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Business Development (Narrative) (Details)
Nov. 01, 2015
USD ($)
Bed
Feb. 01, 2015
USD ($)
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
Dec. 31, 2015
Facility
Dec. 31, 2015
Center
Dec. 31, 2015
Bed
Dec. 31, 2014
Facility
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds                   6,060  
Number of nursing centers               1 55   8
Mortgage loan with The PrivateBank, issued in February 2015, interest-only loan, and a variable interest rate based on LIBOR, with a minimum base rate of 4.75%. | The PrivateBank | Loan                      
Business Development and Discontinued Operations [Line Items]                      
Amount of mortgage loan | $   $ 5,000,000                  
Hutchinson, Kansas                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds   85                  
Term of lease   10 years                  
Greenville, Kentucky                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds     62                
Term of lease     14 years                
Ohio                      
Business Development and Discontinued Operations [Line Items]                      
Number of nursing centers | Center       2              
Term of lease       10 years              
Missouri                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds         339            
Number of nursing centers | Facility         3            
Term of lease         15 years            
Term of renewal option of lease         5 years            
Nicholasville, Kentucky                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds           73          
Term of lease           15 years          
Term of renewal option of lease           5 years          
Huntsville, Alabama                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds             135        
Number of nursing centers | Center             7        
Term of lease             10 years        
Term of renewal option of lease             5 years        
Number of additional renewal options | Option             2        
Skilled Nursing Center | Barren County Health Care Center Inc | Glasgow, Kentucky                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds   94                  
Purchase Price | $   $ 7,000,000                  
Skilled Nursing Center | Haws Fulton Investors, LLC | Fulton, Kentucky                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds 60                    
Purchase Price | $ $ 3,900,000                    
Avon Place | Ohio                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds       142              
Ontario Commons | Ohio                      
Business Development and Discontinued Operations [Line Items]                      
Number of licensed nursing beds       42