SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                          -----------------------------
                                   SCHEDULE TO

            TENDER OFFER STATEMENT UNDER SECTION 14(d)(1) OR 13(e)(1)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

                                (Amendment No. 2)


                          Genesis Health Ventures, Inc.
-------------------------------------------------------------------------------
                       (Name of Subject Company (Issuer))

                         Genesis Health Ventures, Inc.
-------------------------------------------------------------------------------
                        (Name of Filing Persons (Issuer))

       Options under the 2001 Stock Option Plan to Purchase Common Stock,
                            Par Value $.02 Per Share
-------------------------------------------------------------------------------
                         (Title of Class of Securities)

                                 Not Applicable*
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                      (CUSIP Number of Class of Securities)

                              George V. Hager, Jr.
              Executive Vice President and Chief Financial Officer
                          Genesis Health Ventures, Inc.
                              101 East State Street
                            Kennett Square, PA 19348
                                 (610) 444-6350
-------------------------------------------------------------------------------
       (Name, address and telephone number of person authorized to receive
             notices and communications on behalf of filing persons)

                                    Copy To:

                            Richard J. McMahon, Esq.
                                 Blank Rome LLP
                                One Logan Square
                             Philadelphia, PA 19103
                            Telephone: (215) 569-5500

                            CALCULATION OF FILING FEE
-------------------------------------------------------------------------------
Transaction Valuation (1)                              Amount of Filing Fee(2)
-------------------------------------------------------------------------------
      $17,461,675                                              $1,412.65
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(1)      Calculated solely for purposes of determining the filing fee. This
         amount assumes that options to purchase 1,077,500 shares of Common
         Stock of Genesis Health Ventures, Inc. having an aggregate value of
         $16,022,425 as of March 31, 2003, will be tendered and cancelled
         pursuant to this offer in exchange for which the holders thereof will
         have acceleration of vesting of all of their restricted stock awards.
         The transaction valuation also includes cash consideration to be paid
         by Genesis Health Ventures, Inc., in the amount of $2.00 per option for
         up to an aggregate of 654,000 options and cash consideration to be paid
         by Genesis Health Ventures, Inc. in the amount of $2.50 per option for
         up to an aggregate of 52,500 options.

(2)      Previously paid. The amount of the filing fee, calculated in accordance
         with Rule 0-11 of the Securities Exchange Act of 1934, as amended,
         equals $80.90 per $1,000,000 of transaction valuation.





|X|      Check box if any part of the fee is offset as provided by Rule
         0-ll(a)(2) and identify the filing with which the offsetting fee was
         previously paid. Identify the previous filing by registration statement
         number, or the Form or Schedule and the date of its filing.

|_|      Check the box if the filing relates solely to preliminary
         communications made before the commencement of a tender offer.

         Check the appropriate boxes below to designate any transactions to
         which the statement relates:

         |_|      third-party tender offer subject to Rule 14d-1.
         |X|      issuer tender offer subject to Rule 13e-4.
         |_|      going-private transaction subject to Rule 13e-3.
         |_|      amendment to Schedule 13D under Rule 13d-2.

         Check the following box if the filing is a final amendment reporting
         the results of the tender offer: |_|

         *There is no trading market or CUSIP Number for the options. The CUSIP
         Number for the Common Stock underlying the options is 37183F-10-7.




         This Amendment No. 2 amends and supplements the Tender Offer Statement
on Schedule TO filed initially with the Securities and Exchange Commission on
April 1, 2003, as amended and supplemented by Amendment No. 1 to the Tender
Offer Statement on Schedule TO filed with the Securities and Exchange Commission
on April 18, 2003 (the "Schedule TO"), relating to an offer by Genesis Health
Ventures, Inc., (the "Company"), to its employees (which includes employees of
the majority-owned or wholly-owned subsidiaries of the Company) to tender all
options (the "Options") to purchase shares of its common stock, par value $.02
per share ("Common Stock") outstanding under the Company's 2001 Stock Option
Plan (the "2001 Stock Option Plan"), for the following consideration: (a) for
those holders of Options who have received awards of more than 2,000 restricted
shares of Common Stock under the 2001 Stock Incentive Plan, the acceleration of
vesting of all such restricted shares (the "Restricted Share Acceleration") plus
a cash payment of $2.50 per share subject to the Option for Options having an
exercise price below $20.00 per share, and (b) with respect to those holders of
Options who have not received awards of more than 2,000 restricted shares, (i)
for those Options having an exercise price of at least $20.00 per share, a cash
payment of $2.00 per share subject to the Option, and (ii) for those Options
having an exercise price below $20.00 per share, a cash payment of $2.50 per
share subject to the Option, on the terms and subject to the conditions set
forth in the Offer to Acquire, dated April 1, 2003 ("Offer to Acquire"), that
was filed as Exhibit (a)(1) to the Schedule TO, and which is amended as of April
18, 2003. A copy of the Offer to Acquire, as amended and restated, is attached
hereto as Exhibit (a)(1) and is incorporated herein by reference. On April 28,
2003, Genesis announced the extension of the expiration of the offer until 12:00
Midnight, Philadelphia time, on May 12, 2003. The memorandum being distributed
to eligible option holders regarding the extension is attached as Exhibit
(a)(9).

Items 1, 2, 4 AND 6

         Items 1, 2, 4 and 6 of the Schedule TO are hereby amended to include
the following two statements:

The offer has been extended and now will expire at 12:00 Midnight, Philadelphia
time, on May 12, 2003 unless the offer is further extended. Accordingly, each
reference to the original April 28, 2003 expiration date contained in the Offer
to Acquire, Letter of Acceptance, Notice of Withdrawal and other communications
sent to eligible option holders now means May 12, 2003 at 12:00 Midnight,
Philadelphia time.


Items 2, 4 AND 6

         Items 2, 4 and 6 of the Schedule TO are hereby amended by the following
amendments to the Offer to Acquire:

The Introduction, Section 2 ("Number of Options; Expiration Date") and Section 6
("Acceptance of Options for Cancellation and Repurchase") of the Offer to
Acquire are amended to indicate that those option holders receiving cash
payments (less applicable withholding) will receive such consideration promptly
either in their paycheck or a separate check.















Item 12.      Exhibits.

         (a)      (1) Offer to Acquire, as amended and restated.

                  (2)      Memoranda from Robert H. Fish, Chairman of the Board
                           and Chief Executive Officer of Genesis Health
                           Ventures, Inc., dated April 1, 2003.*

                  (3)      Form of Letter of Acceptance.*

                  (4)      Form of Notice of Withdrawal from the Offer.*

                  (5)      Intentionally left blank.

                  (6)      Genesis Health Ventures, Inc. Annual Report on Form
                           10-K for the year ended September 30, 2002, filed
                           with the SEC on December 30, 2002 (incorporated
                           herein by reference).

                  (7)      Genesis Health Ventures, Inc. Quarterly Report on
                           Form 10-Q for the quarter ended December 31, 2002,
                           filed with the SEC on February 12, 2003 (incorporated
                           herein by reference).

                  (8)      Memorandum from Robert H. Fish, Chairman of the Board
                           and Chief Executive Officer of Genesis Health
                           Ventures, Inc., dated April 18, 2003.*

                  (9)      Memorandum from Robert H. Fish, Chairman of the Board
                           and Chief Executive Officer of Genesis Health
                           Ventures, Inc., dated April 28, 2003.

         (b)      Not applicable.

         (d)      (1)      Genesis Health Ventures, Inc. 2001 Stock Option
                           Plan (incorporated herein by reference to the
                           applicable exhibit filed with the Company's
                           Registration Statement on Form S-8 (File No.
                           333-82200), filed with the SEC on February 5, 2002).

                  (2)      Genesis Health Ventures, Inc. 2001 Stock Incentive
                           Plan (incorporated herein by reference to the
                           applicable exhibit filed with the Company's
                           Registration Statement on Form S-8 (File No.
                           333-83430), filed with the SEC on February 26, 2002)

         (g) Not applicable.

         (h) Not applicable.

______________________

* Previously filed.





                                    SIGNATURE

                  After due inquiry and to the best of my knowledge and belief,
I certify that the information set forth in this Amendment No. 2 to the Schedule
TO is true, complete and correct.


                         GENESIS HEALTH VENTURES, INC.

                         /s/George V. Hager, Jr.
                         ----------------------------------------------------
                         George V. Hager, Jr.
                         Executive Vice President and Chief Financial Officer

Date:    April 28,  2003




                                INDEX TO EXHIBITS



Exhibit Number                                                    Description

(a)           (1)         Offer to Acquire, as amended and restated.

              (2)         Memoranda from Robert H. Fish, Chairman of the Board
                          and Chief Executive Officer of Genesis Health
                          Ventures, Inc., dated April 1, 2003.*

              (3)         Form of Letter of Acceptance.*

              (4)         Form of Notice of Withdrawal from the Offer.*

              (5)         Intentionally left blank.

              (6)         Genesis Health Ventures, Inc. Annual Report on Form
                          10-K for the year ended September 30, 2002, filed with
                          the SEC on December 30, 2002 (incorporated herein by
                          reference).

              (7)         Genesis Health Ventures, Inc. Quarterly Report on Form
                          10-Q for the quarter ended December 31, 2002, filed
                          with the SEC on February 12, 2003 (incorporated herein
                          by reference).

              (8)         Memorandum from Robert H. Fish, Chairman of the Board
                          and Chief Executive Officer of Genesis Health
                          Ventures, Inc., dated April 18, 2003.*

              (9)         Memorandum from Robert H. Fish, Chairman of the Board
                          and Chief Executive Officer of Genesis Health
                          Ventures, Inc., dated April 28, 2003.

(b)           Not applicable.

(d)           (1)        Genesis Health Ventures, Inc. 2001 Stock Option Plan
                         (incorporated herein by reference to the applicable
                         exhibit filed with the Company's Registration Statement
                         on Form S-8 (File No. 333-82200), filed with the SEC
                         on February 5, 2002).

              (2)        Genesis Health Ventures, Inc. 2001 Stock Incentive Plan
                         (incorporated herein by reference to the applicable
                         exhibit filed with the Company's Registration Statement
                         on Form S-8 (File No. 333-83430), filed with the SEC on
                         February 26, 2002).

(g)           Not applicable.

(h)           Not applicable.

________________________
* Previously filed.