Document:

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                                                               EXHIBIT 10.139

                                                                 (Afton Oaks)

                      SEVENTH AMENDMENT TO PROMISSORY NOTE

                  This Seventh Amendment to Promissory Note (this "Seventh
Amendment") is executed this 23 day of December, 2002, 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,
and by that certain Sixth Amendment to and Assumption of Promissory Note dated
February 28, 2001 (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 Seventh 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. Section 4 of the Note, Maturity Date, is hereby amended to extend
the Maturity Date to March 31, 2004. All references in the Note to the "Maturity
Date" are hereby amended to mean March 31, 2004.

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

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         Notwithstanding the execution of this Seventh 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 September 30, 2002, and signed by
Borrower's Chief Financial Officer and Executive Vice President.

         IN WITNESS WHEREOF, the Borrower and Lender have caused this Seventh
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

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

                                  LENDER:

                                  GMAC COMMERCIAL MORTGAGE
                                  CORPORATION, a California corporation

                                  By: /s/ GMAC Commercial Mortgage Corporation
                                      ----------------------------------------
                                  Its:
                                      ----------------------------------------

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

                                  GUARANTOR:

                                  ADVOCAT, INC., a Delaware corporation

                                  By:  /s/ William R. Council, III
                                       ---------------------------------
                                  Its:   Chief Financial Officer

                                       2<PAGE>

                                                                EXHIBIT 10.140

Indexing Instructions:

Prepared by and after Recording Return To:
Kay K. Bains, Esq.
Walston, Wells, Anderson and Bains, LLP
505 20th Street North, Suite 500
Birmingham, Alabama 35201
(205) 251-9600

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STATE OF TEXAS      )
COUNTY OF HARRIS    )

                                    AMENDMENT
                                       TO
                      DEED OF TRUST AND SECURITY AGREEMENT

                  This Amendment to Deed of Trust and Security Agreement (the
"Amendment") is dated and is effective as of December 23, 2002, and is by and
between DIVERSICARE AFTON OAKS, LLC, a Delaware limited liability company
(together with its successors and assigns, the "Grantor"), whose address is c/o
Diversicare Leasing Corp., 227 Mallory Station Road, Suite 130, Franklin,
Tennessee 37067, and GMAC COMMERCIAL MORTGAGE CORPORATION, a California
corporation (together with its successors and assigns, the "Beneficiary"), whose
address is 200 Witmer Road, P.O. Box 809, Horsham, Pennsylvania 19044.

                                    RECITALS:

                  A. Diversicare Leasing Corp. ("DLC") executed in favor of
Beneficiary that certain Deed of Trust and Security Agreement dated December 27,
1996, and recorded under Clerks' File No. S268193 in the Real Property Records
of Harris County, Texas, as assumed by Grantor pursuant to that certain
Assumption of Deed of Trust and Security Agreement dated December 1, 2000, and
recorded under Clerk's File No. U778174 in the Real Property Records of Harris
County, Texas (the "Deed of Trust"). Unless otherwise defined in this Amendment,
capitalized terms shall have the meaning given to them in the Deed of Trust.

                  B. The Grantor and the Beneficiary desire to amend the Deed of
Trust and have agreed to execute this Amendment to evidence such modification.

                                    AGREEMENT

                  NOW, THEREFORE, in consideration of the above Recitals, the
Grantor and the Beneficiary hereby amend the Deed of Trust as follows:

                  The final maturity date, as reflected in the Deed of Trust, is
hereby changed to March 31, 2004.

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

                  The Grantor represents and warrants that the representations
and warranties set forth in the Deed of Trust are as true and correct on the
date hereof as when initially made, except as such representation or warranty
expressly relates to another date.

                  The Grantor acknowledges and agrees that there are no offsets
or defenses to the obligations set forth in the Deed of Trust, as hereby
amended, and represents that there are no Events of Default existing on the date
hereof, nor are there any facts or consequences which will or could lead to an
Event of Default under the Deed of Trust, as hereby amended, except as disclosed
by Grantor 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, 2002, and signed by
Grantor's Chief Financial Officer and Executive Vice President.

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

                                    GRANTOR:

                                    DIVERSICARE AFTON OAKS, LLC, a Delaware
                                    limited liability company

                                    By: Diversicare Leasing Corp.
                                    Its: Sole Member

                                          By: /s/ William R. Council, III
                                              -------------------------------
WITNESS:                                  Its: Chief Executive Officer

--------------------------------

Print Name:
           ---------------------

                                    BENEFICIARY:

                                    GMAC COMMERCIAL MORTGAGE CORPORATION

WITNESS:
                                    By: /s/ GMAC Commercial Mortgage Corporation
                                        ----------------------------------------

                                    Its:
--------------------------------        ----------------------------------------

Print Name:
           ---------------------

                                       2
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STATE OF TENNESSEE         )
                           )    SS.
COUNTY OF __________       )

         Before me, a Notary Public of said State and County aforesaid,
personally appeared William R. Council III, with whom I am personally acquainted
(or proved to me on the basis of satisfactory evidence), and who, upon oath,
acknowledged himself to be the Chief Executive Officer of Diversicare Leasing
Corp., the sole member of Diversicare Afton Oaks, LLC, a Delaware limited
liability company, the bargainor, and that he, as such Chief Executive Officer,
being duly authorized to do so on behalf of such corporation in its capacity as
sole member of said limited liability company, executed the foregoing instrument
for the purpose therein contained, by signing the name of the corporation, in
its capacity as sole member of said limited liability company, by himself as
such Chief Executive Officer of said corporation.

         Witness my hand, at office, this ____ day of December, 2002.

                                                -------------------------------
                                                Notary Public

                                                -------------------------------
                                                Print Name

My commission expires:
                      -------------------

                                       3

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STATE OF ____________      )
                           )     SS.
COUNTY OF __________       )

         Before me, a Notary Public of said State and County aforesaid,
personally appeared ___________________, with whom I am personally acquainted
(or proved to me on the basis of satisfactory evidence), and who, upon oath,
acknowledged himself/herself to be the _____________ of GMAC Commercial Mortgage
Corporation, a California corporation, the bargainor, and that he/she, as such
____________, being duly authorized to do so on behalf of such corporation,
executed the foregoing instrument for the purpose therein contained, by signing
his/her name as ___________________ of the corporation.

         Witness my hand, at office, this ____ day of December, 2002.

                                                  ------------------------------
                                                  Notary Public

                                                  ------------------------------
                                                  Print Name

My commission expires:
                      ------------------------

                                       4

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