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Business Development and Other Significant Transactions (Narrative) (Details)
3 Months Ended 12 Months Ended
Jun. 08, 2017
USD ($)
bed
May 31, 2016
USD ($)
Feb. 26, 2016
USD ($)
bed
Sep. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2017
USD ($)
center
bed
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Jun. 30, 2017
USD ($)
Nov. 01, 2016
facility
bed
Oct. 01, 2016
facility
bed
Aug. 15, 2016
facility
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds           8,456            
Gain on bargain purchase | $           $ 925,000 $ 0 $ 0        
Number of nursing centers | center           76            
Property acquisition | $           $ 0 7,550,000 0        
Lease and rent expense | $           54,988,000 33,364,000 28,690,000        
Lease termination costs (receipts) | $           (180,000) 2,008,000 0        
Gain on sale of investment in unconsolidated affiliate | $           $ 733,000 $ 1,366,000 $ 0        
Avon Ohio, LLC                        
Business Development and Discontinued Operations [Line Items]                        
Lease termination fees, future annual payment amounts | $   $ 300,000                    
Unnamed pharmacy joint venture                        
Business Development and Discontinued Operations [Line Items]                        
Gain on sale of investment in unconsolidated affiliate | $         $ 733,000              
Selma Nursing Centers                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds 103                      
Purchase Price | $ $ 8,750,000                      
Transaction costs | $ 140,000                      
Gain on bargain purchase | $ $ 925,000                      
Golden Living                        
Business Development and Discontinued Operations [Line Items]                        
Number of nursing centers | facility                       22
Golden Living | Armory, MS                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                     152  
Golden Living | Batesville, MS                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                     130  
Golden Living | Brook Manor, MS                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                     58  
Golden Living | Eupora, MS                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                     119  
Golden Living | Ripley, MS                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                     140  
Golden Living | Southaven, MS                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                     140  
Golden Living | Eason Blvd                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                     120  
Golden Living | Tylertown, MS                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                     60  
Golden Living | Arab, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   87    
Golden Living | Meadowood, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   180    
Golden Living | Riverchase, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   132    
Golden Living | Boaz, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   100    
Golden Living | Foley, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   154    
Golden Living | Hueytown, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   50    
Golden Living | Lanett, MS                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   85    
Golden Living | Montgomery, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   138    
Golden Living | Oneonta, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   120    
Golden Living | Oxford, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   173    
Golden Living | Pell City, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   94    
Golden Living | Winfield, AL                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds                   123    
Property subject to operating lease | Golden Living                        
Business Development and Discontinued Operations [Line Items]                        
Number of properties | facility                   12 8  
Trend Health and Rehab of Carthage, LLC (Trend Health) [Member]                        
Business Development and Discontinued Operations [Line Items]                        
Lease and rent expense | $       $ 250,000                
Clinton Place | Clinton, Kentucky                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds     88                  
Property acquisition | $     $ 3,300,000                  
Diversicare of Hutchinson | Hutchinson, Kansas                        
Business Development and Discontinued Operations [Line Items]                        
Number of licensed nursing beds     85                  
Property acquisition | $     $ 4,250,000                  
Amended and restated credit agreement | Mortgages | Mortgage term loan | Selma Nursing Centers                        
Business Development and Discontinued Operations [Line Items]                        
Maximum increase in capacity | $                 $ 7,500,000