Document:

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                                                                    EXHIBIT 10.2

                FOURTH AMENDMENT TO REDUCED AND MODIFIED RENEWAL
                            REVOLVING PROMISSORY NOTE

         THIS FOURTH AMENDMENT TO REDUCED AND MODIFIED RENEWAL REVOLVING
PROMISSORY NOTE is made and entered into by and among AMSOUTH BANK (the "Bank")
and DIVERSICARE MANAGEMENT SERVICES CO., a Tennessee corporation (the
"Borrower").

                              W I T N E S S E T H :

         WHEREAS, Borrower executed to Bank that certain Reduced and Modified
Renewal Revolving Promissory Note dated December 15, 2002, in the original
principal amount of TWO MILLION FIVE HUNDRED THOUSAND AND N0/100 ($2,500,000.00)
DOLLARS, as amended by that First Amendment to Reduced and Modified Renewal Note
executed by Borrower and Bank on July 11, 2003, which Reduced and Modified
Renewal Revolving Promissory Note was further amended pursuant to that Second
Amendment to Reduced and Modified Renewal Note executed by Borrower and Bank on
August 2, 2003, and as further amended pursuant to that Third Amendment to
Reduced and Modified Renewal Revolving Promissory Note executed by Borrower and
Bank on January 9, 2004 (the "Note") and that Third Amendment to Master
Amendment dated as of July 11, 2003, executed by Bank and Debtors (as defined
therein) (the "Third Amendment").

         WHEREAS, Bank has agreed to further modify the Note in accordance with
the terms and conditions set forth herein.

         NOW, THEREFORE, for good and valuable consideration, and payment of an
extension fee in the amount of $5,000.00 by Borrower to Bank upon execution of
this Amendment, the sufficiency of which consideration is hereby acknowledged,
the parties agree as follows:

         1.       The Note is amended to provide that the Maturity Date, as
defined in the Note, shall be changed from April 16, 2004 to July 16, 2004.

         2.       The Note is amended as stated herein, but no further or
otherwise, and the terms and provisions of the Note, as hereby amended, and the
Loan Documents as defined in the Third Amendment, 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.

                                        1

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         IN WITNESS WHEREOF, this instrument has been executed to be effective
on the 16th day of April, 2004.

                                        DIVERSICARE MANAGEMENT SERVICES CO.,
                                        a Tennessee corporation

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

                                        BANK:

                                        AMSOUTH BANK

                                        By: /s/ Tim McCarthy
                                            ___________________________________
                                                Tim McCarthy, Vice President

                                        2<PAGE>

                                                                    EXHIBIT 10.3

                   THIRD AMENDMENT TO RENEWAL PROMISSORY NOTE

         THIS THIRD AMENDMENT TO RENEWAL PROMISSORY NOTE is made and entered
into by and among AMSOUTH BANK (the, "Bank") and ADVOCAT, INC., a Delaware
corporation (the "Borrower").

                              W I T N E S S E T H :

         WHEREAS, Borrower executed to Bank that certain Renewal Promissory Note
dated December 15, 2002, in the original principal amount of TWO MILLION SIX
HUNDRED NINETEEN THOUSAND TWO HUNDRED FIFTY ONE AND 53/100 ($2,619,251.53)
DOLLARS, which Renewal Promissory Note renewed and replaced the Reimbursement
Promissory Note dated October 1, 2000 executed by Borrower in the original
principal amount of $3,000,000.00, which Renewal Promissory Note was amended
pursuant to the First Amendment to Renewal Promissory Note dated as of July 11,
2003, and executed by Borrower and Bank, which Renewal Promissory Note was
further amended pursuant to the Second Amendment to Renewal Promissory Note
dated as of January 9, 2004 and executed by Borrower and Bank (the "Note"); and

         WHEREAS, Bank has agreed to further modify the Note in accordance with
the terms and conditions set forth herein.

         NOW, THEREFORE, for good and valuable consideration, and payment of an
extension fee in the amount of $5,000.00 by Borrower to Bank upon execution of
this Amendment, the receipt and sufficiency of which are hereby acknowledged,
the parties agree as follows:

         1.       The Note is amended to provide that the Maturity Date, as
defined in the Note, shall be changed from to April 16, 2004 to July 16, 2004.

         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

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         IN WITNESS WHEREOF, this instrument has been executed to be effective
on the 16th day of April, 2004.

                                        BORROWER:

                                        ADVOCAT, INC.,
                                        a Delaware corporation

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

                                        BANK:

                                        AMSOUTH BANK

                                        By: /s/ Tim McCarthy
                                            ___________________________________
                                               Tim McCarthy, Vice President

                                        2<PAGE>

                                                                    EXHIBIT 10.4

                   FIFTH AMENDMENT TO RENEWAL PROMISSORY NOTE

         THIS FIFTH 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, as amended by that Second Amendment to Renewal
Promissory Note executed by Borrower and Bank effective as of December 15, 2002,
as further amended by that Third Amendment to Renewal Promissory Note executed
by Borrower and Bank to be effective as of July 11, 2003, as further amended by
that Fourth Amendment to Renewal Promissory Note executed by Borrower and Bank
to be effective as of January 9, 2004 (the "Note"); and

         WHEREAS, Bank has agreed to further modify the Note in accordance with
the terms and conditions set forth herein.

         NOW, THEREFORE, for good and valuable consideration, and payment of an
extension fee in the amount of $5,000.00 by Borrower to Bank upon execution of
this Amendment, the receipt and sufficiency of which are hereby acknowledged,
the parties agree as follows:

         1.       The Note is amended to provide that the Maturity Date, as
defined in the Note, shall be changed from April 16, 2004 to July 16, 2004.

         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.

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         IN WITNESS WHEREOF, this instrument has been executed to be effective
on the 16th day of April, 2004.

                                        BORROWER:

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

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

                                        BANK:

                                        AMSOUTH BANK

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

                                        2

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