Company and Organization (Details)	Dec. 31, 2012 Bed Center State
Entity Location [Line Items]
Number of states in which entity operates	8
Number of nursing centers	48
Number of licensed nursing beds	5,538
Clinton, KY
Entity Location [Line Items]
Number of beds not included in recently leased skilled nursing center	88
Louisville, KY
Entity Location [Line Items]
Number of licensed nursing beds	154
Owned
Entity Location [Line Items]
Number of nursing centers	8
Leased
Entity Location [Line Items]
Number of nursing centers	40
Leased | Louisville, KY
Entity Location [Line Items]
Number of licensed nursing beds	154