Document:

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                                                                   Exhibit 10.17

                FIRST AMENDMENT TO REDUCED AND MODIFIED RENEWAL
                           REVOLVING PROMISSORY NOTE

     THIS FIRST 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 NO/100 ($2,500,000.00)
DOLLARS (the "Note"); and

     WHEREAS, the terms of the Note provided for payment of all principal and
unpaid interest at maturity on the 11th day of July 2003 (the "Maturity Date");
and

     WHEREAS, the Borrower has requested that the Maturity Date of the Note be
extended for one month, until August 11, 2003, and Bank has agreed to such
extension; and

     WHEREAS, the parties have agreed that the Note should be amended to reflect
this extension of the Maturity Date.

     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 "All principal and unpaid interest
shall be payable at maturity on the 11th day of August, 2003 (the "Maturity
Date").

     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

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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 as of the 11th day of
July, 2003.

                         DIVERSICARE MANAGEMENT SERVICES CO.,
                         a Tennessee corporation

                         By:  /s/ William R. Council III
                              ------------------------------
                              William R. Council III
                              Title: President

                         BANK:

                         AMSOUTH BANK

                         By:  /s/ Tim McCarthy
                              ------------------------------
                              Tim McCarthy, Vice President<PAGE>
                                                                  EXHIBIT 10.18

                   FIRST AMENDMENT TO RENEWAL PROMISSORY NOTE

         THIS FIRST 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 (the "Note"); and

         WHEREAS, Bank has agreed to modify the Note in accordance with the
terms and conditions of the Third Amendment to Master Amendment dated as of July
11, 2003, executed by Bank, and Debtors (as defined therein).

         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 the Maturity Date, as defined
in the Note, shall be changed from July 11, 2003 to January 9, 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 on the ___ day of
____________________, 2003 to be effective on the 11th day of July, 2003.

                                    BORROWER:

                                    ADVOCAT, INC.,
                                    a Delaware corporation

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

                                    BANK:

                                    AMSOUTH BANK

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

                                       2<PAGE>

                                                                   EXHIBIT 10.19

                   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 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
(the "Note"); and

         WHEREAS, Bank has agreed to further modify the Note in accordance with
the terms and conditions of the Third Amendment to Master Amendment dated as of
July 11, 2003, executed by Bank and Debtors (as defined therein).

         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 the Maturity Date, as defined
in the Note, shall be changed from July 11, 2003 to January 9, 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 on the ___ day of
______________, 2003 to be effective on the 11th day of July, 2003.

                                BORROWER:

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

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

                                Name: William R. Council, III
                                Title: President

                                BANK:

                                AMSOUTH BANK

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

                                       2<PAGE>
                                                                   EXHIBIT 10.20

                   THIRD AMENDMENT TO RENEWAL PROMISSORY NOTE
                               (OVERLINE FACILITY)

         THIS THIRD 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 (the "Note"); and

         WHEREAS, Bank has agreed to further modify the Note in accordance with
the terms and conditions of the Third Amendment to Master Amendment dated as of
July 11, 2003, executed by Bank and Debtors (as defined therein).

         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 the Maturity Date, as defined
in the Note, shall be changed from July 11, 2003 to January 9, 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 on the ___ day of
______________, 2003 to be effective on the 11th day of July, 2003.

                                        BORROWER:

                                        DIVERSICARE MANAGEMENT SERVICES CO.,
                                        a Tennessee corporation

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

                                        BANK:

                                        AMSOUTH BANK

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

                                       2

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