Variable Interest Entity (Details Textual) $ in Thousands		12 Months Ended
	Mar. 27, 2014 USD ($)	Dec. 31, 2015 Bed	Dec. 28, 2011 Bed
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Number of licensed nursing beds		6,060
Rose Terrace Nursing Center
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Purchase Price | $	$ 7,693
Minimum
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Agreement provides company right to purchase		110.00%
Maximum
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Agreement provides company right to purchase		120.00%
Variable Interest Entity, Not Primary Beneficiary | Culloden, WV
Variable Interest Entity, Not Primary Beneficiary [Abstract]
Number of licensed nursing beds			90