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Business Development (Details)
Feb. 01, 2015
USD ($)
Bed
Oct. 01, 2014
Bed
Aug. 01, 2014
Center
Bed
Jul. 01, 2014
Facility
Bed
Jun. 01, 2014
Bed
Mar. 01, 2014
Option
Center
Bed
Jun. 30, 2015
Center
Bed
Entity Location [Line Items]              
Number of licensed nursing beds             6,004
Number of nursing centers | Center             54
Loans Payable | Glasgow Term Loan | The PrivateBank              
Entity Location [Line Items]              
Amount of term loan | $ $ 5,000,000            
Hutchinson, Kansas              
Entity Location [Line Items]              
Number of licensed nursing beds 85            
Lease agreement term 10 years            
Hutchinson, Kansas | Property Subject to Operating Lease | Skilled nursing center              
Entity Location [Line Items]              
Option to purchase at fixed price | $ $ 4,250,000            
Greenville, Kentucky              
Entity Location [Line Items]              
Number of licensed nursing beds   62          
Lease agreement term   14 years          
Huntsville, Alabama              
Entity Location [Line Items]              
Number of licensed nursing beds           135  
Lease agreement term           10 years  
Number of nursing centers | Center           7  
Lease renewal period           5 years  
Maximum number of capital lease renewal periods | Option           2  
Glasgow, Kentucky              
Entity Location [Line Items]              
Number of licensed nursing beds 94            
Glasgow, Kentucky | Skilled Nursing Center | Barren County Health Care Center Inc              
Entity Location [Line Items]              
Number of licensed nursing beds 94            
Purchase Price | $ $ 7,000,000            
Ohio              
Entity Location [Line Items]              
Lease agreement term     10 years        
Number of nursing centers | Center     2        
Ohio | Avon Place              
Entity Location [Line Items]              
Number of licensed nursing beds     142        
Ohio | Ontario Commons              
Entity Location [Line Items]              
Number of licensed nursing beds     42        
Missouri              
Entity Location [Line Items]              
Number of licensed nursing beds       339      
Lease agreement term       15 years      
Number of nursing centers | Facility       3      
Lease renewal period       5 years      
Nicholasville, Kentucky              
Entity Location [Line Items]              
Number of licensed nursing beds         73    
Lease agreement term         15 years    
Lease renewal period         5 years