Subsequent Events (Details) (USD $) In Millions, unless otherwise specified	Mar. 31, 2014 Center Bed	Oct. 02, 2013 Center	Apr. 03, 2014 Subsequent Event Culloden, WV Rose Terrace Nursing Center	Apr. 03, 2014 Subsequent Event West Virginia Rose Terrace Nursing Center Center	Apr. 03, 2014 Subsequent Event Danville and Ivydale, West Virginia Rose Terrace Nursing Center Center	Dec. 27, 2011 Variable Interest Entity, Not Primary Beneficiary Culloden, WV Bed
Subsequent Event [Line Items]
Number of licensed nursing beds	5,449					90
Purchase price			$ 16.5
Number of nursing centers	48	4		2	2