Leases (Lease and Subleased Facilities to Third-Party Operators) (Details)				9 Months Ended
	Apr. 06, 2017 USD ($)	Mar. 08, 2017 USD ($)	Feb. 05, 2016 USD ($) subsidiary	Sep. 30, 2017 USD ($) facility
Operating Leased Assets [Line Items]
Number of skilled nursing facilities under non-cancelable operating leases | facility				11
Number of sublease agreements executed | facility				27
Number of sublease agreements executed, owned by company | facility				14
Rent revenue, property under rectification				$ 1
Rent revenue, period for dollar one rent				3 months
Rent revenue, period for discounted rent				5 months
Rent revenue, discount, percentage (percentage)				50.00%
Escalation percentage through initial term, as a percent				0.03
Number of facilities | facility				30
Current debt				$ 8,300,000
Meadowood Retirement Village
Operating Leased Assets [Line Items]
Escalation percentage through initial term, as a percent		0.02
Escalation percentage per renewal (percentage)		0.025
Payments to acquire businesses		$ 5,500,000
Skyline Lease | Arkansas Leases and Facilities | Disposal Group, Disposed of by Sale, Not Discontinued Operations
Operating Leased Assets [Line Items]
Number of sublease agreements executed | facility				9
Number of wholly owned subsidiaries entered into loan agreement | subsidiary			9
Agreement to sell, value			$ 55,000,000
Cash consideration			52,000,000
Skyline Lease | Arkansas Leases and Facilities | Disposal Group, Disposed of by Sale, Not Discontinued Operations | Notes Receivable
Operating Leased Assets [Line Items]
Agreement to sell, value			$ 3,000,000
Savannah Beach Facility
Operating Leased Assets [Line Items]
Annual rent per agreement				$ 300,000
Oceanside Facility
Operating Leased Assets [Line Items]
Annual rent per agreement				400,000
Jefferson Facility
Operating Leased Assets [Line Items]
Annual rent per agreement				$ 600,000
Third Party Operators
Operating Leased Assets [Line Items]
Number of sublease agreements executed, owned by company | facility				16
Variable Interest Entity, Not Primary Beneficiary | Peach Health Care
Operating Leased Assets [Line Items]
Number of facilities | facility				3
Variable Interest Entity, Not Primary Beneficiary | Peach Health Care | Peach Health Sublessee
Operating Leased Assets [Line Items]
Current debt	$ 800,000
Variable Interest Entity, Not Primary Beneficiary | Line of Credit | Peach Working Capital Facility | Peach Health Care | Peach Health Sublessee
Operating Leased Assets [Line Items]
Current debt	2,500,000
Variable Interest Entity, Not Primary Beneficiary | Line of Credit | Peach Health Credit Facility Amended | Peach Health Care | Peach Health Sublessee
Operating Leased Assets [Line Items]
Line of credit, maximum borrowing	$ 1,000,000
Fixed rates of interest (percentage)				13.50%
Escalation percentage per renewal (percentage)				0.01
Term of note				1 year
Period of extension option	6 months
Loan receivable, fixed interest rate (percentage)	13.50%
Debt instrument, interest rate, increase (decrease), (percentage)	1.00%
Maximum period obligations under guaranty ceases	4 years
Period of amortization schedule	18 months
Long-term LOC				$ 900,000