInterest_A3059EB1508F6095FEC1AAA60ED50A52" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_NetIncomeLossAvailableToCommonStockholdersBasicAndDilutedAbstract_49384588B1D4FC6C5F65AAA60ED40917" xlink:to="loc_us-gaap_NetIncomeLossAttributableToNoncontrollingInterest_A3059EB1508F6095FEC1AAA60ED50A52" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic" xlink:label="loc_us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic_E4C06A1A5D01819FE464AAA60ED5854E" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_NetIncomeLossAvailableToCommonStockholdersBasicAndDilutedAbstract_49384588B1D4FC6C5F65AAA60ED40917" xlink:to="loc_us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic_E4C06A1A5D01819FE464AAA60ED5854E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_NetIncomeLossAvailableToCommonStockholdersDiluted" xlink:label="loc_us-gaap_NetIncomeLossAvailableToCommonStockholdersDiluted_FFFA2464C4D84C2BD0FCAAA60ED5F30C" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_NetIncomeLossAvailableToCommonStockholdersBasicAndDilutedAbstract_49384588B1D4FC6C5F65AAA60ED40917" xlink:to="loc_us-gaap_NetIncomeLossAvailableToCommonStockholdersDiluted_FFFA2464C4D84C2BD0FCAAA60ED5F30C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_WeightedAverageNumberOfSharesOutstandingDilutedDisclosureItemsAbstract" xlink:label="loc_us-gaap_WeightedAverageNumberOfSharesOutstandingDilutedDisclosureItemsAbstract_C141407B786C13895BCCAAA60ED50D1B" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_EarningsPerShareLineItems_D090D6EAD5BC86A617B0AAA60ED46C02" xlink:to="loc_us-gaap_WeightedAverageNumberOfSharesOutstandingDilutedDisclosureItemsAbstract_C141407B786C13895BCCAAA60ED50D1B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_WeightedAverageNumberOfSharesOutstandingBasic" xlink:label="loc_us-gaap_WeightedAverageNumberOfSharesOutstandingBasic_22250D816C21C6925399AAA60ED533B2" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_WeightedAverageNumberOfSharesOutstandingDilutedDisclosureItemsAbstract_C141407B786C13895BCCAAA60ED50D1B" xlink:to="loc_us-gaap_WeightedAverageNumberOfSharesOutstandingBasic_22250D816C21C6925399AAA60ED533B2" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding" xlink:label="loc_us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding_87B12DE0F234FE6693B1AAA60ED5166B" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_WeightedAverageNumberOfSharesOutstandingDilutedDisclosureItemsAbstract_C141407B786C13895BCCAAA60ED50D1B" xlink:to="loc_us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding_87B12DE0F234FE6693B1AAA60ED5166B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeLossBeforeExtraordinaryItemsAndCumulativeEffectOfChangeInAccountingPrinciplePerBasicShareAbstract" xlink:label="loc_us-gaap_IncomeLossBeforeExtraordinaryItemsAndCumulativeEffectOfChangeInAccountingPrinciplePerBasicShareAbstract_A6CD2B25C27F9DDB567EAAA60ED54B8F" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_EarningsPerShareLineItems_D090D6EAD5BC86A617B0AAA60ED46C02" xlink:to="loc_us-gaap_IncomeLossBeforeExtraordinaryItemsAndCumulativeEffectOfChangeInAccountingPrinciplePerBasicShareAbstract_A6CD2B25C27F9DDB567EAAA60ED54B8F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeLossFromContinuingOperationsPerBasicShare" xlink:label="loc_us-gaap_IncomeLossFromContinuingOperationsPerBasicShare_BAD4BBA08C236A0AD97DAAA60ED59C7F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeLossBeforeExtraordinaryItemsAndCumulativeEffectOfChangeInAccountingPrinciplePerBasicShareAbstract_A6CD2B25C27F9DDB567EAAA60ED54B8F" xlink:to="loc_us-gaap_IncomeLossFromContinuingOperationsPerBasicShare_BAD4BBA08C236A0AD97DAAA60ED59C7F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare" xlink:label="loc_us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare_3514A232A5086AD8A345AAA60ED51170" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeLossBeforeExtraordinaryItemsAndCumulativeEffectOfChangeInAccountingPrinciplePerBasicShareAbstract_A6CD2B25C27F9DDB567EAAA60ED54B8F" xlink:to="loc_us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare_3514A232A5086AD8A345AAA60ED51170" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare" xlink:label="loc_us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare_5D43159A205BE283EA83AAA60ED58984" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeLossBeforeExtraordinaryItemsAndCumulativeEffectOfChangeInAccountingPrinciplePerBasicShareAbstract_A6CD2B25C27F9DDB567EAAA60ED54B8F" xlink:to="loc_us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare_5D43159A205BE283EA83AAA60ED58984" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare" xlink:label="loc_us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare_4734C8138FF42C3D0E64AAA60ED5879B" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeLossBeforeExtraordinaryItemsAndCumulativeEffectOfChangeInAccountingPrinciplePerBasicShareAbstract_A6CD2B25C27F9DDB567EAAA60ED54B8F" xlink:to="loc_us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare_4734C8138FF42C3D0E64AAA60ED5879B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EarningsPerShareBasic" xlink:label="loc_us-gaap_EarningsPerShareBasic_464B59A970604A88EF5CAAA60ED5B364" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeLossBeforeExtraordinaryItemsAndCumulativeEffectOfChangeInAccountingPrinciplePerBasicShareAbstract_A6CD2B25C27F9DDB567EAAA60ED54B8F" xlink:to="loc_us-gaap_EarningsPerShareBasic_464B59A970604A88EF5CAAA60ED5B364" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EarningsPerShareDiluted" xlink:label="loc_us-gaap_EarningsPerShareDiluted_665E93E5468E90A7716AAAA60ED5B73E" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_IncomeLossBeforeExtraordinaryItemsAndCumulativeEffectOfChangeInAccountingPrinciplePerBasicShareAbstract_A6CD2B25C27F9DDB567EAAA60ED54B8F" xlink:to="loc_us-gaap_EarningsPerShareDiluted_665E93E5468E90A7716AAAA60ED5B73E" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/RelatedPartyTransactions" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/RelatedPartyTransactionsDetailsTextual" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RelatedPartyTransactionLineItems" xlink:label="loc_us-gaap_RelatedPartyTransactionLineItems_7FEE11767395D781CCC8BA362FEC2045" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfRelatedPartyTransactionsByRelatedPartyTable" xlink:label="loc_us-gaap_ScheduleOfRelatedPartyTransactionsByRelatedPartyTable_062E2FCF740212836241BA362FEBBAEF" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_RelatedPartyTransactionLineItems_7FEE11767395D781CCC8BA362FEC2045" xlink:to="loc_us-gaap_ScheduleOfRelatedPartyTransactionsByRelatedPartyTable_062E2FCF740212836241BA362FEBBAEF" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementGeographicalAxis" xlink:label="loc_us-gaap_StatementGeographicalAxis_3E5988C8EE0F842369CBBA362FEB4F6E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfRelatedPartyTransactionsByRelatedPartyTable_062E2FCF740212836241BA362FEBBAEF" xlink:to="loc_us-gaap_StatementGeographicalAxis_3E5988C8EE0F842369CBBA362FEB4F6E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentGeographicalDomain" xlink:label="loc_us-gaap_SegmentGeographicalDomain_0E05B2427A4C8EC97500BA362FEC4EE9_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementGeographicalAxis_3E5988C8EE0F842369CBBA362FEB4F6E" xlink:to="loc_us-gaap_SegmentGeographicalDomain_0E05B2427A4C8EC97500BA362FEC4EE9_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentGeographicalDomain" xlink:label="loc_us-gaap_SegmentGeographicalDomain_0E05B2427A4C8EC97500BA362FEC4EE9" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementGeographicalAxis_3E5988C8EE0F842369CBBA362FEB4F6E" xlink:to="loc_us-gaap_SegmentGeographicalDomain_0E05B2427A4C8EC97500BA362FEC4EE9" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RoswellGeorgiaMember" xlink:label="loc_adk_RoswellGeorgiaMember_D755B4E883087BE443D4BA362FECD3FB" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentGeographicalDomain_0E05B2427A4C8EC97500BA362FEC4EE9" xlink:to="loc_adk_RoswellGeorgiaMember_D755B4E883087BE443D4BA362FECD3FB" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_CollegeParkGeorgiaMember" xlink:label="loc_adk_CollegeParkGeorgiaMember_3EF7956F8D963A8F2037BA362FEC53AB" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentGeographicalDomain_0E05B2427A4C8EC97500BA362FEC4EE9" xlink:to="loc_adk_CollegeParkGeorgiaMember_3EF7956F8D963A8F2037BA362FEC53AB" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_AttallaAlabamaMember" xlink:label="loc_adk_AttallaAlabamaMember_BB5C6979FB2853CEB03CBA362FECA187" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentGeographicalDomain_0E05B2427A4C8EC97500BA362FEC4EE9" xlink:to="loc_adk_AttallaAlabamaMember_BB5C6979FB2853CEB03CBA362FECA187" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_GlencoeAlabamaMember" xlink:label="loc_adk_GlencoeAlabamaMember_662B34E1FEA30823E3A5BA362FEC1CCC" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentGeographicalDomain_0E05B2427A4C8EC97500BA362FEC4EE9" xlink:to="loc_adk_GlencoeAlabamaMember_662B34E1FEA30823E3A5BA362FEC1CCC" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RelatedPartyTransactionsByRelatedPartyAxis" xlink:label="loc_us-gaap_RelatedPartyTransactionsByRelatedPartyAxis_9980E2DAEF9C3CCC10A7BA362FEC4ED1" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfRelatedPartyTransactionsByRelatedPartyTable_062E2FCF740212836241BA362FEBBAEF" xlink:to="loc_us-gaap_RelatedPartyTransactionsByRelatedPartyAxis_9980E2DAEF9C3CCC10A7BA362FEC4ED1" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RelatedPartyDomain" xlink:label="loc_us-gaap_RelatedPartyDomain_CF6530BA8A6D224EBE56BA362FEC4EC0_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_RelatedPartyTransactionsByRelatedPartyAxis_9980E2DAEF9C3CCC10A7BA362FEC4ED1" xlink:to="loc_us-gaap_RelatedPartyDomain_CF6530BA8A6D224EBE56BA362FEC4EC0_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RelatedPartyDomain" xlink:label="loc_us-gaap_RelatedPartyDomain_CF6530BA8A6D224EBE56BA362FEC4EC0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_RelatedPartyTransactionsByRelatedPartyAxis_9980E2DAEF9C3CCC10A7BA362FEC4ED1" xlink:to="loc_us-gaap_RelatedPartyDomain_CF6530BA8A6D224EBE56BA362FEC4EC0" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ChristopherBrogdonMember" xlink:label="loc_adk_ChristopherBrogdonMember_8904954D5E9DCABF5009BA362FEC0004" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RelatedPartyDomain_CF6530BA8A6D224EBE56BA362FEC4EC0" xlink:to="loc_adk_ChristopherBrogdonMember_8904954D5E9DCABF5009BA362FEC0004" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RelatedPartyTransactionOwnershipInterestPercentageinEquity" xlink:label="loc_adk_RelatedPartyTransactionOwnershipInterestPercentageinEquity_537EE318DDC2B5966FEEBA39AC4706AD" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RelatedPartyTransactionLineItems_7FEE11767395D781CCC8BA362FEC2045" xlink:to="loc_adk_RelatedPartyTransactionOwnershipInterestPercentageinEquity_537EE318DDC2B5966FEEBA39AC4706AD" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberofOfficeBuildingsGuaranteedbyRelatedParty" xlink:label="loc_adk_NumberofOfficeBuildingsGuaranteedbyRelatedParty_14590B27194734252DBDBA362FEC6EE8" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RelatedPartyTransactionLineItems_7FEE11767395D781CCC8BA362FEC2045" xlink:to="loc_adk_NumberofOfficeBuildingsGuaranteedbyRelatedParty_14590B27194734252DBDBA362FEC6EE8" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberofOfficeBuildings" xlink:label="loc_adk_NumberofOfficeBuildings_936E8BC49B41F9E8D856BA362FEC75E2" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RelatedPartyTransactionLineItems_7FEE11767395D781CCC8BA362FEC2045" xlink:to="loc_adk_NumberofOfficeBuildings_936E8BC49B41F9E8D856BA362FEC75E2" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberOfBedsInSkilledNursingFacility" xlink:label="loc_adk_NumberOfBedsInSkilledNursingFacility_33C4703AD3FCA165FAA4BA362FECD3C1" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RelatedPartyTransactionLineItems_7FEE11767395D781CCC8BA362FEC2045" xlink:to="loc_adk_NumberOfBedsInSkilledNursingFacility_33C4703AD3FCA165FAA4BA362FECD3C1" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_DebtOutstandingGuaranteedbyRelatedParty" xlink:label="loc_adk_DebtOutstandingGuaranteedbyRelatedParty_BB985A08DFB994CF172ABA362FEC8FBD" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RelatedPartyTransactionLineItems_7FEE11767395D781CCC8BA362FEC2045" xlink:to="loc_adk_DebtOutstandingGuaranteedbyRelatedParty_BB985A08DFB994CF172ABA362FEC8FBD" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_NotesReceivableRelatedParties" xlink:label="loc_us-gaap_NotesReceivableRelatedParties_986B2020AD4512BA251ABA37135619D7" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RelatedPartyTransactionLineItems_7FEE11767395D781CCC8BA362FEC2045" xlink:to="loc_us-gaap_NotesReceivableRelatedParties_986B2020AD4512BA251ABA37135619D7" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/RestrictedCash" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/RestrictedCashDetails" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/RestrictedCashTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensation" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensationAssumptionsUsedInCalculatingFairValueOfCommonStockOptionsAndWarrantsGrantedDetails" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensationExercisePriceRangeDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BD882A8597A13F5606EAA8720279C81A" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:label="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_34803984F5B76C4F13F3A872027859BF" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BD882A8597A13F5606EAA8720279C81A" xlink:to="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_34803984F5B76C4F13F3A872027859BF" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis_317A94759FB6FF6202C6A8720278DB72" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_34803984F5B76C4F13F3A872027859BF" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis_317A94759FB6FF6202C6A8720278DB72" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_F0D8D8066405ECE68A64A872027841CB_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis_317A94759FB6FF6202C6A8720278DB72" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_F0D8D8066405ECE68A64A872027841CB_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_F0D8D8066405ECE68A64A872027841CB" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis_317A94759FB6FF6202C6A8720278DB72" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_F0D8D8066405ECE68A64A872027841CB" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RangeOneMember" xlink:label="loc_adk_RangeOneMember_E1FD6E1E87F5D3CE0FD8A87202798B82" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_F0D8D8066405ECE68A64A872027841CB" xlink:to="loc_adk_RangeOneMember_E1FD6E1E87F5D3CE0FD8A87202798B82" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RangeTwoMember" xlink:label="loc_adk_RangeTwoMember_5165E17450BB46D32379A87202797648" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_F0D8D8066405ECE68A64A872027841CB" xlink:to="loc_adk_RangeTwoMember_5165E17450BB46D32379A87202797648" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RangeThreeMember" xlink:label="loc_adk_RangeThreeMember_35B6713B142ABD16E7BEA8720279F577" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_F0D8D8066405ECE68A64A872027841CB" xlink:to="loc_adk_RangeThreeMember_35B6713B142ABD16E7BEA8720279F577" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions_DA22FEEDC6602B8D3DF1A872027981E3" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BD882A8597A13F5606EAA8720279C81A" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions_DA22FEEDC6602B8D3DF1A872027981E3" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageRemainingContractualTerm2" xlink:label="loc_us-gaap_SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageRemainingContractualTerm2_0F01A8A2122728984EE0A87202794C61" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BD882A8597A13F5606EAA8720279C81A" xlink:to="loc_us-gaap_SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageRemainingContractualTerm2_0F01A8A2122728984EE0A87202794C61" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageExercisePriceBeginningBalance1" xlink:label="loc_us-gaap_SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageExercisePriceBeginningBalance1_6C8F9246352FD2ED0574A8720279331E" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BD882A8597A13F5606EAA8720279C81A" xlink:to="loc_us-gaap_SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageExercisePriceBeginningBalance1_6C8F9246352FD2ED0574A8720279331E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions_46B06D372D59B8B8DBFFA87202795E1F" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BD882A8597A13F5606EAA8720279C81A" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions_46B06D372D59B8B8DBFFA87202795E1F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeExercisableOptionsWeightedAverageExercisePrice1" xlink:label="loc_us-gaap_SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeExercisableOptionsWeightedAverageExercisePrice1_862C3C8C54C8D218D4A0A8720279ECA6" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BD882A8597A13F5606EAA8720279C81A" xlink:to="loc_us-gaap_SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeExercisableOptionsWeightedAverageExercisePrice1_862C3C8C54C8D218D4A0A8720279ECA6" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeUpperRangeLimit" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeUpperRangeLimit_FEAA2B610184BBD74076A8720279DA52" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BD882A8597A13F5606EAA8720279C81A" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeUpperRangeLimit_FEAA2B610184BBD74076A8720279DA52" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeLowerRangeLimit" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeLowerRangeLimit_01B2290751B0C7301F5AA872027993F1" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BD882A8597A13F5606EAA8720279C81A" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeLowerRangeLimit_01B2290751B0C7301F5AA872027993F1" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensationNarrativeDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:label="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_CC3E1C7EC8004FECBB33A88BD9052710" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_CC3E1C7EC8004FECBB33A88BD9052710" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementEquityComponentsAxis" xlink:label="loc_us-gaap_StatementEquityComponentsAxis_3C98996FA1440C73FFD3A88BD905D667" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_CC3E1C7EC8004FECBB33A88BD9052710" xlink:to="loc_us-gaap_StatementEquityComponentsAxis_3C98996FA1440C73FFD3A88BD905D667" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_6AC3117703D10A4F28CFA88BD9052B0A_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_3C98996FA1440C73FFD3A88BD905D667" xlink:to="loc_us-gaap_EquityComponentDomain_6AC3117703D10A4F28CFA88BD9052B0A_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_6AC3117703D10A4F28CFA88BD9052B0A" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_3C98996FA1440C73FFD3A88BD905D667" xlink:to="loc_us-gaap_EquityComponentDomain_6AC3117703D10A4F28CFA88BD9052B0A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_WarrantMember" xlink:label="loc_us-gaap_WarrantMember_71C1E77CB15026B68975A88BD905D961" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_EquityComponentDomain_6AC3117703D10A4F28CFA88BD9052B0A" xlink:to="loc_us-gaap_WarrantMember_71C1E77CB15026B68975A88BD905D961" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AwardTypeAxis" xlink:label="loc_us-gaap_AwardTypeAxis_182D85B732AB2325E20FA88BD9059A5D" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_CC3E1C7EC8004FECBB33A88BD9052710" xlink:to="loc_us-gaap_AwardTypeAxis_182D85B732AB2325E20FA88BD9059A5D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_8176E8D9315F96045632A88BD905EDE0_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_AwardTypeAxis_182D85B732AB2325E20FA88BD9059A5D" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_8176E8D9315F96045632A88BD905EDE0_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_8176E8D9315F96045632A88BD905EDE0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_AwardTypeAxis_182D85B732AB2325E20FA88BD9059A5D" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_8176E8D9315F96045632A88BD905EDE0" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EmployeeStockOptionMember" xlink:label="loc_us-gaap_EmployeeStockOptionMember_C593C03E6F8C7350C340A88BD905DE91" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_8176E8D9315F96045632A88BD905EDE0" xlink:to="loc_us-gaap_EmployeeStockOptionMember_C593C03E6F8C7350C340A88BD905DE91" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RestrictedStockMember" xlink:label="loc_us-gaap_RestrictedStockMember_FB0D0B6C5CF55974B4BDA88BD9056C0C" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_8176E8D9315F96045632A88BD905EDE0" xlink:to="loc_us-gaap_RestrictedStockMember_FB0D0B6C5CF55974B4BDA88BD9056C0C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VestingAxis" xlink:label="loc_us-gaap_VestingAxis_72F0046BF6419BC5D783A88BD905832D" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_CC3E1C7EC8004FECBB33A88BD9052710" xlink:to="loc_us-gaap_VestingAxis_72F0046BF6419BC5D783A88BD905832D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VestingDomain" xlink:label="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_VestingAxis_72F0046BF6419BC5D783A88BD905832D" xlink:to="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VestingDomain" xlink:label="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_VestingAxis_72F0046BF6419BC5D783A88BD905832D" xlink:to="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_VestinginDecember2016Member" xlink:label="loc_adk_VestinginDecember2016Member_FE55325F7273C0A6BF52A88BD9069072" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18" xlink:to="loc_adk_VestinginDecember2016Member_FE55325F7273C0A6BF52A88BD9069072" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_VestinginJanuary272017Member" xlink:label="loc_adk_VestinginJanuary272017Member_328ED2127150CB913356A88BD906EFE4" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18" xlink:to="loc_adk_VestinginJanuary272017Member_328ED2127150CB913356A88BD906EFE4" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_VestinginJanuary272018Member" xlink:label="loc_adk_VestinginJanuary272018Member_894D9F0C32345869CE38A88BD9062439" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18" xlink:to="loc_adk_VestinginJanuary272018Member_894D9F0C32345869CE38A88BD9062439" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_VestinginJanuary272019Member" xlink:label="loc_adk_VestinginJanuary272019Member_2038E692B7C74840213CA88BD906FF7A" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18" xlink:to="loc_adk_VestinginJanuary272019Member_2038E692B7C74840213CA88BD906FF7A" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_VestinginDecember2017Member" xlink:label="loc_adk_VestinginDecember2017Member_BD85502B56DE67947428A88BD9061D5B" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18" xlink:to="loc_adk_VestinginDecember2017Member_BD85502B56DE67947428A88BD9061D5B" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_VestinginDecember2018Member" xlink:label="loc_adk_VestinginDecember2018Member_948EB2A90216F1463B58A88BD906499F" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VestingDomain_79F0F40E7396B128A396A88BD9067B18" xlink:to="loc_adk_VestinginDecember2018Member_948EB2A90216F1463B58A88BD906499F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TitleOfIndividualAxis" xlink:label="loc_us-gaap_TitleOfIndividualAxis_F3B824AEB439CBEB9D62A88BD906CD9B" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_CC3E1C7EC8004FECBB33A88BD9052710" xlink:to="loc_us-gaap_TitleOfIndividualAxis_F3B824AEB439CBEB9D62A88BD906CD9B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TitleOfIndividualWithRelationshipToEntityDomain" xlink:label="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_E42967EAF0BA5E8401A3A88BD906DADC_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_TitleOfIndividualAxis_F3B824AEB439CBEB9D62A88BD906CD9B" xlink:to="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_E42967EAF0BA5E8401A3A88BD906DADC_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TitleOfIndividualWithRelationshipToEntityDomain" xlink:label="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_E42967EAF0BA5E8401A3A88BD906DADC" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_TitleOfIndividualAxis_F3B824AEB439CBEB9D62A88BD906CD9B" xlink:to="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_E42967EAF0BA5E8401A3A88BD906DADC" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ChiefExecutiveOfficerMember" xlink:label="loc_us-gaap_ChiefExecutiveOfficerMember_F9F834A44EB82E3032D3A88BD90628CF" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_E42967EAF0BA5E8401A3A88BD906DADC" xlink:to="loc_us-gaap_ChiefExecutiveOfficerMember_F9F834A44EB82E3032D3A88BD90628CF" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ChiefFinancialOfficerMember" xlink:label="loc_us-gaap_ChiefFinancialOfficerMember_AAE9D4920D5804A3BDD6A88BD906AA16" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_E42967EAF0BA5E8401A3A88BD906DADC" xlink:to="loc_us-gaap_ChiefFinancialOfficerMember_AAE9D4920D5804A3BDD6A88BD906AA16" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_EmployeeMember" xlink:label="loc_adk_EmployeeMember_9002CED2BC779689AC5AA88BD9068276" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_E42967EAF0BA5E8401A3A88BD906DADC" xlink:to="loc_adk_EmployeeMember_9002CED2BC779689AC5AA88BD9068276" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NonemployeeMember" xlink:label="loc_adk_NonemployeeMember_8BD978B46C6A274536B0A88BD9065BAE" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_E42967EAF0BA5E8401A3A88BD906DADC" xlink:to="loc_adk_NonemployeeMember_8BD978B46C6A274536B0A88BD9065BAE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DirectorMember" xlink:label="loc_us-gaap_DirectorMember_F6D052BAB7142D830078A88BD9061834" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_E42967EAF0BA5E8401A3A88BD906DADC" xlink:to="loc_us-gaap_DirectorMember_F6D052BAB7142D830078A88BD9061834" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PlanNameAxis" xlink:label="loc_us-gaap_PlanNameAxis_8809A749F6411B507CE1A88BD906CB59" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_CC3E1C7EC8004FECBB33A88BD9052710" xlink:to="loc_us-gaap_PlanNameAxis_8809A749F6411B507CE1A88BD906CB59" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PlanNameDomain" xlink:label="loc_us-gaap_PlanNameDomain_5DBCCC0B595C7F5AFC15A88BD90613A5_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_PlanNameAxis_8809A749F6411B507CE1A88BD906CB59" xlink:to="loc_us-gaap_PlanNameDomain_5DBCCC0B595C7F5AFC15A88BD90613A5_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PlanNameDomain" xlink:label="loc_us-gaap_PlanNameDomain_5DBCCC0B595C7F5AFC15A88BD90613A5" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_PlanNameAxis_8809A749F6411B507CE1A88BD906CB59" xlink:to="loc_us-gaap_PlanNameDomain_5DBCCC0B595C7F5AFC15A88BD90613A5" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_EmployeeStockOption2011PlanMember" xlink:label="loc_adk_EmployeeStockOption2011PlanMember_889EFD48AC3659C87B19A88BD906BEEA" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_PlanNameDomain_5DBCCC0B595C7F5AFC15A88BD90613A5" xlink:to="loc_adk_EmployeeStockOption2011PlanMember_889EFD48AC3659C87B19A88BD906BEEA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeAxis" xlink:label="loc_us-gaap_RangeAxis_4CD29AE297766286437BA88BD906CD06" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_CC3E1C7EC8004FECBB33A88BD9052710" xlink:to="loc_us-gaap_RangeAxis_4CD29AE297766286437BA88BD906CD06" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeMember" xlink:label="loc_us-gaap_RangeMember_EA155D5DD09FEB93E11CA88BD9065B76_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_RangeAxis_4CD29AE297766286437BA88BD906CD06" xlink:to="loc_us-gaap_RangeMember_EA155D5DD09FEB93E11CA88BD9065B76_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeMember" xlink:label="loc_us-gaap_RangeMember_EA155D5DD09FEB93E11CA88BD9065B76" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_RangeAxis_4CD29AE297766286437BA88BD906CD06" xlink:to="loc_us-gaap_RangeMember_EA155D5DD09FEB93E11CA88BD9065B76" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_MinimumMember" xlink:label="loc_us-gaap_MinimumMember_D3FCC8534A1BB0C7B8A9A88BD906EC11" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RangeMember_EA155D5DD09FEB93E11CA88BD9065B76" xlink:to="loc_us-gaap_MinimumMember_D3FCC8534A1BB0C7B8A9A88BD906EC11" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_MaximumMember" xlink:label="loc_us-gaap_MaximumMember_2D69CBDC01A6200956C4A88BD9069006" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RangeMember_EA155D5DD09FEB93E11CA88BD9065B76" xlink:to="loc_us-gaap_MaximumMember_2D69CBDC01A6200956C4A88BD9069006" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SharebasedCompensationArrangementBySharebasedPaymentAwardNumberOfPlans" xlink:label="loc_adk_SharebasedCompensationArrangementBySharebasedPaymentAwardNumberOfPlans_6A5182E56A4771FE1CD9A88BD9069520" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_adk_SharebasedCompensationArrangementBySharebasedPaymentAwardNumberOfPlans_6A5182E56A4771FE1CD9A88BD9069520" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized_32FEC7E4B756344466F1A88BD9066425" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized_32FEC7E4B756344466F1A88BD9066425" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant_0C114578200105633DDDA88BD906771E" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant_0C114578200105633DDDA88BD906771E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableWeightedAverageExercisePrice" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableWeightedAverageExercisePrice_8D509696668322EA0AC7A88BD906C1EB" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableWeightedAverageExercisePrice_8D509696668322EA0AC7A88BD906C1EB" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedStockOptions" xlink:label="loc_us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedStockOptions_96AEB6403F3EB30787F2A88BD906B7E3" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedStockOptions_96AEB6403F3EB30787F2A88BD906B7E3" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1" xlink:label="loc_us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1_1EE508090D02BAB8F16EA88BD9067754" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1_1EE508090D02BAB8F16EA88BD9067754" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod_4FBAC3184D467084E741A88BD906EB58" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod_4FBAC3184D467084E741A88BD906EB58" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightIssuedWeightedAverageExercisePrice" xlink:label="loc_adk_ClassOfWarrantOrRightIssuedWeightedAverageExercisePrice_948318D817DF205D7ACEA88BD906D96E" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_adk_ClassOfWarrantOrRightIssuedWeightedAverageExercisePrice_948318D817DF205D7ACEA88BD906D96E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod_73A5E78176A23457CC53A88BD90615AB" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod_73A5E78176A23457CC53A88BD90615AB" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue_9F2A1E3ECBAE3390C653A88BD906C6C1" xlink:type="locator" />
    <definitionArc order="10" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue_9F2A1E3ECBAE3390C653A88BD906C6C1" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardAwardVestingRightsPercentage" xlink:label="loc_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardAwardVestingRightsPercentage_D8A5A00E1CCF06168B3AA88BD906324D" xlink:type="locator" />
    <definitionArc order="11" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardAwardVestingRightsPercentage_D8A5A00E1CCF06168B3AA88BD906324D" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SharebasedCompensationArrangementbySharebasedPaymentAwardAwardVestingRightsNumberofShares" xlink:label="loc_adk_SharebasedCompensationArrangementbySharebasedPaymentAwardAwardVestingRightsNumberofShares_FA5DEA38626B4FF6E43DA88BD906E76D" xlink:type="locator" />
    <definitionArc order="12" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_adk_SharebasedCompensationArrangementbySharebasedPaymentAwardAwardVestingRightsNumberofShares_FA5DEA38626B4FF6E43DA88BD906E76D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice_B44AE9716363B5D6CA05A88BD906DC1D" xlink:type="locator" />
    <definitionArc order="13" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice_B44AE9716363B5D6CA05A88BD906DC1D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue_7AA162CF847091A1BDADA88BD906BEC5" xlink:type="locator" />
    <definitionArc order="14" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_16D37DB87E058B5AB89EA88BD9060F42" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue_7AA162CF847091A1BDADA88BD906BEC5" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensationOptionsAndWarrantsOutstandingByExercisePriceDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8ABFDD5612E2996EC943AAA60CED929D" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:label="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_0A1A6F51781FD05303FDAAA60CECD8D9" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8ABFDD5612E2996EC943AAA60CED929D" xlink:to="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_0A1A6F51781FD05303FDAAA60CECD8D9" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TitleOfIndividualAxis" xlink:label="loc_us-gaap_TitleOfIndividualAxis_305359A14774FD6B3E19AAA60CEC76BF" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_0A1A6F51781FD05303FDAAA60CECD8D9" xlink:to="loc_us-gaap_TitleOfIndividualAxis_305359A14774FD6B3E19AAA60CEC76BF" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TitleOfIndividualWithRelationshipToEntityDomain" xlink:label="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_000219F3B48EC1553AA9AAA60CEC5764_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_TitleOfIndividualAxis_305359A14774FD6B3E19AAA60CEC76BF" xlink:to="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_000219F3B48EC1553AA9AAA60CEC5764_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TitleOfIndividualWithRelationshipToEntityDomain" xlink:label="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_000219F3B48EC1553AA9AAA60CEC5764" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_TitleOfIndividualAxis_305359A14774FD6B3E19AAA60CEC76BF" xlink:to="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_000219F3B48EC1553AA9AAA60CEC5764" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_EmployeeMember" xlink:label="loc_adk_EmployeeMember_0DFCEF1DEB5441FDF15FAAA60CECD273" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_000219F3B48EC1553AA9AAA60CEC5764" xlink:to="loc_adk_EmployeeMember_0DFCEF1DEB5441FDF15FAAA60CECD273" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeAxis" xlink:label="loc_us-gaap_RangeAxis_B255DA93CFF8B81287A0AAA60CECD889" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_0A1A6F51781FD05303FDAAA60CECD8D9" xlink:to="loc_us-gaap_RangeAxis_B255DA93CFF8B81287A0AAA60CECD889" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeMember" xlink:label="loc_us-gaap_RangeMember_385BD22EF769D17A8541AAA60CED673D_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_RangeAxis_B255DA93CFF8B81287A0AAA60CECD889" xlink:to="loc_us-gaap_RangeMember_385BD22EF769D17A8541AAA60CED673D_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RangeMember" xlink:label="loc_us-gaap_RangeMember_385BD22EF769D17A8541AAA60CED673D" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_RangeAxis_B255DA93CFF8B81287A0AAA60CECD889" xlink:to="loc_us-gaap_RangeMember_385BD22EF769D17A8541AAA60CED673D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_MinimumMember" xlink:label="loc_us-gaap_MinimumMember_8B1726F1EB91C925B98CAAA60CEDB2DA" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RangeMember_385BD22EF769D17A8541AAA60CED673D" xlink:to="loc_us-gaap_MinimumMember_8B1726F1EB91C925B98CAAA60CEDB2DA" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_MaximumMember" xlink:label="loc_us-gaap_MaximumMember_F1DC002FD1EE86A1E4EAAAA60CED5ED4" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_RangeMember_385BD22EF769D17A8541AAA60CED673D" xlink:to="loc_us-gaap_MaximumMember_F1DC002FD1EE86A1E4EAAAA60CED5ED4" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis_5F6CF7D27D5462B4C292AAA60CED273C" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_0A1A6F51781FD05303FDAAA60CECD8D9" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis_5F6CF7D27D5462B4C292AAA60CED273C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_7CA8EDBD8079D2EFEFE8AAA60CEDB5C7_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis_5F6CF7D27D5462B4C292AAA60CED273C" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_7CA8EDBD8079D2EFEFE8AAA60CEDB5C7_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain" xlink:label="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_7CA8EDBD8079D2EFEFE8AAA60CEDB5C7" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansByExercisePriceRangeAxis_5F6CF7D27D5462B4C292AAA60CED273C" xlink:to="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_7CA8EDBD8079D2EFEFE8AAA60CEDB5C7" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RangeOneMember" xlink:label="loc_adk_RangeOneMember_C8906ABFD83574300AAEAAA60CEDB7CB" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_7CA8EDBD8079D2EFEFE8AAA60CEDB5C7" xlink:to="loc_adk_RangeOneMember_C8906ABFD83574300AAEAAA60CEDB7CB" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RangeTwoMember" xlink:label="loc_adk_RangeTwoMember_677AB07F4AE24B9C7FB0AAA60CED2561" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_7CA8EDBD8079D2EFEFE8AAA60CEDB5C7" xlink:to="loc_adk_RangeTwoMember_677AB07F4AE24B9C7FB0AAA60CED2561" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RangeThreeMember" xlink:label="loc_adk_RangeThreeMember_6D74FE6872899FEB9CEAAAA60CED6EA0" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_7CA8EDBD8079D2EFEFE8AAA60CEDB5C7" xlink:to="loc_adk_RangeThreeMember_6D74FE6872899FEB9CEAAAA60CED6EA0" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RangeFourMember" xlink:label="loc_adk_RangeFourMember_9F234166CB5ADC25B2F6AAA60CED0B27" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_7CA8EDBD8079D2EFEFE8AAA60CEDB5C7" xlink:to="loc_adk_RangeFourMember_9F234166CB5ADC25B2F6AAA60CED0B27" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_RangeFiveMember" xlink:label="loc_adk_RangeFiveMember_C0393FE87A534856A160AAA60CED2634" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeDomain_7CA8EDBD8079D2EFEFE8AAA60CEDB5C7" xlink:to="loc_adk_RangeFiveMember_C0393FE87A534856A160AAA60CED2634" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementEquityComponentsAxis" xlink:label="loc_us-gaap_StatementEquityComponentsAxis_E3FD9F534A3FB2C3B5F4AAA60CED0039" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_0A1A6F51781FD05303FDAAA60CECD8D9" xlink:to="loc_us-gaap_StatementEquityComponentsAxis_E3FD9F534A3FB2C3B5F4AAA60CED0039" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_635D9CEF55375AA83866AAA60CED8ABE_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_E3FD9F534A3FB2C3B5F4AAA60CED0039" xlink:to="loc_us-gaap_EquityComponentDomain_635D9CEF55375AA83866AAA60CED8ABE_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_635D9CEF55375AA83866AAA60CED8ABE" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_E3FD9F534A3FB2C3B5F4AAA60CED0039" xlink:to="loc_us-gaap_EquityComponentDomain_635D9CEF55375AA83866AAA60CED8ABE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_WarrantMember" xlink:label="loc_us-gaap_WarrantMember_FD2B690478EDD9459B23AAA60CEDD775" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_EquityComponentDomain_635D9CEF55375AA83866AAA60CED8ABE" xlink:to="loc_us-gaap_WarrantMember_FD2B690478EDD9459B23AAA60CEDD775" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ClassOfWarrantOrRightOutstanding" xlink:label="loc_us-gaap_ClassOfWarrantOrRightOutstanding_144C7DE3E5115F2E0151AAA60CED4F13" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8ABFDD5612E2996EC943AAA60CED929D" xlink:to="loc_us-gaap_ClassOfWarrantOrRightOutstanding_144C7DE3E5115F2E0151AAA60CED4F13" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassofWarrantorRightExercisePriceRangeOutstandingWarrantsWeightedAverageRemainingContractualTerm" xlink:label="loc_adk_ClassofWarrantorRightExercisePriceRangeOutstandingWarrantsWeightedAverageRemainingContractualTerm_13AD7C221521FAE89F88AAA60CED2942" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8ABFDD5612E2996EC943AAA60CED929D" xlink:to="loc_adk_ClassofWarrantorRightExercisePriceRangeOutstandingWarrantsWeightedAverageRemainingContractualTerm_13AD7C221521FAE89F88AAA60CED2942" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePrice" xlink:label="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePrice_9687DA117265C5FD62B5AAA60CED33F6" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8ABFDD5612E2996EC943AAA60CED929D" xlink:to="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePrice_9687DA117265C5FD62B5AAA60CED33F6" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassofWarrantandRightsExercisePriceRangeNumberofExercisableWarrants" xlink:label="loc_adk_ClassofWarrantandRightsExercisePriceRangeNumberofExercisableWarrants_F40DC8FC6BAD62CB4F29AAA60CEE12E8" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8ABFDD5612E2996EC943AAA60CED929D" xlink:to="loc_adk_ClassofWarrantandRightsExercisePriceRangeNumberofExercisableWarrants_F40DC8FC6BAD62CB4F29AAA60CEE12E8" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightExercisableWeightedAverageExercisePrice" xlink:label="loc_adk_ClassOfWarrantOrRightExercisableWeightedAverageExercisePrice_ECD7CE968C8CC1B073A9AAA60CEE9A79" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8ABFDD5612E2996EC943AAA60CED929D" xlink:to="loc_adk_ClassOfWarrantOrRightExercisableWeightedAverageExercisePrice_ECD7CE968C8CC1B073A9AAA60CEE9A79" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassofWarrantorRightOutstandingExercisePrice" xlink:label="loc_adk_ClassofWarrantorRightOutstandingExercisePrice_3245608DFE0F216B26EDAAA60CEE01F7" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8ABFDD5612E2996EC943AAA60CED929D" xlink:to="loc_adk_ClassofWarrantorRightOutstandingExercisePrice_3245608DFE0F216B26EDAAA60CEE01F7" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensationRecognizedStockBasedCompensationDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8D9076E5237C2A5F8698A871FCE10113" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:label="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_C8A494D5A0E0E1F09317A871FCE04FA0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8D9076E5237C2A5F8698A871FCE10113" xlink:to="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_C8A494D5A0E0E1F09317A871FCE04FA0" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementEquityComponentsAxis" xlink:label="loc_us-gaap_StatementEquityComponentsAxis_9D77E3A209D7E83F3720A871FCE0F392" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_C8A494D5A0E0E1F09317A871FCE04FA0" xlink:to="loc_us-gaap_StatementEquityComponentsAxis_9D77E3A209D7E83F3720A871FCE0F392" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_38B81D1034820839E2C0A871FCE17314_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_9D77E3A209D7E83F3720A871FCE0F392" xlink:to="loc_us-gaap_EquityComponentDomain_38B81D1034820839E2C0A871FCE17314_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_38B81D1034820839E2C0A871FCE17314" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_9D77E3A209D7E83F3720A871FCE0F392" xlink:to="loc_us-gaap_EquityComponentDomain_38B81D1034820839E2C0A871FCE17314" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_WarrantMember" xlink:label="loc_us-gaap_WarrantMember_1D1450F9C3A3016B7D0AA871FCE1B227" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_EquityComponentDomain_38B81D1034820839E2C0A871FCE17314" xlink:to="loc_us-gaap_WarrantMember_1D1450F9C3A3016B7D0AA871FCE1B227" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TitleOfIndividualAxis" xlink:label="loc_us-gaap_TitleOfIndividualAxis_34D9693859CA88D77F25A871FCE18B41" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_C8A494D5A0E0E1F09317A871FCE04FA0" xlink:to="loc_us-gaap_TitleOfIndividualAxis_34D9693859CA88D77F25A871FCE18B41" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TitleOfIndividualWithRelationshipToEntityDomain" xlink:label="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_C027AE8B9C28A0F15105A871FCE13FD0_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_TitleOfIndividualAxis_34D9693859CA88D77F25A871FCE18B41" xlink:to="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_C027AE8B9C28A0F15105A871FCE13FD0_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_TitleOfIndividualWithRelationshipToEntityDomain" xlink:label="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_C027AE8B9C28A0F15105A871FCE13FD0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_TitleOfIndividualAxis_34D9693859CA88D77F25A871FCE18B41" xlink:to="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_C027AE8B9C28A0F15105A871FCE13FD0" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_EmployeeMember" xlink:label="loc_adk_EmployeeMember_AF4F0304D0DE3A44E401A871FCE1493F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_C027AE8B9C28A0F15105A871FCE13FD0" xlink:to="loc_adk_EmployeeMember_AF4F0304D0DE3A44E401A871FCE1493F" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NonemployeeMember" xlink:label="loc_adk_NonemployeeMember_EB70A546843560DF2321A871FCE18D46" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_C027AE8B9C28A0F15105A871FCE13FD0" xlink:to="loc_adk_NonemployeeMember_EB70A546843560DF2321A871FCE18D46" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AwardTypeAxis" xlink:label="loc_us-gaap_AwardTypeAxis_E9C4820FC97E93679637A871FCE1078C" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_C8A494D5A0E0E1F09317A871FCE04FA0" xlink:to="loc_us-gaap_AwardTypeAxis_E9C4820FC97E93679637A871FCE1078C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_CB1A1BA64CDE897ABF10A871FCE1721A_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_AwardTypeAxis_E9C4820FC97E93679637A871FCE1078C" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_CB1A1BA64CDE897ABF10A871FCE1721A_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_CB1A1BA64CDE897ABF10A871FCE1721A" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_AwardTypeAxis_E9C4820FC97E93679637A871FCE1078C" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_CB1A1BA64CDE897ABF10A871FCE1721A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EmployeeStockOptionMember" xlink:label="loc_us-gaap_EmployeeStockOptionMember_D2C046F44F3C73CB8ECCA871FCE1E0BF" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_CB1A1BA64CDE897ABF10A871FCE1721A" xlink:to="loc_us-gaap_EmployeeStockOptionMember_D2C046F44F3C73CB8ECCA871FCE1E0BF" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RestrictedStockMember" xlink:label="loc_us-gaap_RestrictedStockMember_EADD050BFA4509D574F8A871FCE1D221" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_CB1A1BA64CDE897ABF10A871FCE1721A" xlink:to="loc_us-gaap_RestrictedStockMember_EADD050BFA4509D574F8A871FCE1D221" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_StockoptionsissuedtoBODMember" xlink:label="loc_adk_StockoptionsissuedtoBODMember_DA0C253076BF1E866B95A871FCE17379" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_CB1A1BA64CDE897ABF10A871FCE1721A" xlink:to="loc_adk_StockoptionsissuedtoBODMember_DA0C253076BF1E866B95A871FCE17379" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AllocatedShareBasedCompensationExpense" xlink:label="loc_us-gaap_AllocatedShareBasedCompensationExpense_A5D0CB65A19499F57663A871FCE1F9E5" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_8D9076E5237C2A5F8698A871FCE10113" xlink:to="loc_us-gaap_AllocatedShareBasedCompensationExpense_A5D0CB65A19499F57663A871FCE1F9E5" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensationRestrictedStockActivityDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_21775993CB4BA177C7BDAAA60CE6A653" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:label="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_D8CC8B8F49518BEC271BAAA60CE62384" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_21775993CB4BA177C7BDAAA60CE6A653" xlink:to="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_D8CC8B8F49518BEC271BAAA60CE62384" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AwardTypeAxis" xlink:label="loc_us-gaap_AwardTypeAxis_0B2E15FF5248A315DFA8AAA60CE6FD46" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_D8CC8B8F49518BEC271BAAA60CE62384" xlink:to="loc_us-gaap_AwardTypeAxis_0B2E15FF5248A315DFA8AAA60CE6FD46" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_1B5EC850D8A83F745BABAAA60CE61B51_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_AwardTypeAxis_0B2E15FF5248A315DFA8AAA60CE6FD46" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_1B5EC850D8A83F745BABAAA60CE61B51_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_1B5EC850D8A83F745BABAAA60CE61B51" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_AwardTypeAxis_0B2E15FF5248A315DFA8AAA60CE6FD46" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_1B5EC850D8A83F745BABAAA60CE61B51" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_RestrictedStockMember" xlink:label="loc_us-gaap_RestrictedStockMember_F5A24D89406FD6DB9F2FAAA60CE6395E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_1B5EC850D8A83F745BABAAA60CE61B51" xlink:to="loc_us-gaap_RestrictedStockMember_F5A24D89406FD6DB9F2FAAA60CE6395E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNonOptionEquityInstrumentsOutstandingRollForward" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNonOptionEquityInstrumentsOutstandingRollForward_D0B84A881A9FA11F7F88AAA60CE6D571" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_21775993CB4BA177C7BDAAA60CE6A653" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNonOptionEquityInstrumentsOutstandingRollForward_D0B84A881A9FA11F7F88AAA60CE6D571" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber_9DBC453B6CC10AFDCBB5AAA60CE6BDF0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNonOptionEquityInstrumentsOutstandingRollForward_D0B84A881A9FA11F7F88AAA60CE6D571" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber_9DBC453B6CC10AFDCBB5AAA60CE6BDF0" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod_3B73C3A81CDA75B97A2FAAA60CE63B69" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNonOptionEquityInstrumentsOutstandingRollForward_D0B84A881A9FA11F7F88AAA60CE6D571" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod_3B73C3A81CDA75B97A2FAAA60CE63B69" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod_E5AFFDA0A9F6011C9619AAA60CE67023" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNonOptionEquityInstrumentsOutstandingRollForward_D0B84A881A9FA11F7F88AAA60CE6D571" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod_E5AFFDA0A9F6011C9619AAA60CE67023" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod_5B886FE31E4BEBCC6763AAA60CE6168D" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNonOptionEquityInstrumentsOutstandingRollForward_D0B84A881A9FA11F7F88AAA60CE6D571" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod_5B886FE31E4BEBCC6763AAA60CE6168D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValueRollForward" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValueRollForward_0135BC380494C4DEC556AAA60CE604C9" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_21775993CB4BA177C7BDAAA60CE6A653" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValueRollForward_0135BC380494C4DEC556AAA60CE604C9" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue_6F34D9B627C54105349CAAA60CE637A0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValueRollForward_0135BC380494C4DEC556AAA60CE604C9" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue_6F34D9B627C54105349CAAA60CE637A0" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue_54987676277FFBEE9899AAA60CE662AE" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValueRollForward_0135BC380494C4DEC556AAA60CE604C9" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue_54987676277FFBEE9899AAA60CE662AE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue_1AC580CB2ACD5645BBE9AAA60CE6E20A" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValueRollForward_0135BC380494C4DEC556AAA60CE604C9" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue_1AC580CB2ACD5645BBE9AAA60CE6E20A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue_879BB93EFAECC71F355EAAA60CE76BE9" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValueRollForward_0135BC380494C4DEC556AAA60CE604C9" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue_879BB93EFAECC71F355EAAA60CE76BE9" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensationStockOptionActivityDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BF9D13C40006D81E50C7A6DB2AB9E16C" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:label="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_E6C53E7EC6E2FEA822B4A6DB2AB4A652" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BF9D13C40006D81E50C7A6DB2AB9E16C" xlink:to="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_E6C53E7EC6E2FEA822B4A6DB2AB4A652" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AwardTypeAxis" xlink:label="loc_us-gaap_AwardTypeAxis_35CC2AC0935822495B1BA6DB2AB401FE" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_E6C53E7EC6E2FEA822B4A6DB2AB4A652" xlink:to="loc_us-gaap_AwardTypeAxis_35CC2AC0935822495B1BA6DB2AB401FE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_188330D1DE504F6A7674A6DB2AB40A65_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_AwardTypeAxis_35CC2AC0935822495B1BA6DB2AB401FE" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_188330D1DE504F6A7674A6DB2AB40A65_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_188330D1DE504F6A7674A6DB2AB40A65" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_AwardTypeAxis_35CC2AC0935822495B1BA6DB2AB401FE" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_188330D1DE504F6A7674A6DB2AB40A65" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EmployeeStockOptionMember" xlink:label="loc_us-gaap_EmployeeStockOptionMember_91BEE1BC4B2FFC37A9E5A6DB2AB424D5" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain_188330D1DE504F6A7674A6DB2AB40A65" xlink:to="loc_us-gaap_EmployeeStockOptionMember_91BEE1BC4B2FFC37A9E5A6DB2AB424D5" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingRollForward" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingRollForward_5952002FA4CF13914B4FA6DB2AB914B7" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BF9D13C40006D81E50C7A6DB2AB9E16C" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingRollForward_5952002FA4CF13914B4FA6DB2AB914B7" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber_3BE4597E46557942FEF8A6DB2AB94839" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingRollForward_5952002FA4CF13914B4FA6DB2AB914B7" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber_3BE4597E46557942FEF8A6DB2AB94839" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross_5BAC711F96B4389B24F6A6DB2AB93811" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingRollForward_5952002FA4CF13914B4FA6DB2AB914B7" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross_5BAC711F96B4389B24F6A6DB2AB93811" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised" xlink:label="loc_us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised_F6B8678BF7D4235B2C34A6DB2AB9082A" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingRollForward_5952002FA4CF13914B4FA6DB2AB914B7" xlink:to="loc_us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised_F6B8678BF7D4235B2C34A6DB2AB9082A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod_7FB1288073E4E6CAEDBCA6DB2AB95368" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingRollForward_5952002FA4CF13914B4FA6DB2AB914B7" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod_7FB1288073E4E6CAEDBCA6DB2AB95368" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpirationsInPeriod" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpirationsInPeriod_62DF0BDD378E9164C50FA6DB2ABA9C0A" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingRollForward_5952002FA4CF13914B4FA6DB2AB914B7" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpirationsInPeriod_62DF0BDD378E9164C50FA6DB2ABA9C0A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward_BA0FE9C9C978620A81BBA6DB2ABA21FD" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BF9D13C40006D81E50C7A6DB2AB9E16C" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward_BA0FE9C9C978620A81BBA6DB2ABA21FD" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice_2DE29FA3188277FA4094A6DB2ABA6D6C" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward_BA0FE9C9C978620A81BBA6DB2ABA21FD" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice_2DE29FA3188277FA4094A6DB2ABA6D6C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice_23E000E0230343363F2FA6DB2ABA7E14" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward_BA0FE9C9C978620A81BBA6DB2ABA21FD" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice_23E000E0230343363F2FA6DB2ABA7E14" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice_32F3026B94838EFA729BA6DB2ABAAFC1" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward_BA0FE9C9C978620A81BBA6DB2ABA21FD" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice_32F3026B94838EFA729BA6DB2ABAAFC1" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice_AD265E478AD8AD6B9420A6DB2ABAAE6A" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward_BA0FE9C9C978620A81BBA6DB2ABA21FD" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice_AD265E478AD8AD6B9420A6DB2ABAAE6A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExpirationsInPeriodWeightedAverageExercisePrice" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExpirationsInPeriodWeightedAverageExercisePrice_8B844F6034FDFF8F3C14A6DB2ABAF588" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePriceRollforward_BA0FE9C9C978620A81BBA6DB2ABA21FD" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExpirationsInPeriodWeightedAverageExercisePrice_8B844F6034FDFF8F3C14A6DB2ABAF588" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsAdditionalDisclosuresAbstract" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsAdditionalDisclosuresAbstract_11ABCEAB76BF62FC4E66A6DB2ABA0A6A" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_BF9D13C40006D81E50C7A6DB2AB9E16C" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsAdditionalDisclosuresAbstract_11ABCEAB76BF62FC4E66A6DB2ABA0A6A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2" xlink:label="loc_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2_2A03B33FB4EC183B609FA6DB2ABA6AA3" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsAdditionalDisclosuresAbstract_11ABCEAB76BF62FC4E66A6DB2ABA0A6A" xlink:to="loc_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2_2A03B33FB4EC183B609FA6DB2ABA6AA3" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue_937EF954DADCE44F7249A6DB2ABACC60" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsAdditionalDisclosuresAbstract_11ABCEAB76BF62FC4E66A6DB2ABA0A6A" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue_937EF954DADCE44F7249A6DB2ABACC60" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber_D45B23C55CA52D5F8E1BA6DB2ABAF6B9" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsAdditionalDisclosuresAbstract_11ABCEAB76BF62FC4E66A6DB2ABA0A6A" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber_D45B23C55CA52D5F8E1BA6DB2ABAF6B9" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableWeightedAverageExercisePrice" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableWeightedAverageExercisePrice_7FF4C21D4A22B8A0A71CA6DB2ABFA409" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsAdditionalDisclosuresAbstract_11ABCEAB76BF62FC4E66A6DB2ABA0A6A" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableWeightedAverageExercisePrice_7FF4C21D4A22B8A0A71CA6DB2ABFA409" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingWeightedAverageRemainingContractualTerm1" xlink:label="loc_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingWeightedAverageRemainingContractualTerm1_7366166E22D962680581A6DB2AC00E10" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsAdditionalDisclosuresAbstract_11ABCEAB76BF62FC4E66A6DB2ABA0A6A" xlink:to="loc_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingWeightedAverageRemainingContractualTerm1_7366166E22D962680581A6DB2AC00E10" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingAggregateIntrinsicValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingAggregateIntrinsicValue_7C05A9329AE63152CC8BA6DB2AC05230" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsAdditionalDisclosuresAbstract_11ABCEAB76BF62FC4E66A6DB2ABA0A6A" xlink:to="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingAggregateIntrinsicValue_7C05A9329AE63152CC8BA6DB2AC05230" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensationTables" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/StockBasedCompensationWarrantsActivityDetails" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:label="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_18FBFAC597FCE0653A54AAA60CF45FCC" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_18FBFAC597FCE0653A54AAA60CF45FCC" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementEquityComponentsAxis" xlink:label="loc_us-gaap_StatementEquityComponentsAxis_E48720824D06620A2669AAA60CF4B15A" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_18FBFAC597FCE0653A54AAA60CF45FCC" xlink:to="loc_us-gaap_StatementEquityComponentsAxis_E48720824D06620A2669AAA60CF4B15A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_D8F8A0A581BE7111AE90AAA60CF4AEB2_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_E48720824D06620A2669AAA60CF4B15A" xlink:to="loc_us-gaap_EquityComponentDomain_D8F8A0A581BE7111AE90AAA60CF4AEB2_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="loc_us-gaap_EquityComponentDomain_D8F8A0A581BE7111AE90AAA60CF4AEB2" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementEquityComponentsAxis_E48720824D06620A2669AAA60CF4B15A" xlink:to="loc_us-gaap_EquityComponentDomain_D8F8A0A581BE7111AE90AAA60CF4AEB2" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_WarrantMember" xlink:label="loc_us-gaap_WarrantMember_9CDE4155F5BA18F83275AAA60CF48211" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_EquityComponentDomain_D8F8A0A581BE7111AE90AAA60CF4AEB2" xlink:to="loc_us-gaap_WarrantMember_9CDE4155F5BA18F83275AAA60CF48211" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightOutstandingRollForward" xlink:label="loc_adk_ClassOfWarrantOrRightOutstandingRollForward_C9CD003C53C785E94D99AABC19CC7443" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_adk_ClassOfWarrantOrRightOutstandingRollForward_C9CD003C53C785E94D99AABC19CC7443" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ClassOfWarrantOrRightOutstanding" xlink:label="loc_us-gaap_ClassOfWarrantOrRightOutstanding_E9E9A590710278406F4FAABC19CC3D3B" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingRollForward_C9CD003C53C785E94D99AABC19CC7443" xlink:to="loc_us-gaap_ClassOfWarrantOrRightOutstanding_E9E9A590710278406F4FAABC19CC3D3B" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_WarrantsGranted" xlink:label="loc_adk_WarrantsGranted_EDC046CF9FA7EE66F3F3AABC19CC9A86" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingRollForward_C9CD003C53C785E94D99AABC19CC7443" xlink:to="loc_adk_WarrantsGranted_EDC046CF9FA7EE66F3F3AABC19CC9A86" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_WarrantsExercised" xlink:label="loc_adk_WarrantsExercised_712CD0362B46CFBD4664AABC19CCAF81" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingRollForward_C9CD003C53C785E94D99AABC19CC7443" xlink:to="loc_adk_WarrantsExercised_712CD0362B46CFBD4664AABC19CCAF81" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_WarrantsForfeited" xlink:label="loc_adk_WarrantsForfeited_CC91ECD82D1CE17CB49BAABC19CC9053" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingRollForward_C9CD003C53C785E94D99AABC19CC7443" xlink:to="loc_adk_WarrantsForfeited_CC91ECD82D1CE17CB49BAABC19CC9053" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_WarrantsExpired" xlink:label="loc_adk_WarrantsExpired_7D96559B2A0A2AC70CA8AABC19CD9495" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingRollForward_C9CD003C53C785E94D99AABC19CC7443" xlink:to="loc_adk_WarrantsExpired_7D96559B2A0A2AC70CA8AABC19CD9495" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassofWarrantorRightVestedandExpectedtoVestNumber" xlink:label="loc_adk_ClassofWarrantorRightVestedandExpectedtoVestNumber_A53AFB415112E94E7B05AABC19CD9F82" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_adk_ClassofWarrantorRightVestedandExpectedtoVestNumber_A53AFB415112E94E7B05AABC19CD9F82" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePriceRollForward" xlink:label="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePriceRollForward_5460067A4C270E381A3BAABC75B3548B" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePriceRollForward_5460067A4C270E381A3BAABC75B3548B" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePrice" xlink:label="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePrice_ACEEB99495AA8C2D64BAAABC19CD216C" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePriceRollForward_5460067A4C270E381A3BAABC75B3548B" xlink:to="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePrice_ACEEB99495AA8C2D64BAAABC19CD216C" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightIssuedWeightedAverageExercisePrice" xlink:label="loc_adk_ClassOfWarrantOrRightIssuedWeightedAverageExercisePrice_AADFDB7A6A691CDE8CFAAABC19CD812F" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePriceRollForward_5460067A4C270E381A3BAABC75B3548B" xlink:to="loc_adk_ClassOfWarrantOrRightIssuedWeightedAverageExercisePrice_AADFDB7A6A691CDE8CFAAABC19CD812F" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightExercisedWeightedAverageExercisePrice" xlink:label="loc_adk_ClassOfWarrantOrRightExercisedWeightedAverageExercisePrice_76DA62616FEAD1F05CE9AABC19CDED29" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePriceRollForward_5460067A4C270E381A3BAABC75B3548B" xlink:to="loc_adk_ClassOfWarrantOrRightExercisedWeightedAverageExercisePrice_76DA62616FEAD1F05CE9AABC19CDED29" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightCancelledWeightedAverageExercisePrice" xlink:label="loc_adk_ClassOfWarrantOrRightCancelledWeightedAverageExercisePrice_49799AE553538A4A204AAABC19CD68B5" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePriceRollForward_5460067A4C270E381A3BAABC75B3548B" xlink:to="loc_adk_ClassOfWarrantOrRightCancelledWeightedAverageExercisePrice_49799AE553538A4A204AAABC19CD68B5" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightForfeitedWeightedAverageExercisePrice" xlink:label="loc_adk_ClassOfWarrantOrRightForfeitedWeightedAverageExercisePrice_D3008CE43AD4ACFDC293AABC19CD42C0" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageExercisePriceRollForward_5460067A4C270E381A3BAABC75B3548B" xlink:to="loc_adk_ClassOfWarrantOrRightForfeitedWeightedAverageExercisePrice_D3008CE43AD4ACFDC293AABC19CD42C0" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassofWarrantorRightVestedandExpectedtoVestWeightedAverageExercisePrice" xlink:label="loc_adk_ClassofWarrantorRightVestedandExpectedtoVestWeightedAverageExercisePrice_FEFD93EA0E6D7A8F6219AABC19D27E1C" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_adk_ClassofWarrantorRightVestedandExpectedtoVestWeightedAverageExercisePrice_FEFD93EA0E6D7A8F6219AABC19D27E1C" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightOutstandingWeightedAverageRemainingContractualTerm" xlink:label="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageRemainingContractualTerm_60FA16961D0F7E285C28AABC19CD879F" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_adk_ClassOfWarrantOrRightOutstandingWeightedAverageRemainingContractualTerm_60FA16961D0F7E285C28AABC19CD879F" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightOutstandingIntrinsicValue" xlink:label="loc_adk_ClassOfWarrantOrRightOutstandingIntrinsicValue_2252B5DB5591BA1B2D76AABC19CD9E37" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_adk_ClassOfWarrantOrRightOutstandingIntrinsicValue_2252B5DB5591BA1B2D76AABC19CD9E37" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassofWarrantorRightVestedandExpectedtoVestWeightedAverageRemainingContractualTerm" xlink:label="loc_adk_ClassofWarrantorRightVestedandExpectedtoVestWeightedAverageRemainingContractualTerm_E7D1EF6DDA606139C0FAAABC19D2004E" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_adk_ClassofWarrantorRightVestedandExpectedtoVestWeightedAverageRemainingContractualTerm_E7D1EF6DDA606139C0FAAABC19D2004E" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassofWarrantorRightVestedandExpectedtoVestAggregateIntrinsicValue" xlink:label="loc_adk_ClassofWarrantorRightVestedandExpectedtoVestAggregateIntrinsicValue_71C0074B6AA01D135617AABC19D24758" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_adk_ClassofWarrantorRightVestedandExpectedtoVestAggregateIntrinsicValue_71C0074B6AA01D135617AABC19D24758" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_ClassOfWarrantOrRightExercisableWeightedAverageExercisePrice" xlink:label="loc_adk_ClassOfWarrantOrRightExercisableWeightedAverageExercisePrice_B516BB4AC63E6060BD3DAABC19D2C611" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_73079B17F4CC82E75409AABC19CB6943" xlink:to="loc_adk_ClassOfWarrantOrRightExercisableWeightedAverageExercisePrice_B516BB4AC63E6060BD3DAABC19D2C611" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/SubsequentEvents" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/SubsequentEventsDetailsTextual" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventLineItems" xlink:label="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTable" xlink:label="loc_us-gaap_SubsequentEventTable_62F64819D34D9936EB67AA5047FE79A7" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_us-gaap_SubsequentEventTable_62F64819D34D9936EB67AA5047FE79A7" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseArrangementTypeAxis" xlink:label="loc_us-gaap_LeaseArrangementTypeAxis_086EE1C1A67C40FE135AAA5047FEC70B" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_SubsequentEventTable_62F64819D34D9936EB67AA5047FE79A7" xlink:to="loc_us-gaap_LeaseArrangementTypeAxis_086EE1C1A67C40FE135AAA5047FEC70B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseArrangementTypeDomain" xlink:label="loc_us-gaap_LeaseArrangementTypeDomain_CFF7125C9274698FC2E8AA5047FF3E56_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_LeaseArrangementTypeAxis_086EE1C1A67C40FE135AAA5047FEC70B" xlink:to="loc_us-gaap_LeaseArrangementTypeDomain_CFF7125C9274698FC2E8AA5047FF3E56_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseArrangementTypeDomain" xlink:label="loc_us-gaap_LeaseArrangementTypeDomain_CFF7125C9274698FC2E8AA5047FF3E56" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_LeaseArrangementTypeAxis_086EE1C1A67C40FE135AAA5047FEC70B" xlink:to="loc_us-gaap_LeaseArrangementTypeDomain_CFF7125C9274698FC2E8AA5047FF3E56" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_SkylineLeaseMember" xlink:label="loc_adk_SkylineLeaseMember_76EE301469EB8022225CAA5047FFF801" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LeaseArrangementTypeDomain_CFF7125C9274698FC2E8AA5047FF3E56" xlink:to="loc_adk_SkylineLeaseMember_76EE301469EB8022225CAA5047FFF801" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis" xlink:label="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_01F8CD41BEDE0068C8E9AA5047FF1059" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_SubsequentEventTable_62F64819D34D9936EB67AA5047FE79A7" xlink:to="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_01F8CD41BEDE0068C8E9AA5047FF1059" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ReceivableTypeDomain" xlink:label="loc_us-gaap_ReceivableTypeDomain_3300AFC1F996AA47AFECAA5047FF7A53_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_01F8CD41BEDE0068C8E9AA5047FF1059" xlink:to="loc_us-gaap_ReceivableTypeDomain_3300AFC1F996AA47AFECAA5047FF7A53_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ReceivableTypeDomain" xlink:label="loc_us-gaap_ReceivableTypeDomain_3300AFC1F996AA47AFECAA5047FF7A53" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_01F8CD41BEDE0068C8E9AA5047FF1059" xlink:to="loc_us-gaap_ReceivableTypeDomain_3300AFC1F996AA47AFECAA5047FF7A53" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_NotesReceivableMember" xlink:label="loc_us-gaap_NotesReceivableMember_582C50E487F737E67E76AA5047FF0219" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ReceivableTypeDomain_3300AFC1F996AA47AFECAA5047FF7A53" xlink:to="loc_us-gaap_NotesReceivableMember_582C50E487F737E67E76AA5047FF0219" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeAxis" xlink:label="loc_us-gaap_SubsequentEventTypeAxis_CD4511180CCA2C35D2EBAA5047FF9543" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_SubsequentEventTable_62F64819D34D9936EB67AA5047FE79A7" xlink:to="loc_us-gaap_SubsequentEventTypeAxis_CD4511180CCA2C35D2EBAA5047FF9543" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeDomain" xlink:label="loc_us-gaap_SubsequentEventTypeDomain_9EEF52E7BFC5672B9BD5AA5047FF86DC_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_SubsequentEventTypeAxis_CD4511180CCA2C35D2EBAA5047FF9543" xlink:to="loc_us-gaap_SubsequentEventTypeDomain_9EEF52E7BFC5672B9BD5AA5047FF86DC_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventTypeDomain" xlink:label="loc_us-gaap_SubsequentEventTypeDomain_9EEF52E7BFC5672B9BD5AA5047FF86DC" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_SubsequentEventTypeAxis_CD4511180CCA2C35D2EBAA5047FF9543" xlink:to="loc_us-gaap_SubsequentEventTypeDomain_9EEF52E7BFC5672B9BD5AA5047FF86DC" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SubsequentEventMember" xlink:label="loc_us-gaap_SubsequentEventMember_7208FCCA8AC0A988BB26AA5047FFD218" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventTypeDomain_9EEF52E7BFC5672B9BD5AA5047FF86DC" xlink:to="loc_us-gaap_SubsequentEventMember_7208FCCA8AC0A988BB26AA5047FFD218" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment" xlink:label="loc_us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment_29AB0D44C3E63BF98392AA504800BDB0" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment_29AB0D44C3E63BF98392AA504800BDB0" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_GainLossOnSaleOfPropertyPlantEquipment" xlink:label="loc_us-gaap_GainLossOnSaleOfPropertyPlantEquipment_FCF7921C50E6C928065DAA504800FF28" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_us-gaap_GainLossOnSaleOfPropertyPlantEquipment_FCF7921C50E6C928065DAA504800FF28" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_PropertyPlantandEquipmentAgreementtoSellValue" xlink:label="loc_adk_PropertyPlantandEquipmentAgreementtoSellValue_56FFEBF23D5B2BBF6141AA504800E86F" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_adk_PropertyPlantandEquipmentAgreementtoSellValue_56FFEBF23D5B2BBF6141AA504800E86F" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_PropertyPlantandEquipmentAgreedUponSellingPrice" xlink:label="loc_adk_PropertyPlantandEquipmentAgreedUponSellingPrice_3DF512F00570F42E7350AA504800151B" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_adk_PropertyPlantandEquipmentAgreedUponSellingPrice_3DF512F00570F42E7350AA504800151B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_PaymentsForDepositsWithOtherInstitutions" xlink:label="loc_us-gaap_PaymentsForDepositsWithOtherInstitutions_DC0E08C769C9C14A4482AA504800F61D" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_us-gaap_PaymentsForDepositsWithOtherInstitutions_DC0E08C769C9C14A4482AA504800F61D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_NotesReceivableNet" xlink:label="loc_us-gaap_NotesReceivableNet_1B65FD2D8853217BDE8FAA5048007B1D" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_us-gaap_NotesReceivableNet_1B65FD2D8853217BDE8FAA5048007B1D" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NoteReceivableStatedRateofInterest" xlink:label="loc_adk_NoteReceivableStatedRateofInterest_E2FFDB9EC22AFEE26AE7AA5048002E22" xlink:type="locator" />
    <definitionArc order="7" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_adk_NoteReceivableStatedRateofInterest_E2FFDB9EC22AFEE26AE7AA5048002E22" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_StockholderEquityMinimumIfCompanyReportsLossesInTwooftheThreeRecentYears" xlink:label="loc_adk_StockholderEquityMinimumIfCompanyReportsLossesInTwooftheThreeRecentYears_8C03F4B0C6AAEE1DE752AA50480094DB" xlink:type="locator" />
    <definitionArc order="8" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_adk_StockholderEquityMinimumIfCompanyReportsLossesInTwooftheThreeRecentYears_8C03F4B0C6AAEE1DE752AA50480094DB" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_StockholdersEquityMinimumIfCompanyReportsLossesInThreeoftheFourRecentYears" xlink:label="loc_adk_StockholdersEquityMinimumIfCompanyReportsLossesInThreeoftheFourRecentYears_365B897835172CB122BEAA5048003ECD" xlink:type="locator" />
    <definitionArc order="9" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_adk_StockholdersEquityMinimumIfCompanyReportsLossesInThreeoftheFourRecentYears_365B897835172CB122BEAA5048003ECD" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_StockholderEquityMinimumIfCompanyReportsLossesInFiveoftheRecentYears" xlink:label="loc_adk_StockholderEquityMinimumIfCompanyReportsLossesInFiveoftheRecentYears_48C12649CF6E95688068AA504800D93F" xlink:type="locator" />
    <definitionArc order="10" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_adk_StockholderEquityMinimumIfCompanyReportsLossesInFiveoftheRecentYears_48C12649CF6E95688068AA504800D93F" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StockholdersEquity" xlink:label="loc_us-gaap_StockholdersEquity_66297AF54C62E5ACB4BDAA5048009EBC" xlink:type="locator" />
    <definitionArc order="11" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SubsequentEventLineItems_0FBFE11DD061F37723A5AA5047FFC22F" xlink:to="loc_us-gaap_StockholdersEquity_66297AF54C62E5ACB4BDAA5048009EBC" xlink:type="arc" />
  </definitionLink>
  <definitionLink xlink:role="http://www.adcarehealth.com/role/VariableInterestEntities" xlink:type="extended" />
  <definitionLink xlink:role="http://www.adcarehealth.com/role/VariableInterestEntitiesDetailsTextual" xlink:type="extended">
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VariableInterestEntityLineItems" xlink:label="loc_us-gaap_VariableInterestEntityLineItems_C2DFAB556629CF5A5F21A079F2605F78" xlink:type="locator" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ScheduleOfVariableInterestEntitiesTable" xlink:label="loc_us-gaap_ScheduleOfVariableInterestEntitiesTable_1AF65679A5F68E560081A079F25F00FE" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/all" xlink:from="loc_us-gaap_VariableInterestEntityLineItems_C2DFAB556629CF5A5F21A079F2605F78" xlink:to="loc_us-gaap_ScheduleOfVariableInterestEntitiesTable_1AF65679A5F68E560081A079F25F00FE" xlink:type="arc" xbrldt:closed="true" xbrldt:contextElement="segment" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_StatementGeographicalAxis" xlink:label="loc_us-gaap_StatementGeographicalAxis_CE64F9851AA7DD6ECA1CA079F25F0A4D" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfVariableInterestEntitiesTable_1AF65679A5F68E560081A079F25F00FE" xlink:to="loc_us-gaap_StatementGeographicalAxis_CE64F9851AA7DD6ECA1CA079F25F0A4D" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentGeographicalDomain" xlink:label="loc_us-gaap_SegmentGeographicalDomain_D6DB5222955F235898B0A079F25F20F9_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_StatementGeographicalAxis_CE64F9851AA7DD6ECA1CA079F25F0A4D" xlink:to="loc_us-gaap_SegmentGeographicalDomain_D6DB5222955F235898B0A079F25F20F9_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_SegmentGeographicalDomain" xlink:label="loc_us-gaap_SegmentGeographicalDomain_D6DB5222955F235898B0A079F25F20F9" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_StatementGeographicalAxis_CE64F9851AA7DD6ECA1CA079F25F0A4D" xlink:to="loc_us-gaap_SegmentGeographicalDomain_D6DB5222955F235898B0A079F25F20F9" xlink:type="arc" />
    <loc xlink:href="http://xbrl.sec.gov/stpr/2011/stpr-2011-01-31.xsd#stpr_OH" xlink:label="loc_stpr_OH_99796B11BD239C1C639CA079F25FB880" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_SegmentGeographicalDomain_D6DB5222955F235898B0A079F25F20F9" xlink:to="loc_stpr_OH_99796B11BD239C1C639CA079F25FB880" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseArrangementTypeAxis" xlink:label="loc_us-gaap_LeaseArrangementTypeAxis_20B2FCF3E5A773A57C62A079F25FCBC9" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfVariableInterestEntitiesTable_1AF65679A5F68E560081A079F25F00FE" xlink:to="loc_us-gaap_LeaseArrangementTypeAxis_20B2FCF3E5A773A57C62A079F25FCBC9" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseArrangementTypeDomain" xlink:label="loc_us-gaap_LeaseArrangementTypeDomain_5069E7FF9BB808B17CA8A079F25F077F_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_LeaseArrangementTypeAxis_20B2FCF3E5A773A57C62A079F25FCBC9" xlink:to="loc_us-gaap_LeaseArrangementTypeDomain_5069E7FF9BB808B17CA8A079F25F077F_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseArrangementTypeDomain" xlink:label="loc_us-gaap_LeaseArrangementTypeDomain_5069E7FF9BB808B17CA8A079F25F077F" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_LeaseArrangementTypeAxis_20B2FCF3E5A773A57C62A079F25FCBC9" xlink:to="loc_us-gaap_LeaseArrangementTypeDomain_5069E7FF9BB808B17CA8A079F25F077F" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_BeaconFacilitiesMember" xlink:label="loc_adk_BeaconFacilitiesMember_EC0B16ED7FD1B82A9A83A079F25FA9DD" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_LeaseArrangementTypeDomain_5069E7FF9BB808B17CA8A079F25F077F" xlink:to="loc_adk_BeaconFacilitiesMember_EC0B16ED7FD1B82A9A83A079F25FA9DD" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis" xlink:label="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_A025FFFA036175F5057CA079F2603F3C" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfVariableInterestEntitiesTable_1AF65679A5F68E560081A079F25F00FE" xlink:to="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_A025FFFA036175F5057CA079F2603F3C" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ReceivableTypeDomain" xlink:label="loc_us-gaap_ReceivableTypeDomain_AF8485D07141A68F7EB2A079F260DA2B_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_A025FFFA036175F5057CA079F2603F3C" xlink:to="loc_us-gaap_ReceivableTypeDomain_AF8485D07141A68F7EB2A079F260DA2B_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ReceivableTypeDomain" xlink:label="loc_us-gaap_ReceivableTypeDomain_AF8485D07141A68F7EB2A079F260DA2B" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_A025FFFA036175F5057CA079F2603F3C" xlink:to="loc_us-gaap_ReceivableTypeDomain_AF8485D07141A68F7EB2A079F260DA2B" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_NotesReceivableMember" xlink:label="loc_us-gaap_NotesReceivableMember_8C44843A1959EECA3452A079F26054D6" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ReceivableTypeDomain_AF8485D07141A68F7EB2A079F260DA2B" xlink:to="loc_us-gaap_NotesReceivableMember_8C44843A1959EECA3452A079F26054D6" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis" xlink:label="loc_us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis_CFEA6A3FD4AE89B28DEAA079F26031FE" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfVariableInterestEntitiesTable_1AF65679A5F68E560081A079F25F00FE" xlink:to="loc_us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis_CFEA6A3FD4AE89B28DEAA079F26031FE" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ClassificationOfVariableInterestEntityDomain" xlink:label="loc_us-gaap_ClassificationOfVariableInterestEntityDomain_E46D0BF86D9266DB150AA079F260A3E1_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis_CFEA6A3FD4AE89B28DEAA079F26031FE" xlink:to="loc_us-gaap_ClassificationOfVariableInterestEntityDomain_E46D0BF86D9266DB150AA079F260A3E1_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_ClassificationOfVariableInterestEntityDomain" xlink:label="loc_us-gaap_ClassificationOfVariableInterestEntityDomain_E46D0BF86D9266DB150AA079F260A3E1" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis_CFEA6A3FD4AE89B28DEAA079F26031FE" xlink:to="loc_us-gaap_ClassificationOfVariableInterestEntityDomain_E46D0BF86D9266DB150AA079F260A3E1" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_VariableInterestEntityNotPrimaryBeneficiaryMember" xlink:label="loc_us-gaap_VariableInterestEntityNotPrimaryBeneficiaryMember_39156D7503FC7682C3DEA079F260AC1E" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_ClassificationOfVariableInterestEntityDomain_E46D0BF86D9266DB150AA079F260A3E1" xlink:to="loc_us-gaap_VariableInterestEntityNotPrimaryBeneficiaryMember_39156D7503FC7682C3DEA079F260AC1E" xlink:type="arc" />
    <loc xlink:href="http://xbrl.sec.gov/dei/2014/dei-2014-01-31.xsd#dei_LegalEntityAxis" xlink:label="loc_dei_LegalEntityAxis_EBE167DEEA132EA39734A079F260AE53" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:from="loc_us-gaap_ScheduleOfVariableInterestEntitiesTable_1AF65679A5F68E560081A079F25F00FE" xlink:to="loc_dei_LegalEntityAxis_EBE167DEEA132EA39734A079F260AE53" xlink:type="arc" />
    <loc xlink:href="http://xbrl.sec.gov/dei/2014/dei-2014-01-31.xsd#dei_EntityDomain" xlink:label="loc_dei_EntityDomain_CEDDEEF788B4C81497DEA079F26015DD_default" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:from="loc_dei_LegalEntityAxis_EBE167DEEA132EA39734A079F260AE53" xlink:to="loc_dei_EntityDomain_CEDDEEF788B4C81497DEA079F26015DD_default" xlink:type="arc" />
    <loc xlink:href="http://xbrl.sec.gov/dei/2014/dei-2014-01-31.xsd#dei_EntityDomain" xlink:label="loc_dei_EntityDomain_CEDDEEF788B4C81497DEA079F26015DD" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:from="loc_dei_LegalEntityAxis_EBE167DEEA132EA39734A079F260AE53" xlink:to="loc_dei_EntityDomain_CEDDEEF788B4C81497DEA079F26015DD" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_AriaHealthConsultingLLCMember" xlink:label="loc_adk_AriaHealthConsultingLLCMember_80389F70D43D1F682790A079F2605021" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_dei_EntityDomain_CEDDEEF788B4C81497DEA079F26015DD" xlink:to="loc_adk_AriaHealthConsultingLLCMember_80389F70D43D1F682790A079F2605021" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_LeaseIncentivePayableCurrentAndNoncurrent" xlink:label="loc_us-gaap_LeaseIncentivePayableCurrentAndNoncurrent_83803693552C39C8859FA079F260924C" xlink:type="locator" />
    <definitionArc order="1" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VariableInterestEntityLineItems_C2DFAB556629CF5A5F21A079F2605F78" xlink:to="loc_us-gaap_LeaseIncentivePayableCurrentAndNoncurrent_83803693552C39C8859FA079F260924C" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_NumberofSubleaseAgreement" xlink:label="loc_adk_NumberofSubleaseAgreement_9AB626425243268228FCA079F261E41F" xlink:type="locator" />
    <definitionArc order="2" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VariableInterestEntityLineItems_C2DFAB556629CF5A5F21A079F2605F78" xlink:to="loc_adk_NumberofSubleaseAgreement_9AB626425243268228FCA079F261E41F" xlink:type="arc" />
    <loc xlink:href="adk-20160331.xsd#adk_OperatingLeasesMonthlyRentExpense" xlink:label="loc_adk_OperatingLeasesMonthlyRentExpense_71602F7D03916C0BD25BA079F261826A" xlink:type="locator" />
    <definitionArc order="3" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VariableInterestEntityLineItems_C2DFAB556629CF5A5F21A079F2605F78" xlink:to="loc_adk_OperatingLeasesMonthlyRentExpense_71602F7D03916C0BD25BA079F261826A" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_AccountsAndNotesReceivableNet" xlink:label="loc_us-gaap_AccountsAndNotesReceivableNet_AF467DD4670333304BEBA079F2612244" xlink:type="locator" />
    <definitionArc order="4" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VariableInterestEntityLineItems_C2DFAB556629CF5A5F21A079F2605F78" xlink:to="loc_us-gaap_AccountsAndNotesReceivableNet_AF467DD4670333304BEBA079F2612244" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_NotesPayable" xlink:label="loc_us-gaap_NotesPayable_12C972701490E926E8B1A14268EFE464" xlink:type="locator" />
    <definitionArc order="5" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VariableInterestEntityLineItems_C2DFAB556629CF5A5F21A079F2605F78" xlink:to="loc_us-gaap_NotesPayable_12C972701490E926E8B1A14268EFE464" xlink:type="arc" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2015/elts/us-gaap-2015-01-31.xsd#us-gaap_DebtInstrumentInterestRateStatedPercentage" xlink:label="loc_us-gaap_DebtInstrumentInterestRateStatedPercentage_61F1A2C0CF945BAABFC8A1400F1FF45C" xlink:type="locator" />
    <definitionArc order="6" xlink:arcrole="http://xbrl.org/int/dim/arcrole/domain-member" xlink:from="loc_us-gaap_VariableInterestEntityLineItems_C2DFAB556629CF5A5F21A079F2605F78" xlink:to="loc_us-gaap_DebtInstrumentInterestRateStatedPercentage_61F1A2C0CF945BAABFC8A1400F1FF45C" xlink:type="arc" />
  </definitionLink>
</linkbase>


