Long-Term Debt and Interest Rate Swap (Details) (USD $)	3 Months Ended								0 Months Ended	3 Months Ended
	Mar. 31, 2014 Center Letter_Of_Credit	Dec. 31, 2013	Mar. 31, 2014 Interest rate swap	Mar. 31, 2014 Loans Payable	Mar. 31, 2014 Revolving credit facility	Mar. 29, 2014 Revolving credit facility	May 01, 2013 Revolving credit facility	Mar. 31, 2014 LIBOR	May 01, 2013 Credit Agreement	Mar. 31, 2014 Credit Agreement	Mar. 31, 2014 Maximum Revolving credit facility	Mar. 31, 2014 Revolving credit facility Revolving Credit Facility Interest at 4.5% Percent Above LIBOR	Dec. 31, 2013 Revolving credit facility Revolving Credit Facility Interest at 4.5% Percent Above LIBOR	Mar. 27, 2014 Loans Payable Rose Terrace Note	Mar. 31, 2014 Letter of Credit Revolving Credit Facility Interest at 4.5% Percent Above LIBOR
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Revolving credit facility and the maximum loan									$ 65,000,000
Long-term debt for syndicate of banks mortgage debt	45,000,000
Long-term debt revolving credit facility					22,500,000	20,000,000	20,000,000				27,500,000
Loan acquisition costs									1,341,000
Term of debt agreement										5 years
Long-term debt five year maturity	5 years
Mortgage loan with principal and interest payable monthly based	25 years
Long-term debt interest based on LIBOR	4.50%							4.50%
Long-term debt fixed based on the interest rate swap	6.87%		6.87%
Notional Amount of interest rate derivatives			22,055,000
Debt interest rate at period end				4.65%
Number of owned nursing centers secured	13
Borrowings outstanding												8,000,000	0		7,157,000
Letters of credit issued under Revolver outstanding	3.00%
Number of letters of credit	6
Borrowing under the revolving credit facility					12,343,000
Amount of term loan														8,000,000
Liability at fair value			(887,000)
Accumulated other comprehensive loss	550,000	569,000	337,000
Net of the income tax benefit, interest rate swap			$ (550,000)