Document:

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                                                                    EXHIBIT 10.1

                   SIXTH AMENDMENT TO RENEWAL PROMISSORY NOTE

         THIS SIXTH 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, as further amended by that Fourth
Amendment to Renewal Promissory Note executed by Borrower and Bank to be
effective as of April 16, 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.       That as of the effective date hereof, the Note has a principal
                  balance of $5,372,070.90.

         2.       The Note is amended to provide that the Maturity Date, as
                  defined in the Note, shall be changed from to July 16, 2004 to
                  October 29, 2004.

         3.       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

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instrument constitutes the entire agreement of the parties with
respect to the subject matter hereof.

         IN WITNESS WHEREOF, this instrument has been executed to be effective
on the 16th day of July, 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<PAGE>
                                                                    EXHIBIT 10.2

                 FIFTH AMENDMENT TO REDUCED AND MODIFIED RENEWAL
                           REVOLVING PROMISSORY NOTE

         THIS FIFTH 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
_________, 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, and as further amended pursuant to that Fourth
Amendment to Reduced and Modified Renewal Revolving Promissory Note executed by
Borrower and Bank on April 16, 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.       That as of the effective date hereof, the Note has a principal
balance of $-0-. The Borrower expressly confirms and acknowledges that the
maximum amount which may be outstanding under the Note at any time shall
continue to be limited in accordance with the terms of Section 3, subsection
(a)(i) of the Second Amendment to Master Amendment dated as of December 15,
2002, and executed by the Bank, Borrower, and all Debtors defined therein.

         2.       The Note is amended to provide that the Maturity Date, as
defined in the Note, shall be changed from July 16, 2004 to October 29, 2004.

         3.       The Note is amended as stated herein, but no further or
otherwise, and the terms and

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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.

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

                   DIVERSICARE MANAGEMENT SERVICES CO.,
                   a Tennessee corporation

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

                   BANK:

                   AMSOUTH BANK

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

                                      2<PAGE>
                                                                    EXHIBIT 10.3

                   SIXTH AMENDMENT TO RENEWAL PROMISSORY NOTE
                               (OVERLINE FACILITY)

         THIS SIXTH AMENDMENT TO RENEWAL PROMISSORY NOTE (the "Overline
Facility") 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 Renewal Promissory Note
(Overline Facility) dated October 1, 2000, in the original principal amount of
THREE MILLION FIVE HUNDRED THOUSAND AND NO/100 ($3,500,000.00) DOLLARS as
amended by the First Amendment to Renewal Promissory Note (Overline Facility)
executed by Borrower in December, 2000, as further amended by the Second
Amendment to Renewal Promissory Note (Overline Facility) executed by Borrower
and Bank to be effective as of December 15, 2002, as further amended by that
Third Amendment to Renewal Promissory Note (Overline Facility) executed by
Borrower and Bank to be effective on July 11, 2003, as further amended by that
Fourth Amendment to Renewal Promissory Note (Overline Facility) executed by
Borrower and Bank to be effective on January 4, 2004, as further amended by that
Fifth Amendment to Renewal Promissory Note (Overline Facility) executed by
Borrower and Bank to be effective on April 16, 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.       That as of the effective date hereof, the Note has a principal
balance of $3,243,997.68.

         2.       The Note is amended to provide that the Maturity Date, as
defined in the Note, shall be changed from July 16, 2004 to October 29, 2004.

         3.       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

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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.

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

                                   BORROWER:

                                   DIVERSICARE MANAGEMENT SERVICES CO.,
                                   a Tennessee corporation

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

                                   BANK:

                                   AMSOUTH BANK

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

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