Goodwill and Other Indefinite-Lived Intangible Assets Goodwill Rollforward (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2017 USD ($)
Goodwill [Line Items]
January 1, 2017	$ 67,100
Additions	1,826
March 31, 2017	68,926
Transitional and Skilled Services Segment [Member]
Goodwill [Line Items]
January 1, 2017	40,636
Additions	0
March 31, 2017	40,636
Assisted and Independent Living Services Segment [Member]
Goodwill [Line Items]
January 1, 2017	3,538
Additions	0
March 31, 2017	3,538
Home Health and Hospice Services
Goodwill [Line Items]
January 1, 2017	17,901
Additions	1,826
March 31, 2017	19,727
Other Segments [Member]
Goodwill [Line Items]
January 1, 2017	5,025
Additions	0
March 31, 2017	$ 5,025