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Business Development (Narrative) (Details) (USD $)
In Thousands, unless otherwise specified
0 Months Ended 12 Months Ended 0 Months Ended
Oct. 01, 2013
Dec. 31, 2014
Facility
Bed
Center
Dec. 31, 2013
Facility
Dec. 31, 2012
Oct. 01, 2014
Mar. 01, 2014
Option
Bed
Center
May 01, 2013
Aug. 01, 2014
Jul. 01, 2014
Jun. 01, 2014
Aug. 01, 2013
Business Development and Discontinued Operations [Line Items]                      
Number of nursing centers   52avca_NumberOfNursingCenterFacilities 5avca_NumberOfNursingCenterFacilities                
Number of licensed nursing beds   5,825avca_NumberOfLicensedNursingBeds                  
Total cash paid   $ 0us-gaap_PaymentsToAcquireBusinessesGross $ 14,742us-gaap_PaymentsToAcquireBusinessesGross $ 0us-gaap_PaymentsToAcquireBusinessesGross              
Term of lease 15 years                    
Term of renewal option of lease 5 years                    
Greenville, Kentucky                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds         62avca_NumberOfLicensedNursingBeds
/ dei_EntityByLocationAxis
= avca_GreenvilleKentuckyMember
           
Term of lease         14 years            
Huntsville, Alabama                      
Business Development and Discontinued Operations [Line Items]                      
Number of nursing centers           7avca_NumberOfNursingCenterFacilities
/ dei_EntityByLocationAxis
= avca_HuntsvilleAlabamaMember
         
Number of licensed nursing beds           135avca_NumberOfLicensedNursingBeds
/ dei_EntityByLocationAxis
= avca_HuntsvilleAlabamaMember
         
Term of lease           10 years          
Number of additional renewal options           2avca_MaximumNumberOfLeaseRenewalPeriods
/ dei_EntityByLocationAxis
= avca_HuntsvilleAlabamaMember
         
Term of renewal option of lease           5 years          
Skilled Nursing Center                      
Business Development and Discontinued Operations [Line Items]                      
Number of nursing centers 4avca_NumberOfNursingCenterFacilities
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
                   
Skilled Nursing Center | Kansas                      
Business Development and Discontinued Operations [Line Items]                      
Number of nursing centers             5avca_NumberOfNursingCenterFacilities
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ dei_EntityByLocationAxis
= stpr_KS
       
Kansas | Skilled Nursing Center                      
Business Development and Discontinued Operations [Line Items]                      
Purchase Price             15,500us-gaap_BusinessCombinationConsiderationTransferred1
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
       
Less: Liabilities assumed             758us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
       
Total cash paid             14,742us-gaap_PaymentsToAcquireBusinessesGross
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
       
Acquisition related expenses             338us-gaap_BusinessCombinationAcquisitionRelatedCosts
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
       
Revenues contributed to consolidated statement of operations from acquired facilities   $ 25,813us-gaap_BusinessCombinationProFormaInformationRevenueOfAcquireeSinceAcquisitionDateActual
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
$ 15,440us-gaap_BusinessCombinationProFormaInformationRevenueOfAcquireeSinceAcquisitionDateActual
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
               
Kansas | Chanute HealthCare Center | Skilled Nursing Center                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds             77avca_NumberOfLicensedNursingBeds
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ avca_SkilledNursingFacilityNameAxis
= avca_ChanuteHealthcareCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
       
Kansas | Council Grove HealthCare Center | Skilled Nursing Center                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds             80avca_NumberOfLicensedNursingBeds
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ avca_SkilledNursingFacilityNameAxis
= avca_CouncilGroveHealthcareCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
       
Kansas | Haysville HealthCare Center | Skilled Nursing Center                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds             119avca_NumberOfLicensedNursingBeds
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ avca_SkilledNursingFacilityNameAxis
= avca_HaysvilleHealthcareCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
       
Kansas | Larned HealthCare Center | Skilled Nursing Center                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds             80avca_NumberOfLicensedNursingBeds
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ avca_SkilledNursingFacilityNameAxis
= avca_LarnedHealthcareCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
       
Kansas | Sedgwick HealthCare Center | Skilled Nursing Center                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds             62avca_NumberOfLicensedNursingBeds
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ avca_SkilledNursingFacilityNameAxis
= avca_SedgwickHealthcareCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_KS
       
Ohio                      
Business Development and Discontinued Operations [Line Items]                      
Number of nursing centers               2avca_NumberOfNursingCenterFacilities
/ us-gaap_StatementGeographicalAxis
= stpr_OH
     
Term of lease               10 years      
Ohio | Skilled Nursing Center                      
Business Development and Discontinued Operations [Line Items]                      
Number of nursing centers 3avca_NumberOfNursingCenterFacilities
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_OH
                   
Ohio | Avon Place                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds               142avca_NumberOfLicensedNursingBeds
/ us-gaap_BusinessAcquisitionAxis
= avca_AvonPlaceMember
/ us-gaap_StatementGeographicalAxis
= stpr_OH
     
Ohio | Ontario Commons                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds               42avca_NumberOfLicensedNursingBeds
/ us-gaap_BusinessAcquisitionAxis
= avca_OntarioCommonsMember
/ us-gaap_StatementGeographicalAxis
= stpr_OH
     
Missouri                      
Business Development and Discontinued Operations [Line Items]                      
Number of nursing centers   3avca_NumberOfNursingCenterFacilities
/ us-gaap_StatementGeographicalAxis
= stpr_MO
                 
Number of licensed nursing beds                 339avca_NumberOfLicensedNursingBeds
/ us-gaap_StatementGeographicalAxis
= stpr_MO
   
Term of lease                 15 years    
Term of renewal option of lease                 5 years    
Nicholasville, Kentucky                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds                   73avca_NumberOfLicensedNursingBeds
/ us-gaap_StatementGeographicalAxis
= avca_NicholasvilleKentuckyMember
 
Term of lease                   15 years  
Term of renewal option of lease                   5 years  
Indiana | Skilled Nursing Center                      
Business Development and Discontinued Operations [Line Items]                      
Number of nursing centers 1avca_NumberOfNursingCenterFacilities
/ us-gaap_BusinessAcquisitionAxis
= avca_SkilledNursingCenterMember
/ us-gaap_StatementGeographicalAxis
= stpr_IN
                   
Louisville, KY                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds                     107avca_NumberOfLicensedNursingBeds
/ us-gaap_StatementGeographicalAxis
= avca_LouisvilleKentuckyMember
Term of lease                     15 years
Term of renewal option of lease                     5 years