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Other Contingencies (Details) (USD $)
1 Months Ended 12 Months Ended
Jul. 31, 2011
Dec. 31, 2011
Short-term Debt [Line Items]    
Bank line of credit   $ 57,000,000
Line of credit expiration date   June 30, 2012
Number of states in which entity operates   47
Percentage of reduction to Medicare payments to nursing centers 11.10%  
Standby Letter Of Credit [Member]
   
Short-term Debt [Line Items]    
Irrevocable standby letter of credit, outstanding   $ 40,420,000