Commitments and Contingencies (Narrative) (Details) (USD $)	1 Months Ended	12 Months Ended				12 Months Ended		0 Months Ended	1 Months Ended	3 Months Ended	6 Months Ended	0 Months Ended							12 Months Ended				12 Months Ended		12 Months Ended		12 Months Ended		1 Months Ended		1 Months Ended	12 Months Ended
	Jan. 31, 2009	Dec. 31, 2012 Lawsuit Multiple Center Bed	Dec. 31, 2011	Dec. 31, 2010	Jun. 30, 2012 Lawsuit	Dec. 31, 2012 Medicare Total patient and resident revenues Medicare and Medicaid programs	Dec. 31, 2012 Medicaid Programs Total patient and resident revenues Medicare and Medicaid programs	Nov. 04, 2011 Chief Executive Officer	Sep. 30, 2011 Chief Executive Officer	Mar. 31, 2012 Chief Executive Officer	Mar. 31, 2012 Chief Executive Officer	Aug. 13, 2012 Chief Financial Officer	Aug. 13, 2012 Chief Operating Officer	Dec. 31, 2012 West Virginia Professional liability insurance policies 1 Center	Dec. 31, 2012 West Virginia Professional liability insurance policies 2 Center	Dec. 31, 2012 Kentucky Center	Dec. 31, 2012 Kentucky Professional liability insurance policies 2 Center	Dec. 31, 2012 Professional malpractice liability insurance	Dec. 31, 2012 Professional malpractice liability insurance Professional liability insurance policies 1	Dec. 31, 2012 Professional malpractice liability insurance Professional liability insurance policies 2	Dec. 31, 2012 Prefunded deductible policy	Dec. 31, 2012 Scheduled for trial or arbitration over next 12 months Lawsuit	Dec. 31, 2012 Minimum	Jun. 01, 2010 Minimum Policy	Dec. 31, 2012 Maximum	Jun. 01, 2010 Maximum Policy	Dec. 31, 2012 Omega Healthcare Investors, Inc Multiple	Dec. 31, 2012 Omega Healthcare Investors, Inc Leases, Acquired-in-Place Bed	Aug. 31, 2009 Omega Healthcare Investors, Inc Texas	Dec. 31, 2012 Omega Healthcare Investors, Inc Texas	Jan. 31, 2013 Omega Healthcare Investors, Inc Subsequent Event Leases, Acquired-in-Place	Dec. 31, 2012 Omega Healthcare Investors, Inc Subsequent Event Leases, Acquired-in-Place	Dec. 31, 2012 Leased Center	Dec. 31, 2012 Leased Leases, Acquired-in-Place Center	Dec. 31, 2012 Leased Omega Healthcare Investors, Inc Center	Dec. 31, 2012 Leased Omega Healthcare Investors, Inc Leases, Acquired-in-Place Facility Center	Dec. 27, 2011 Leased Omega Healthcare Investors, Inc Texas Bed	Aug. 31, 2009 Leased Omega Healthcare Investors, Inc Texas Bed	Aug. 11, 2007 Leased Omega Healthcare Investors, Inc Texas Facility	Jan. 31, 2013 Leased Omega Healthcare Investors, Inc Subsequent Event Leases, Acquired-in-Place Center
Commitments and Contingencies [Line Items]
Lease and rent expense		$ 23,930,000	$ 22,939,000	$ 22,600,000																									$ 789,000
Accrued liability related to straightline rent		11,389,000	11,537,000
Number of nursing centers		48												2	1	8	2																40	7	36	1			7	2
Capital lease renewal period																											12 years
Multiple of increase in consumer price index																											2
Annual increase in consumer price index																											300.00%			2.50%
Annual capital expenditures related to leased facilities per licensed bed																											422
Total required capital expenditures during remaining lease term																											17,751,000
Letters of credit security deposit for a lease																											4,551,000
Number of licensed nursing beds		5,538																										15									102	119
Professional liability insurance policy																								1		3
Percentage of total cost of replacement facility																													10.25%
Total cost of replacement facility																													7,702,000
Renovation funding amount																															5,000,000	20,000,000
Number of nursing center facilities under renovation																																				14
Percentage of amount financed																															10.25%
Insurance policy coverage limits per claim																			500,000	1,000,000	500,000
Professional liability insurance, deductible																		495,000
Maximum claim amount on insurance																			1,000,000	15,000,000
Workers compensation insurance, maximum annual aggregate self-insured amount		3,000,000
Liability for reported and estimated future claims																		22,740,000
Number of professional liability lawsuits		49																				6
Cash expenditures for self-insured professional liability costs		7,596,000	7,758,000	5,122,000
Non-current receivables for workers' compensation policy		1,238,000	750,000
Professional liability insurance, annual coverage limit per facility																					3,000,000
Liability for workers compensation claims		287,000
Workers compensation insurance, non current receivable for excess premiums paid		920,000
Health insurance, maximum self-insured annual amount per individual		175,000
Liability for reported claims and estimates for incurred but unreported claims																					679,000
Salary multiple		2
Maximum contingent liability		1,035,000
Employee termination agreement term																							1 year		3 years
Renewal period for employee agreements		1 year
Severance and other costs									1,258,000
Amount received per month per consulting agreement											36,800
Base salary								450,000				225,000	275,000
Rentention and other expenses										$ 256,000
Number of legal actions		1
Number of purported collective action complaints					2
Period that the defendents breached their statutory and contractual obligations	5 years
Percentage of total patient and residental revenues						30.80%	52.20%