Business (Details)	Jun. 30, 2012 Bed Center State
Business (Textual) [Abstract]
Number of states company operate	8
Number of nursing centers	47
Number of licensed nursing beds	5,445
Number of beds at recently opened West Virginia center	90
Number of nursing centers owned by the company	9
Number of nursing centers leased	38
Number of beds not included in recently leased skilled nursing center	88