Business Segments (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2016 USD ($) Segments business facilities
Segment Reporting Information [Line Items]
Number of Reportable Segments | Segments	3
Traditional and Skilled Service Facilities | facilities	149
Traditional and Skilled Services and Assistant and Independent Living Campuses | facilities	21
Home Health, Hospice and Home Care Operations | business	39
Business Exit Costs | $	$ 7,935
Gain (Loss) on Contract Termination | $	6,512
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Segment Reporting Information [Line Items]
Sale Price from Divestiture of Businesses | $	$ 41,492
Assisted Living and Independent Living Facility [Member] [Member]
Segment Reporting Information [Line Items]
Number of Units in Real Estate Property | facilities	40