Leases (North and South Carolina, Oklahoma Lease) (Details) - Lease Arrangement, Type [Domain]								6 Months Ended
	Jun. 01, 2015 facility	May. 31, 2015 USD ($)	May. 30, 2015 USD ($)	Apr. 29, 2015 USD ($) bed subsidiary lease_renewal facility	Apr. 01, 2015 sublease facility	Mar. 20, 2015 facility	Feb. 27, 2015 USD ($) subsidiary facility	Jun. 30, 2015 bed facility
Operating Leased Assets [Line Items]
Number of subsidiaries entered into sublease agreement | subsidiary				2
Number of skilled nursing facilities								13
Escalation percentage through initial term, as a percent		1.03
Number of skilled nursing facilities under non-cancelable operating leases								11
Base rent, year one | $		$ 54,000	$ 59,000
Base rent, year two, per agreement | $		$ 59,000
Number of facilities				2				15
Number of beds | bed								1,572
Future minimum payments due, next twelve months | $				$ 960,000
Southwest LTC-Quail Creek, LLC and Southwest LTC-NW OKC, LLC
Operating Leased Assets [Line Items]
Number of skilled nursing facilities under non-cancelable operating leases				1
North Carolina and South Carolina
Operating Leased Assets [Line Items]
Number of subsidiaries entered into sublease agreement | subsidiary							3
Initial lease term (in years)							15 years
Renewal term (in years)							5 years
Annual rent in the first year | $							$ 1,800,000
Escalation percentage through initial term, as a percent							0.03
South Carolina
Operating Leased Assets [Line Items]
Number of skilled nursing facilities							2
Number of leases agreements, commenced					2
Escalation percentage through renewal term, as a percent						0.2
Number of skilled nursing facilities under non-cancelable operating leases						2
NORTH CAROLINA
Operating Leased Assets [Line Items]
Number of skilled nursing facilities							1
Number of leases agreements, commenced	1
Quail Creek Nursing Home
Operating Leased Assets [Line Items]
Number of beds | bed				109
Lessee Leasing Arrangements, Operating Leases, Term of Contract				10 years
Number of renewal terms | lease_renewal				2
Renewal term (in years)				5 years
Northwest Nursing Center
Operating Leased Assets [Line Items]
Number of beds | bed				88