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	Sep. 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