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Commitments and Contingencies (Narrative) (Details) (USD $)
12 Months Ended 12 Months Ended 0 Months Ended 12 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 1 Months Ended
Dec. 31, 2013
Lawsuit
Center
Bed
Multiple
Dec. 31, 2012
Dec. 31, 2011
Oct. 02, 2013
Center
Dec. 31, 2013
Medicare
Total patient and resident revenues
Medicare and Medicaid programs
Dec. 31, 2013
Medicaid Programs
Total patient and resident revenues
Medicare and Medicaid programs
Aug. 13, 2012
Chief Financial Officer
Aug. 13, 2012
Chief Operating Officer
Dec. 31, 2013
Professional malpractice liability insurance
Dec. 31, 2013
Prefunded deductible policy
Dec. 31, 2013
Scheduled for trial or arbitration over next 12 months
Lawsuit
Dec. 31, 2013
Minimum
Dec. 31, 2013
Maximum
Dec. 31, 2013
Omega Healthcare Investors, Inc
Multiple
Sep. 02, 2013
Omega Healthcare Investors, Inc
Jan. 31, 2013
Omega Healthcare Investors, Inc
Leases, Acquired-in-Place
Dec. 31, 2013
Omega Healthcare Investors, Inc
Leases, Acquired-in-Place
Bed
Aug. 31, 2009
Omega Healthcare Investors, Inc
Texas
Dec. 31, 2013
Omega Healthcare Investors, Inc
Texas
Dec. 31, 2013
Leased
Center
Dec. 31, 2013
Leased
Leases, Acquired-in-Place
Center
Dec. 31, 2013
Leased
Omega Healthcare Investors, Inc
Center
Dec. 31, 2013
Leased
Omega Healthcare Investors, Inc
Leases, Acquired-in-Place
Center
Facility
Jan. 31, 2013
Leased
Omega Healthcare Investors, Inc
Leases, Acquired-in-Place
Center
Aug. 31, 2009
Leased
Omega Healthcare Investors, Inc
Texas
Bed
Aug. 02, 2009
Leased
Omega Healthcare Investors, Inc
Texas
Bed
Aug. 11, 2007
Leased
Omega Healthcare Investors, Inc
Texas
Facility
Sep. 02, 2013
Arkansas
Omega Healthcare Investors, Inc
Facility
Commitments and Contingencies [Line Items]                                                        
Lease and rent expense $ 21,542,000 $ 19,050,000 $ 18,064,000                             $ 789,000                    
Accrued liability related to straightline rent 10,759,000 11,389,000                                                    
Number of nursing centers 47     4                               34 7 25 1 2     7  
Capital lease renewal period                           12 years                            
Multiple of increase in consumer price index                           2                            
Annual increase in consumer price index                           300.00%         2.50%                  
Number of nursing centers that leases were terminated                                                       11
Amount of reduction in annual rent payable                             5,000,000                          
Annual capital expenditures related to leased facilities per licensed bed                           427                            
Total required capital expenditures during remaining lease term                           7,336,000                            
Letters of credit security deposit for a lease                           6,957,000 4,551,000                          
Number of licensed nursing beds 5,318                               15               119 102    
Percentage of total cost of replacement facility                                   10.25%                    
Total cost of replacement facility                                   7,702,000                    
Insurance policy coverage limits per claim                 500,000 500,000                                    
Renovation funding amount                               5,000,000 20,000,000                      
Percentage of amount financed                               10.25%                        
Number of nursing center facilities under renovation                                             14          
Maximum claim amount on insurance                 5,000,000                                      
Workers compensation insurance, maximum annual aggregate self-insured amount 1,000,000                                                      
Liability for reported and estimated future claims                 27,067,000                                      
Number of professional liability lawsuits 54                   5                                  
Cash expenditures for self-insured professional liability costs 5,367,000 2,682,000 3,811,000                                                  
Non-current receivables for workers' compensation policy 440,000 1,238,000                                                    
Professional liability insurance, annual coverage limit per facility                   3,000,000                                    
Liability for workers compensation claims 176,000                                                      
Workers compensation insurance, non current receivable for excess premiums paid 833,000                                                      
Health insurance, maximum self-insured annual amount per individual 175,000                                                      
Liability for reported claims and estimates for incurred but unreported claims                   843,000                                    
Salary multiple 2                                                      
Maximum contingent liability 1,260,000                                                      
Employee termination agreement term                       1 year 3 years                              
Renewal period for employee agreements 1 year                                                      
Base salary             $ 225,000 $ 275,000                                        
Number of legal actions 1                                                      
Percentage of total patient and residential revenues         27.30% 53.50%