Income Taxes - Narrative (Details) $ in Thousands	12 Months Ended			36 Months Ended
	Dec. 31, 2019 USD ($)	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2018 USD ($)	Sep. 30, 2019 center	Jun. 30, 2019 USD ($)	May 22, 2019
Income Tax Disclosure [Line Items]
Cumulative pre-tax income (loss) from continuing operations	$ (11,780)	$ (12,745)	$ (7,214)	$ (31,739)
Tax contingency	9,500
Tax Act, provisional income tax expense			5,476
Number of nursing center facilities terminated					10		10
Deferred tax assets, valuation allowance	21,855	228		$ 228		$ 20,000
Net operating losses	8,655
Work Opportunity Tax Credit
Income Tax Disclosure [Line Items]
Employment tax credit	210	$ 64	$ 210
IRS
Income Tax Disclosure [Line Items]
Operating loss carryforwards limited by change in ownership provisions	$ 3,336