Discontinued Operations (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2013 Bed	Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2013 Bed	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2013 Leased Skilled Nursing Centers	Dec. 31, 2012 Leased Skilled Nursing Centers	Dec. 31, 2011 Leased Skilled Nursing Centers	Dec. 31, 2012 Arkansas	Dec. 31, 2013 Arkansas Leased Skilled Nursing Centers	Dec. 31, 2012 Arkansas Leased Skilled Nursing Centers	Dec. 31, 2011 Arkansas Leased Skilled Nursing Centers	Dec. 31, 2013 North Carolina	Sep. 02, 2013 Omega Healthcare Investors, Inc. Arkansas Facility Bed
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of nursing centers that leases were terminated																				11
Number of licensed nursing beds	5,318								5,318											1,181
Income (loss) from discontinued operations, net of tax	$ (430)	$ (2,421)	$ (177)	$ 43	$ (258)	$ 518	$ 374	$ 121	$ (2,985)	$ 755	$ 929	$ (2,865)	$ 457	$ 540		$ (85)	$ 68	$ 198
Restructuring									1,446	0	0
Gain on disposal net of taxes									0	174	0				174
Discontinued operations, net	1,053				3,185				1,053	3,185									1,053
Disposal Group, Including Discontinued Operation, Income Statement Disclosures [Abstract]
Net revenues									40,151	65,245	68,838	40,151	61,782	63,589		0	3,463	5,249
Operating expenses									(44,890)	(64,373)	(67,568)
Gain from disposal of assets									0	281	0
Income (loss) from discontinued operations									(4,739)	1,153	1,270
Benefit (provision) for income taxes									1,754	(398)	(341)
Discontinued operations									$ (2,985)	$ 755	$ 929