Exhibit 1


March 13, 2007

VIA FACSIMILE AND ELECTRONIC MAIL
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Mr. William R. Council, III
President and Chief Executive Officer
Advocat Inc.
1621 Galleria Boulevard
Brentwood, Tennessee 37027
Fax:  (615) 771-7409
E-mail:  wcouncil@advocat-inc.com
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Dear Mr. Council:

      I enjoyed speaking with you and Glynn Riddle today regarding Advocat Inc.
(the "Company"). As one of the Company's largest shareholders, Bristol
Investment Fund, Ltd. ("Bristol") feels it is imperative that management align
its interests with that of its shareholders. It is disappointing to hear that
the Company's Chairman of the Board, Wallace Olsen, will no longer be a
spokesperson for the Company. We are concerned about the public perception of
this change, as it is customary for chairpersons of public companies to champion
their cause with management, employees, shareholders, and the investment
community. Will Mr. Olsen's role going forward change in other ways? Will Mr.
Olsen retain the chairmanship? Is a succession plan in place? Furthermore, we
believe that the Company is currently undervalued based on a variety of industry
metrics. I strongly urge you to have Mr. Olsen contact me to discuss these
concerns.

      In accordance with our discussion, we recommend that the Company take the
following actions:

      a)        Establish a special committee of directors which would
immediately retain a well-known industry financial advisor to start an auction
process and solicit offers for the Company and or engage in discussions with
strategic buyers.

      b)        Appoint a committee of outside directors to evaluate all
potential offers and other financial alternatives.

      c)        Refrain from expansion opportunities and focus resources on a
stock buyback plan, especially at current prices.

      d)        Work to nominate two Board members of Bristol's choice, which we
agreed would be something you would inquire about with the Company's attorneys
and report back to us.

      As one of the Company's larger shareholders, we would prefer to work with
you and the Board in a cooperative manner and hope that you appreciate that
working with us is strongly in the Company's best interest and that of all
shareholders. I suggest we schedule a time in the near future to personally meet
and further discuss strategic initiatives. We remain optimistic about the
Company's prospects and trust that you will diligently work to address our
concerns.

                                        Yours truly,

                                        /s/ Paul Kessler
                                        ----------------
                                        Paul Kessler
                                        Manager, Bristol Capital Advisors, LLC