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Commitments and Contingencies (Narrative) (Details) (USD $)
0 Months Ended 12 Months Ended 0 Months Ended 1 Months Ended 0 Months Ended
Oct. 01, 2013
Dec. 31, 2014
Multiple
Facility
Center
Bed
Lawsuit
Dec. 31, 2013
Facility
Dec. 31, 2012
May 23, 2014
Jun. 30, 2012
action
Jan. 31, 2013
Jul. 01, 2014
Oct. 31, 2014
Facility
Jul. 31, 2014
Facility
Sep. 01, 2013
Commitments and Contingencies [Line Items]                      
Lease and rent expense   $ 26,151,000us-gaap_OperatingLeasesRentExpenseNet $ 20,396,000us-gaap_OperatingLeasesRentExpenseNet $ 18,018,000us-gaap_OperatingLeasesRentExpenseNet              
Accrued liability related to straightline rent   9,579,000us-gaap_AccruedRentCurrentAndNoncurrent 10,759,000us-gaap_AccruedRentCurrentAndNoncurrent                
Number of nursing centers   52avca_NumberOfNursingCenterFacilities 5avca_NumberOfNursingCenterFacilities                
Number of licensed nursing beds   5,825avca_NumberOfLicensedNursingBeds                  
Term of lease 15 years                    
Workers compensation insurance, maximum annual aggregate self-insured amount   1,000,000avca_MalpracticeInsuranceAnnualSublimitPerCenter                  
Cash expenditures for self-insured professional liability costs   4,757,000avca_MalpracticeInsuranceSelfInsuredCostsPaidDuringPeriod 4,485,000avca_MalpracticeInsuranceSelfInsuredCostsPaidDuringPeriod 1,805,000avca_MalpracticeInsuranceSelfInsuredCostsPaidDuringPeriod              
Liability for workers compensation claims   250,000us-gaap_WorkersCompensationLiabilityCurrentAndNoncurrent                  
Workers compensation insurance, non current receivable for excess premiums paid   1,357,000avca_WorkersCompensationReceivableForExcessPremiumsPaid                  
Health insurance, maximum self-insured annual amount per individual   175,000avca_EmployeeHealthInsuranceMaximumPayablePerIndividualAnnually                  
Salary multiple   2avca_DeferredCompensationArrangementWithIndividualDescriptionSalaryMultiple                  
Maximum contingent liability   366,000us-gaap_DeferredCompensationLiabilityCurrentAndNoncurrent                  
Renewal period for employee agreements   1 year                  
Number of professional liability lawsuits   51avca_NumberOfProfessionalLiabilityLawsuits                  
Duration of alleged breaches of statutory and contractual obligations to patents   5 years                  
Medicare | Total patient and resident revenues | Medicare and Medicaid programs                      
Commitments and Contingencies [Line Items]                      
Percentage of total patient and residential revenues   29.60%us-gaap_ConcentrationRiskPercentage1
/ us-gaap_ConcentrationRiskByBenchmarkAxis
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= avca_MedicareMember
                 
Medicaid Programs | Total patient and resident revenues | Medicare and Medicaid programs                      
Commitments and Contingencies [Line Items]                      
Percentage of total patient and residential revenues   48.40%us-gaap_ConcentrationRiskPercentage1
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= us-gaap_GovernmentContractsConcentrationRiskMember
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= avca_MedicaidProgramsMember
                 
Chancery Court for Williamson County, Tennessee                      
Commitments and Contingencies [Line Items]                      
Period for corporate governance procedures         3 years            
Fair Labor Standards Act                      
Commitments and Contingencies [Line Items]                      
New separate actions           2us-gaap_LossContingencyNewClaimsFiledNumber
/ us-gaap_LitigationCaseAxis
= avca_CollectiveActionComplaintFiledforAllegedViolationsofFairLaborStandardsActMember
         
Unfavorable Regulatory Action | Potential Violations of False Claims Act                      
Commitments and Contingencies [Line Items]                      
Number of facilities                 6avca_LossContingencyNumberofFacilities
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= us-gaap_UnfavorableRegulatoryActionMember
2avca_LossContingencyNumberofFacilities
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= us-gaap_UnfavorableRegulatoryActionMember
 
Scheduled for trial or arbitration over next 12 months                      
Commitments and Contingencies [Line Items]                      
Number of professional liability lawsuits   10avca_NumberOfProfessionalLiabilityLawsuits
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Other Current Assets                      
Commitments and Contingencies [Line Items]                      
Non-current receivables for workers' compensation policy   246,000us-gaap_InsuranceReceivableForMalpractice
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440,000us-gaap_InsuranceReceivableForMalpractice
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= us-gaap_OtherCurrentAssetsMember
               
Professional malpractice liability insurance                      
Commitments and Contingencies [Line Items]                      
Insurance policy coverage limits per claim   500,000us-gaap_MalpracticeInsuranceMaximumCoveragePerIncident
/ us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis
= us-gaap_ProfessionalMalpracticeLiabilityMember
                 
Maximum claim amount on insurance   5,000,000us-gaap_MalpracticeInsuranceAnnualCoverageLimit
/ us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis
= us-gaap_ProfessionalMalpracticeLiabilityMember
                 
Liability for reported and estimated future claims   25,163,000us-gaap_MalpracticeLossContingencyAccrualUndiscounted
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= us-gaap_ProfessionalMalpracticeLiabilityMember
                 
Prefunded deductible policy                      
Commitments and Contingencies [Line Items]                      
Insurance policy coverage limits per claim   500,000us-gaap_MalpracticeInsuranceMaximumCoveragePerIncident
/ us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis
= avca_PrefundedDeductiblePolicyMember
                 
Professional liability insurance, annual coverage limit per facility   3,000,000avca_MalpracticeInsuranceAnnualCoverageLimitPerFacility
/ us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis
= avca_PrefundedDeductiblePolicyMember
                 
Liability for reported claims and estimates for incurred but unreported claims   687,000us-gaap_LiabilityForFuturePolicyBenefits
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= avca_PrefundedDeductiblePolicyMember
                 
Minimum                      
Commitments and Contingencies [Line Items]                      
Employee termination agreement term   1 year                  
Maximum                      
Commitments and Contingencies [Line Items]                      
Maximum contingent liability   1,767,000us-gaap_DeferredCompensationLiabilityCurrentAndNoncurrent
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Employee termination agreement term   3 years                  
Omega Healthcare Investors, Inc                      
Commitments and Contingencies [Line Items]                      
Capital lease renewal period   12 years                  
Multiple of increase in consumer price index   2avca_AnnualIncreaseInLeasePaymentsMultipleOfConsumerPriceIndex
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Annual increase in consumer price index   300.00%avca_AnnualIncreaseInLeasePaymentsPercentage
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Amount of reduction in annual rent payable                     5,000,000avca_LeaseTerminationAnnualDecreaseinRentPayableAmount
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Annual capital expenditures related to leased facilities per licensed bed   434avca_AnnualCapitalExpendituresPerLicensedBed
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Total required capital expenditures during remaining lease term   4,563,000us-gaap_ContractualObligation
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Letters of credit security deposit for a lease   8,106,000us-gaap_SecurityDeposit
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                4,551,000us-gaap_SecurityDeposit
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Omega Healthcare Investors, Inc | Leases, Acquired-in-Place                      
Commitments and Contingencies [Line Items]                      
Renovation funding amount   20,000,000avca_RenovationFundingAmount
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        5,000,000avca_RenovationFundingAmount
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= us-gaap_LeasesAcquiredInPlaceMember
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= avca_OmegaHealthcareInvestorsIncMember
       
Percentage of amount financed             10.25%avca_PercentageOfAmountFinanced
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_LeasesAcquiredInPlaceMember
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= avca_OmegaHealthcareInvestorsIncMember
       
Number of licensed nursing beds   15avca_NumberOfLicensedNursingBeds
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= avca_OmegaHealthcareInvestorsIncMember
                 
Omega Healthcare Investors, Inc | Arkansas                      
Commitments and Contingencies [Line Items]                      
Number of nursing centers that leases were terminated                     11avca_LeaseTerminationNumberofNursingCentersunderLeaseTerminated
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Number of licensed nursing beds                     1,181avca_NumberOfLicensedNursingBeds
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Omega Healthcare Investors, Inc | West Virginia                      
Commitments and Contingencies [Line Items]                      
Number of nursing centers               2avca_NumberOfNursingCenterFacilities
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Additional rental payments               $ 1,900,000us-gaap_OperatingLeasesRentExpenseMinimumRentals
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Leased                      
Commitments and Contingencies [Line Items]                      
Number of nursing centers   39avca_NumberOfNursingCenterFacilities
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Leased | Leases, Acquired-in-Place                      
Commitments and Contingencies [Line Items]                      
Number of nursing centers   7avca_NumberOfNursingCenterFacilities
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Leased | Omega Healthcare Investors, Inc                      
Commitments and Contingencies [Line Items]                      
Number of nursing centers   23avca_NumberOfNursingCenterFacilities
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Leased | Omega Healthcare Investors, Inc | Leases, Acquired-in-Place                      
Commitments and Contingencies [Line Items]                      
Number of nursing centers   1avca_NumberOfNursingCenterFacilities
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        2avca_NumberOfNursingCenterFacilities
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= avca_OmegaHealthcareInvestorsIncMember
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Number of nursing center facilities under renovation   14avca_NumberOfNursingCenterFacilitiesUnderRenovation
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= avca_OmegaHealthcareInvestorsIncMember
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Leased | Other Operating Leases                      
Commitments and Contingencies [Line Items]                      
Number of nursing centers   16avca_NumberOfNursingCenterFacilities
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= avca_OtherOperatingLeasesMember
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Leased | Other Operating Leases | Minimum                      
Commitments and Contingencies [Line Items]                      
Term of lease   9 years                  
Leased | Other Operating Leases | Maximum                      
Commitments and Contingencies [Line Items]                      
Term of lease   20 years