Business Development and Discontinued Operations (Narrative) (Details) (USD $)	3 Months Ended								12 Months Ended				12 Months Ended				1 Months Ended		1 Months Ended			12 Months Ended			3 Months Ended
	Dec. 31, 2012 Bed Center	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012 Option Bed Center	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2012 Leased Center	Dec. 31, 2012 Skilled Nursing Center	Dec. 31, 2011 Skilled Nursing Center	Dec. 31, 2010 Skilled Nursing Center	Dec. 31, 2012 Pharmacy Partnership	Apr. 30, 2012 Clinton Kentucky Leased Option Bed	Dec. 31, 2012 Louisville, KY Bed	Sep. 30, 2012 Louisville, KY Leased	Dec. 31, 2012 Louisville, KY Leased Bed	Dec. 31, 2012 Kentucky Center	Dec. 31, 2012 Florida Skilled Nursing Center	Dec. 31, 2010 Florida Skilled Nursing Center	Mar. 31, 2010 Florida Skilled Nursing Center Leased Center	Dec. 31, 2010 North Carolina Skilled Nursing Center
Business Development and Discontinued Operations [Line Items]
Number of licensed nursing beds	5,538								5,538								88	154		154
Capital lease obligation annual rent payment																	$ 373,000
Capital lease maturity period																	10 years		15 years
Maximum number of capital lease renewal periods									2								2
Capital lease renewal period																	5 years		5 years
Purchase options, land																	3,300,000
Period from capital lease inception for purchase option																	5 years
Commencement fee																	125,000
Number of nursing centers	48								48			40									8			4
Percentage of owned joint venture Investment in nonconsolidated affiliate																50.00%
Investment in unconsolidated affiliate	420,000				0				420,000	0
Revenue from discontinued operation													3,463,000	5,249,000	4,537,000								6,852,000
Income (loss) from discontinued operations, net of tax	120,000	262,000	8,000	(93,000)	16,000	30,000	167,000	(32,000)	297,000	181,000	219,000		171,000	(249,000)	8,000								169,000
Gain (loss) on disposal and impairment, net of tax provision (benefit) of $107,000, $0 and ($217,000), respectively									174,000	0	(458,000)		174,000										(185,000)
Current assets of discontinued operations	36,000				563,000				36,000	563,000			36,000	563,000
Current liabilities of discontinued operations	10,000				218,000				10,000	218,000			10,000	218,000
Property plant and equipment reclassification														3,467,000
Discontinued operations, net	1,053,000				4,520,000				1,053,000	4,520,000			1,053,000	4,520,000
Gain (loss) on disposal, before tax																						(273,000)
Impairment																									402,000
Impairment assets to be disposed of																									$ 273,000