Commitments and Contingencies (Narrative) (Details)			1 Months Ended	12 Months Ended			32 Months Ended	66 Months Ended
	Nov. 01, 2016 USD ($)	Jul. 01, 2014 USD ($) facility	Jan. 31, 2013 USD ($) center	Dec. 31, 2016 USD ($) facility center bed lawsuit Multiple $ / Bed	Dec. 31, 2015 USD ($)	Dec. 31, 2014 USD ($)	Feb. 29, 2016 civil_investigative_demand	Dec. 31, 2013 USD ($)	Oct. 01, 2016 center	Aug. 15, 2016 facility	Feb. 26, 2016 USD ($)	Oct. 31, 2014 facility	Sep. 01, 2013 USD ($)
Commitments and Contingencies [Line Items]
Lease and rent expense				$ 33,364,000	$ 28,690,000	$ 26,151,000
Accrued liability related to straightline rent				$ 7,920,000	7,830,000
Number of nursing centers | center				76
Number of licensed nursing beds | bed				8,453
Workers compensation insurance, maximum annual aggregate self-insured amount				$ 1,000,000
Cash expenditures for self-insured professional liability costs				4,456,000	$ 3,328,000	$ 4,757,000
Liability for workers compensation claims				171,000
Workers compensation insurance, non current receivable for excess premiums paid				1,310,000
Health insurance, maximum self-insured annual amount per individual				$ 175,000
Salary multiple | Multiple				2
Maximum contingent liability				$ 461,000
Renewal period for employee agreements				1 year
Number of professional liability lawsuits | lawsuit				67
Duration of alleged breaches of statutory and contractual obligations to patents				5 years
Unfavorable regulatory action | Potential violations of false claims act
Commitments and Contingencies [Line Items]
Number of facilities | facility												2
New separate actions | civil_investigative_demand							3
Scheduled for trial or arbitration over next 12 months
Commitments and Contingencies [Line Items]
Number of professional liability lawsuits | lawsuit				7
Professional malpractice liability insurance
Commitments and Contingencies [Line Items]
Insurance policy coverage limits per claim				$ 500,000
Maximum claim amount on insurance				5,000,000
Liability for reported and estimated future claims				19,977,000
Prefunded deductible policy
Commitments and Contingencies [Line Items]
Insurance policy coverage limits per claim								$ 500,000
Professional liability insurance, annual coverage limit per facility								$ 3,000,000
Liability for reported claims and estimates for incurred but unreported claims				$ 1,019,000
Minimum
Commitments and Contingencies [Line Items]
Employee termination agreement term				1 year
Maximum
Commitments and Contingencies [Line Items]
Maximum contingent liability				$ 1,789,000
Employee termination agreement term				3 years
Omega Healthcare Investors, Inc
Commitments and Contingencies [Line Items]
Lease renewal period				12 years
Annual capital expenditures related to leased facilities per licensed bed | $ / Bed				440
Total required capital expenditures during remaining lease term				$ 1,700,000
Letters of credit security deposit for a lease													$ 4,792,000
Omega Healthcare Investors, Inc | Leases, acquired-in-place
Commitments and Contingencies [Line Items]
Renovation funding amount			$ 5,000,000
Percentage of amount financed			10.25%
Number of licensed nursing beds | bed				15
Omega Healthcare Investors, Inc | Maximum
Commitments and Contingencies [Line Items]
Multiple of increase in consumer price index | Multiple				2
Annual increase in consumer price index				3.00%
Omega Healthcare Investors, Inc | West Virginia
Commitments and Contingencies [Line Items]
Number of nursing centers | facility		2
Additional rental payments		$ 1,900,000
Golden Living master lease
Commitments and Contingencies [Line Items]
Annual capital expenditures related to leased facilities per licensed bed | $ / Bed				500
Total required capital expenditures during remaining lease term				$ 11,560,000
Leased
Commitments and Contingencies [Line Items]
Number of nursing centers | center				59
Leased | Leases, acquired-in-place
Commitments and Contingencies [Line Items]
Number of nursing centers | center				7
Leased | Omega Healthcare Investors, Inc
Commitments and Contingencies [Line Items]
Number of nursing centers | center				35
Leased | Omega Healthcare Investors, Inc | Leases, acquired-in-place
Commitments and Contingencies [Line Items]
Number of nursing centers | center			2
Number of nursing center facilities under renovation | facility				1
Leased | Other operating leases
Commitments and Contingencies [Line Items]
Number of nursing centers | center				24
Leased | Other operating leases | Minimum
Commitments and Contingencies [Line Items]
Term of lease				2 years
Leased | Other operating leases | Maximum
Commitments and Contingencies [Line Items]
Term of lease				20 years
Master lease arrangement | Omega Healthcare Investors, Inc
Commitments and Contingencies [Line Items]
Number of nursing centers | center				15
Golden Living
Commitments and Contingencies [Line Items]
Number of nursing centers									20	22
Golden Living | Mississippi
Commitments and Contingencies [Line Items]
Number of nursing centers | center									8
Golden Living | Alabama
Commitments and Contingencies [Line Items]
Number of nursing centers | center									12
Golden Living | Amended lease
Commitments and Contingencies [Line Items]
Lease renewal period	5 years
Annual increase in consumer price index	2.00%
First year rent	$ 24,675,000
Term of lease	10 years
Letter of credit | Golden Living master lease
Commitments and Contingencies [Line Items]
Letters of credit security deposit for a lease											$ 2,056,000