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Business Development and Discontinued Operations (Details) (USD $)
3 Months Ended 6 Months Ended 6 Months Ended 1 Months Ended 1 Months Ended 0 Months Ended 3 Months Ended
Jun. 30, 2013
Bed
Center
Jun. 30, 2012
Jun. 30, 2013
Option
Bed
Center
Jun. 30, 2012
Dec. 31, 2012
Jun. 30, 2013
Skilled Nursing Center
Jun. 30, 2012
Skilled Nursing Center
Dec. 31, 2012
Skilled Nursing Center
Jun. 30, 2013
Leased
Center
Apr. 30, 2012
Clinton, KY
Leased
Option
Bed
Jun. 30, 2013
Louisville, KY
Bed
Sep. 30, 2012
Louisville, KY
Leased
Jun. 30, 2013
Louisville, KY
Leased
Bed
Jun. 30, 2013
Kansas
Center
May 01, 2013
Kansas
Skilled Nursing Center
Jun. 30, 2013
Kansas
Skilled Nursing Center
May 01, 2013
Kansas
Chanute HealthCare Center
Skilled Nursing Center
Bed
May 01, 2013
Kansas
Council Grove HealthCare Center
Skilled Nursing Center
Bed
May 01, 2013
Kansas
Haysville HealthCare Center
Skilled Nursing Center
Bed
May 01, 2013
Kansas
Larned HealthCare Center
Skilled Nursing Center
Bed
May 01, 2013
Kansas
Sedgwick HealthCare Center
Skilled Nursing Center
Bed
Entity Location [Line Items]                                          
Number of nursing centers 53   53           40         5              
Purchase Price                         $ 0   $ 15,500,000            
Acquisition-related expenses                             338,000            
Number of licensed nursing beds 5,956   5,956             88 154   154       77 80 119 80 62
Liabilities assumed                             758,000            
Total cash outlay                             14,742,000            
Revenue                               3,895,000          
Approximate annual repayment of capital lease obligation                   373,000                      
Lease agreement term                   10 years   15 years                  
Maximum number of capital lease renewal periods     2             2                      
Capital lease renewal period                   5 years   5 years                  
Option to purchase property during first five years                   3,300,000                      
Period from capital lease inception for purchase option                   5 years                      
Lease commencement fee                   125,000                      
Discontinued operations revenues           0 2,587,000                            
Discontinued operations net income (35,000) 8,000 (47,000) (85,000)   (15,000) (76,000)                            
Current assets of discontinued operations 7,000   7,000   36,000 7,000   36,000                          
Current liabilities of discontinued operations $ 41,000   $ 41,000   $ 10,000 $ 2,000   $ 10,000