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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 0 Months Ended 0 Months Ended
Oct. 01, 2013
Sep. 30, 2014
Bed
Center
Mar. 01, 2014
Huntsville, Alabama
Option
Bed
Center
Mar. 01, 2014
Huntsville, Alabama
Bed
Center
Oct. 01, 2013
Skilled Nursing Center
Center
May 01, 2013
Kansas
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
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
May 01, 2013
Kansas
Council Grove HealthCare Center
Skilled Nursing Center
Bed
Aug. 01, 2014
Ohio
Aug. 01, 2014
Ohio
Center
Oct. 01, 2013
Ohio
Skilled Nursing Center
Center
Aug. 01, 2014
Ohio
Avon Place
Bed
Aug. 01, 2014
Ohio
Ontario Commons
Bed
Jul. 01, 2014
Missouri
Jul. 01, 2014
Missouri
Bed
Jun. 01, 2014
Nicholasville, Kentucky
Jun. 01, 2014
Nicholasville, Kentucky
Bed
Oct. 01, 2013
Indiana
Skilled Nursing Center
Center
Aug. 01, 2013
Louisville, KY
Aug. 01, 2013
Louisville, KY
Bed
Entity Location [Line Items]                                                    
Number of nursing centers   51   7 4 5                   2 3             1    
Purchase Price               $ 15,500                                    
Acquisition-related expenses               338                                    
Number of licensed nursing beds   6,229   135           77 119 80 62 80       142 42   339   73     107
Less: Liabilities assumed                 758                                  
Total cash outlay             $ 14,742 $ 14,742                                    
Lease agreement term 15 years   10 years                       10 years         15 years   15 years     15 years  
Lease renewal period 5 years   5 years                                 5 years   5 years     5 years  
Maximum number of capital lease renewal periods     2