Long-Term Debt and Interest Rate Swap (Details) (USD $)	3 Months Ended
	Mar. 31, 2013	Dec. 31, 2012 Center
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Long-term debt for syndicate of banks mortgage debt	$ 23,000,000
Long-term debt five year maturity	5 years
Mortgage loan with principal and interest payable monthly based	25 years
Long-term debt interest based on LIBOR	4.50%
Long-term debt fixed based on the interest rate swap	7.07%
Number of owned nursing centers secured		4
Borrowings outstanding under the revolving credit facility	0
Letters of credit issued under Revolver outstanding	3.00%
Letters of credit security deposit for a lease	4,551,000
Revolving credit facility and the maximum loan	15,000,000
Notes payable, including current portion	27,686,000	28,026,000
Accumulated other comprehensive loss	846,000	920,000
Variable Interest Entity, Not Primary Beneficiary | Culloden, WV
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Notes payable, including current portion	5,628,000
Revolving credit facility
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Long-term debt revolving credit facility	15,000,000
Borrowing under the revolving credit facility	10,449,000
LIBOR
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Long-term debt interest based on LIBOR	4.50%
Interest rate swap
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]
Long-term debt fixed based on the interest rate swap	7.07%
Liability at fair value	(1,365,000)
Accumulated other comprehensive loss	846,000
Net of the income tax benefit, interest rate swap	$ (519,000)