Document:

<PAGE>
                                                                 Exhibit 10.135

             SECOND AMENDMENT TO MASTER AMENDMENT TO LOAN DOCUMENTS
                                  AND AGREEMENT

         THIS SECOND AMENDMENT TO MASTER AMENDMENT TO LOAN DOCUMENTS AND
AGREEMENT is made and entered into by and between AMSOUTH BANK, successor in
interest by merger to First American National Bank (hereinafter referred to as
"AmSouth" or as "First American"), ADVOCAT INC., a Delaware corporation (herein
referred to as "Advocat"), DIVERSICARE MANAGEMENT SERVICES CO., a Tennessee
corporation and wholly-owned subsidiary of Advocat ("DMS"), ADVOCAT FINANCE,
INC., a Delaware corporation and wholly-owned subsidiary of DMS ("AFI"),
DIVERSICARE LEASING CORP., a Tennessee corporation and wholly-owned subsidiary
of AFI ("DLC"), ADVOCAT ANCILLARY SERVICES, INC., a Tennessee corporation and
wholly-owned subsidiary of DMS ("AAS"), DIVERSICARE CANADA MANAGEMENT SERVICES
CO., INC., a corporation organized under the laws of Canada and wholly-owned
subsidiary of DLC ("DCMS"), DIVERSICARE GENERAL PARTNER, INC., a Texas
corporation and wholly-owned subsidiary of DLC ("DGP"), FIRST AMERICAN HEALTH
CARE, INC., an Alabama corporation and wholly-owned subsidiary of DLC ("FAHC"),
DIVERSICARE LEASING CORP. OF ALABAMA, an Alabama corporation and wholly-owned
subsidiary of DLC ("DLCA"), ADVOCAT DISTRIBUTION SERVICES, INC., a Tennessee
corporation and wholly-owned subsidiary of DMS ("ADS"), DIVERSICARE ASSISTED
LIVING SERVICES, INC., a Tennessee corporation and a wholly-owned subsidiary of
AFI ("DALS"), DIVERSICARE ASSISTED LIVING SERVICES, NC, LLC, a Tennessee limited
liability company formed by DMS and DALS ("DALS-NC"), DIVERSICARE ASSISTED
LIVING SERVICES, NC I, LLC, a Delaware limited liability company ("DALS-NC I"),
DIVERSICARE ASSISTED LIVING SERVICES, NC II, LLC, a Delaware limited liability
company ("DALS-NC II") both of DALS-NC I and DALS-NC II being subsidiary
entities of DALS-NC, STERLING HEALTH CARE MANAGEMENT, INC., a Kentucky
corporation and wholly-owned subsidiary of DLC ("SHCM"), DIVERSICARE AFTON OAKS,
LLC, a Delaware limited liability company ("DAO"), DIVERSICARE GOOD SAMARITAN,
LLC, a Delaware limited liability company ("DGS"), DIVERSICARE PINEDALE, LLC, a
Delaware limited liability company ("DP"), and DIVERSICARE WINDSOR HOUSE, LLC, a
Delaware limited liability company ("DWH"), each of DAO, DGS, DP and DWH being
subsidiary entities of DLC, (Advocat and all of its direct and indirect
subsidiaries, as identified hereinabove, being sometimes referred to herein
collectively as the "Debtors," whether in their capacity as a Borrower,
Guarantor, Pledgor, Subsidiary or otherwise, as defined in the Loan Documents
referred to below), and GMAC COMMERCIAL MORTGAGE CORPORATION, a California
corporation being one and the same as GMAC-CM Commercial Mortgage Corporation
("GMAC").

                              W I T N E S S E T H:

         WHEREAS, pursuant to the terms of Master Amendment to Loan Documents
and Agreement executed on November 8, 2000 and dated as of October 1, 2000 (the
Master Amendment to Loan Documents and Agreement, executed by the parties on
November 8, 2000 and dated as of October 1, 2000, as amended by that First
Amendment to Master Amendment to Loan Documents and Agreement executed by the
parties on November 28, 2000 and dated as of October 1, 2000, and as further
amended as herein set forth, being herein called the "Master

                                       1
<PAGE>

Amendment"), AmSouth agreed to modify the Indebtedness and the Loan Documents
("Indebtedness" and "Loan Documents" being defined in the Master Amendment); and

         WHEREAS, the Indebtedness and Loan Documents are fully enforceable and
are not subject to any defense or counterclaim, or any claim of setoff or
recoupment; and

         WHEREAS, the Debtors are presently in default of the Indebtedness and
their respective obligations arising under the Loan Documents and Debtors have
again represented to AmSouth that because of their financial conditions, they
are unable to pay the full amount of their liability for the Indebtedness; and

         WHEREAS, AmSouth has agreed to temporarily forbear from exercising its
remedies upon default subject to the terms and conditions herein set forth; and

         WHEREAS, each of the parties acknowledges that it has been represented
by counsel in connection with the negotiation and execution of this Agreement,
that the same represents an arms-length transaction, and that each of the other
parties has acted in good faith in the making of this Agreement; and

         WHEREAS, all terms capitalized herein, but not specially defined
herein, are intended to have the meanings ascribed to them in the Loan
Documents, unless the context clearly indicates otherwise; and

         WHEREAS, the parties stipulate and agree that the facts recited
hereinabove are true and correct; and

         WHEREAS, the parties have agreed to modify the Indebtedness, and Loan
Documents, and have otherwise agreed all as more particularly set forth herein.

         NOW, THEREFORE, for and in consideration of the foregoing recitals (all
of which are incorporated herein as agreements, representations, warranties or
covenants of the Debtor), of the mutual covenants and promises contained herein,
and of other good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged by the parties hereto, the parties hereby
covenant, amend and agree as follows:

         1.   In regard to the Reimbursement Note, the parties agree that:

              (a.) In place of the Reimbursement Note, which is presently in
default, Advocat shall execute and deliver to AmSouth a Renewal Reimbursement
Promissory Note dated December 15, 2002 payable to AmSouth in the principal
amount of $2,619,251.53, and in form and substance required by AmSouth (the
"Renewal Reimbursement Note"), which shall have the following terms:

                   (i) A final maturity date of July 11, 2003, with interest
accruing thereon prior to the earlier of maturity or default at the rate of
seven and one half percent (7.5%). After maturity or default, interest shall
accrue at a default rate equal to the lesser of fifteen percent (15%) per annum
or the maximum rate allowed by applicable law.

                                       2
<PAGE>

                   (ii) Monthly payments of principal in the amount of
$63,333.33 on the date this Note is executed by Borrower and $83,333.33 on the
fifteenth (15th) day of each month thereafter beginning on January 15, 2003
until maturity.

                   (iii) Prepayment may be made at any time without premium, and
the following shall be mandatory prepayments:

                         (a) Upon the sale of the Carteret Care Nursing Facility
of DALS-NC, or an affiliate entity thereof, located in North Carolina, all net
proceeds after payment of normal, customary and good faith expenses of sale,
shall be paid upon the indebtedness evidenced by this Reimbursement Promissory
Note, pursuant to the existing Deed of Trust and Security Agreement executed by
Diversicare Assisted Living Services, NC, LLC, dated November 15, 1999;

                         (b) Upon the sale or sales of any or all of the six (6)
nursing homes located in the counties of Dewitt, Refugio, Goliad, Caldwell and
Lampassas, Texas and secured by Deeds of Trust and Security Agreements executed
by Diversicare Leasing Corp. to David R. Brewer, Trustee, and AmSouth Bank (the
"Texas Deeds of Trust"), all net proceeds after payment of normal, customary and
good faith expenses of sale, shall be paid upon the indebtedness evidenced by
this Renewal Reimbursement Promissory Note, pursuant to the Texas Deeds of
Trust; and

                         (c) All Surplus Cash Flow available to Advocat Inc. or
 any of the other "Debtors," after making the required payments on the Modified
Revolving Note defined below, the Renewal Promissory Note in the principal
amount of $9,412,383.87 dated October 1, 2000, and the Renewal Promissory Note
(Overline Facility) in the principal amount of $3,500,000.00 dated October 1,
2000 shall be paid upon the indebtedness evidenced by this Reimbursement
Promissory Note until it shall have been paid in full. "Surplus Cash Flow" for
purposes of this Section shall be defined as set forth in the Master Amendment.

                         (d) For so long as any indebtedness evidenced by the
Renewal Reimbursement Note shall remain outstanding and unpaid, no cash or funds
of the Debtors, or any of them, shall be used to pay dividends on the Preferred
Stock, as defined in the Master Amendment or to pay interest on the Subordinated
Note, as defined in the Master Amendment.

              (b.) Advocat shall also execute a Capitalized Interest Note dated
December 15, 2002 payable to AmSouth in the original principal amount of
$202,800.81 (the "Capitalized Interest Note"), which represents the compromised
amount of interest that the parties stipulate has accrued to date since the date
of maturity, and is presently due and owing, of the Reimbursement Promissory
Note, which Capitalized Interest Note shall have the following terms:

                   (i) A final maturity date of July 11, 2003, with interest
computed thereon prior to the earlier of maturity or default at the rate of
seven and one half percent (7.5%). After maturity or default, interest shall
accrue at a default rate equal to the lesser of fifteen percent (15%) per annum
or the maximum rate allowed by applicable law. Interest shall be due

                                       3
<PAGE>

and payable monthly on the fifteenth (15th) day of each month commencing on
January 15, 2003. All principal and unpaid interest shall be payable at
maturity.

            (c.) The Renewal Reimbursement Promissory Note (and any and all
extensions, modifications, renewals or amendments thereof) shall continue to be
(1) secured by the collateral described or referred to in the Loan Documents, as
defined in the Master Amendment, and (2) the breach or occurrence of a default
under the Loan Documents, at the option of the Bank, will constitute a default
under the Renewal Revolving Promissory Note.

            (d.) The Capitalized Interest Note (and any and all extensions,
modifications, renewals or amendments thereof) shall be (1) secured by the
collateral described or referred to in the Loan Documents, as defined in the
Master Amendment, and (2) the breach or occurrence of a default under the Loan
Documents, at the option of the Bank, will constitute a default under the
Capitalized Interest Note.

         2. In regard to Letter of Credit numbered 1813094 in favor of
Continental Health Properties of Thomasville, LLC in the amount of $200,000.00
(the "Letter of Credit") the parties agree that, absent a default under this
Agreement or the Loan Documents, the Letter of Credit shall continue in
accordance with its terms, unless earlier terminated pursuant to an agreement of
between the account party and beneficiary thereunder. If the Letter of Credit is
drawn prior to its termination date, Debtors shall pay to AmSouth monthly
payments, the first monthly payment being due thirty (30) days after the draw,
in the amount of $33,333.00 plus interest compounded from the date of draw until
either (a) payment in full or (b) the earlier of default or July 11, 2003.
Provided that there is no default, interest shall be compounded from the date of
draw until July 11, 2003, at the rate of seven and one-half percent (7.5%) per
annum. After default or July 11, 2003, interest shall accrue at the lesser of
fifteen percent (15%) per annum or the maximum rate allowed by applicable law.

         3. In regard to the Working Capital Line, DMS agrees to execute a
Reduced and Modified Renewal Revolving Promissory Note dated December 15, 2002
payable to AmSouth (the "Modified Revolving Note") which shall be a replacement
of the Current Working Capital Line Note.

            (a) The maximum amount which may be outstanding at any time under
the Working Capital Line shall be reduced to $2,500,000.00, subject to the
following additional restrictions:

                (i) The maximum amount which may be outstanding at any time
under the Working Capital Line shall be further reduced by the outstanding
amount of Letter of Credit No. 1813094, which shall continue as an outstanding
Letter of Credit after the execution hereof as set forth herein above.

                (ii) Because the maximum amount which may be outstanding at any
time under the Working Capital Line has been reduced, the provision set forth in
Section 2 (a) (ii) of the Master Amendment regarding a "Spike Period" is hereby
deleted.

                                       4
<PAGE>

                (iii) The definitions set forth in Section 2(a)(iii)(1) and (2)
of the Master Amendment remain in full force and effect.

            (b) The Modified Revolving Note shall bear interest from and after
December 15, 2002 at the Prime Rate of interest, designated by AmSouth from time
to time as such, plus one half of one percent (0.5%) (fifty basis points) per
annum, provided that the interest rate shall in no event exceed nine and one
half percent (9.5%) per annum until after default or maturity, at which time the
default rate of interest set forth in the instruments and documents evidencing
the Working Capital Line shall be applicable. Interest shall be payable monthly.
All principal and unpaid interest shall be payable at maturity on July 11, 2003.
The Modified Revolving Promissory Note (and any and all extensions,
modifications, renewals or amendments thereof) shall continue to be (1) secured
by the collateral described or referred to in the Loan Documents, as defined in
the Master Amendment, and (2) the breach or occurrence of a default under the
Loan Documents, at the option of the Bank, will constitute a default under the
Renewal Revolving Promissory Note.

            (c) Debtors acknowledge that they are presently in default of the
amended financial covenants appearing in Section 2 (c) of the Master Amendment.
Debtors also acknowledge that they are presently in default of Section 5.1
(c)(iii) of the Master Credit Security Agreement executed by the parties as of
December 27, 1996. Provided that there exists no other default under this
Agreement or the Loan Documents, as amended, AmSouth expressly agrees to forbear
from exercising its remedies under default of these amended financial covenants
but only until July 11, 2003.

         4. In regard to the current NC Bridge Loan Note, which was amended
pursuant to First Amendment to Renewal Promissory Note executed by DALS-NC in
December, 2000, the parties will execute a Second Amendment to Renewal
Promissory Note which shall modify the interest rate applicable prior to default
or maturity by reducing it from nine and one half percent (9.5%) to seven and
one half percent (7.5%) and by changing the Maturity Date defined therein to
July 11, 2003.

         5. In regard to the current Overline Note, as amended by the First
Amendment to Renewal Promissory Note (Overline Facility) executed by DMS in
December, 2000, the parties will execute a Second Amendment to Renewal
Promissory Note (Overline Facility) which shall modify the interest rate
applicable prior to default or maturity by reducing it from nine and one half
percent (9.5%) to seven and one half percent (7.5%) and by changing the Maturity
Date defined therein to July 11, 2003.

         6. Debtors shall, in good faith, make reasonable efforts to obtain the
written consent to this Agreement and the transactions contemplated hereby, of
GMAC. Debtors expressly acknowledge that failure of GMAC to consent in writing
to this Agreement will not result in a waiver of any of the Debtors' obligations
hereunder. Debtors shall also procure the written consent of Omega to this
Agreement and the transactions contemplated herein, if such consent is
reasonably required by AmSouth in the future.

         7. All indebtedness and obligations now or hereafter owing to AmSouth
by Advocat, DMS, DALS-NC, or any other of the Debtors, or any combination
thereof, including but not

                                       5
<PAGE>

limited to the Indebtedness, whether evidenced by the Reimbursement Note, the
Letters of Credit remaining outstanding, the Working Capital Line, the Overline
Facility, the NC Bridge Loan, Renewal Reimbursement Note, the Capital Interest
Note, or the Modified Revolving Note shall be guaranteed by all of Debtors and
shall continue to be evidenced by the Additional Continuing Guaranty and
Suretyship Agreements which shall continue in full force and effect.

         8. A default in any of the Loan Documents, this instrument, any
additional instruments and documents executed pursuant hereto, or in any
indebtedness or obligation now or hereafter owing by any, some or all of Debtors
to AmSouth, shall, at the option of AmSouth, constitute a default in any or all
of the Loan Documents or indebtedness now or hereafter owing by any, some or all
of the Debtors to AmSouth, provided that as between AmSouth and GMAC the further
provisions of the Intercreditor Agreement shall be applicable.

         9. Advocat shall pay a commitment fee to AmSouth in the total amount of
$40,000.00 for the commitment and obligations of AmSouth as expressed herein as
follows: Advocat shall pay to AmSouth on February 28, 2002 the sum of
$20,000.00, and on April 28, 2002, Advocat shall pay the balance of $20,000.00
to AmSouth.

         10. The Debtors expressly represent that five (5) new affiliate
entities, which entities presently have no assets, are in the process of being
organized in the State of Delaware and that these new affiliate entities shall
be made parties to the Master Amendment and Loan Documents immediately upon
formation of said new entities, as required by the terms of the Master Amendment
and Loan Documents. The five (5) new affiliate entities are named as follows:
Senior Care Florida Leasing, LLC; Senior Care Cedar Hills, LLC; Senior Care
Golfcrest, LLC; Senior Care Golfview, LLC; and Senior Care Southern Pines, LLC,
all of which entities will be subsidiaries of DLC.

         11. The Debtors hereby ratify and restate all of the covenants,
warranties and representations contained in the Loan Agreement, as amended, and
the Master Amendment, as amended, as of the date hereof, and each hereby
acknowledges and confirms that the terms and conditions of the Loan Agreement,
as amended, and the Master Amendment, as amended, remain in full force and
effect. In addition, the Debtors expressly agree that they shall provide AmSouth
with copies of all monthly or other periodic operating, financial or
restructuring status reports that are generated by any Debtor for the senior
management of any Debtor or any of Debtors' boards of directors when provided to
management or the boards of directors. The Debtors shall provide AmSouth with
weekly written reports, unless AmSouth, in its sole discretion has approved a
verbal report regarding the following: (i) negotiations or discussions regarding
the sale of any Debtor entities or assets owned by any Debtor, (ii) negotiations
with other secured creditors of Debtors, and (iii) other information as AmSouth
may reasonably request to be included in the weekly report. Debtors shall
provide the Lender with (i) monthly borrowing base reports and monthly aging
report of accounts receivable and accounts payable, (ii) monthly (within 30
days), quarterly (within 45 days) and annually (within 90 days) consolidated
income statements, balance sheets and cash flow statements prepared in
conformity with GAAP, inclusive of management's analysis and discussion of
operating, and financial results and activities. Debtors shall also provide
AmSouth with a monthly compliance certificate evidencing that the Debtors are in
compliance with their obligations under this Agreement. AmSouth representatives,
accountants, consultants, attorneys or other professionals shall have

                                       6
<PAGE>

reasonable access to the premises, upon reasonable advance notice, and books and
records of the Debtors for the purpose of (i) inspecting the collateral of the
AmSouth and (ii) reviewing and copying such books and records as reasonably
determined by AmSouth.

         12. Debtors further covenant and agree that, upon execution of this
Agreement, they will cause to be paid all of the fees and expenses incurred by
AmSouth, its agents, attorneys, accountants, appraisers, employees and
representatives, pursuant to all actions contemplated by the Loan Documents no
later than fifteen (15) days after presentment of invoices for such fees and
expenses to Debtors by AmSouth. Failure of Debtors to timely pay such invoices
shall constitute a default hereunder.

         13. The indebtedness evidenced by the Modified Revolving Note, the
Capital Interest Note, the Renewal Reimbursement Note, Overline Facility and NC
Bridge Loan, may be prepaid at any time without premium.

         14. The Master Credit and Security Agreement, as amended, and any other
Loan Documents affected hereby, are amended to the extent necessary to conform
such instruments and documents to the provisions set forth herein.

         15. Debtors hereby acknowledge and stipulate that none of them has any
claims or causes of action against AmSouth of any kind whatsoever. Debtors
hereby release AmSouth, and AmSouth's officers, directors, employees,
representatives, agents, attorneys, accountants and consultants. from any and
all claims, causes of action, demands and liabilities of any kind whatsoever,
whether direct or indirect, fixed or contingent, liquidated or non-liquidated,
disputed or undisputed, known or unknown, which Debtors, or any of them, has or
which arises out of any acts or omissions occurring prior to the execution of
this Agreement relating in any way to any event, circumstances, action or
failure to act from the beginning of time to the execution of this Agreement.

         16. To the extent required by the Loan Documents, as amended, or the
Master Amendment, as amended, GMAC has executed this Amendment for purposes of
consenting to the terms hereof.

         IN WITNESS WHEREOF, the parties hereto have executed this instrument
this ____ day of December, 2002, to be effective December 15, 2002.

                                         AMSOUTH BANK, successor in interest
                                         by merger to First American National
                                         Bank

                                         By: /s/ Tim McCarthy
                                            ----------------------------------
                                            Tim McCarthy, Senior Vice President

                                       7
<PAGE>

                                           DIVERSICARE MANAGEMENT SERVICES CO.,
                                           a Tennessee corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           ADVOCAT INC., a Delaware corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           DIVERSICARE LEASING CORP.,
                                           a Tennessee corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           ADVOCAT ANCILLARY SERVICES, INC.,
                                           a Tennessee corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           DIVERSICARE CANADA MANAGEMENT
                                           SERVICES CO., INC.,
                                           an Ontario, Canada corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                       8
<PAGE>

                                           DIVERSICARE GENERAL PARTNER, INC.,
                                           a Texas corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           FIRST AMERICAN HEALTH CARE, INC.,
                                           an Alabama corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           ADVOCAT DISTRIBUTION SERVICES, INC.,
                                           a Tennessee corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           ADVOCAT FINANCE, INC.,
                                           a Delaware corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           DIVERSICARE LEASING CORP. OF
                                           ALABAMA, INC., an Alabama corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                       9
<PAGE>

                                           DIVERSICARE ASSISTED LIVING
                                           SERVICES, INC.,
                                           a Tennessee corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           DIVERSICARE ASSISTED LIVING
                                           SERVICES, NC, LLC,
                                           a Tennessee limited liability company

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

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

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

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

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           STERLING HEALTH CARE
                                           MANAGEMENT, INC.,
                                           a Kentucky corporation

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                       10
<PAGE>

                                           DIVERSICARE AFTON OAKS, LLC,
                                           a Delaware limited liability company

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           DIVERSICARE GOOD SAMARITAN, LLC,
                                           a Delaware limited liability company

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           DIVERSICARE PINEDALE, LLC,
                                           a Delaware limited liability company

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           DIVERSICARE WINDSOR HOUSE, LLC,
                                           a Delaware limited liability company

                                           By: /s/ William R. Council, III
                                              ----------------------------------
                                              Name: William R. Council, III
                                                   -----------------------------
                                              Title: CEO & President
                                                    ----------------------------

                                           GMAC COMMERCIAL MORTGAGE CORPORATION,
                                           a California corporation

                                           By:
                                              ----------------------------------
                                              Name:
                                                   -----------------------------
                                              Title:
                                                    ----------------------------

                                       11<PAGE>

                                                                Exhibit 10.136

                   SECOND AMENDMENT TO RENEWAL PROMISSORY NOTE

         THIS SECOND AMENDMENT TO RENEWAL PROMISSORY NOTE is made and entered
into by and among AMSOUTH BANK (the, "Bank") and DIVERSICARE ASSISTED LIVING
SERVICES, NC, LLC, a Tennessee limited liability company (the "Borrower").

                              W I T N E S S E T H :

         WHEREAS, Borrower executed to Bank that certain Renewal Promissory Note
dated October 1, 2000, in the original principal amount of NINE MILLION FOUR
HUNDRED TWELVE THOUSAND THREE HUNDRED EIGHTY THREE AND 87/100 ($9,412,383.87)
DOLLARS as amended by the First Amendment to Renewal Promissory Note executed by
Borrower in December, 2000 (the "Note"); and

         WHEREAS, Bank has agreed to modify the Note in accordance with the
terms and conditions of the Second Amendment to Master Amendment dated as of
December 15, 2002, executed by Bank, Debtors (as defined therein) and GMAC
Commercial Mortgage, Corporation

         NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties agree as follows:

         1. The Note is amended to provide that as of December 15, 2002, the
interest rate, prior to default or maturity, shall be reduced from nine and one
half percent (9 1/2%) per annum to seven and one half percent (7 1/2%) per
annum, and that the Maturity Date, as defined in the Note, shall be changed from
January 15, 2004 to July 11, 2003.

         2. The Note is amended as stated herein, but no further or otherwise,
and the terms and provisions of the Note, as hereby amended, shall be and
continue to be in full force and effect. Nothing herein is intended to operate
to release or diminish any right of Bank under the Note or with respect to any
collateral securing the Note or with respect to any guaranty or suretyship
agreement for the Note, all of which shall remain in full force and effect. This
instrument constitutes the entire agreement of the parties with respect to the
subject matter hereof.

                                       1

<PAGE>

         IN WITNESS WHEREOF, this instrument has been executed on the ___ day of
December, 2002 to be effective on the 15th day of December, 2002.

                                  BORROWER:

                                  DIVERSICARE ASSISTED LIVING SERVICES, NC, LLC,
                                  a Tennessee limited liability company

                                  By: /s/ William R. Council, III
                                     ----------------------------------

                                     Name: William R. Council, III
                                          -----------------------------
                                     Title: CEO & President

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

                                  BANK:

                                  AMSOUTH BANK

                                  By: /s/ Tim McCarthy
                                     ----------------------------------
                                     Tim McCarthy, Sr. Vice President

                                       2

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