Long-Term Debt and Interest Rate Swap (Details) (USD $)	0 Months Ended	9 Months Ended								0 Months Ended	9 Months Ended					0 Months Ended
	May 01, 2013	Sep. 30, 2014 Center Letter_Of_Credit	Dec. 31, 2013	Sep. 30, 2014 Interest rate swap	Sep. 30, 2014 Revolving credit facility	Mar. 30, 2014 Revolving credit facility	May 01, 2013 Revolving credit facility	Sep. 30, 2014 Loans Payable	Sep. 30, 2014 LIBOR	May 01, 2013 Credit Agreement	Sep. 30, 2014 Credit Agreement	May 01, 2013 Credit Agreement	Sep. 30, 2014 Maximum Revolving credit facility	Sep. 30, 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	Jul. 01, 2014 Loans Payable Rose Terrace Note Rose Terrace Nursing Center	Sep. 30, 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	45,000,000
Long-term debt revolving credit facility						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				21,847,000
Debt interest rate at period end								4.65%
Number of owned nursing centers secured		13
Borrowings outstanding														6,000,000	3,000,000		7,991,000
Letters of credit issued under Revolver outstanding		3.00%
Number of letters of credit		10
Borrowing under the revolving credit facility					12,728,000
Mortgage loan outstanding																8,000,000
Liability at fair value				(755,000)
Accumulated other comprehensive loss		468,000	569,000	(468,000)
Net income tax benefit				$ 287,000