Discontinued Operations (Details) (USD $)	3 Months Ended		9 Months Ended			9 Months Ended					0 Months Ended	9 Months Ended
	Sep. 30, 2014 Bed Center	Sep. 30, 2013	Sep. 30, 2014 Bed Center	Sep. 30, 2013	Dec. 31, 2013	Sep. 30, 2014 Leased Skilled Nursing Centers	Sep. 30, 2013 Leased Skilled Nursing Centers	Jan. 22, 2013 Omega Healthcare Investors, Inc.	Sep. 01, 2013 Omega Healthcare Investors, Inc. Arkansas Facility Bed	Jan. 22, 2013 Omega Healthcare Investors, Inc. Arkansas Facility	Jul. 01, 2014 Loans Payable Rose Terrace Note Rose Terrace Nursing Center	Sep. 30, 2014 West Virginia Rose Terrace Nursing Center	Sep. 30, 2013 West Virginia Rose Terrace Nursing Center	Jul. 01, 2014 West Virginia Rose Terrace Nursing Center Facility	Apr. 03, 2014 West Virginia Rose Terrace Nursing Center Center	Jul. 01, 2014 Culloden, WV Rose Terrace Nursing Center Bed	Jul. 01, 2014 Danville and Ivydale, West Virginia Rose Terrace Nursing Center Facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of nursing centers	51		51											2	2		2
Number of licensed nursing beds	6,229		6,229						1,181							90
Sales price																$ 16,500,000
Payment of balance of mortgage loan outstanding											8,000,000
Pretax gain on the transaction												7,522,000
Gain on disposal, tax benefit (provision)	(3,009,000)	0	(3,009,000)	0								(3,009,000)
Revenue from discontinued operations						0	40,161,000					10,988,000	15,944,000
Income (loss) from discontinued operations	3,928,000	(2,444,000)	3,444,000	(1,875,000)		(935,000)	(2,432,000)					165,000	680,000
Number of nursing centers under lease terminated									11	11
Annual decrease in rent payable, amount								5,000,000
Current assets of discontinued operations	390,000		390,000		2,870,000
Current liabilities of discontinued operations	$ 136,000		$ 136,000		$ 1,359,000