Company and Organization (Details)	Dec. 31, 2013 Center Bed State	Oct. 02, 2013 Bed Center	Oct. 02, 2013 Skilled Nursing Center Center	Oct. 02, 2013 Kansas Bed	May 31, 2013 Kansas Bed Center	May 01, 2013 Kansas Skilled Nursing Center Center	Oct. 02, 2013 Ohio Center	Aug. 01, 2013 Louisville, KY Skilled Nursing Center Bed	Oct. 02, 2013 Indiana Center	Dec. 31, 2013 Owned Center	Dec. 31, 2013 Leased Center	Dec. 31, 2013 Leased Louisville, KY Bed
Entity Location [Line Items]
Number of states in which entity operates	9
Number of nursing centers	47	4	4		5	5	3		1	13	34
Number of licensed nursing beds	5,318			442	418			107				154
Number of beds not included in recently leased skilled nursing center		270