Business (Details)	Sep. 30, 2013 Center Bed State	May 01, 2013 Kansas Bed Center	Sep. 30, 2013 Clinton, KY Bed	Sep. 30, 2013 Louisville, KY Bed	Aug. 01, 2013 Louisville, KY Bed
Entity Location [Line Items]
Number of states in which entity operates	8
Number of nursing centers	43	5
Number of nursing center facilities owned	13
Number of nursing center facilities leased	30
Number of licensed nursing beds	4,882	418		154	107
Number of beds not included in recently leased skilled nursing center			88