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Business Development (Narrative) (Details) (USD $)
12 Months Ended 1 Months Ended 1 Months Ended 12 Months Ended 12 Months Ended 0 Months Ended 12 Months Ended 0 Months Ended
Dec. 31, 2013
Option
Center
Bed
Dec. 31, 2012
Dec. 31, 2011
Oct. 02, 2013
Center
Dec. 31, 2013
Leased
Center
Oct. 02, 2013
Kansas
Bed
May 31, 2013
Kansas
Bed
Center
Sep. 30, 2012
Louisville, KY
Leased
Dec. 31, 2013
Louisville, KY
Leased
Bed
Dec. 31, 2013
Kentucky
Center
Apr. 30, 2012
Clinton Kentucky
Leased
Option
Bed
Dec. 31, 2013
Skilled Nursing Center
Oct. 02, 2013
Skilled Nursing Center
Center
May 01, 2013
Skilled Nursing Center
Kansas
Center
Aug. 01, 2013
Skilled Nursing Center
Louisville, KY
Bed
Dec. 31, 2013
Skilled Nursing Center
Kentucky
May 01, 2013
Kansas
Skilled Nursing Center
Dec. 31, 2013
Kansas
Skilled Nursing Center
Oct. 04, 2013
Louisville, KY
Aug. 03, 2013
Louisville, KY
Skilled Nursing Center
Oct. 02, 2013
Ohio
Skilled Nursing Center
Center
Oct. 02, 2013
Indiana
Skilled Nursing Center
Center
May 01, 2013
Chanute HealthCare Center
Kansas
Skilled Nursing Center
Bed
May 01, 2013
Council Grove HealthCare Center
Kansas
Skilled Nursing Center
Bed
May 01, 2013
Haysville HealthCare Center
Kansas
Skilled Nursing Center
Bed
May 01, 2013
Larned HealthCare Center
Kansas
Skilled Nursing Center
Bed
May 01, 2013
Sedgwick HealthCare Center
Kansas
Skilled Nursing Center
Bed
Business Development and Discontinued Operations [Line Items]                                                      
Number of nursing centers 47     4 34   5     9     4 5             3 1          
Purchase Price                                 $ 15,500,000                    
Acquisition related expenses                                 338,000                    
Number of licensed nursing beds 5,318         442 418   154   88       107               77 80 119 80 62
Less: Liabilities assumed                                 758,000                    
Revenues contributed to consolidated statement of operations from acquired facilities                       9,225,000       3,487,000   15,440,000                  
Term of lease                                     15 years 15 years              
Term of renewal option of lease                                     5 years 5 years              
Capital lease maturity period               15 years     10 years                                
Maximum number of capital lease renewal periods 2                   2                                
Capital lease renewal period               5 years     5 years                                
Period from capital lease inception for purchase option                     5 years                                
Commencement fee                     125,000                                
Total cash paid 14,742,000 0 0                           14,742,000                    
Purchase options, land                     $ 3,300,000