Receivables (Narrative) (Details) $ in Thousands	Dec. 31, 2015 USD ($)	Dec. 31, 2015 Facility	Dec. 31, 2015 Center	Dec. 31, 2014 USD ($) Facility
Accounts, Notes, Loans and Financing Receivable [Line Items]
Other receivables	$ 1,407			$ 862
Unbilled receivables	4,300
Number of nursing centers		1	55	8
Kentucky and Kansas
Accounts, Notes, Loans and Financing Receivable [Line Items]
Unbilled receivables	3,200
Number of nursing centers | Facility		3
Renovation Projects
Accounts, Notes, Loans and Financing Receivable [Line Items]
Other receivables	$ 938			$ 588