Document:

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                                                                   EXHIBIT 10.11
                                                                    (AFTON OAKS)

                       EIGHTH AMENDMENT TO PROMISSORY NOTE

            This Eighth Amendment to Promissory Note (this "Eighth Amendment")
is effective as of March 31, 2004, by DIVERSICARE AFTON OAKS, LLC, a Delaware
limited liability company (the "Borrower"), and GMAC COMMERCIAL MORTGAGE
CORPORATION, a California corporation (the "Lender").

                                    Recitals

            A.    Diversicare Management Services Co., ("DMSC") executed to the
order of Lender that certain Promissory Note dated December 27, 1996, in the
original principal amount of $3,750,000, as amended by that certain Amendment to
Promissory Note dated November 30, 1999, by that certain Second Amendment to
Promissory Note dated April 30, 2000, by that certain Third Amendment to
Promissory Note dated June 30, 2000, by that certain Memorandum of Lender dated
September 8, 2000, by that certain Fourth Amendment to Promissory Note dated
September 29, 2000, by that certain Fifth Amendment to Promissory Note dated
December 31, 2000, by that certain Memorandum of Lender dated January 26, 2001,
by that certain Sixth Amendment to and Assumption of Promissory Note dated
February 28, 2001, and by that certain Seventh Amendment to Promissory Note
dated December 23, 2002 (the "Note"). Pursuant to the terms of the Sixth
Amendment to and Assumption of the Promissory Note dated February 28, 2001, the
Note was assumed by the Borrower. Unless otherwise defined herein, capitalized
terms shall have the meanings assigned to them in the Note.

            B.    The Note has matured.

            C.    The Borrower has requested that the Lender renew the debt
evidenced by the Note and extend the maturity date of the Note, and the Lender
has agreed to such renewal and extension on certain conditions, one of which is
the execution of this Eighth Amendment by the Borrower.

                                    Agreement

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

      1.    By that certain Second Amendment to Promissory Note dated April 30,
2000, Section 2.2 of the Note was amended as follows: "2.2 Principal and
Interest Payments commencing on May 1, 2000, and continuing on the first day of
each calendar month thereafter through and including the Maturity Date (defined
below), monthly payments of principal and interest shall be made in such amount
as is necessary, taking into account the then effective LIBOR Rate, to fully
amortize the unpaid principal balance of the Note on the date that is
twenty-five (25) years after the first Rate Adjustment Date."

      2.    Section 4 of the Note, Maturity Date, is hereby amended to extend
the Maturity Date to April 1, 2005. All references in the Note to the "Maturity
Date" are hereby amended to mean April 1, 2005.

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

                                        1

<PAGE>

      Notwithstanding the execution of this Eighth 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, 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 December 31, 2003, and signed by
Borrower's Chief Financial Officer and Vice President.

      IN WITNESS WHEREOF, the Borrower and Lender have caused this Eighth
Amendment to be executed by their respective 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., its sole
                                             member

                                         /s/ Glynn Riddle
                                         _______________________________________
                                         Glynn Riddle, Vice President and
                                         Chief Financial Officer

                                         LENDER:

                                         GMAC COMMERCIAL MORTGAGE CORPORATION,
                                         a California corporation

                                         By /s/ Laura Y. McDonald
                                            ____________________________________
                                         Its Senior Vice President
                                            ___________________________________

      The Guarantor joins in the execution of this Eighth Amendment to confirm
its acknowledgment and agreement to the terms contained herein.

                                         GUARANTOR:

                                         ADVOCAT, INC., a Delaware corporation

                                         By: /s/ Glynn Riddle
                                             ___________________________________
                                           Its: Vice President and
                                                Chief Financial Officer
                                                ________________________________

                                        2<PAGE>
                                                                    EXHIBIT 10.1

                               SECOND AMENDMENT TO
                              EMPLOYMENT AGREEMENT
                              OF EDWARD F. MCKERNAN

      THIS SECOND AMENDMENT to that certain Employment Agreement ("Original
Agreement") effective as of January 1, 2002, by and between Global Preferred
Holdings, Inc., a Delaware corporation (the "Company"), and Edward F. McKernan
("You" or "Your", and together with the Company, collectively referred to as the
"Parties") is made effective as of the 26th day of May, 2004 (the "Effective
Date") between the Parties.

                              W I T N E S S E T H:

      WHEREAS, the Parties each desire to modify certain terms of the Original
Agreement, as set forth in this Amendment;

      NOW THEREFORE, in consideration of the mutual premises contained herein,
and for other good and valuable consideration, the receipt and adequacy of which
are acknowledged by the Parties hereto, the Parties, intending to be legally
bound, hereby agree as follows:

      1.    Defined Terms. All defined terms in the Original Agreement shall
have the same meaning herein unless the context requires otherwise or unless
redefined herein.

      2.    Amendments.

            (a)   Section 3 of the Original Agreement shall be amended by
deleting the first sentence of such section in its entirety and replacing it
with the following:

            "The term of this Agreement shall be for a period beginning on the
            Effective Date and ending on December 31, 2006 (the "Initial
            Term")."

            (b)   Section 5C of the Original Agreement shall be amended by
deleting such section in its entirety and replacing it with the following:

            "C.   If this Agreement terminates for the reasons set forth in
            sub-sections 4F or 4G of this Agreement (other than under the
            circumstances described in Section 5B), then the Company shall pay
            You a separation payment equal to twenty-four (24) months Base
            Salary in effect as of the date of termination, payable over a
            period of twenty-four (24) months in accordance with the Company's
            normal payroll practices (or at the election of the Company, payable
            as a lump sum payment), and any prorated Bonus payments (to the
            extent earned by You prior to Your termination date)."

      3.    Choice of Law. This Amendment will be governed by the internal law,
and not the laws of conflicts, of the State of Georgia.

<PAGE>

      4.    Remaining Provisions. All other terms and conditions of the Original
Agreement not modified by this Amendment shall remain as originally set forth in
the Original Agreement.

      5.    Counterparts. This Amendment may be executed in multiple
counterparts with the same effect as if all signing parties had signed the same
document. All counterparts shall be construed together and constitute the same
instrument.

      IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of
the date first set forth herein above.

                                        GLOBAL PREFERRED HOLDINGS, INC.

                                        By: /s/ Bradley E. Barks
                                           -------------------------------------
                                           Bradley E. Barks
                                           Chief Financial Officer

                                        /s/ Edward F. McKernan
                                        ----------------------------------------
                                        EDWARD F. MCKERNAN<PAGE>

                                                                    EXHIBIT 10.2

                            SECOND AMENDMENT TO LEASE

      THIS SECOND AMENDMENT TO LEASE (this "AMENDMENT") is made as of the 14th
day of June, 2004, by and between METROPOLITAN LIFE INSURANCE COMPANY, a New
York corporation, on behalf of a commingled separate account ("LANDLORD"), and
GLOBAL PREFERRED HOLDINGS, INC., a Delaware corporation ("TENANT").

                              W I T N E S S E T H:

      WHEREAS, Landlord and Tenant entered into that certain lease dated
September 4, 2002 (the "Original Lease") as amended by that certain First
Amendment to Lease dated July 14, 2003 (the "First Amendment") (the Original
Lease and the First Amendment collectively, the "Lease"), for certain premises
in the building located at 6455 East Johns Crossing, Duluth, Georgia 30097 (the
"Building"), consisting of approximately 6,162 rentable square feet of space
(the "Premises");

      WHEREAS, Tenant desires and Landlord agrees to extend the Initial Term of
the Lease; and

      WHEREAS, Landlord and Tenant desire to evidence the term of such extension
and to amend certain other terms and conditions of the Lease and evidence their
agreements and other matters by means of this Amendment;

      NOW, THEREFORE, in consideration of the covenants contained herein and
other good and valuable consideration, the receipt and sufficiency of which is
hereby acknowledged, Landlord and Tenant hereby amend the Lease as follows:

      1.    DEFINITIONS. Unless the context otherwise requires, any capitalized
term used herein shall have its respective meaning as set forth in the Lease.

      2.    INTEGRATION OF AMENDMENT AND LEASE. This Amendment and the Lease
shall be deemed to be, for all purposes, one instrument. In the event of any
conflict between the terms and provisions of this Amendment and the terms and
provisions of the Lease, the terms and provisions of this Amendment shall, in
all instances, control and prevail.

      3.    EXTENSION OF INITIAL TERM. The Initial Term of the Lease (as defined
in Article 1 of the Original Lease as amended by the First Amendment) is hereby
extended for a period of twelve (12) months (the "Extension Period") commencing
October 14, 2004 (the "Extension Commencement Date"), and ending October 13,
2005, unless sooner terminated or extended in accordance with the terms of the
Lease as amended hereby.

      4.    CERTAIN DEFINED TERMS. For purposes of the Lease as amended by this
Amendment: (i) the Initial Term of the Lease (as defined in Article 1 and as
described in Section 2.2(a) of the Original Lease as amended by the First
Amendment) shall mean that period

<PAGE>

commencing on October 14, 2002 and continuing through October 13, 2005 and (ii)
the Extended Term of the Lease (as defined in Article 1 and as described in
Section 2.2(a) of the Original Lease as amended by the First Amendment) shall
mean the thirty-nine (39) months following the Initial Term (as such Initial
Term is amended herein) commencing on October 14, 2005 and expiring on January
13, 2009.

      5.    FIXED RENT. Effective as of the Extension Commencement Date, Fixed
Rent for the Premises shall be $10,486.87 per month, $125,842.44 per annum for
the Extension Period. Fixed Rent shall be payable in accordance with the
provisions of Section 2 of the Lease. In Article I of the Lease those certain
sections defined as "Fixed Rent" and "Monthly Fixed Rent" shall be deleted in
their entirety and replaced with the following:

<TABLE>
<CAPTION>
FIXED RENT:          Initial Term:
<S>                  <C>
                     Months 1 - 12 - $118,618.56 per annum
                     Months 13 - 24 - $122,177.16 per annum
                     Months 25 - 36 - $125,842.44 per annum

                     Extended Term:

                     Months 37 - 48 - $129,617.76 per annum*
                     Months 49 - 60 - $133,506.24 per annum
                     Months 61 - 72 - $137,511.48 per annum
                     Months 73 - 75 - $ 141,636.88 per annum

MONTHLY
FIXED RENT:          Initial Term:

                     Months 1 - 12 - $9,884.88 per month
                     Months 13 - 24 - $10,181.43 per month
                     Months 25 - 36 - $10,486.87 per month

                     Extended Term:

                     Months 37 - 48 - $10,801.48 per month*
                     Months 49 - 60 - $11,125.52 per month
                     Months 61 - 72 - $11,459.29 per month
                     Months 73 - 75 - $11,803.07 per month

                     *Fixed Rent for the first three (3) months of the Extended
                     Term shall be abated.
</TABLE>

                                       -2-

<PAGE>

      6.    CONDITION OF PREMISES; LANDLORD'S ADDITIONAL WORK. Tenant is in
possession of the Premises and accepts the same "as is". No agreement of
Landlord to alter, remodel, decorate, clean or improve the Premises or the
Building (or to provide Tenant with any credit or allowance for the same), and
no representation regarding the condition of the Premises or the Building, have
been made by or on behalf of Landlord or relied upon by Tenant, except as
otherwise expressly provided with respect to Landlord's Additional Work as
described in Section 5.1(d) of the Lease. The parties agree that the reference
to "December 1, 2003" in the last sentence of Section 5.1(d) of the Lease is
hereby deleted and the date of December 1, 2005 is substituted in replacement
thereof.

      7.    MODIFICATION TO SECTION 2.2(b). The phrase "the first day of the
ninth (9th) month of the Initial Term" contained in the first sentence of
Section 2.2(b) of the Lease is hereby deleted and the date of June 14, 2005 is
substituted in replacement thereof.

      8.    BROKERS. Landlord and Tenant each warrant to the other that it has
had no dealings with any broker, agent or any other person in connection with
the negotiation or execution of this Amendment other than Technology
Park/Atlanta, Inc. and The Miller Group, LLC. Landlord and Tenant each agree to
indemnify and hold harmless the other party from and against any and all cost,
expense, or liability for commissions or other compensation and charges claimed
by any broker or agent (other than the broker(s) identified in the foregoing
sentence) with respect to this Amendment on account of the indemnifying party's
acts.

      9.    TENANT REPRESENTATIONS. Tenant represents and warrants to Landlord
that (a) Tenant is not in default under any of the terms and provisions of the
Lease, (b) to Tenant's actual knowledge, Landlord is not in default in the
performance of any of its obligations under the Lease, and (c) Tenant is unaware
of any condition or circumstance which, with the giving of notice or the passage
of time or both, would constitute a default by Landlord under the Lease. Tenant
further acknowledges that Tenant has no defense, offset, lien, claim or
counterclaim against Landlord under the Lease or against the obligations of
Tenant under the Lease (including, without limitation, any rentals or other
charges due or to become due under the Lease).

      10.   ERISA. Tenant represents, warrants and covenants that: (a) (i)
Tenant is not now, and will not at any time during the Term of the Lease become,
a "party in interest" (within the meaning of Section 3(14) of the Employee
Retirement Income Security Act of 1974, as amended ("ERISA")), or a
"disqualified person" (within the meaning of Section 4975 of the Internal
Revenue Code of 1986, as amended (the "CODE") with respect to the Metropolitan
Life Retirement Program for United States Employees (the "PLAN"), or (ii) if
Tenant is (or becomes) a party in interest or disqualified person with respect
to the Plan, it is solely by reason of providing services to Landlord with
respect to an asset or assets owned on behalf of the Plan or by reason of a
relationship to a person providing such services; (b) neither Landlord or any
person controlling or controlled by Landlord owns a 25% or greater interest in
Tenant; and (c) no portion of or interest in the Lease will be treated as the
asset of any (i) "employee benefit plan" (within the meaning of Section 3(3) of
ERISA), (ii) "plan" (within the meaning of Section 4975(e)(1) of the Code) or
(iii) entity whose underlying assets include "plan assets" by reason of a plan's
investment in such entity.

                                       -3-

<PAGE>

      11.   LEASE IN FULL FORCE AND EFFECT. Except as expressly provided herein,
all of the terms and provisions of the Lease shall remain in full force and
effect. Without limiting the generality or the effect of the foregoing, Tenant
acknowledges that Landlord's liability under the Lease, as amended hereby, is
limited as provided under Section 24.10 of the Lease. This Amendment shall not
be valid and binding on Landlord and Tenant unless and until it has been
completely executed by and delivered to both parties.

      This Amendment is executed by the undersigned as of the date first above
written.

LANDLORD                                    TENANT

METROPOLITAN LIFE INSURANCE                 GLOBAL PREFERRED HOLDINGS, INC.,
COMPANY (on behalf of a commingled          a Delaware corporation
separate account)

By: SSR REALTY ADVISORS, INC.,
    its investment advisor

By: /s/ John F. Loehr                       By: /s/ Edward F. McKernan
    --------------------------------            --------------------------------
Name: John F. Loehr                         Name: Edward F. McKernan
Title: Managing Director                    Title: President & CEO

                                       -4-

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