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Business Developments and Other Significant Transactions (Narrative) (Details)
3 Months Ended 6 Months Ended
Jul. 01, 2017
USD ($)
bed
Nov. 01, 2016
USD ($)
facility
option
bed
Oct. 01, 2016
USD ($)
facility
bed
May 31, 2016
USD ($)
Feb. 26, 2016
USD ($)
bed
Dec. 31, 2016
USD ($)
Jun. 30, 2016
USD ($)
Jun. 30, 2017
USD ($)
center
bed
Jun. 30, 2016
USD ($)
Aug. 15, 2016
facility
Business Acquisition [Line Items]                    
Number of licensed nursing beds               8,453    
Deposit in escrow | $               $ 8,673,000 $ 0  
Number of nursing centers | center               76    
Gain on sale of investment in unconsolidated affiliate | $               $ 733,000 $ 0  
Avon Ohio, LLC                    
Business Acquisition [Line Items]                    
Lease termination costs | $             $ 2,008,000      
Lease termination fees, future annual payment amounts | $       $ 300,000            
Golden Living                    
Business Acquisition [Line Items]                    
Number of nursing centers | facility                   22
Broadmoor Manor                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     120              
Term of contract     10 years              
Rent expense, base year rent | $     $ 540,000              
Rent expense, increase during year two | $     $ 780,000              
Annual rent increase, percentage     2.00%              
Leake County Nursing Home                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     99              
Term of contract     2 years              
Rent expense, base year rent | $     $ 300,000              
Selma, AL | Subsequent event                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds 103                  
Payments to acquire nursing center | $ $ 8,750,000                  
Armory, MS | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     152              
Batesville, MS | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     130              
Brook Manor, MS | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     58              
Eupora, MS | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     119              
Ripley, MS | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     140              
Southaven, MS | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     140              
Eason Blvd | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     120              
Tylertown, MS | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds     60              
Term of contract     10 years              
Arab, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   87                
Meadowood, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   180                
Riverchase, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   132                
Boaz, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   100                
Foley, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   154                
Hueytown, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   50                
Lanett, MS | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   85                
Montgomery, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   138                
Oneonta, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   120                
Oxford, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   173                
Pell City, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   94                
Winfield, AL | Golden Living                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds   123                
Hutchinson, Kansas | Diversicare of Hutchinson                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds         85          
Deposit in escrow | $         $ 4,250,000          
Clinton, Kentucky | Clinton Place                    
Business Acquisition [Line Items]                    
Number of licensed nursing beds         88          
Deposit in escrow | $         $ 3,300,000          
Unnamed pharmacy joint venture                    
Business Acquisition [Line Items]                    
Gain on sale of investment in unconsolidated affiliate | $           $ 1,366,000        
Property subject to operating lease | Golden Living                    
Business Acquisition [Line Items]                    
Number of center locations | facility   12 8              
Amended lease | Golden Living                    
Business Acquisition [Line Items]                    
Term of contract   10 years                
Rent expense, base year rent | $   $ 24,675,000                
Annual rent increase, percentage   2.00%                
Maximum number of lease renewal periods | option   2                
Operating leases, renewal term   5 years                
Mortgage term loan | Amended and restated credit agreement | Mortgage loan                    
Business Acquisition [Line Items]                    
Increase to credit facility limit | $               $ 7,500,000