Document:

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                                                                   EXHIBIT 10.14

                       FIRST AMENDMENT TO PROMISSORY NOTE

         THIS FIRST AMENDMENT TO PROMISSORY NOTE (this "First Amendment") is
entered into as of the 1st day of April, 2006, by and between DIVERSICARE
WINDSOR HOUSE, LLC, a Delaware limited liability company (the "Borrower"), and
GMAC COMMERCIAL MORTGAGE CORPORATION, a California corporation (the "Lender").

                                    RECITALS

             A. The Borrower executed to the order of the Lender that certain
Promissory Note dated March 29, 2001, in the principal amount of $4,709,000 (the
"Note"). Unless otherwise defined herein, capitalized terms shall have the
meaning assigned to them in the Note.

             B. The Borrower has requested that the Lender extend the Maturity
Date of the Note, and the Lender has agreed, upon certain conditions, one of
which is the execution of this First Amendment.

                                    AGREEMENT

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

             Section 4 of the Note, Maturity Date, is hereby amended to extend
the Maturity Date from April 1, 2006 until July 1, 2006. All references in the
Note to the "Maturity Date" are hereby amended to mean July 1, 2006.

         Except as expressly amended herein, the Note shall remain in full force
and effect in accordance with its terms and conditions.

         Notwithstanding the execution of this First 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
disclosed by Borrower and Diversicare Management Services Co. in that certain
Quarterly Compliance Statement & Census Data report and that certain Compliance
Certificate, each for the period ending September 30, 2005, and signed by
Borrower's Chief Financial Officer and Vice President.

                                       1

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

                                     BORROWER:

                                     DIVERSICARE WINDSOR HOUSE, LLC, a Delaware
                                     limited liability company

                                     By: Diversicare Leasing Corp., a Tennessee
                                     corporation
                                     Its: Sole Member

                                     By: /s/ Glynn Riddle
                                         --------------------------
                                            Glynn Riddle,
                                            Chief Financial Officer

                                     LENDER:

                                     GMAC COMMERCIAL MORTGAGE CORPORATION,
                                     a California corporation

                                     By /s/ Laura Y. McDonald
                                        ---------------------------------------
                                       Its Senior Vice President
                                           ------------------------------------

                                       2<PAGE>
                                                                   EXHIBIT 10.15

Indexing Instructions:

Prepared by and after Recording Return To:
Shannon B. Lisenby
Bradley Arant Rose & White LLP
One Federal Place
1819 Fifth Avenue North
Birmingham, AL 35203-2104
Telephone: (205) 521-8000
Facsimile: (205) 521-8800

--------------------------------------------------------------------------------
STATE OF ALABAMA     )
COUNTY OF MADISON    )

                                 FIRST AMENDMENT
                                       TO
                         MORTGAGE AND SECURITY AGREEMENT

                  This First Amendment to Mortgage and Security Agreement is
dated and is effective as of April 1, 2006, and is by and between DIVERSICARE
ASSISTED WINDSOR HOUSE, LLC, a Delaware limited liability company (together with
its successors and assigns, the "Mortgagor"), whose address is 1621 Galleria
Boulevard, Brentwood, Tennessee 37027 and GMAC COMMERCIAL MORTGAGE CORPORATION,
a California corporation (together with its successors and assigns, the
"Mortgagee"), whose address is 200 Witmer Road, P.O. Box 809, Horsham,
Pennsylvania 19044.

                                    RECITALS:

                  A. The Mortgagor executed in favor of Mortgagee that certain
Mortgage and Security Agreement dated March 29, 2001, and recorded in Book 2780,
Page 756 with the Madison County Judge of Probate (the "Mortgage"). Unless
otherwise defined in this First Amendment, capitalized terms shall have the
meaning given to them in the Mortgage.

                  B. The Mortgagor and the Mortgagee desire to amend the
Mortgage to extend the maturity date and have agreed to execute this First
Amendment to evidence such modification.

                                    AGREEMENT

                  NOW, THEREFORE, in consideration of the above Recitals, the
Mortgagor and the Mortgagee hereby amend the Mortgage as follows:

                  The final maturity date, as reflected in Recital A on page 1,
is hereby changed from April 1, 2006 to July 1, 2006.

                  Except as expressly amended hereby, the Mortgage shall remain
in full force and effect in accordance with its terms.

                                       1

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                  The Mortgagor represents and warrants that the representations
and warranties set forth in the Mortgage are as true and correct on the date
hereof as when initially made, except as such representation or warranty
expressly relates to another date.

                  The Mortgagor acknowledges and agrees that there are no
offsets or defenses to the obligations set forth in the Mortgage, as hereby
amended, and represents that there are no Events of Default existing on the date
hereof, nor are there any facts or consequences which will or could lead to an
Event of Default under the Mortgage, as hereby amended, except as disclosed by
Mortgagor and Diversicare Management Services Co. in that certain Quarterly
Compliance Statement & Census Data report and that certain Compliance
Certificate, each for the period ending September 30, 2005, and signed by
Mortgagor's Chief Financial Officer and Vice President.

                  [SIGNATURES BEGIN ON THE FOLLOWING PAGE]

                                       2

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                  IN WITNESS WHEREOF, the Mortgagor and the Mortgagee have
caused this First Amendment to be properly executed by their respective duly
authorized officers as of the date first above written.

                                      MORTGAGOR:

                                      DIVERSICARE WINDSOR HOUSE, LLC, a Delaware
                                      limited liability company
                                      (seal)

                                      By: Diversicare Leasing Corp., a Tennessee
                                      corporation (Seal)
                                      Its: Sole Member

                                               By: /s/ Glynn Riddle
                                                   -----------------------------
WITNESS:                                       (seal)   Glynn Riddle,
                                                        Chief Financial Officer
-----------------------------

                                      MORTGAGEE:

                                      GMAC COMMERCIAL MORTGAGE
                                      CORPORATION
WITNESS:
                                      By: /s/ Laura Y. McDonald
                                          --------------------------------------
-----------------------------           Its: Senior Vice President
                                             -----------------------------------

                                       3

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STATE OF ALABAMA  )

_________ COUNTY  )

         I, the undersigned, a Notary Public in and for said County in said
State, hereby certify that ___________________, whose name as _________________
of Diversicare Leasing Corp., a Tennessee corporation, sole member of
Diversicare Windsor House, LLC, a Delaware limited liability company, is signed
to the foregoing instrument and who is known to me, acknowledged before me on
this day that, being informed of the contents of said _________ , he/she, as
such officer and with full authority, executed the same voluntarily for and as
the act of said limited liability company.

         Given under my hand and official seal this the ____ day of _________,
2006.

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

AFFIX SEAL
My commission expires: _________

STATE OF ALABAMA  )

_________ COUNTY  )

         I, the undersigned, a Notary Public in and for said County in said
State, hereby certify that ___________________, whose name as _________________
of GMAC Commercial Mortgage Corporation, a California corporation, , is signed
to the foregoing instrument and who is known to me, acknowledged before me on
this day that, being informed of the contents of said _________ , she, as such
officer and with full authority, executed the same voluntarily for and as the
act of said corporation.

         Given under my hand and official seal this the ____ day of _________,
2006.

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

AFFIX SEAL
My commission expires: _________

                                       4

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