Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 805

-SubTopic 30

-Section 30

-Paragraph 7

-URI http://asc.fasb.org/extlink&oid=6911251&loc=d3e6578-128477

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 805

-SubTopic 30

-Section 30

-Paragraph 8

-URI http://asc.fasb.org/extlink&oid=6911251&loc=d3e6613-128477

Reference 3: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 805

-SubTopic 30

-Section 50

-Paragraph 1

-Subparagraph (b)

-URI http://asc.fasb.org/extlink&oid=7488404&loc=d3e6927-128479

Name:	us-gaap_BusinessCombinationConsiderationTransferred1
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

Variable Interest Entity (Details Textual) (USD $) In Thousands, unless otherwise specified		0 Months Ended	6 Months Ended
	Jun. 30, 2014 Bed Entity	Mar. 27, 2014 Rose Terrace Nursing Center	Jun. 30, 2014 Minimum	Jun. 30, 2014 Maximum	Dec. 28, 2011 Variable Interest Entity, Not Primary Beneficiary Culloden, WV Bed
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Number of variable interest entity	1
Number of licensed nursing beds	5,282				90
Agreement provides company right to purchase			110.00%	120.00%
Purchase Price		$ 7,693