Income Taxes (Details) (USD $)	12 Months Ended			0 Months Ended	12 Months Ended			0 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Aug. 01, 2007 SEUSA	Dec. 31, 2011 SEUSA	Dec. 31, 2010 SEUSA	Dec. 31, 2012 SEUSA	Apr. 07, 2011 HCR ManorCare
Income Taxes
Income tax expense (benefit)	$ (1,636,000)	$ 1,250,000	$ 412,000
Anticipated decrease in unrecognized tax benefits over the next 12 months	891,000
Income tax disclosure
Amount that tax basis of net assets is less than reported amounts	7,600,000,000	7,400,000,000
Decrease in unrecognized tax benefits after receiving approval from the taxing authorities					6,900,000
Period during which disposition of pre-acquisition assets are subject to corporate level tax				10 years				10 years
Reconciliation of unrecognized tax benefits
Balance at the beginning of the year					6,890,000	7,975,000	1,977,000
Additions based on prior year's tax positions					1,783,000
Reductions based on prior years' tax positions					(6,890,000)	(1,085,000)
Additions based on current year's tax positions					194,000
Balance at the end of the year				8,000,000	1,977,000	6,890,000	1,977,000	2,000,000
Reversal of interest associated with unrecognized tax benefits					1,300,000
Interest associated with unrecognized tax benefits					(1,100,000)	200,000
Net decrease in unrecognized tax benefits		$ (4,900,000)