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Subsequent Event (Details) (USD $)
0 Months Ended
Oct. 01, 2013
Feb. 01, 2015
Dec. 31, 2014
Bed
Center
Dec. 31, 2013
Facility
Subsequent Event [Line Items]        
Number of licensed nursing beds     5,825avca_NumberOfLicensedNursingBeds  
Term of lease 15 years      
Number of nursing centers     52avca_NumberOfNursingCenterFacilities 5avca_NumberOfNursingCenterFacilities
Subsequent Event        
Subsequent Event [Line Items]        
Number of nursing centers   54avca_NumberOfNursingCenterFacilities
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
   
Expected contribution in annual revenues (in excess of)   $ 9,000,000us-gaap_BusinessAcquisitionRevenueReportedByAcquiredEntityForLastAnnualPeriod
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
   
Subsequent Event | Glasgow, Kentucky        
Subsequent Event [Line Items]        
Number of licensed nursing beds   94avca_NumberOfLicensedNursingBeds
/ dei_EntityByLocationAxis
= avca_GlasgowKentuckyMember
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
   
Purchase Price   $ 7,000,000us-gaap_BusinessCombinationConsiderationTransferred1
/ dei_EntityByLocationAxis
= avca_GlasgowKentuckyMember
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
   
Subsequent Event | Hutchinson, Kansas        
Subsequent Event [Line Items]        
Number of licensed nursing beds   85avca_NumberOfLicensedNursingBeds
/ dei_EntityByLocationAxis
= avca_HutchinsonKansasMember
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
   
Term of lease   10 years