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+ References

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+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 13
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=56944662&loc=d3e3213-108585

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Glossary Investing Activities
-URI http://asc.fasb.org/extlink&oid=6516133

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Acquisitions Acquisition Summary (Details) $ in Thousands		3 Months Ended
Acquisitions Acquisition Summary (Details) $ in Thousands	May. 01, 2016 USD ($) Operations Beds facilities	Mar. 31, 2016 USD ($) Operations Beds	Mar. 31, 2015 USD ($)
Business Acquisition [Line Items]
Payments to Acquire Businesses, Net of Cash Acquired \| $		$ 490	$ 38,709
621610 Home Health Care Services [Member]
Business Acquisition [Line Items]
Number of Businesses Acquired \| Operations		1
Hospice Agency [Member]
Business Acquisition [Line Items]
Number of Businesses Acquired \| Operations		1
8051 Services, Skilled Nursing Care Facilities [Member]
Business Acquisition [Line Items]
Operational Skilled Nursing Beds \| Beds		70
Home Health Care Services and Hospice Agencies [Member]
Business Acquisition [Line Items]
Payments to Acquire Businesses, Net of Cash Acquired \| $		$ 490
Subsequent Event [Member] \| Skilled Nursing Care Facilities and Assisted Living Operations [Member]
Business Acquisition [Line Items]
Payments to Acquire Businesses, Net of Cash Acquired \| $	$ 52,095
Subsequent Event [Member] \| Hospice Agency [Member]
Business Acquisition [Line Items]
Number of Businesses Acquired \| Operations	1
Subsequent Event [Member] \| 8051 Services, Skilled Nursing Care Facilities [Member]
Business Acquisition [Line Items]
Number of Businesses Acquired \| Operations	18
Subsequent Event [Member] \| Skilled Nursing Care Facilities and Assisted Living Operations [Member] \| Skilled Nursing Care Facilities and Assisted Living Operations [Member]
Business Acquisition [Line Items]
Payments to Acquire Businesses, Net of Cash Acquired \| $	$ 24,600
Subsequent Event [Member] \| 8051 Services, Skilled Nursing Care Facilities [Member]
Business Acquisition [Line Items]
Number of Businesses Acquired \| facilities	2
Assisted Living Facility [Member]
Business Acquisition [Line Items]
Operational Skilled Nursing Beds \| Beds		30
8051 Services, Skilled Nursing Care Facilities [Member] \| Subsequent Event [Member]
Business Acquisition [Line Items]
Operational Skilled Nursing Beds \| Beds	2,177
8051 Services, Skilled Nursing Care Facilities [Member] \| Subsequent Event [Member]
Business Acquisition [Line Items]
Number of Businesses Acquired \| facilities	16