Business Development (Details) (USD $)	0 Months Ended
	Feb. 01, 2015	Oct. 01, 2014	Mar. 01, 2014 Option Center Bed	Aug. 01, 2014	Jul. 01, 2014	Jun. 01, 2014	Mar. 31, 2015 Center Bed
Entity Location [Line Items]
Number of licensed nursing beds							6,004
Number of nursing centers							54
Loans Payable | Glasgow Term Loan | The PrivateBank
Entity Location [Line Items]
Amount of term loan	5,000,000
Hutchinson, Kansas
Entity Location [Line Items]
Number of licensed nursing beds	85
Lease agreement term	10 years
Hutchinson, Kansas | Property Subject to Operating Lease | Skilled nursing center
Entity Location [Line Items]
Option to purchase at fixed price	4,250,000
Greenville, Kentucky
Entity Location [Line Items]
Number of licensed nursing beds		62
Lease agreement term		14 years
Huntsville, Alabama
Entity Location [Line Items]
Number of licensed nursing beds			135
Lease agreement term			10 years
Number of nursing centers			7
Lease renewal period			5 years
Maximum number of capital lease renewal periods			2
Glasgow, Kentucky
Entity Location [Line Items]
Number of licensed nursing beds	94
Glasgow, Kentucky | Barren County Health Care Center Inc
Entity Location [Line Items]
Number of licensed nursing beds	94
Glasgow, Kentucky | Skilled Nursing Center | Barren County Health Care Center Inc
Entity Location [Line Items]
Purchase Price	7,000,000
Ohio
Entity Location [Line Items]
Lease agreement term				10 years
Number of nursing centers				2
Ohio | Avon Place
Entity Location [Line Items]
Number of licensed nursing beds				142
Ohio | Ontario Commons
Entity Location [Line Items]
Number of licensed nursing beds				42
Missouri
Entity Location [Line Items]
Number of licensed nursing beds					339
Lease agreement term					15 years
Number of nursing centers					3
Lease renewal period					5 years
Nicholasville, Kentucky
Entity Location [Line Items]
Number of licensed nursing beds						73
Lease agreement term						15 years
Lease renewal period						5 years