Significant Accounting Policies Self Insurance Liabilities (Details) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013
Parent Company [Member] | Self-insurance retention per claim [Member] | General and Professional Liability Insurance [Member]
Self Insurance Limits	$ 500
Parent Company [Member] | Aggregate Deductible [Member] | General and Professional Liability Insurance [Member]
Self Insurance Limits	1,750
COLORADO | Third-Party Payor [Member] | Per Occurence [Member] | General and Professional Liability Insurance [Member]
Self Insurance Limits	1,000
COLORADO | Third-Party Payor [Member] | Per Facility [Member] | General and Professional Liability Insurance [Member]
Self Insurance Limits	3,000
COLORADO | Third-Party Payor [Member] | Blanket Aggregate [Member] | Professional Malpractice Liability Insurance [Member]
Self Insurance Limits	10,000
All States Accept Colorado [Domain]
Skilled Nursing, Assisted Living and Independent Living Facilities	104
All States Accept Colorado [Domain] | Third-Party Payor [Member] | Per Occurence [Member] | General and Professional Liability Insurance [Member]
Self Insurance Limits	1,000
All States Accept Colorado [Domain] | Third-Party Payor [Member] | Per Facility [Member] | General and Professional Liability Insurance [Member]
Self Insurance Limits	3,000
All States Accept Colorado [Domain] | Third-Party Payor [Member] | Blanket Aggregate [Member] | General and Professional Liability Insurance [Member]
Self Insurance Limits	$ 10,000