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Business Development and Other Significant Transactions (Narrative) (Details)
3 Months Ended 9 Months Ended
May 31, 2016
USD ($)
Feb. 26, 2016
USD ($)
bed
Nov. 01, 2015
USD ($)
bed
Feb. 01, 2015
USD ($)
bed
Jun. 30, 2016
USD ($)
Sep. 30, 2016
USD ($)
center
bed
Sep. 30, 2015
USD ($)
Aug. 15, 2016
facility
Business Acquisition [Line Items]                
Number of nursing centers | center           54    
Number of licensed nursing beds | bed           5,879    
Lease termination costs, net of cash payments         $ 2,008,000 $ 2,008,000 $ 0  
Avon Ohio, LLC                
Business Acquisition [Line Items]                
Lease termination fee, future annual payment amount due under amendment $ 300,000.0              
Golden Living                
Business Acquisition [Line Items]                
Number of nursing centers | facility               22
Skilled Nursing Center in Glasgow, Kentucky | Barren County Health Care Center Inc                
Business Acquisition [Line Items]                
Number of licensed nursing beds | bed       94        
Consideration transferred       $ 7,000,000        
Skilled Nursing Center in Fulton, Kentucky | Haws Fulton Investors, LLC                
Business Acquisition [Line Items]                
Number of licensed nursing beds | bed     60          
Consideration transferred     $ 3,900,000          
Hutchinson, Kansas | Diversicare of Hutchinson                
Business Acquisition [Line Items]                
Purchase Price   $ 4,250,000            
Number of licensed nursing beds | bed   85            
Consideration transferred   $ 4,293,000            
Clinton, Kentucky | Clinton Place                
Business Acquisition [Line Items]                
Purchase Price   $ 3,300,000            
Number of licensed nursing beds | bed   88            
Consideration transferred   $ 3,334,000