Statement of Changes in Beneficial Ownership (4)

FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).	UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES	OMB APPROVAL OMB Number: 3235-0287 Estimated average burden hours per response... 0.5
	Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

1. Name and Address of Reporting Person * BRAME RICHARD M	2. Issuer Name and Ticker or Trading Symbol ADVOCAT INC [ AVCA ]	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) __ X __ Director                      _____ 10% Owner _____ Officer (give title below)      _____ Other (specify below)
(Last)          (First)          (Middle) 1621 GALLERIA BOULEVARD	3. Date of Earliest Transaction (MM/DD/YYYY) 3/11/2013
(Street) BRENTWOOD, TN 37027 (City)        (State)        (Zip)	4. If Amendment, Date Original Filed (MM/DD/YYYY)	6. Individual or Joint/Group Filing (Check Applicable Line) _ X _ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security (Instr. 3)	2. Trans. Date	2A. Deemed Execution Date, if any	3. Trans. Code (Instr. 8)		4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock	3/11/2013		M		5	A	$0.00   (1)	26591	D
Common Stock	3/12/2013		M		4	A	$0.00   (1)	26595	D
Common Stock	3/12/2013		A		333   (2)	A	$0.00	26928	D

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Trans. Date	3A. Deemed Execution Date, if any	4. Trans. Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Dividend Equivalent Rights on 2011 Restricted Stock	(3)	3/11/2013		M			5	(3)	(3)	Common Stock	5	$0.00   (1)	7.66	D
Dividend Equivalent Rights on 2012 Restricted Stock	(4)	3/12/2013		M			4	(4)	(4)	Common Stock	4	$0.00   (1)	9.28	D
Stock Settled Stock Appreciation Right	$5.45							(5)	6/18/2020	Common Stock	1000		1000	D
Stock Settled Stock Appreciation Right	$2.37							(5)	3/13/2019	Common Stock	1000		1000	D
Stock Settled Stock Appreciation Right	$10.88							(5)	3/14/2018	Common Stock	1000		1000	D
Stock Settled Stock Appreciation Right	$11.59							(5)	3/7/2017	Common Stock	1000		1000	D
Stock Options (right to buy)	$5.44							(5)	12/13/2015	Common Stock	3000		3000	D

Explanation of Responses:
( 1)	Represents vesting of dividend equivalent.
( 2)	Restricted stock grant that will vest in equal parts over the first three anniversaries of the date of grant.
( 3)	These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2011 and will vest as the underlying shares vest.
( 4)	These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2012 and will vest as the underlying shares vest.
( 5)	Vests 1/3 on first anniversary of the date of grant, 1/3 on the second anniversary of the date of grant, and 1/3 on the third anniversary of the date of grant.

Reporting Owners
Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
BRAME RICHARD M 1621 GALLERIA BOULEVARD BRENTWOOD, TN 37027	X

Signatures
/s/ Jonathan D. Stanley, Attorney-in-Fact for Richard M. Brame		3/13/2013
** Signature of Reporting Person		Date

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
*	If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note:	File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.