Document:

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                                                                   EXHIBIT 10.2

                        SIXTH AMENDMENT TO AND ASSUMPTION
                               OF PROMISSORY NOTE

            This Sixth Amendment to and Assumption of Promissory Note (this
"Sixth Amendment") is executed as of the 28th day of February, 2001, by
DIVERSICARE MANAGEMENT SERVICES CO., a Tennessee corporation (the "DMSC"),
DIVERSICARE AFTON OAKS, LLC, a Delaware limited liability company (the
"Borrower"), and GMAC COMMERCIAL MORTGAGE CORPORATION, a California corporation
(the "Lender").

                                    RECITALS

            A. DMSC executed to the order of the Lender that certain Promissory
Note dated December 27, 1996, in the principal amount of $3,750,000.00, 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 Memorandum of
Lender dated December 8, 2000, by that certain Fourth Amendment to Promissory
Note September 30, 2000, by that certain Fifth Amendment to Promissory Note
dated December 31, 2000 and by that certain Memorandum of Lender dated January
26, 2001 (the "Note").

            B. For the business convenience of DMSC, in order to effect a
reorganization of certain of its assets into newly formed limited liability
companies, of which the Borrower is one, and in connection with the renewal,
extension and refinancing of the indebtedness owed by DMSC to the Lender, DMSC
desires to transfer, convey and assign to the Borrower, and Borrower is willing
to assume, all of the rights, obligations and benefits of DMSC in and to the
Note.

            C. Pursuant to that certain Assumption of Deed of Trust and Security
Agreement dated as of December 1, 2000, by and between Diversicare Leasing
Corp., a Tennessee corporation ("DLC"), and the Borrower, and of record under
Clerk's File No. ###-##-#### in the Real Property Records of Harris County,
Texas, the Borrower assumed title to the Property, more specifically described
in the Deed of Trust and Security Agreement dated as of December 27, 1996, of
record under Clerk's File No. S268193 in the Real Property Records of Harris
County, Texas (the "Security Instrument"). The Borrower further assumed all
rights, obligations, responsibilities, and liabilities contained in the Security
Instrument.

            D. The Note matures on February 28, 2001, and the Borrower has
requested that the Lender renew the debt evidenced by the Note and extend the
Maturity Date of the Note. This Sixth Amendment is hereby attached to the Note
and made a part thereof. Unless otherwise defined herein, capitalized terms
shall have the meanings assigned to them in the Note.

            E. The Lender has agreed to such renewal and extension on certain
conditions, one of which is the execution of this Sixth Amendment by DMSC and
the Borrower.

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            F. As an additional condition to the renewal and extension, the
Lender has required that the Borrower pay to the Lender a fee equal to one-half
of one percent (0.5%) of the loan ($3,720,640) evidenced by the Note (the
"Closing Fee"). One-half of the Closing Fee shall be paid upon execution of this
Sixth Amendment. The remainder of the Closing Fee shall be paid to Lender by
July 15, 2001.

                                    AGREEMENT

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

        1. Assignment and Assumption. DMSC hereby transfers, conveys and assigns
to the Borrower all of the rights, obligations and benefits of DMSC in, to and
under the Note. The Borrower absolutely and unconditionally assumes and agrees
to perform, keep, observe, meet and discharge all of the covenants, agreements,
undertakings, liabilities and obligations provided for in the Note to be
performed, kept, observed, met and discharged by DMSC. The Borrower agrees to be
bound absolutely and unconditionally, from and after the effective date hereof,
by all of the terms, conditions, covenants and agreements of the Note in the
same manner and to the same extent as though each of them had been originally
made, executed and delivered by the Borrower. From and after the effective date
hereof, all references to DMSC in the Note shall be deemed to mean and include
the Borrower, as applicable.

        2. Ratification. DMSC and the Borrower each agree that all of the terms
and conditions contained and set forth in the Note are, and as amended by this
Sixth Amendment shall remain, in full force and effect and are hereby ratified,
approved and confirmed. DMSC and the Borrower acknowledge and agree that upon
the occurrence of an Event of Default under the Note, the Lender, and its
successors and/or assigns, shall be entitled to exercise any of the rights and
remedies set forth in the Note. This Sixth Amendment shall in no way be
construed to alter or impair any of the rights and remedies of the Lender
thereunder upon the occurrence of any such Event of Default.

        3. Representations. The Borrower and DMSC each agree that all of the
terms and conditions contained and set forth in the Note are, and as amended by
this Sixth Amendment shall remain, in full force and effect and are hereby
ratified, approved and confirmed. The Borrower and DMSC represent and warrant to
the Lender that the Note is in full force and effect, that there are no
amendments or modifications to the Note except as otherwise stated herein, that
no uncured breaches or defaults exist under the Note as of the day hereof, and
that no facts or circumstances exist, which with the giving of notice or passage
of time, or both, would constitute a breach or default on the part of DMSC or
the Borrower under the Note.

        4. No Release. DMSC understands and acknowledges that no release is
given by the Lender to DMSC of any of the responsibility or liability of DMSC to
the Lender for, and nothing contained herein shall be, is intended to be, or
shall be deemed to be a novation, satisfaction or discharge of any of the
obligations of DMSC under the Note and DMSC shall remain fully responsible
therefore in the event of the failure of the Borrower to perform, keep, observe,
meet and discharge the same as and when provided in the Note.

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        5. The face amount of the Note and the definition of the Loan are hereby
amended to be $3,720,640, subject to the satisfactory review by Lender of the
appraisal, prepared in contemplation of the extension of the Maturity Date (as
defined below), which appraisal must establish a loan to value ratio of not more
than sixty-nine percent (69%).

        6. The Borrower acknowledges that the outstanding principal balance
under the Note is $3,708,049.39 on the date hereof.

        7. Section 1.1 of the Note is hereby deleted in its entirety and the
following substituted therefore:

        "1.1 Initial Rate and Initial Payment. Interest shall accrue on the
outstanding balance of the principal amount outstanding hereunder from time to
time from and after the date hereof at the rate of 8.7075% per annum until the
first Rate Adjustment Date (as defined below). On each successive Rate
Adjustment Date, the rate of interest at which interest accrues shall be
adjusted to the then applicable LIBOR Rate (as defined below). Interest for the
period beginning on the date of this Note and ending on and including the last
day of the month in which this Note is dated shall be payable on the date
hereof. Interest shall be paid in arrears and shall be computed on the basis of
a 360-day year and actual number of days elapsed for any whole or partial month
in which interest on the Loan is being calculated and shall be charged on the
principal balance outstanding from time to time."

        8. Section 1.2 of the Note is hereby deleted in its entirety and the
following substituted therefore:

        "1.2 Rate Adjustment Date and Payment Adjustment Dates. The interest
rate shall be adjusted on the dates (each being a "Rate Adjustment Date")
described in this paragraph. The first Rate Adjustment Date shall be March 1,
2001, and subsequent Rate Adjustment Dates shall fall on the first day of each
subsequent one month anniversary thereafter. The first payment adjustment date
shall be April 1, 2001, and subsequent payment adjustment dates shall fall on
the first day of each calendar month thereafter during the term of the Loan."

        9. Section 1.4 of the Note is hereby deleted in its entirety and the
following substituted therefore:

           "1.4 LIBOR Rate. The LIBOR Rate shall mean the average of London
Interbank Offered Rates ("LIBOR") for a period of one (1) month determined
solely by Holder as of each Rate Adjustment Date plus three hundred fifty (350)
basis point per annum, determined in the manner herein set forth below. On each
Rate Adjustment Date, Holder will obtain the one month LIBOR (in U.S. Dollar
Deposits) from the appropriate Bloomberg Display Page available as of the close
of business announced in the last business day of the month immediately
preceding the Rate Adjustment Date. In the event Bloomberg ceases publication or
ceases to publish the one month LIBOR, Holder shall select a comparable
publication to determine the one month LIBOR and provide notice thereof to
Borrower. LIBOR may or may not be the lowest rate on the market for

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U.S. Dollar Deposits in the London Interbank Eurodollar Market at which the
Holder prices loans on the date on which the LIBOR Rate is determined by the
Holder as set forth above."

        10. 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".

        11. Section 4 of the Note is hereby deleted in its entirety and the
following substituted therefore:

        Section 4.  Maturity.

        Anything in this Note to the contrary notwithstanding, the entire unpaid
balance of the principal amount hereof and all interest accrued thereon, to and
including the Maturity Date (as defined below), (including interest accruing at
the Default Rate) and all Late Fees (as defined below) shall, unless sooner
paid, and except to the extent that payment thereof is sooner accelerated, be
and become due and payable on the earlier of: (a) January 1, 2002, or (b) the
completion of the HUD refinance of the Loan (the "Maturity Date").
Notwithstanding anything contained herein, if repayment of the Loan is funded
from the proceeds of any refinancing of the Loan pursuant to which Holder does
not receive a contractually agreed upon sum for the arrangement thereof, then
Borrower shall pay to Holder a premium equal to one-half of one percent (.05%)
of the outstanding principal balance of the Note on the date of such prepayment.

        12. Section 5 of the Note is hereby deleted in its entirety and the
following substituted therefore:

        "Section 5. Prepayment.

        Prepayment of the Loan in full or in part shall be permitted at any time
during the term of the Loan without penalty, upon not less than thirty (30) and
not greater than forty (40) days prior written notice to Lender specifying the
date on which prepayment is to be made. Any such prepayment shall be credited,
first, toward any Late Fees due hereunder, second, toward payment of any
interest due at the Default Rate, third, toward payment of any interest due
hereunder at the LIBOR Rate, and, fourth, toward payment of principal; provided,
however, that if any advances made by Holder under the terms of any instruments
securing this Note have not been repaid, any payments made may, at the option of
Holder, be applied, first, to repay such advances, and interest thereon, with
the balance, if any, applied as set forth in the preceding sentence.
Notwithstanding anything contained herein, if such prepayment set forth herein
is funded from the proceeds of any refinancing of the Loan pursuant to which the
Holder does not receive a contractually agreed upon sum for the arrangement
thereof, then Borrower shall pay to Holder a repayment premium equal to

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one half of one percent (.05%) of the outstanding principal balance of the Note
on the date of such prepayment (which balance shall be calculated exclusive of
any voluntary partial prepayment)."

               Notwithstanding the execution of this Sixth 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 expressly amended hereby, the Note shall remain in full
force and effect in accordance with its terms, including, without limitation,
the security and the guaranty for the Note.

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

                                        BORROWER:

                                        DMSC:

                                        DIVERSICARE AFTON OAKS, LLC, a
                                        Delaware limited liability company

                                        By: Diversicare Leasing Corp., its Sole
                                            Member

                                               By:
                                                  ------------------------------
                                                Its:
                                                    ----------------------------

                                        DIVERSICARE MANAGEMENT SERVICES CO.,
                                        a Tennessee corporation

                                        By
                                          --------------------------------------
                                         Its
                                            ------------------------------------

                                        LENDER:

                                        GMAC COMMERCIAL MORTGAGE CORPORATION,
                                        a California corporation

                                        By
                                          --------------------------------------
                                          James C. Thompson, Senior Vice
                                          President

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

                                        GUARANTOR:

                                        ADVOCAT, INC., a Delaware corporation

                                        --------------------------------------
                                        James F. Mills, Jr., CFO

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                                                                   EXHIBIT 10.3

                               GUARANTY AGREEMENT

         THIS GUARANTY AGREEMENT (this "Guaranty") is made as of the 29th day of
March, 2001, by ADVOCAT INC., a Delaware corporation ("Guarantor"), for the
benefit of GMAC COMMERCIAL MORTGAGE CORPORATION, a California corporation
(including its successors, transferees and assigns, "Lender").

                                    RECITALS

         A. DIVERSICARE PINEDALE, LLC, a Delaware limited liability company
("Borrower"), has borrowed the sum of TWO MILLION NINE HUNDRED THIRTEEN THOUSAND
NO/100 DOLLARS ($2,913,000.00) (the "Loan") from Lender, evidenced by Borrower's
Promissory Note of even date herewith (the "Note") and that certain Loan
Agreement by and between Lender and Borrower of even date herewith (the "Loan
Agreement"), and secured by, among other things, a Mortgage and Security
Agreement, of even date herewith (the "Mortgage") granting a first lien on a
skilled nursing facility known as Pinedale Nursing and Rehabilitation Center,
which is located in the City of Newport, County of Jackson, State of Arkansas
(the "Facility").

         B. The Note, the Loan Agreement, the Mortgage and the other documents,
certificates, instruments and agreements executed by Borrower in connection with
the Loan or to otherwise evidence or secure the Loan, and all renewals,
supplements, or amendments thereto or a part thereof, are collectively referred
to as the "Loan Documents".

         C. As a condition of making the Loan, Guarantor has agreed to guaranty,
absolutely and unconditionally, payment of the Guaranty Obligations (as defined
below), subject to the terms and conditions set forth in this Guaranty.

                                    AGREEMENT

         NOW THEREFORE, in consideration of the above and as an inducement to
Lender to make the Loan evidenced by the Note and the Loan Agreement, and as
security for the payment of the Loan and all interest from time to time accrued
and unpaid thereon, and all expenses, fees, charges and other amounts from time
to time due and owing to Lender under the Note, and the other Loan Documents,
and for the performance of all covenants, agreements and other obligations from
time to time owing to, or for the benefit of, Lender pursuant to the Loan
Documents (collectively referred to herein as the "Guaranty Obligations"),
Guarantor, intending to be legally bound, hereby covenants, agrees, represents
and warrants as follows:

         1. Guaranty. Guarantor hereby absolutely and unconditionally guarantees
to the Lender the full, regular and punctual payment and performance of the
Guaranty Obligations within ten (10) days of the Lender's demand therefor.
Without limiting the generality of the foregoing, "Guaranty

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Obligations" is used herein in its most comprehensive sense to include all
debts, obligations and indebtedness described in the Loan Documents, whether now
or hereafter made, incurred, or created, voluntary or involuntary, due or not
due, absolute or contingent, liquidated or unliquidated, determined or
undetermined, and regardless of whether there is any recourse with respect to
any portion of such Guaranty Obligations as against Borrower or any member of
Borrower. In addition, Guarantor guarantees the full payment of, and agrees to
reimburse Lender for, all costs of collection incurred by Lender in enforcing
the Guaranty Obligations and pursuing any remedies set forth in the Loan
Documents and/or the Guaranty, including, without limitation, court costs and
actual attorneys' fees (including, but not limited to, fees in any bankruptcy or
appellate proceeding).

         2. Payments. All payments to be made by Guarantor to Lender hereunder
shall be made in lawful money of the United States of America, in immediately
available funds, at 200 Witmer Road, Horsham, Pennsylvania 19044, or such other
location designated by Lender in writing, and shall be accompanied by a notice
from Guarantor stating that such payments are made under this Guaranty. All
payments available to Lender for application in payment or reduction of the
Guaranty Obligations may be applied by Lender in such manner and in such amount,
and at such time or times and in such order and priority as Lender may see fit
and to the payment or reduction of such portion of the Guaranty Obligations as
Lender may elect.

         3. Subsequent Acts by Lender. Lender may, in its sole discretion and
without notice to Guarantor, take any action which might otherwise be deemed a
legal or equitable release or discharge of Guarantor's obligations hereunder
without either impairing or affecting the liability of Guarantor for payment of
the Guaranty Obligations (but in no event shall Lender collect more than the
aggregate amount of the Guaranty Obligations), which actions might include, by
way of illustration and not limitation:

            (a) at any time or from time to time, the time for Borrower's
performance of or compliance with any provision of the Loan Documents may be
extended or such performance or compliance may be waived by Lender;

            (b) the acceptance of partial payment of the Guaranty Obligations;

            (c) any of the acts permitted in the Loan Documents may be
performed;

            (d) the Loan Documents may from time to time be amended and/or
renewed by Borrower and Lender for the purpose of adding any provisions thereto
or changing in any manner the rights of Lender or of Borrower thereunder;

            (e) the maturity date of the Note may be changed or renewed in whole
or in part;

            (f) the maturity of the Note may be accelerated in accordance with
the terms of the Loan Documents or any future agreement between Borrower and
Lender or the holder of such Note;

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            (g) any collateral security for all or any part of the Guaranty
Obligations may be exchanged, released, compromised, consolidated, surrendered
or otherwise dealt with, and Lender's interest therein may be released and may
or may not be perfected;

            (h) the settlement, release, compounding, compromise, cancellation,
rearrangement or consolidation of any of the Guaranty Obligations;

            (i) the collection of or other liquidation of any claims Lender may
have in respect to the Guaranty Obligations;

            (j) the granting of indulgences, forbearance, compromises,
extensions or adjustments in respect to any covenant or agreement under the Loan
Documents; and/or

            (k) the release from liability of any Guarantor and/or any
additional parties who may guarantee payment of the Guaranty Obligations or any
portion thereof.

         4. Certain Rights, Subordination, Etc.

            (a) Lender may pursue its rights and remedies under this Guaranty
and shall be entitled to payment hereunder notwithstanding any other guaranty of
all or any part of the Guaranty Obligations, and notwithstanding any action
taken by Lender to enforce any of its rights or remedies under such other
guaranty, or any payment received thereunder (but in no event shall Lender
collect more than the aggregate amount of the Guaranty Obligations).

            (b) Any obligation or debt of Borrower now or hereafter held by
Guarantor is hereby subordinated to the Guaranty Obligations and, except for the
obligations due under the Management Agreement (as defined in the Loan
Agreement), which obligations are governed by the Subordination Agreement (as
defined in the Loan Agreement), Guarantor shall not enforce or collect any such
indebtedness from Borrower. Nevertheless, upon request by Lender, Guarantor
shall collect, enforce and receive such indebtedness of Borrower to Guarantor.
Any sums collected at Lender's request or collected in contravention of the
prohibition set forth herein shall be held by Guarantor as trustee for Lender
and shall be paid over to Lender on account of the Guaranty Obligations;
provided, however, that such payments shall not impair, reduce or affect in any
manner the liability of Guarantor under the other provisions of this Guaranty
(but in no event shall Lender collect more than the aggregate amount of Guaranty
Obligations).

            (c) Guarantor agrees that if any Event of Default exists under the
Loan Documents ("Event of Default") and is continuing, (i) such Guarantor shall
not accept payment from any other guarantor of any Guaranty Obligations by way
of contribution or similar rights on account of any payment made hereunder by
Guarantor to Lender, all of which rights are hereby subordinated to Guarantor's
obligations hereunder to Lender, (ii) Guarantor will not take any action to
exercise or enforce any rights to such contribution, and (iii) if Guarantor
should receive payment, satisfaction or security for any indebtedness of
Borrower to Lender, the same shall be delivered to Lender in the form received,
endorsed or signed as may be appropriate for application on account of or as
security

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for the indebtedness of Borrower to Lender and, until so delivered, shall be
held in trust for Lender as security for the indebtedness of Borrower to Lender.

            (d) In the event of any default by Borrower with respect to the
Guaranty Obligations, Guarantor agrees to pay or perform on demand the Guaranty
Obligations in the time and manner as provided in Paragraph 1 hereof. Lender
shall not be under a duty to protect, secure or insure or be required to
liquidate any security or lien provided by the Mortgage or other such collateral
held by Lender prior to making such demand.

            (e) Notwithstanding any payment or payments made by Guarantor under
this Guaranty, Guarantor expressly, irrevocably and unconditionally waives and
releases any and all "claims" (as that term is defined in the Bankruptcy Reform
Act of 1978, as amended, 11 U.S.C. Sections 101 et seq., and the regulations
adopted and promulgated pursuant thereto (collectively, the "Bankruptcy Code"))
it may now or hereafter have against Borrower, and shall not be entitled to, and
hereby expressly waives, any and all rights of subrogation, reimbursement,
indemnity, exoneration and contribution against Borrower, which Guarantor may
now or hereafter have against Borrower without regard to whether any such right
or claim arises expressly; provided, that such waiver and release shall not be
effective as to any such claim or entitlement or such subrogation and other
rights that accrue after the indefeasible (as determined under the Bankruptcy
Code) payment, performance or other satisfaction in full of the Guaranty
Obligations.

         5. Representations and Warranties. Each Guarantor represents and
warrants to Lender that:

            (a) Existence, Power and Qualification. Guarantor is a duly
organized and validly existing corporation, has the power to own its properties
and to carry on its business as is now being conducted, and is duly qualified to
do business and is in good standing in every jurisdiction in which the character
of the properties owned by it or in which the transaction of its business makes
its qualification necessary.

            (b) Power and Authority. Guarantor has full power and authority to
incur the Guaranty Obligations provided for herein, all of which have been
authorized by all proper and necessary action.

            (c) Financial Condition. The financial statements of the Guarantor
heretofore furnished to Lender are complete and correct and fairly present the
financial condition of the Guarantor as of the date thereof. Since the date of
said financial statements there has been no material adverse change in the
financial condition or operations, or the business taken as a whole, of
Guarantor from that set forth therein.

            (d) Litigation. There are no legal or arbitral proceedings or any
proceedings by or before any governmental or regulatory authority or agency now
pending or, to the best of Guarantor's knowledge, threatened against Guarantor,
in which an adverse decision could materially and adversely affect the financial
condition of Guarantor.

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            (e) No Breach. The execution and delivery of this Guaranty, the
consummation of the transactions herein contemplated and compliance with the
terms and provisions hereof will not (i) conflict with or result in a breach of,
or require any consent (not heretofore obtained at the time this representation
is made) under, any applicable law, administrative proceeding or regulation, or
any order, writ, injunction or decree of any court or governmental authority or
agency, or any agreement or instrument to which Guarantor is a party or by which
Guarantor is bound or to which Guarantor is subject, (ii) constitute a default
under any such agreement or instrument or under Guarantor's articles of
incorporation or any other agreement or instrument binding upon Guarantor, or
(iii) result in the creation or imposition of any lien upon any of the revenues
or assets of Guarantor pursuant to the terms of any such agreement or
instrument.

            (f) Approvals. To the best of Guarantor's knowledge, no
authorizations, approvals, or consents of (other than those heretofore obtained
and in full force and effect), and no filings or registrations with (other than
those heretofore obtained and in full force and effect), any governmental or
regulatory authority or agency are necessary for the execution, delivery or
performance by Guarantor of this Guaranty or for the validity or enforceability
thereof.

            (g) Taxes, etc. Guarantor has filed all United States federal and
state tax returns and all other tax returns that are required to be filed by
Guarantor and has paid all taxes due pursuant to such returns or pursuant to any
assessment received by Guarantor, except such taxes, the payment of which is not
yet due, or which if due, is not yet delinquent or is being contested in good
faith or which has not been finally determined.

            (h) Benefit. The making of the Loan by Lender to Borrower will
directly benefit Guarantor.

         6. Financial Covenants and Other Information. Guarantor shall provide
Lender the following financial statements and information on a continuing basis
during the term of the Loan:

            (a) Within one hundred twenty (120) days after the end of each
fiscal year of the Guarantor, audited financial statements of Guarantor prepared
by a nationally recognized accounting firm or independent certified public
accountant acceptable to Lender, which statements shall be prepared in
accordance with GAAP and shall include a balance sheet and a statement of income
and expenses for the year then ended.

            (b) Within forty-five (45) days of the end of each fiscal quarter of
Guarantor, unaudited interim financial statements of Guarantor, prepared in
accordance with GAAP, which statements shall include a balance sheet and
statement of income and expenses for the quarter then ended, certified by the
chief financial officer of Guarantor as true and correct in all material
respects.

            (c) As soon as available, but in no event more than thirty (30) days
after the filing deadline, as may be extended from time to time, copies of all
federal, state and local tax returns of Guarantor, together with all supporting
documentation and required schedules.

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<PAGE>   6

         The Lender further reserves the right to require such other financial
information of Guarantor in such form and at such other times (including monthly
or more frequently, but not more frequently than reasonable) as Lender shall
deem reasonably necessary, and Guarantor agrees promptly to provide or to cause
to be provided, such information to Lender. All financial statements must be in
form and detail as Lender may from time to time reasonably request.

         7. Guaranty is a Continuing Obligation. The obligations of the
Guarantor under this Guaranty shall be continuing, absolute, irrevocable and
unconditional under all circumstances, and shall remain in full force and effect
or be reinstated, until all of the Guaranty Obligations shall have been paid and
performed in full, irrespective of the bankruptcy, insolvency, merger,
reorganization, termination, discontinuation or dissolution of the Borrower or
any assignment for the benefit of creditors by the Borrower. The Guarantor
acknowledges and agrees that Guarantor's obligations hereunder shall apply to
and continue with respect to any of the obligations of the Borrower under the
Loan Documents which are subsequently recovered from the Lender for the reasons
set forth below. In the event that any payment by or on the behalf of the
Borrower to Lender is held to constitute a preference, fraudulent transfer or
other voidable payment under any bankruptcy, insolvency or similar law, or if
for any other reason the Lender is required to refund such payment or pay the
amount thereof to any other party, including, without limitation, as a result of
the appointment of a receiver, intervenor, or conservator of, or trustee or
similar officer for, the Borrower or of any substantial part of its property or
otherwise, such payment by the Borrower or any other party to the Lender shall
not constitute a release of the Guarantor from any liability hereunder, and this
Guaranty shall continue to be effective or shall be reinstated (notwithstanding
any prior release, surrender or discharge by the Lender of this Guaranty or of
the Guarantor), as the case may be, with respect to, and this Guaranty shall
apply to, any and all amounts so refunded by the Lender or paid by the Lender to
another party (which amounts shall constitute part of the Guaranty Obligations),
and any interest paid by the Lender and any attorneys' fees, costs and expenses
paid or incurred by the Lender in connection with any such event. It is the
intent of the Guarantor and the Lender that the obligations and liabilities of
the Guarantor hereunder are absolute and unconditional under any and all
circumstances and that until the Guaranty Obligations are fully and finally paid
and performed, and not subject to refund or disgorgement, the obligations and
liabilities of the Guarantor hereunder shall not be discharged or released, in
whole or in part, by any act or occurrence that might, but for the provisions of
this Guaranty, be deemed a legal or equitable discharge or release of a
guarantor. In the event Lender has reasonable cause to believe that it may have
to pay back or return any sums as a result of any ruling under the Bankruptcy
Code, the Lender shall be entitled to continue to hold this Guaranty in its
possession for a period of one year from the later of (a) the date the Guaranty
Obligations are paid and performed in full, or (b) if not paid in accordance
with the Guaranty Obligations, the expiration or termination of the Loan, and
for so long thereafter as may be necessary to enforce any obligation of the
Guarantor hereunder and/or to exercise any right or remedy of the Lender
hereunder.

         8. This Section Intentionally Deleted.

         9. Waiver and Release of Subrogation and Participation. Guarantor shall
have no right of subrogation in or under the Guaranty Obligations, and no rights
of reimbursement, indemnity or contribution from the Borrower or any other
rights by law, equity, statute or contract that would

                                       6
<PAGE>   7

give rise to a creditor-debtor relationship between Guarantor and the Borrower.
Guarantor shall have no right to participate in any way in any of the collateral
which is conveyed under the Loan Documents as security for the Guaranty
Obligations. Guarantor hereby explicitly waives and releases any of the
above-described rights of subrogation, reimbursement, indemnity, contribution,
participation, and any right to require the marshaling of Borrower's assets
under any circumstances.

         10. Continuing Validity. Guarantor further agrees that the validity of
this Guaranty and the obligations of Guarantor hereunder shall in no way be
terminated, affected or impaired (a) by reason of the assertion by Lender of any
rights or remedies which it may have under or with respect to either the Note,
the Mortgage, or the other Loan Documents, against any person obligated
thereunder or against the owner of the premises covered by the Mortgage, (b) by
reason of any failure to file or record any of such instruments or to take or
perfect any security intended to be provided thereby, (c) by reason of the
commencement of a case under the Bankruptcy Code by or against any person
obligated under the Note, the Mortgage or the other Loan Documents, or the death
of any Guarantor, or (d) by reason of any payment made on the Guaranty
Obligations or any other indebtedness arising under the Note, the Mortgage or
the other Loan Documents, whether made by Borrower or Guarantor or any other
person, which is required to be refunded pursuant to any bankruptcy or
insolvency law; it being understood that no payment so refunded shall be
considered as a payment of any portion of the Guaranty Obligations, nor shall it
have the effect of reducing the liability of Guarantor hereunder. It is further
understood, that if Borrower shall have taken advantage of, or be subject to the
protection of, any provision in the Bankruptcy Code, the effect of which is to
prevent or delay Lender from taking any remedial action against Borrower,
including the exercise of any option Lender has to declare the Guaranty
Obligations due and payable on the happening of any default or event by which
under the terms of the Note, the Mortgage or the other Loan Documents, the
Guaranty Obligations shall become due and payable, Lender may, as against
Guarantor, nevertheless, declare the Guaranty Obligations due and payable and
enforce any or all of its rights and remedies against Guarantor provided for
herein.

         11. Notice. All notices given under this Guaranty shall be in writing
and shall be either hand delivered or mailed, by certified U.S. mail, return
receipt requested, first class postage prepaid, to the other party, at its
address set forth below or at such other address as such party may designate by
notice to the other party:

            (a)  If to Guarantor:

                 Advocat Inc.
                 277 Mallory Station Road, Suite 130
                 Franklin, Tennessee 37067
                 Attn: CFO

                 with a copy to:

                 John N. Popham, IV,  Esq.

                                       7
<PAGE>   8

                 Harwell, Howard, Hyne, Gabbert & Manner, PC
                 1800 First American Center
                 315 Deaderick Street
                 Nashville, Tennessee 37238-1800

            (b)  If to Lender:

                 GMAC Commercial Mortgage Corporation
                 200 Witmer Road
                 Horsham, Pennsylvania 19044
                 Attention: Servicing Department

                 with a copy to:

                 Kay K. Bains, Esq.
                 Walston, Wells, Anderson & Bains, LLP
                 505 20th Street North, Suite 500
                 Birmingham, AL 35203

        12. No Waiver by Lender; Remedies. No failure on the part of Lender or
the holder of the Note to exercise, and no delay in exercising, any right
hereunder or thereunder shall operate as a waiver thereof; nor shall any single
or partial exercise of any right hereunder or thereunder preclude any other or
further exercise thereof or the exercise of any other right. Guarantor hereby
agrees that all rights and remedies that Lender is afforded by reason of this
Guaranty are separate and cumulative and may be pursued separately,
successively, or concurrently, as Lender deems advisable. In addition, all such
rights and remedies are non-exclusive and shall in no way limit or prejudice
Lender's ability to pursue any other legal or equitable rights or remedies that
may be available. Failure of Lender to insist upon strict performance or
observance of any of the terms, provisions and covenants hereof or to exercise
any right herein contained shall not be construed as a waiver or relinquishment
of the right to demand strict performance at another time. Receipt by Lender of
any payment or performance on the Guaranty Obligations shall not be deemed a
waiver of the breach of any provision hereof or of any of the Loan Documents.
Without limiting the generality of the foregoing, Guarantor agrees that in any
action by Lender by reason of the Guaranty Obligations, Lender, at its election,
may proceed (a) against Guarantor together with Borrower, (b) against Guarantor
and Borrower, individually, or (c) against Guarantor only without having
commenced any action against, or having obtained any judgment against, Borrower.

        13. Certain Waivers by Guarantor. AS A FURTHER INDUCEMENT TO LENDER TO
MAKE THE LOAN AND IN CONSIDERATION THEREOF, GUARANTOR FURTHER COVENANTS AND
AGREES THAT SERVICE OF ANY SUMMONS AND COMPLAINT OR OTHER PROCESS IN ANY SUCH
ACTION OR PROCEEDING MAY BE MADE BY REGISTERED OR CERTIFIED MAIL DIRECTED TO
GUARANTOR AT GUARANTOR'S ADDRESS HEREINABOVE SET FORTH, GUARANTOR HEREBY WAIVING
PERSONAL

                                       8
<PAGE>   9

SERVICE THEREOF. GUARANTOR HEREBY WAIVES THE PLEADING OF ANY STATUTE OF
LIMITATIONS AS A DEFENSE TO THE OBLIGATIONS HEREUNDER. GUARANTOR HEREBY WAIVES
NOTICE OF THE ACCEPTANCE HEREOF, PRESENTMENT, DEMAND FOR PAYMENT, PROTEST,
NOTICE OF PROTEST, OR ANY AND ALL NOTICE OF NON-PAYMENT, NON-PERFORMANCE OR
NON-OBSERVANCE, OR OTHER PROOF, OR NOTICE OR DEMAND.

        THE GUARANTOR FURTHER WAIVES AND AGREES NOT TO ASSERT: (A) ANY RIGHT TO
REQUIRE LENDER TO PROCEED AGAINST BORROWER OR TO PROCEED AGAINST ANY OTHER
GUARANTOR, OR TO PROCEED AGAINST OR EXHAUST ANY SECURITY FOR THE GUARANTY
OBLIGATIONS, OR TO PURSUE ANY OTHER REMEDY AVAILABLE TO LENDER, OR TO PURSUE ANY
REMEDY IN ANY PARTICULAR ORDER OR MANNER, (B) THE BENEFIT OF ANY STATUTE OF
LIMITATIONS AFFECTING GUARANTOR'S LIABILITY HEREUNDER OR THE ENFORCEMENT HEREOF,
(C) NOTICE OF THE EXISTENCE, CREATION OR INCURRING OF NEW OR ADDITIONAL
INDEBTEDNESS OF BORROWER TO LENDER, (D) THE BENEFITS OF ANY STATUTORY PROVISION
LIMITING THE LIABILITY OF A SURETY, (E) ANY DEFENSE ARISING BY REASON OF ANY
DISABILITY OR OTHER DEFENSE OF BORROWER OR BY REASON OF THE CESSATION FROM ANY
CAUSE WHATSOEVER (OTHER THAN PAYMENT IN FULL) OF THE LIABILITY OF BORROWER FOR
THE GUARANTY OBLIGATIONS, (F) THE BENEFITS OF ANY STATUTORY PROVISION LIMITING
THE RIGHT OF LENDER TO RECOVER A DEFICIENCY JUDGMENT, OR TO OTHERWISE PROCEED
AGAINST ANY PERSON OR ENTITY OBLIGATED FOR PAYMENT OF THE GUARANTY OBLIGATIONS,
AFTER ANY FORECLOSURE OR TRUSTEE'S SALE OF ANY SECURITY FOR THE GUARANTY
OBLIGATIONS, AND (G) ANY OTHER DEFENSE OR CIRCUMSTANCE WHICH MIGHT OTHERWISE
CONSTITUTE A LEGAL OR EQUITABLE DISCHARGE OF GUARANTOR'S LIABILITY HEREUNDER,
ARISING FROM OR OUT OF THE LOAN, THE LOAN DOCUMENTS AND/OR THE FACILITY.

        14. Waiver of Automatic Stay. GUARANTOR HEREBY AGREES THAT, IN
CONSIDERATION OF LENDER'S AGREEMENT TO MAKE THE LOAN AND IN RECOGNITION THAT THE
FOLLOWING COVENANT IS A MATERIAL INDUCEMENT FOR LENDER TO MAKE THE LOAN, IN THE
EVENT THAT GUARANTOR SHALL (A) FILE WITH ANY BANKRUPTCY COURT OF COMPETENT
JURISDICTION OR BE THE SUBJECT OF ANY PETITION UNDER ANY SECTION OR CHAPTER OF
TITLE 11 OF THE UNITED STATES CODE, AS AMENDED ("BANKRUPTCY CODE"), OR SIMILAR
LAW OR STATUTE, (B) BE THE SUBJECT OF ANY ORDER FOR RELIEF ISSUED UNDER THE
BANKRUPTCY CODE OR SIMILAR LAW OR STATUTE, (C) FILE OR BE THE SUBJECT OF ANY
PETITION SEEKING ANY REORGANIZATION, ARRANGEMENT, COMPOSITION, READJUSTMENT,
LIQUIDATION, DISSOLUTION, OR SIMILAR RELIEF UNDER ANY PRESENT OR FUTURE FEDERAL
OR STATE ACT OR LAW RELATING TO BANKRUPTCY, INSOLVENCY, OR OTHER RELIEF FOR

                                       9
<PAGE>   10

DEBTORS, (D) HAVE SOUGHT OR CONSENTED TO OR ACQUIESCED IN THE APPOINTMENT OF ANY
TRUSTEE, RECEIVER, CONSERVATOR, OR LIQUIDATOR, OR (E) BE THE SUBJECT OF AN
ORDER, JUDGEMENT OR DECREE ENTERED BY ANY COURT OF COMPETENT JURISDICTION
APPROVING A PETITION FILED AGAINST GUARANTOR FOR ANY REORGANIZATION,
ARRANGEMENT, COMPOSITION, READJUSTMENT, LIQUIDATION, DISSOLUTION, OR SIMILAR
RELIEF UNDER ANY PRESENT OR FUTURE FEDERAL OR STATE ACT OR LAW RELATING TO
BANKRUPTCY, INSOLVENCY OR RELIEF FOR DEBTORS, THEN, SUBJECT TO COURT APPROVAL,
LENDER SHALL THEREUPON BE ENTITLED AND GUARANTOR HEREBY IRREVOCABLY CONSENTS TO,
AND WILL NOT CONTEST, AND AGREES TO STIPULATE TO RELIEF FROM ANY AUTOMATIC STAY
OR OTHER INJUNCTION IMPOSED BY SECTION 362 OF THE BANKRUPTCY CODE, OR SIMILAR
LAW OR STATUTE (INCLUDING, WITHOUT LIMITATION, RELIEF FROM ANY EXCLUSIVE PERIOD
SET FORTH IN SECTION 1121 OF THE BANKRUPTCY CODE) OR OTHERWISE, ON OR AGAINST
THE EXERCISE OF THE RIGHTS AND REMEDIES OTHERWISE AVAILABLE TO LENDER AS
PROVIDED IN THIS AGREEMENT AND/OR THE LOAN DOCUMENTS, AND AS OTHERWISE PROVIDED
BY LAW, AND GUARANTOR HEREBY IRREVOCABLY WAIVES GUARANTOR'S RIGHTS TO OBJECT TO
SUCH RELIEF.

        15. Guaranty of Payment. This is a guaranty of payment and not of
collection and upon any default of Borrower under the Note, the Mortgage, the
Loan Agreement or the other Loan Documents, Lender may, at its option, proceed
directly and at once, without notice, against Guarantor to collect and recover
the full amount of the liability hereunder or any portion thereof, without
proceeding against Borrower or any other person, or foreclosing upon, selling,
or otherwise disposing of or collecting or applying against any of the Facility
or other collateral for the Loan.

            (a) Joint and Several Liability. The term "Guarantor" as used in
this Guaranty shall refer individually and collectively to all signers of this
Guaranty. Each undertaking herein contained shall be the joint and several
undertaking of each signer hereof if more than one, and it is specifically
agreed that Lender may enforce the provisions hereof with respect to one or more
of such signers without seeking to enforce the same as to all or any such
signers. Guarantor hereby waives any requirement of joinder of all or any other
of the parties hereto in any suit or proceeding to enforce the provisions
hereof.

            (b) Assignment. Lender may assign this Guaranty or any rights or
powers hereunder, in whole or in part, in connection with the sale of the Note
and assignment of the Mortgage. The duties and obligations of Guarantor may not
be delegated or transferred by Guarantor without the prior written consent of
Lender which may be withheld in its absolute discretion. Each reference herein
to Lender shall be deemed to include its successors and assigns, to whose favor
the provisions of this Guaranty shall also inure. Each reference herein to
Guarantor shall be deemed to include the heirs, executors, administrators, legal
representatives, successors and assigns of Guarantor, all of whom shall be bound
by the provisions of this Guaranty. If any party

                                       10
<PAGE>   11

hereto shall be a partnership or a limited liability company, the agreements and
obligations on the part of Guarantor herein contained shall remain in force and
application notwithstanding any changes in the individuals or entities composing
the partnership or the limited liability company, and the term "Guarantor" shall
include any altered or successive partnerships and any altered or successive
limited liability companies but the predecessor partnerships and their partners,
and the predecessor limited liability companies and their members, shall not
thereby be released from any obligations or liability hereunder.

        16. Intentionally Deleted.

        17. Waiver of Trial by Jury; Service of Process. GUARANTOR HEREBY WAIVES
TRIAL BY JURY IN ANY ACTION OR PROCEEDING TO WHICH THE GUARANTOR AND THE LENDER
MAY BE PARTIES ARISING OUT OF, IN CONNECTION WITH, OR IN ANY WAY PERTAINING TO,
THIS AGREEMENT AND/OR ANY OF THE OTHER LOAN DOCUMENTS. IT IS AGREED AND
UNDERSTOOD THAT THIS WAIVER CONSTITUTES A WAIVER OF TRIAL BY JURY OF ALL CLAIMS
AGAINST ALL PARTIES TO SUCH ACTIONS OR PROCEEDINGS, INCLUDING CLAIMS AGAINST
PARTIES WHO ARE NOT PARTIES TO THIS AGREEMENT. THIS WAIVER IS KNOWINGLY,
WILLINGLY AND VOLUNTARILY MADE BY THE GUARANTOR, AND THE GUARANTOR HEREBY
REPRESENTS THAT NO REPRESENTATIONS OF FACT OR OPINION HAVE BEEN MADE BY ANY
INDIVIDUAL TO INDUCE THIS WAIVER OF TRIAL BY JURY OR TO IN ANY WAY MODIFY OR
NULLIFY ITS EFFECT. THE GUARANTOR FURTHER REPRESENTS AND WARRANTS THAT GUARANTOR
HAS BEEN REPRESENTED IN THE SIGNING OF THIS AGREEMENT AND IN THE MAKING OF THIS
WAIVER BY INDEPENDENT LEGAL COUNSEL, OR HAS HAD THE OPPORTUNITY TO BE
REPRESENTED BY INDEPENDENT LEGAL COUNSEL SELECTED BY GUARANTOR OF GUARANTOR'S
OWN FREE WILL, AND THAT GUARANTOR HAS HAD THE OPPORTUNITY TO DISCUSS THIS WAIVER
WITH COUNSEL. GUARANTOR AGREES TO PAY ALL COURT COSTS AND REASONABLE ATTORNEY'S
FEES INCURRED BY LENDER IN CONNECTION WITH ENFORCING ANY PROVISION OF THIS
AGREEMENT. NOTWITHSTANDING THE FOREGOING, LENDER AGREES TO USE REASONABLE
EFFORTS TO PROVIDE GUARANTOR WITH NOTICE OF THE FILING OF ANY LAWSUIT BY LENDER
AGAINST GUARANTOR.

        18. Power and Authority. Guarantor (and its representative, executing
below, if any) has full power, authority and legal right to execute this
Guaranty and to perform all its obligations under this Guaranty.

        19. Complete Agreement; Modification; Waiver. All understandings,
representations and agreements heretofore had with respect to this Guaranty are
merged into this Guaranty which are incorporated herein which alone fully and
completely expresses the agreement of Guarantor and Lender. In no event shall
any modification or waiver of the provisions of this Guaranty be effective

                                       11

<PAGE>   12

unless in writing executed by Lender. Any waiver granted by Lender shall be
applicable only in the specific instance for which it is given.

        20. Governing Law. THIS GUARANTY SHALL BE GOVERNED BY, AND CONSTRUED IN
ACCORDANCE WITH, THE LAWS OF THE STATE OF TENNESSEE AND APPLICABLE FEDERAL LAW.

        21. Counterparts; Construction. This Guaranty may be executed in any
number of counterparts, all of which when taken together shall constitute one
and the same instrument. Words of any gender used in this Guaranty shall be held
and construed to include the other gender, and words in the singular shall be
held and construed to include the plural, and words in the plural shall be held
and construed to include the singular, unless this Guaranty or the context
otherwise requires.

        22. Review by Guarantor. GUARANTOR HAS RECEIVED COPIES OF, AND HAS HAD
THE OPPORTUNITY TO REVIEW, ALL OF THE LOAN DOCUMENTS REFERRED TO IN THIS
GUARANTY. GUARANTOR HAS DISCUSSED THIS GUARANTY WITH GUARANTOR'S LEGAL COUNSEL,
AND GUARANTOR UNDERSTANDS THE NATURE AND EXTENT AND THE LEGAL AND PRACTICAL
CONSEQUENCES OF GUARANTOR'S LIABILITY UNDER THIS GUARANTY.

        23. No Oral Agreement. To the extent allowed by law, Guarantor agrees to
be bound by the terms of the following notice:

        NOTICE:  THIS GUARANTY AND THE OTHER LOAN DOCUMENTS CONSTITUTE A
                 WRITTEN AGREEMENT WHICH REPRESENTS THE FINAL AGREEMENT BETWEEN
                 THE PARTIES AND MAY NOT BE CONTRADICTED BY EVIDENCE OF PRIOR,
                 CONTEMPORANEOUS OR ORAL AGREEMENTS OF THE PARTIES.

                 THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES
                 RELATING TO THE LOAN.

                         [SIGNATURES BEGIN ON NEXT PAGE]

<PAGE>   13

        IN WITNESS WHEREOF, this Guaranty has been duly executed by the
undersigned as of the day and year first written above.

                                        GUARANTOR:

WITNESS:                                ADVOCAT INC., a Delaware corporation

---------------------------------       ----------------------------------------
                                        By:
                                           -------------------------------------
                                         Its:
                                             -----------------------------------

STATE OF
        --------------------   )

COUNTY OF
         -------------------   )

               Before me, a Notary Public in and for said State and County, duly
commissioned and qualified, personally appeared _________________, with whom I
am personally acquainted (or proved to me on the basis of satisfactory
evidence), and who, upon oath, acknowledged him/herself to be _________________
of Advocat Inc., a Delaware corporation, the within named grantee, and that
he/she executed the foregoing instrument for the purposes therein contained, by
signing the name of the said corporation by himself as _____________.

               Witness my hand and seal this ____ day of March, 2001.

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

AFFIX SEAL

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

                                       13

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