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Receivables (Narrative) (Details) (USD $)
Dec. 31, 2014
Center
Dec. 31, 2013
Facility
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables 862,000us-gaap_ReceivablesNetCurrent $ 1,118,000us-gaap_ReceivablesNetCurrent
Unbilled receivables 5,500,000us-gaap_UnbilledReceivablesCurrent  
Number of nursing centers 52avca_NumberOfNursingCenterFacilities 5avca_NumberOfNursingCenterFacilities
Kentucky    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Unbilled receivables 2,700,000us-gaap_UnbilledReceivablesCurrent
/ us-gaap_StatementGeographicalAxis
= stpr_KY		  
Number of nursing centers 2avca_NumberOfNursingCenterFacilities
/ us-gaap_StatementGeographicalAxis
= stpr_KY		  
Missouri    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Unbilled receivables 2,300,000us-gaap_UnbilledReceivablesCurrent
/ us-gaap_StatementGeographicalAxis
= stpr_MO		  
Number of nursing centers 3avca_NumberOfNursingCenterFacilities
/ us-gaap_StatementGeographicalAxis
= stpr_MO		  
Renovation Projects    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables 588,000us-gaap_ReceivablesNetCurrent
/ us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis
= avca_RenovationProjectsReceivableMember		 $ 843,000us-gaap_ReceivablesNetCurrent
/ us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis
= avca_RenovationProjectsReceivableMember