Advocat Receives National Quality Award From the American Healthcare Association

Advocat Inc. (Nasdaq:AVCA) today announced that one of its long term care facilities, Northside Health Care in Gadsden, Alabama, was recognized as a recipient of a Silver Award under the 2011 National Quality Award program by the American Healthcare Association (AHCA).

The AHCA awards are based on the Malcolm Baldridge National Quality Award criteria and have three levels of awards for nursing homes. To be eligible to receive these national awards, a facility must demonstrate at least a three-year history of excellence in quality care, staff and residents' satisfaction and regulatory compliance.

"I am pleased to announce Advocat's continued recognition by the AHCA for our commitment to providing quality healthcare for our residents. Thirty-one of the 371 applicants received the Silver Quality Award this year. With this award, 38 of our 46 facilities have won National Quality Awards, with four winning Silver awards. We are very proud of the employees of Northside Health Care for their commitment to quality performance," stated William R. Council, III, Chief Executive Officer of Advocat Inc.

Advocat provides long term care services to patients in 46 skilled nursing centers containing 5,364 licensed nursing beds, primarily in the Southeast and Southwest. For additional information about the Company, visit Advocat's web site: www.advocat-inc.com.

CONTACT: Company Contact:
         William R. Council, III
         President and CEO
         615.771.7575
         
         Investor Relations:
         Cameron Associates
         Rodney O'Connor
         212.554.5470