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Business Development (Details) (USD $)
9 Months Ended 0 Months Ended 9 Months Ended 1 Months Ended 0 Months Ended 1 Months Ended 9 Months Ended
Sep. 30, 2013
Option
Bed
Center
May 01, 2013
Kansas
Skilled Nursing Center
Sep. 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
Apr. 30, 2012
Clinton, KY
Leased
Option
Bed
Aug. 03, 2013
Louisville, KY
Sep. 30, 2013
Louisville, KY
Facility
Aug. 01, 2013
Louisville, KY
Bed
Sep. 30, 2012
Louisville, KY
Leased
Sep. 30, 2013
Louisville, KY
Leased
Bed
Entity Location [Line Items]                            
Number of nursing centers 43                   9      
Purchase Price   $ 15,500,000                       $ 0
Acquisition-related expenses   338,000                        
Number of licensed nursing beds 4,882     77 80 119 80 62 88     107   154
Less: Liabilities assumed   758,000                        
Total cash outlay   14,742,000                        
Revenue     9,706,000                      
Approximate annual repayment of capital lease obligation                 373,000          
Lease agreement term                 10 years 15 years     15 years  
Lease renewal period                 5 years 5 years     5 years  
Maximum number of capital lease renewal periods 2               2          
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