Document:

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                                                              Exhibit 10.137

                 THIRD AMENDMENT TO REDUCED AND MODIFIED RENEWAL
                           REVOLVING PROMISSORY NOTE

         THIS THIRD 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, 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 (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, including payment
of a restructure fee to AmSouth Bank in the sum of Twenty Thousand and No/100
Dollars ($20,000.00) said sum to be paid by Borrower to Bank upon execution of
this Agreement, the sufficiency of which consideration is 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 January 9, 2004 to April 16, 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, 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.

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         IN WITNESS WHEREOF, this instrument has been executed on the ___ day of
January, 2004.

                                  DIVERSICARE MANAGEMENT SERVICES CO.,
                                  a Tennessee corporation

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

                                  BANK:

                                  AMSOUTH BANK

                                  By: /s/ Tim McCarthy
                                      ----------------------------------------
                                      Tim McCarthy, Vice President<PAGE>
                                                                Exhibit 10.138

                   SECOND AMENDMENT TO RENEWAL PROMISSORY NOTE

         THIS SECOND 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, which Renewal Promissory Note was amended
pursuant to the First Amendment to Renewal Promissory Note dated as of July 11,
2003, and executed by Borrower and Bank (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, 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 January 9, 2004 to April 16, 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
<PAGE>

         IN WITNESS WHEREOF, this instrument has been executed on the ___ day of
____________________, 2004 to be effective on the 9th day of January, 2004.

                                    BORROWER:

                                    ADVOCAT, INC.,
                                    a Delaware corporation

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

                                         Name: William R. Council, III
                                               --------------------------
                                         Title: CEO
                                                -------------------------

                                    BANK:

                                    AMSOUTH BANK

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

                                       2<PAGE>

                                                               Exhibit 10.139

                   FOURTH AMENDMENT TO RENEWAL PROMISSORY NOTE

         THIS FOURTH 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 (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, 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 January 9, 2004 to April 16, 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
<PAGE>

         IN WITNESS WHEREOF, this instrument has been executed on the ___ day of
______________, 2004 to be effective on the 9th day of January, 2004.

                                  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 10.140

                   FOURTH AMENDMENT TO RENEWAL PROMISSORY NOTE
                               (OVERLINE FACILITY)

         THIS FOURTH 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 (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, 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 January 9, 2004, to April 16, 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
<PAGE>

         IN WITNESS WHEREOF, this instrument has been executed on the ___ day of
______________, 2004 to be effective on the 9th day of January, 2004.

                                          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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