Receivables (Narrative) (Details) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013 Center	Oct. 02, 2013 Center	Dec. 31, 2012
Accounts, Notes, Loans and Financing Receivable [Line Items]
Other receivables	$ 1,118		$ 1,397
Number of nursing centers	47	4
Renovation Projects
Accounts, Notes, Loans and Financing Receivable [Line Items]
Other receivables	843		982
Skilled Nursing Center
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of nursing centers		4
Louisville, KY | Skilled Nursing Center
Accounts, Notes, Loans and Financing Receivable [Line Items]
Other receivables	$ 5,100
Ohio
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of nursing centers		3
Indiana
Accounts, Notes, Loans and Financing Receivable [Line Items]
Number of nursing centers		1