Business Development (Details) (USD $)	3 Months Ended		9 Months Ended			9 Months Ended				1 Months Ended		1 Months Ended
	Sep. 30, 2012 Bed Center	Sep. 30, 2011	Sep. 30, 2012 Option Bed Center	Sep. 30, 2011	Dec. 31, 2011	Sep. 30, 2012 Skilled Nursing Center	Sep. 30, 2011 Skilled Nursing Center	Dec. 31, 2011 Skilled Nursing Center	Sep. 30, 2012 Leased Center	Apr. 30, 2012 Clinton, KY Leased Option Bed	Sep. 30, 2012 Louisville, KY Bed	Sep. 30, 2012 Louisville, KY Leased Bed	Sep. 30, 2012 Kentucky Center	Sep. 30, 2012 North Carolina Skilled Nursing Center
Entity Location [Line Items]
Number of licensed nursing beds	5,538		5,538							88	154	154
Approximate annual repayment of capital lease obligation										$ 373,000
Lease agreement term										10 years		15 years
Maximum number of capital lease renewal periods			2							2
Capital lease renewal period										5 years		5 years
Option to purchase property during first five years										3,300,000
Period from capital lease inception for purchase option										5 years
Lease commencement fee										125,000
Annual revenues												10,000,000
Number of nursing centers	48		48						40				8
Investment in nonconsolidated affiliate	50.00%		50.00%
Discontinued operations revenues						3,744,000	3,895,000
Discontinued operations net income	262,000	30,000	177,000	165,000		88,000	175,000
Discontinued operation gain on disposal	170,000	0	170,000	0		170,000
Current assets of discontinued operations	132,000		132,000		563,000	132,000		563,000
Current liabilities of discontinued operations	95,000		95,000		218,000	95,000		218,000
Net reclassification of fixed assets								3,467,000
Discontinued operations fixed assets	$ 1,053,000		$ 1,053,000		$ 4,520,000	$ 1,053,000		$ 4,520,000						$ 1,053,000