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                                                                    EXHIBIT 10.4

                                                                    (Afton Oaks)

                    TENTH AMENDMENT TO PROJECT LOAN AGREEMENT

     THIS TENTH AMENDMENT TO PROJECT LOAN AGREEMENT (the "Tenth Amendment") is
effective as of July 1, 2006, by and between CAPMARK FINANCE INC., a California
corporation, formerly known as GMAC Commercial Mortgage Corporation, a
California corporation (the "Lender") and DIVERSICARE AFTON OAKS, LLC, a
Delaware limited liability company (the "Borrower").

                                    RECITALS:

     A. The Lender, ADVOCAT INC., a Delaware corporation ("Advocat"),
DIVERSICARE MANAGEMENT SERVICES CO., a Tennessee corporation and wholly-owned
subsidiary of Advocat ("DMSC"), DIVERSICARE LEASING CORP. ("DLC"), a Tennessee
corporation and wholly-owned subsidiary of AFI (defined below), ADVOCAT
ANCILLARY SERVICES, INC. ("AAS"), a Tennessee corporation and wholly-owned
subsidiary of DMSC, DIVERSICARE CANADA MANAGEMENT SERVICES CO., INC. ("DCMS"), a
corporation organized under the laws of Canada and wholly-owned subsidiary of
DLC, FIRST AMERICAN HEALTH CARE, INC. ("FAHC"), an Alabama corporation and
wholly-owned subsidiary of DLC, DIVERSICARE LEASING CORP. OF ALABAMA ("DLCA"),
an Alabama corporation and wholly-owned subsidiary of DLC, ADVOCAT DISTRIBUTION
SERVICES, INC. ("ADS"), a Tennessee corporation and wholly-owned subsidiary of
DMS, and ADVOCAT FINANCE, INC. ("AFI"), a Delaware corporation and wholly-owned
subsidiary of DMS (DLC, AAS, DCMS, DGP, FAHC, ADS, DLCA and AFI, together with
any other subsidiaries of Advocat or of the Subsidiaries formed or acquired
after the date hereof, are sometimes hereinafter referred to collectively as the
"Subsidiaries") entered into that certain Project Loan Agreement dated December
27, 1996, as amended by that certain First Amendment to Project Loan Agreement
dated April 30, 2000, by that certain Second Amendment to Project Loan Agreement
dated June 30, 2000, by Memorandum dated September 8, 2000, by that certain
Third Amendment to Project Loan Agreement dated September 29, 2000, by that
certain Fourth Amendment to Project Loan Agreement dated December 31, 2000, and
by that certain Fifth Amendment to Project Loan Agreement and Comprehensive
Amendment of All Other Loan Documents dated February 28, 2001, as amended by
that certain Sixth Amendment to Project Loan Agreement dated December 23, 2002,
as amended by that certain Seventh Amendment to Project Loan Agreement dated
March 31, 2004, as amended by that certain Eighth Amendment to Project Loan
Agreement dated April 1, 2005, and as amended by that certain Ninth Amendment to
Project Loan Agreement dated April 1, 2006 (the "Loan Agreement"). Pursuant to
the terms of the Fifth Amendment to Project Loan Agreement and Comprehensive
Amendment of All Other Loan Documents dated February 28, 2001, the Borrower
assumed all rights, obligations and benefits of DMSC in, to and under the Loan
Document and all Other Loan Documents.

     B. Pursuant to the terms of the Loan Agreement, Lender made a Loan to DMSC,
which was assumed by Borrower, in the principal amount of $3,750,000.00 (the
"Loan"). Unless otherwise defined herein, capitalized terms shall have the
meanings assigned to them in the Loan Agreement.

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     C. The Loan matures on July 1, 2006.

     D. The Borrower has requested that the Lender extend the Maturity Date, and
the Lender has agreed subject to the conditions and terms evidenced herein.

                                    AGREEMENT

     NOW THEREFORE, in consideration of the above Recitals, the Borrower and the
Lender hereby amend the Loan Agreement as follows:

     In Article I, the definition of Maturity Date is hereby amended to state
"Maturity Date means September 1, 2006."

     Except as expressly amended hereby, the Loan Agreement shall remain
unchanged and shall continue in full force and effect.

            [THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]


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     IN WITNESS WHEREOF, the Borrower and the Lender have caused this Tenth
Amendment to be executed by their duly authorized representatives, as of the
date first set forth above.

                                        BORROWER:

                                        DIVERSICARE AFTON OAKS, LLC, a Delaware
                                        limited liability company

                                        By: Diversicare Leasing Corp., a
                                            Tennessee corporation, its sole
                                            member


                                        /s/ Glynn Riddle
                                        ----------------------------------------
                                        Glynn Riddle, Chief Financial Officer


                                        LENDER:

                                        CAPMARK FINANCE INC., a California
                                        corporation, formerly known as GMAC
                                        Commercial Mortgage Corporation, a
                                        California corporation


                                        By: Laura Y. McDonald
                                            ------------------------------------
                                        Its: Senior Vice President


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