EXHIBIT 10.142



                               FIRST AMENDMENT TO
                            SHARE PURCHASE AGREEMENT

         This First Amendment to Share Purchase Agreement (the "Amendment") is
executed as of February 17, 2004, among

                                 DIVERSICARE LEASING CORP., a corporation
                                 incorporated under the laws of Tennessee,
                                 (the "VENDOR")

                                 - and -

                                 ADVOCAT INC., a corporation incorporated under
                                 the laws of Delaware, ("ADVOCAT")

                                 -  and -

                                 DIVERSICARE CANADA MANAGEMENT  SERVICES CO.,
                                 INC., a corporation incorporated under the
                                 laws of Ontario, (the "CORPORATION")

                                 -  and -

                                 DCMS HOLDINGS INC., a corporation incorporated
                                 under the laws of Ontario, (THE "PURCHASER")

         WHEREAS, the Vendor, Advocat, the Corporation and the Purchaser entered
into that certain Share Purchase Agreement dated August 25, 2003 (the
"Agreement").

         WHEREAS, the parties now desire to amend certain terms and provisions
of the Agreement as set forth herein.

         NOW, THEREFORE, for and in consideration of the premises and the
agreements, covenants, representations and warranties hereinafter set forth and
for other good and valuable consideration, the receipt and adequacy of all of
which are acknowledged and agreed, the parties hereto agree as follows:

         1. Section 3.01 of the Agreement is hereby deleted in its entirety and
replaced with the following:




         SECTION 3.01 CLOSING

                  The transfer of the Purchased Shares and payments required
         pursuant to Article Two hereof shall take place at Suite 5800, 40 King
         Street West, Toronto, Ontario or such other place as Vendor and
         Purchaser may mutually agree.

                  Unless otherwise agreed, Closing shall take place at 11:00
         a.m. on the date (the "CLOSING DATE") that is the first Business Day
         fifteen (15) days following the date on which all approvals necessary
         in order to complete the transactions contemplated by this Agreement
         have been received from the Ministry of Health and Long Term Care
         pursuant to the Nursing Homes Act (Ontario). Unless the Vendor and
         Purchaser mutually agree, the Closing Date shall not occur later than
         March 31, 2004. Conditional upon completion of Closing, the effective
         date for the Closing shall be the close of business on the last
         Business Day of the month prior to the Closing Date (the "EFFECTIVE
         DATE").

         2. Except as set forth herein, the Agreement is unmodified and remains
in full force and effect.

         IN WITNESS WHEREOF, the parties have duly executed this Amendment the
date and year first above written.



                                      DIVERSICARE LEASING CORP.

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


                                      ADVOCAT INC.

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


                                      DIVERSICARE CANADA MANAGEMENT
                                      SERVICES CO., INC.

                                      Per:  /s/ P. Richardson
                                          -------------------------------------
                                               Name:  Paul Richardson
                                               Title: President


                                      DCMS HOLDINGS INC.

                                      Per:  /s/ D. Gesauldi
                                          -------------------------------------
                                               Name:  Domenic Gesauldi
                                               Title: President


                                      Per:
                                          ------------------------------------
                                             Name:
                                             Title:




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