[Line Items] for Accounting Policies [Table]

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Effective Income Tax Rate Reconciliation,Tax Cuts and Jobs Act of 2017, Amount

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Number of licensed nursing beds.

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Number Of Nursing Center Facilities

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Number Of Nursing Center Facilities Leased

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Number Of Nursing Center Facilities Owned

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Number of variable interest entities.

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Number of Licensed Assisted Living Beds

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Number of Licensed Nursing Beds per Nursing Center

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Period Of Retroactive Adjustment For Reimbursements

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Provision For Doubtful Accounts As A Percentage Of Net Revenue

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Revenue Contract Settlements, Increase (Decrease) in Amount Awarded to Other Party

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Weighted average amortization period of finite-lived intangible assets acquired either individually or as part of a group of assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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Represents the expense recognized during the period arising from equity-based compensation arrangements (for example, shares of stock, unit, stock options or other equity instruments) with employees, directors and certain consultants qualifying for treatment as employees.

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The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method.

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Amount, after allocation of valuation allowances and deferred tax liability, of deferred tax asset attributable to deductible differences and carryforwards, with jurisdictional netting.

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Amount, after allocation of valuation allowances and deferred tax liability, of deferred tax asset attributable to deductible differences and carryforwards, netted by jurisdiction and classified as current.

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Amount of expense related to write-down of receivables to the amount expected to be collected. Includes, but is not limited to, accounts receivable and notes receivable.

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Amount of increase (decrease) to previously recorded tax expense. Includes, but is not limited to, significant settlements of income tax disputes, and unusual tax positions or infrequent actions taken by the entity, including tax assessment reversal, and IRS tax settlement.

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Business and Summary of Significant Accounting Policies (Narrative) (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2017 USD ($) center bed investment	Dec. 31, 2016 USD ($)	Dec. 31, 2015 USD ($)	Jan. 01, 2017 USD ($)	Aug. 15, 2016 facility
Accounting Policies [Line Items]
Number of nursing centers \| center	76
Number of licensed nursing beds \| bed	8,456
Number of licensed assisted living beds \| bed	489
Number of variable interest entities \| investment	1
Period of retroactive adjustment for reimbursements	3 years
Unfavorable estimated settlements from federal and state programs	$ (99)	$ (38)	$ 141
Provision for doubtful accounts	$ 8,958	$ 7,163	$ 7,507
Provision for doubtful accounts as a percentage of net revenue	1.60%	1.70%	1.90%
Number of nursing center facilities leased \| center	58
Settlement of provider taxes	$ 2,200
Amortization of intangible asset	384	$ 384	$ 384
Tax Cuts and Jobs Act, income tax expense	5,476	0	0
Stock based compensation	1,027	1,012	$ 1,152
Deferred income taxes	$ (15,154)	(21,185)
Leases, acquired-in-place
Accounting Policies [Line Items]
Number of nursing center facilities leased \| center	7
Remaining life of the acquired lease	28 years
Omega Healthcare Investors, Inc \| Leases, acquired-in-place
Accounting Policies [Line Items]
Number of licensed nursing beds \| bed	15
Minimum
Accounting Policies [Line Items]
Number of licensed nursing beds per nursing center \| bed	48
Maximum
Accounting Policies [Line Items]
Number of licensed nursing beds per nursing center \| bed	320
Accounting Standards Update 2015-17
Accounting Policies [Line Items]
Deferred tax asset, net		$ 7,644
Deferred income taxes				$ 7,644
Golden Living
Accounting Policies [Line Items]
Number of nursing centers \| facility					22
Omega Healthcare Investors, Inc
Accounting Policies [Line Items]
Number of nursing center facilities owned \| center	35
Golden Living
Accounting Policies [Line Items]
Number of nursing center facilities owned \| center	20
Other parties
Accounting Policies [Line Items]
Number of nursing center facilities owned \| center	3