Document:

<PAGE>
                                                                   EXHIBIT 10.16

                        NINTH AMENDMENT TO LOAN AGREEMENT

                  This Ninth Amendment to Loan Agreement is effective as of
April 1, 2006, by and between DIVERSICARE ASSISTED LIVING SERVICES NC II, LLC, a
Delaware limited liability company (together with its successors and assigns,
the "Borrower"), and GMAC COMMERCIAL MORTGAGE CORPORATION, a California
corporation (together with its successors and assigns, the "Lender").

                                    RECITALS:

                  A. Borrower and the Lender entered that certain Loan Agreement
dated June 4, 1999, as amended by that certain First Amendment to Loan Agreement
dated as of July 1, 2002, as amended by that certain Second Amendment to Loan
Agreement dated as of October 1, 2002, as amended by that certain Third
Amendment to Loan Agreement dated as of January 1, 2003, as amended by that
certain Fourth Amendment to Loan Agreement dated as of June 18, 2003, as amended
by that certain Fifth Amendment to Loan Agreement dated as of July 1, 2003, as
amended by that certain Sixth Amendment to Loan Agreement dated as of June 30,
2004, as amended by that certain Seventh Amendment to Loan Agreement dated as of
January 1, 2005, and as amended by that certain Eighth Amendment to Loan
Agreement dated as of April 1, 2005 (the "Agreement"). Unless otherwise defined
in this Eighth Amendment, capitalized terms shall have the meaning given to them
in the Agreement.

                  B. The Borrower and the Lender desire to amend the Agreement
and have agreed to execute this Ninth Amendment to evidence such modification.

                                    AGREEMENT

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

                  1. Paragraph 1.1, "Maturity Date", is hereby amended by
changing the date to "June 1, 2006".

                  Except as expressly amended hereby, the Agreement shall remain
in full force and effect in accordance with its terms.

                                       1

<PAGE>

         IN WITNESS WHEREOF, the Borrower and the Lender have caused this Ninth
Amendment to be properly executed by their respective duly authorized officers
as of the date first above written.

                                DIVERSICARE ASSISTED LIVING SERVICES NC II,
                                LLC, a Delaware limited liability company

                                By: Diversicare Assisted Living Services NC, LLC
                                Its: Sole Member

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

                                GMAC COMMERCIAL MORTGAGE
                                 CORPORATION, a California corporation

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

                                       2<PAGE>
                                                                   EXHIBIT 10.17

                       TENTH AMENDMENT TO PROMISSORY NOTE

         THIS TENTH AMENDMENT TO PROMISSORY NOTE (this "Tenth Amendment") is
entered into as of the 1st day of April, 2006, by and between DIVERSICARE
ASSISTED LIVING SERVICES NC II, LLC, a Delaware limited liability company (the
"Borrower"), and GMAC COMMERCIAL MORTGAGE CORPORATION, a California corporation
(the "Lender").

                                    RECITALS

             A. The Borrower executed to the order of the Lender that certain
Promissory Note dated June 4, 1999, in the principal amount of $12,480,000, as
amended by that certain First Amendment to Promissory Note dated as of July 1,
2002, as amended by that certain Second Amendment to Promissory Note dated as of
October 1, 2002, as amended by that certain Third Amendment to Promissory Note
dated as of December 1, 2002, as amended by that certain Fourth Amendment to
Promissory Note dated as of January 1, 2003, as amended by that certain Fifth
Amendment to Promissory Note dated as of June 18, 2003, as amended by that
certain Sixth Amendment to Promissory Note dated as of July 1, 2003, as amended
by that certain Seventh Amendment to Promissory Note dated as of June 30, 2004,
as amended by that certain Eighth Amendment to Promissory Note dated as of
January 1, 2005, and as amended by that certain Ninth Amendment to Promissory
Note dated as of April 1, 2005 (the "Note"). Unless otherwise defined herein,
capitalized terms shall have the meaning assigned to them in the Note.

             B. The Borrower has requested that the Lender extend the Maturity
Date of the Note, and the Lender has agreed, upon certain conditions, one of
which is the execution of this Tenth Amendment.

                                    AGREEMENT

         NOW, THEREFORE, in consideration of the above Recitals and other good
and valuable consideration, the Borrower and the Lender hereby amend the Note as
follows:

             Section 4.1 of the Note, Maturity Date, is hereby amended to extend
the Maturity Date from April 1, 2006 until June 1, 2006. All references in the
Note to the "Maturity Date" are hereby amended to mean June 1, 2006.

         Except as expressly amended herein, the Note shall remain in full force
and effect in accordance with its terms and conditions.

         Notwithstanding the execution of this Tenth Amendment, the indebtedness
evidenced by the Note shall remain in full force and effect, and nothing
contained herein shall be interpreted or construed as resulting in a novation of
such indebtedness. The Borrower acknowledges and agrees that there are no
offsets or defenses to payment of the obligations evidenced by the Note,

                                       1
<PAGE>

as hereby amended, and hereby waives any defense, claim or counterclaim of the
Borrower regarding the obligations of the Borrower under the Note, as hereby
amended. The Borrower represents that there are no conditions of default or
facts or consequences which will or could lead to a default under the
obligations due from the Borrower under the Note, as amended herein, except as
disclosed by Borrower and Diversicare Management Services Co. in that certain
Quarterly Compliance Statement & Census Data report and that certain Compliance
Certificate, each for the period ending September 30, 2005, and signed by
Borrower's Chief Financial Officer and Vice President.

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

                               BORROWER:

                               DIVERSICARE ASSISTED LIVING SERVICES NC II,
                               LLC, a Delaware limited liability company

                               By: Diversicare Assisted Living Services NC, LLC
                               Its: Sole Member

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

                               LENDER:

                               GMAC COMMERCIAL MORTGAGE CORPORATION,
                               a California corporation

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

                                       2<PAGE>
                                                                   EXHIBIT 10.18

                        NINTH AMENDMENT TO LOAN AGREEMENT

                  This Ninth Amendment to Loan Agreement is effective as of
April 1, 2006, by and between DIVERSICARE ASSISTED LIVING SERVICES NC I, LLC, a
Delaware limited liability company (together with its successors and assigns,
the "Borrower"), and GMAC COMMERCIAL MORTGAGE CORPORATION, a California
corporation (together with its successors and assigns, the "Lender").

                                    RECITALS:

                  A. Borrower and the Lender entered that certain Loan Agreement
dated June 4, 1999, as amended by that certain First Amendment to Loan Agreement
dated as of July 1, 2002, as amended by that certain Second Amendment to Loan
Agreement dated as of October 1, 2002, as amended by that certain Third
Amendment to Loan Agreement dated as of January 1, 2003, as amended by that
certain Fourth Amendment to Loan Agreement dated as of June 18, 2003, as amended
by that certain Fifth Amendment to Loan Agreement dated as of July 1, 2003, as
amended by that certain Sixth Amendment to Loan Agreement dated as of June 30,
2004, as amended by that certain Seventh Amendment to Loan Agreement dated as of
January 1, 2005, and as further amended by that certain Eighth Amendment to Loan
Agreement dated as of April 1, 2005 (the "Agreement"). Unless otherwise defined
in this Ninth Amendment, capitalized terms shall have the meaning given to them
in the Agreement.

                  B. The Borrower and the Lender desire to amend the Agreement
and have agreed to execute this Ninth Amendment to evidence such modification.

                                    AGREEMENT

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

                  1. Paragraph 1.1, "Maturity Date" is hereby amended by
changing the date to "June 1, 2006".

                  Except as expressly amended hereby, the Agreement shall remain
in full force and effect in accordance with its terms.

                                       1
<PAGE>

                  IN WITNESS WHEREOF, the Borrower and the Lender have caused
this Ninth Amendment to be properly executed by their respective duly authorized
officers as of the date first above written.

                             DIVERSICARE ASSISTED LIVING SERVICES NC I,
                             LLC, a Delaware limited liability company

                             By: Diversicare Assisted Living Services NC, LLC
                             Its: Sole Member

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

                             GMAC COMMERCIAL MORTGAGE
                             CORPORATION, a California corporation

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

                                       2

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00103-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00103-of-00352.parquet"}], [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00103-of-00352.parquet"}]]