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Discontinued Operations - Narrative (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 01, 2018
USD ($)
Dec. 31, 2019
USD ($)
Sep. 30, 2019
USD ($)
center
Jun. 30, 2019
USD ($)
Mar. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Aug. 30, 2019
facility
Aug. 30, 2019
center
May 22, 2019
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of nursing center facilities terminated     10                       10
Discontinued operation, revenue                   $ 46,019 $ 87,338 $ 91,727      
Income (Loss) from discontinued operations, net of tax, including portion attributable to noncontrolling interest   $ (1,879) $ (2,958) $ (1,980) $ (1,772) $ 3,102 $ 114 $ 17 $ 635 (8,589) $ 3,868 $ 4,921      
Kentucky Properties | Discontinued Operations                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of nursing center facilities terminated                             10
Number of skilled nursing beds terminated                             885
Pretax gain on transaction                   $ 733          
Kentucky Properties                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Proceeds from sale of assets $ 18,700                            
Carrying value of centers 13,331                            
Gain on disposition of assets $ 4,825                            
Kentucky Properties | Discontinued Operations                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of nursing center facilities terminated                         10 10