Long-Term Debt and Interest Rate Swap (Details) (USD $)	9 Months Ended						9 Months Ended		0 Months Ended	9 Months Ended
	Sep. 30, 2013 Letter_Of_Credit Center	Sep. 30, 2012	Dec. 31, 2012	Sep. 30, 2013 Interest rate swap	Sep. 30, 2013 Variable Interest Entity, Not Primary Beneficiary Culloden, WV	Sep. 30, 2013 Mortgage Loan	Sep. 30, 2013 Revolving credit facility	Sep. 30, 2013 LIBOR	May 01, 2013 Credit Agreement	Sep. 30, 2013 Credit Agreement	May 01, 2013 Credit Agreement Mortgage Loan	May 01, 2013 Credit Agreement Revolving credit facility
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Revolving credit facility and the maximum loan	$ 20,000,000								$ 65,000,000		$ 45,000,000	$ 20,000,000
Loan acquisition costs									1,341,000
Term of debt agreement										5 years
Amount written off associated with Original Mortgage Loan	320,000	0
Long-term debt for syndicate of banks mortgage debt	45,000,000
Long-term debt five year maturity	5 years
Long-term debt revolving credit facility							20,000,000
Mortgage loan with principal and interest payable monthly based	25 years
Long-term debt interest based on LIBOR	4.50%							4.50%
Long-term debt fixed based on the interest rate swap	6.87%			6.87%
Notional Amount of Interest Rate Derivatives				22,338,000
Debt interest rate at period end						4.68%
Number of owned nursing centers secured	13
Letters of credit issued under Revolver outstanding	3.00%
Number of letters of credit	2
Total value of letters of credit outstanding	5,551,000
Borrowing under the revolving credit facility							14,449,000
Notes payable, including current portion	49,142,000		28,026,000		5,528,000
Liability at fair value				(1,091,000)
Accumulated other comprehensive loss	677,000		920,000	677,000
Net of the income tax benefit, interest rate swap				$ (414,000)