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Business Development (Details) (USD $)
In Thousands, unless otherwise specified
0 Months Ended 0 Months Ended 0 Months Ended 0 Months Ended
Oct. 04, 2013
Mar. 31, 2014
Bed
Center
Oct. 02, 2013
Center
Mar. 01, 2014
Huntsville, Alabama
Option
Bed
Center
Oct. 02, 2013
Skilled Nursing Center
Center
May 01, 2013
Kansas
Skilled Nursing Center
May 01, 2013
Kansas
Chanute HealthCare Center
Skilled Nursing Center
Bed
May 01, 2013
Kansas
Council Grove HealthCare Center
Skilled Nursing Center
Bed
May 01, 2013
Kansas
Haysville HealthCare Center
Skilled Nursing Center
Bed
May 01, 2013
Kansas
Larned HealthCare Center
Skilled Nursing Center
Bed
May 01, 2013
Kansas
Sedgwick HealthCare Center
Skilled Nursing Center
Bed
Aug. 03, 2013
Louisville, KY
Mar. 31, 2014
Louisville, KY
Facility
Aug. 01, 2013
Louisville, KY
Bed
Oct. 02, 2013
Ohio
Skilled Nursing Center
Center
Oct. 02, 2013
Indiana
Skilled Nursing Center
Center
Entity Location [Line Items]                                
Number of nursing centers   48 4 7 4               9   3 1
Purchase Price           $ 15,500                    
Acquisition-related expenses           338                    
Number of licensed nursing beds   5,449   135     77 80 119 80 62     107    
Less: Liabilities assumed           758                    
Total cash outlay           $ 14,742                    
Lease agreement term 15 years     10 years               15 years        
Maximum number of capital lease renewal periods       2                        
Lease renewal period 5 years     5 years               5 years