Discontinued Operations (Details) (USD $)	3 Months Ended		9 Months Ended					9 Months Ended
	Sep. 30, 2013 Bed	Sep. 30, 2012	Sep. 30, 2013 Bed	Sep. 30, 2012	Sep. 30, 2013 Leased Skilled Nursing Centers	Sep. 30, 2012 Leased Skilled Nursing Centers	Dec. 31, 2012 Leased Skilled Nursing Centers	Sep. 30, 2013 Skilled Nursing Center	Sep. 30, 2012 Skilled Nursing Center	Sep. 02, 2013 Omega Healthcare Investors, Inc.	Sep. 02, 2013 Omega Healthcare Investors, Inc. Arkansas Facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of nursing centers under lease terminated											11
Number of licensed nursing beds	4,882		4,882								1,181
Annual decrease in rent payable, amount										$ 5,000,000
Revenue					40,161,000	46,140,000		0	3,463,000
Income (loss) from discontinued operations	(2,421,000)	518,000	(2,555,000)	1,013,000	(2,432,000)	836,000		(130,000)	7,000
Restructuring	944,000	0	944,000	0
Net accounts receivable					1,963,000		4,485,000
Accrued labilities, current					$ 546,000		$ 2,199,000