Document:

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                                                                    Exhibit 10.4

                       FIFTH AMENDMENT TO PROMISSORY NOTE

     THIS FIFTH AMENDMENT TO PROMISSORY NOTE (this "Fifth Amendment") is
entered into as of the 18 day of June, 2003, by and between DIVERSICARE
ASSISTED LIVING SERVICES NC I, 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 $12,770,000 as
amended by that certain First Amendment to Promissory Note dated July 1, 2002,
as amended by that Second Amendment to Promissory Note dated as of October 1,
2002, as amended by that Third Amendment to Promissory Note dated as of
December 1, 2002, and as further amended by that certain Fourth Amendment to
Promissory Note dated January 1, 2003 (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 Fifth 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:

         1.  Section 4 of the Note, Maturity Date, is hereby amended to extend
the Maturity Date from April 1, 2003, until July 1, 2003. All references in the
Note to the "Maturity Date" are hereby amended to mean July 1, 2003.

     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 Fifth 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 March 31, 2003, dated May 13, 2003, and
signed by Borrower's Chief Financial Officer.

                                       1
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     IN WITNESS WHEREOF, the Borrower and Lender have caused this Fifth
Amendment to be executed by their respective duly authorized representatives, as
of the date first set forth above.

                               BORROWER:

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

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

                               By: /s/ William R. Council, III
                                  --------------------------------------
                                   Name: William R. Council, III
                                   Title: Chief Executive Officer

                               LENDER:

                               GMAC COMMERCIAL MORTGAGE CORPORATION, a
                               California corporation

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

                                       2<PAGE>
                                                                    EXHIBIT 10.5

                       FIFTH AMENDMENT TO PROMISSORY NOTE

     THIS FIFTH AMENDMENT TO PROMISSORY NOTE (this "Fifth Amendment") is entered
into as of the 18 day of June, 2003, by and between DIVERISCARE 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 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, and as further amended by that certain Fourth Amendment to
Promissory Note dated as of January 1, 2003 (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 Fifth 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:

     1. Section 4 of the Note, Maturity Date, is hereby amended to extend the
Maturity Date from April 1, 2003, until July 1, 2003. All references in the
Note to the "Maturity Date" are hereby amended to mean July 1, 2003.

     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 Fifth 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 March 31, 2003, dated May 13, 2003, and
signed by Borrower's Chief Financial Officer.

                                       1

<PAGE>
          IN WITNESS WHEREOF, the Borrower and Lender have caused this Fifth
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/ William R. Council, III
                                            ------------------------------------
                                             Name: William R. Council, III
                                             Title: Chief Executive Officer

                                        LENDER:

                                        GMAC COMMERCIAL MORTGAGE
                                        CORPORATION, a California corporation

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

                                       2<PAGE>

                                                                    EXHIBIT 10.6

                       FOURTH AMENDMENT TO LOAN AGREEMENT

         This Fourth Amendment to Loan Agreement is made as of June 18, 2003, 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 __, 2002, and as further amended by that
certain Third Amendment to Loan Agreement dated January 1, 2003 (the
"Agreement"). Unless otherwise defined in this Fourth 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 Fourth 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:

         Paragraph 1.1, "Maturity Date" is hereby amended by changing the date
to "July 1, 2003".

         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
Fourth 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/ William R. Council, III
                                       --------------------------------
                                   Name: William R. Council, III
                                   Title: Chief Executive Officer

                                GMAC COMMERCIAL MORTGAGE
                                CORPORATION

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

                                      2

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