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Discontinued Operations (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jul. 01, 2014
USD ($)
Facility
Bed
Jun. 30, 2015
USD ($)
Center
Bed
Jun. 30, 2014
USD ($)
Jun. 30, 2015
USD ($)
Center
Bed
Jun. 30, 2014
USD ($)
Dec. 31, 2014
USD ($)
Apr. 03, 2014
Facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of nursing centers | Center   54   54      
Number of licensed nursing beds | Bed   6,004   6,004      
Income (loss) from discontinued operations   $ (299) $ 128 $ (562) $ (484)    
Rose Terrace Nursing Center              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Reduction in annual rent payments $ 1,900            
Rose Terrace Nursing Center | Loans Payable | Rose Terrace Note              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Amount of mortgage loan paid $ 8,000            
Rose Terrace Nursing Center | West Virginia              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of nursing centers | Facility 2           2
Pretax gain on disposition           $ 7,522  
Tax expense associated with the gain           $ 2,793  
Revenue       0 10,989    
Income (loss) from discontinued operations       (129) 539    
Rose Terrace Nursing Center | Culloden West Virginia              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of licensed nursing beds | Bed 90            
Sales price of Rose Terrace $ 16,500            
Rose Terrace Nursing Center | Danville and Ivydale, West Virginia              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of nursing centers | Facility 2            
Leased Skilled Nursing Centers | Arkansas              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Income (loss) from discontinued operations       $ (432) $ (739)