West Virginia Facility (Details Textual)	9 Months Ended
	Sep. 30, 2012	Dec. 27, 2011 Bed
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Number of licensed nursing beds	5,538
Lease agreement with the real estate developing period	20 years
Maximum number of capital lease renewal periods	2
Maximum
West Virginia Facility (Textual) [Abstract]
Agreement provides company right to purchase	120.00%
Minimum
West Virginia Facility (Textual) [Abstract]
Agreement provides company right to purchase	110.00%
Culloden, WV
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Number of licensed nursing beds	90
Variable Interest Entity, Not Primary Beneficiary | Culloden, WV
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Number of licensed nursing beds		90
Capital lease renewal period	5 years