Document:

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                                                                  EXHIBIT 10.118

       REPLACEMENT REDUCED AND MODIFIED RENEWAL REVOLVING PROMISSORY NOTE

$2,500,000.00                                               October 29, 2004
                                                            Nashville, Tennessee

         FOR VALUE RECEIVED, the undersigned, DIVERSICARE MANAGEMENT SERVICES
CO., a Tennessee corporation (the "Borrower"), promises to pay to the order of
AMSOUTH BANK (the "Bank"), in lawful currency of the United States of America,
at AmSouth Center, 315 Deaderick Street, Nashville, Tennessee 37237, or at such
other place as the holder from time to time may designate in writing, the
principal sum of TWO MILLION FIVE HUNDRED THOUSAND AND NO/100 ($2,500,000.00)
DOLLARS, or so much thereof as may be advanced hereunder in accordance with the
terms of a Master Amendment to Loan Documents and Agreement dated effective
October 1, 2000 executed between Bank, Borrower, and other subsidiaries, or
affiliates of Borrower, all of which, including Borrower, are defined as
"Debtors" therein, as amended (the "Master Amendment"). Interest shall accrue on
the principal balance outstanding from and after December 15, 2002 at the Bank's
Prime Rate plus one half of one percent (0.5%) (fifty basis points) per annum,
provided that the interest rate shall in no event exceed nine and one-half
percent (9.5%) per annum until after default or maturity, after which time
interest shall accrue at the Default Rate defined in the Master Credit Agreement
dated December 27, 1996, between First American National Bank, predecessor to
Bank, Borrower and affiliates of Borrower (the "Default Rate"). Interest shall
be due and payable monthly commencing on the first (1st) day of each month
commencing on November 1, 2004. All principal and unpaid interest shall be
payable at maturity on the 29th day of January 2005 (the "Maturity Date").

         Notwithstanding that the maximum principal face amount hereunder is
$2,500,000.00, he undersigned acknowledges that the Letter of Credit Number
1813094 in favor of Continental Health Properties of Thomasville, LLC (the
"Letter of Credit") in the amount of $200,000.00 has been drawn. Therefore, for
so long as the Letter of Credit remains outstanding and drawn, the maximum
amount which may be outstanding at any time hereunder shall be limited as
follows:

         1.       As of November 1, 2004, the maximum amount which may be
                  outstanding at any time hereunder shall be reduced to
                  $2,466,666.67;

         2.       As of December 1, 2004, the maximum amount which may be
                  outstanding at any time hereunder shall be reduced to
                  $2,433,333.34; and

         3.       As of January, 1, 2005, and for any time thereafter, be
                  outstanding at any time hereunder shall be reduced to
                  $2,400,000.01.

         The further covenants, agreements, restrictions and limitations set
forth in the Master Amendment, as amended, are incorporated by reference herein
and made a part hereof.

         This Replacement Reduced and Modified Renewal Revolving Promissory Note
is a reduction and modification of the Revolving Promissory Note dated December
27, 1996, in the original amount of $10,000,000.00, as amended, and is a
reduction and replacement of that

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Reduced and Modified Renewal Revolving Promissory Note dated December 15, 2002
and is being executed in accordance with the terms of the Fifth Amendment to
Master Amendment to Loan Documents and Agreement dated October 29, 2004. This
Replacement Reduced and Modified Renewal Revolving Promissory Note (and any and
all extensions, modifications, renewals or amendments thereof) is (1) secured by
the collateral described or referred to in the Loan Documents, as defined in the
Master Amendment, and (2) the breach or occurrence of a default under the Loan
Documents, at the option of the Bank, will constitute a default hereunder.

         Both principal and interest due on this Replacement Reduced and
Modified Renewal Revolving Promissory Note are payable in Nashville, Tennessee,
at par in lawful money of the United States of America.

         Prepayment may be made at any time without premium.

         Time is of the essence of this Replacement Reduced and Modified Renewal
Revolving Promissory Note. Upon the occurrence of any default, at the option of
holder and without further notice to obligor, all accrued and unpaid interest,
if any, shall be added to the outstanding principal balance hereof, and the
entire outstanding principal balance, as so adjusted, shall bear interest
thereafter until paid at an annual rate equal to the Default Rate, regardless of
whether or not there has been an acceleration of the payment of principal as set
forth herein. All such interest shall be paid at the time of and as a condition
precedent to the curing of any such default. Failure of the holder to exercise
this right of accelerating the maturity of the debt, or indulgence granted from
time to time, shall in no event be considered as a waiver of said right of
acceleration or stop the holder from exercising said right. Interest shall be
computed for the actual number of days elapsed on the basis of a year consisting
of three hundred and sixty (360) days.

         If default is made in the payment of any payment due hereunder when the
same shall become due or mature, or if default is made in the payment of the
indebtedness hereunder at maturity, or in the event of default in or breach of
any of the terms, provisions or conditions of the Loan Documents or any
instrument(s) given to evidence or secure this Renewal Revolving Promissory
Note, then at the election of the legal holder hereof, at any time thereafter
made and without demand or notice, the owner and holder of this Replacement
Reduced and Modified Renewal Revolving Promissory Note shall have the right to
declare all sums unpaid hereon at once due and payable. In the event of such
default, and the same is placed in the hands of an attorney for collection, or a
suit is filed hereon, or if the proceedings are held in bankruptcy,
receivership, or the reorganization of Borrower, or any person or entity
constituting Borrower if Borrower is, or is composed of, more than one person or
entity, or any guarantor or surety of this Replacement Reduced and Modified
Renewal Revolving Promissory Note, or other legal or judicial proceedings for
the collection hereof, the undersigned shall pay in addition to the owner and
holder of this Replacement Reduced and Modified Renewal Revolving Promissory
Note, all court costs and costs of collection, enforcement or protection of the
rights or collateral of Bank hereunder including reasonable attorney's fees.

         Borrower and all endorsers and signers hereof, and each of them,
expressly waive demand, presentment for payment, notice of dishonor, protest,
notice of protest, and diligence in collection and all other notices or demands
whatsoever with respect to this Replacement

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Reduced and Modified Renewal Revolving Promissory Note or the enforcement hereof
and consent that the time of said payments or any part thereof may be extended
by the holder hereof and as sent to any substitution, exchange, or release of
collateral permitted by the holder hereof, all without and anywise modifying,
altering, releasing, affecting or limiting their respective liability. This
Replacement Reduced and Modified Renewal Revolving Promissory Note may not be
changed orally, but only by an agreement in writing signed by the party against
whom enforcement of any waiver, change, modification or discharge is sought.

         The term obligor, as used in this Replacement Reduced and Modified
Renewal Revolving Promissory Note, shall mean all parties, and each of them,
directly or indirectly obligated for the indebtedness that this Replacement
Reduced and Modified Renewal Revolving Promissory Note evidences, whether as
principal, maker, endorser, surety, guarantor or otherwise.

         In no event (including but not limited to prepayment, default, demand
for payment, or acceleration of maturity) shall the interest taken, reserved,
contracted for, charged or received in connection herewith under the Loan
Documents or otherwise, exceed the maximum amount permitted by applicable law
(the "Maximum Amount"). Interest would otherwise be payable in excess of the
Maximum Amount, then ipso facto, such document shall be reformed and the
interest payable reduced to the Maximum Amount, without necessity of execution
of any amendment or new document. If Bank ever receives interest in an amount
which apart from this provision would exceed the maximum amount, the excess
shall, without penalty, be applied to the unpaid principal balance of the loan
obligations in inverse order of maturity of installments and not to the payment
of interest, or be refunded to the Borrower, at the election of the Bank in its
full discretion or as required by applicable law.

         This instrument shall be governed by the laws of the State of
Tennessee, except as such may be preempted by applicable laws of the United
States of America governing the charging or receiving of interest.

         The provisions hereof shall be binding upon the parties, their
successors and assigns. The provisions hereof are severable such that the
invalidity or unenforceability of any provision hereof shall not affect the
validity or enforceability of the remaining provisions.

         IN WITNESS WHEREOF, this Replacement Reduced and Modified Renewal
Revolving Promissory Note has been duly executed by the undersigned the day and
year first above written.

                                 DIVERSICARE MANAGEMENT SERVICES CO.,
                                 a Tennessee corporation

                                 By: /s/ William R. Council III
                                     ------------------------------------------
                                     William R. Council, III, CEO and President

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                                                                  Exhibit 10.119

                  SEVENTH AMENDMENT TO RENEWAL PROMISSORY NOTE
                               (OVERLINE FACILITY)

         THIS SEVENTH 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, as further amended by that
Sixth Amendment to Renewal Promissory Note to be effective on July 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, the receipt and
sufficiency of which are hereby acknowledged, and in accordance with the terms
and conditions of that Fifth Amendment to Master Amendment and Loan Documents
executed by Bank, and Debtors, as defined therein, to be effective as of October
29, 2004, 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 $3,214,253.63.

         2. The Note is amended to provide that the Maturity Date, as defined in
the Note, shall be changed from October 29, 2004 to January 29, 2005.

         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 29th day of October, 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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