Business (Details)	Mar. 31, 2014 Center Bed State	Oct. 02, 2013 Bed Center	Mar. 01, 2014 Huntsville, Alabama Bed Center	Oct. 02, 2013 Ohio and Indiana Bed	Oct. 02, 2013 Ohio Center	Oct. 02, 2013 Indiana Center	Aug. 01, 2013 Louisville, KY Bed	May 01, 2013 Kansas Bed Center
Entity Location [Line Items]
Number of states in which entity operates	9
Number of nursing centers	48	4	7		3	1		5
Number of licensed nursing beds	5,449		135	442			107	418
Number of nursing center facilities owned	14
Number of nursing center facilities leased	34
Number of beds not included in recently leased skilled nursing center		270