Advocat Announces Appointment of Leslie Campbell Executive Vice President and Chief Operating Officer

Advocat Inc. (Nasdaq:AVCA), a premier provider of long term care services primarily in the Southeast and Southwest, today announced the appointment of Leslie Campbell as the Company's Executive Vice President and Chief Operating Officer, effective January 1, 2013. In her new role, Ms. Campbell will assume responsibilities for the Company's operating activities, including direct oversight and management of all facets of facility operations leadership and significant components of corporate infrastructure, as required, ensuring efficient coordination of duties in achieving the Company's goals.

Commenting on the appointment, Kelly Gill, the Company's President and Chief Executive Officer, stated: "We are extremely pleased to attract an executive like Leslie with such broad and significant experience in our industry, especially as the Company continues its strategic growth initiatives.  She will be in charge of all areas of nursing center operations and will be responsible for continued improvements in our occupancy and skilled mix. Leslie will be a key member of the executive management team and I look forward to working closely with her, and the rest of Advocat's leadership team, as we lead the Company to new horizons of growth and the ongoing provision of excellent quality care to our residents."

Ms. Campbell brings extensive long-term care experience, with over 21 years in the industry including 19 years with Golden Living. Golden Living has over 300 locations in 21 states and Ms. Campbell served most recently as Senior Vice President of Operations. From June 2008 through August 2012 she served in progressive senior operating leadership roles at Golden Living, including Senior Vice President of Operations, Division President and Vice President of Operations. From June 2003 through June 2008 Ms. Campbell served in a Director of Operations role at Golden Living.

Ms. Campbell holds a Bachelor of Science degree in Physical Therapy from The University of Texas Health Science Center and also obtained her Nursing Home Licensure credentials through study at The University of Wisconsin.

Advocat provides long-term care services to patients in 48 skilled nursing centers containing 5,538 licensed nursing beds, primarily in the Southeast and Southwest. For additional information about the Company, visit Advocat's web site: www.advocatinc.com.

CONTACT: Company Contact:
         Kelly J. Gill
         Chief Executive Officer
         615-771-7575
         
         Investor Relations:
         Charles Lynch
         Westwicke Partners
         443-213-0504