Business (Details)	Jun. 30, 2013 Bed Center State
Entity Location [Line Items]
Number of states in which entity operates	9
Number of nursing centers	53
Number of licensed nursing beds	5,956
Kansas
Entity Location [Line Items]
Number of licensed nursing beds	418
Clinton, KY
Entity Location [Line Items]
Number of beds not included in recently leased skilled nursing center	88
Louisville, KY
Entity Location [Line Items]
Number of licensed nursing beds	154
Owned
Entity Location [Line Items]
Number of nursing centers	13
Leased
Entity Location [Line Items]
Number of nursing centers	40
Leased | Louisville, KY
Entity Location [Line Items]
Number of licensed nursing beds	154