Goodwill and Other Indefinite-Lived Intangible Assets Goodwill Rollforward (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2018 USD ($)
Goodwill [Line Items]
January 1,	$ 81,062
Purchase price adjustment	(99)
March 31,	80,963
Transitional and Skilled Services Segment
Goodwill [Line Items]
January 1,	45,486
Purchase price adjustment	0
March 31,	45,486
Assisted and Independent Living Services Segment
Goodwill [Line Items]
January 1,	3,958
Purchase price adjustment	0
March 31,	3,958
Home Health and Hospice Services
Goodwill [Line Items]
January 1,	24,322
Purchase price adjustment	0
March 31,	24,322
All Other
Goodwill [Line Items]
January 1,	7,296
Purchase price adjustment	(99)
March 31,	$ 7,197