Significant Accounting Policies Self Insurance Liabilities (Details) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2014 facilities
All States Accept Colorado [Domain]
Liability for Claims and Claims Adjustment Expense [Line Items]
Skilled Nursing, Assisted Living and Independent Living Facilities	118
General and Professional Liability Insurance [Member] | Self-insurance retention per claim [Member] | Parent Company [Member]
Liability for Claims and Claims Adjustment Expense [Line Items]
Self Insurance Limits	$ 500
General and Professional Liability Insurance [Member] | Aggregate Deductible [Member] | Parent Company [Member] | CALIFORNIA
Liability for Claims and Claims Adjustment Expense [Line Items]
Self Insurance Limits	1,000
General and Professional Liability Insurance [Member] | Aggregate Deductible [Member] | Parent Company [Member] | Non-California [Domain]
Liability for Claims and Claims Adjustment Expense [Line Items]
Self Insurance Limits	750
General and Professional Liability Insurance [Member] | Per Occurence [Member] | Third-Party Payor [Member] | COLORADO
Liability for Claims and Claims Adjustment Expense [Line Items]
Self Insurance Limits	1,000
General and Professional Liability Insurance [Member] | Per Occurence [Member] | Third-Party Payor [Member] | All States Accept Colorado [Domain]
Liability for Claims and Claims Adjustment Expense [Line Items]
Self Insurance Limits	1,000
General and Professional Liability Insurance [Member] | Per Facility [Member] | Third-Party Payor [Member] | COLORADO
Liability for Claims and Claims Adjustment Expense [Line Items]
Self Insurance Limits	3,000
General and Professional Liability Insurance [Member] | Per Facility [Member] | Third-Party Payor [Member] | All States Accept Colorado [Domain]
Liability for Claims and Claims Adjustment Expense [Line Items]
Self Insurance Limits	3,000
General and Professional Liability Insurance [Member] | Blanket Aggregate [Member] | Third-Party Payor [Member] | All States Accept Colorado [Domain]
Liability for Claims and Claims Adjustment Expense [Line Items]
Self Insurance Limits	$ 5,000