<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0609</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2026-09-30</periodOfReport>

    <issuer>
        <issuerCik>0000888491</issuerCik>
        <issuerName>OMEGA HEALTHCARE INVESTORS INC</issuerName>
        <issuerTradingSymbol>OHI</issuerTradingSymbol>
        <issuerForeignTradingSymbol></issuerForeignTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0002051270</rptOwnerCik>
            <rptOwnerName>Gourmand Matthew Paul</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerNonUSAddressFlag>false</rptOwnerNonUSAddressFlag>
            <rptOwnerStreet1>303 INTERNATIONAL CIRCLE</rptOwnerStreet1>
            <rptOwnerStreet2>SUITE 200</rptOwnerStreet2>
            <rptOwnerCity>HUNT VALLEY</rptOwnerCity>
            <rptOwnerState>MD</rptOwnerState>
            <rptOwnerZipCode>21030</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>false</isDirector>
            <isOfficer>true</isOfficer>
            <isTenPercentOwner>false</isTenPercentOwner>
            <isOther>false</isOther>
            <officerTitle>President</officerTitle>
            <otherText></otherText>
        </reportingOwnerRelationship>
    </reportingOwner>

    <aff10b5One>0</aff10b5One>

    <nonDerivativeTable></nonDerivativeTable>

    <derivativeTable>
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            <securityTitle>
                <value>Profits Interest Units</value>
            </securityTitle>
            <conversionOrExercisePrice>
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                <footnoteId id="F2"/>
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            </transactionDate>
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                <transactionFormType>4</transactionFormType>
                <transactionCode>M</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>14862</value>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
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            <expirationDate>
                <footnoteId id="F3"/>
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            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>OP Units</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>14862</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>104940</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
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                    <value>5620</value>
                </transactionShares>
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                </transactionAcquiredDisposedCode>
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                <transactionCode>M</transactionCode>
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                    <value>14862</value>
                </transactionShares>
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            <expirationDate>
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            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>14862</value>
                </underlyingSecurityShares>
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                    <value>247220</value>
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                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
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        </derivativeTransaction>
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            <securityTitle>
                <value>OP Units</value>
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                <transactionCode>M</transactionCode>
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                    <value>5620</value>
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                <transactionPricePerShare>
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                <underlyingSecurityTitle>
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                <underlyingSecurityShares>
                    <value>5620</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
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                <sharesOwnedFollowingTransaction>
                    <value>252840</value>
                </sharesOwnedFollowingTransaction>
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            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </derivativeTransaction>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">Represents Profits Interest Units (&quot;PIUs&quot;) in OHI Healthcare Properties Limited Partnership (the &quot;Operating Partnership&quot;), of which the Issuer is the general partner. Each PIU represents a contingent right to receive one unit of limited partnership interest (an &quot;OP Unit&quot;) in the Operating Partnership upon vesting and the satisfaction of certain tax-driven economic requirements.</footnote>
        <footnote id="F2">Each OP Unit is redeemable at the election of the holder for cash equal to the then fair market value of one share of Issuer common stock, or at the Issuer's election, one share of Issuer common stock, subject to adjustment as set forth in the partnership agreement. The OP Units have no expiration date.</footnote>
        <footnote id="F3">Represents 25% of the PIUs that vested into OP Units at the end of each calendar quarter in 2026 based on the Absolute Total Shareholder Return for the 2023-2025 performance period, subject to continued employment and accelerated vesting under certain circumstances, as certified by the Compensation Committee on January 8, 2026.</footnote>
        <footnote id="F4">Represents 25% of the PIUs that vested into OP Units at the end of each calendar quarter in 2026 based on the Relative Total Shareholder Return for the 2023-2025 performance period, subject to continued employment and accelerated vesting under certain circumstances, as certified by the Compensation Committee on January 8, 2026.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>/s/ Meghan C. Lyons, Attorney-in-Fact</signatureName>
        <signatureDate>2026-09-30</signatureDate>
    </ownerSignature>
</ownershipDocument>
