Business Segments (Details)	3 Months Ended
	Mar. 31, 2015 Segments facilities	Dec. 31, 2014 facilities
Segment Reporting Information [Line Items]
Number of Reportable Segments	2
Number of Real Estate Properties Operated		136
Long-term Care Segment [Member]
Segment Reporting Information [Line Items]
Number of Real Estate Properties Operated	143
Home Health and Hospice Segment [Member]
Segment Reporting Information [Line Items]
Business operated	25
All Other [Member]
Segment Reporting Information [Line Items]
Noncontrolling Interest, Ownership Percentage by Parent	80.00%