Summary of Significant Accounting Policies (Narrative) (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended				12 Months Ended
	Dec. 31, 2013 Center Entity	Dec. 31, 2012	Dec. 31, 2011	Oct. 02, 2013 Center	Dec. 31, 2013 Leases, Acquired-in-Place	Dec. 31, 2013 Leased Center	Dec. 31, 2013 Leased Leases, Acquired-in-Place Center	Dec. 31, 2013 Omega Healthcare Investors, Inc Leased Center	Dec. 31, 2013 Omega Healthcare Investors, Inc Leased Leases, Acquired-in-Place Facility	Jan. 31, 2013 Omega Healthcare Investors, Inc Leased Leases, Acquired-in-Place Center	Dec. 31, 2013 Aviv REIT Leased Center	Dec. 31, 2013 Other Parties Leased Center	Dec. 31, 2013 Pharmacy Partnership
Accounting Policies [Line Items]
Number of variable interest entities	1
Percentage of owned joint venture Investment in nonconsolidated affiliate													50.00%
Investment in unconsolidated affiliate	$ 487	$ 420
Period of retroactive adjustment for reimbursements	3 years
Net favorable (unfavorable) estimated settlements from federal and state programs	151	(273)	630
Provision for doubtful accounts	4,191	3,064	1,780
Provision for doubtful accounts as a percentage of net revenue	1.50%	1.20%	0.70%
Number of nursing centers	47			4		34	7	25	1	2	6	3
Asset impairment	0	0	344
Remaining life of the acquired lease					28 years
Amortization of intangible asset	384	384	384
Stock based compensation	$ 950	$ 573	$ 528