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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 0 Months Ended
Oct. 01, 2013
Jun. 30, 2014
Bed
Center
Oct. 01, 2013
Center
Mar. 01, 2014
Huntsville, Alabama
Option
Center
Bed
Mar. 01, 2014
Huntsville, Alabama
Center
Bed
Oct. 01, 2013
Skilled Nursing Center
Center
May 01, 2014
Kansas
Skilled Nursing Center
May 01, 2013
Kansas
Skilled Nursing 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
Jun. 01, 2014
Nicholasville, Kentucky
Jun. 01, 2014
Nicholasville, Kentucky
Bed
Aug. 01, 2013
Louisville, KY
Aug. 01, 2013
Louisville, KY
Bed
Oct. 01, 2013
Ohio
Skilled Nursing Center
Center
Oct. 01, 2013
Indiana
Skilled Nursing Center
Center
Entity Location [Line Items]                                        
Number of nursing centers   46 4   7 4                         3 1
Purchase Price               $ 15,500                        
Acquisition-related expenses               338                        
Number of licensed nursing beds   5,282     135         77 80 119 80 62   73   107    
Less: Liabilities assumed                 758                      
Total cash outlay             $ 14,742 $ 14,742                        
Lease agreement term 15 years     10 years                     15 years   15 years      
Lease renewal period 5 years     5 years                     5 years   5 years      
Maximum number of capital lease renewal periods       2