Business (Details) - Jun. 30, 2015	State Center Bed
Accounting Policies [Line Items]
Number of states in which entity operates | State	9
Number of nursing centers | Center	54
Number of licensed nursing beds	6,004
Number of nursing center facilities owned | Center	14
Number of nursing center facilities leased | Center	40
Number of licensed assisted living beds	496
Minimum
Accounting Policies [Line Items]
Number of licensed nursing beds per center	50
Maximum
Accounting Policies [Line Items]
Number of licensed nursing beds per center	320