Business Segments (Details)	6 Months Ended
	Jun. 30, 2015 business Segments facilities Rate	Dec. 31, 2014 facilities
Segment Reporting Information [Line Items]
Number of Reportable Segments | Segments	2
Number of Real Estate Properties Operated | facilities	150	136
Home Health and Hospice Segment [Member]
Segment Reporting Information [Line Items]
Business operated | business	26
All Other [Member]
Segment Reporting Information [Line Items]
Noncontrolling Interest, Ownership Percentage by Parent	80.00%