RESTATEMENT OF PREVIOUSLY ISSUED CONSOLIDATED FINANCIAL STATEMENTS (Details) (USD $)	3 Months Ended		6 Months Ended			0 Months Ended	6 Months Ended		3 Months Ended		6 Months Ended
	Jun. 30, 2012	Jun. 30, 2011	Jun. 30, 2012 item	Jun. 30, 2011	Dec. 31, 2011	Aug. 02, 2011 Oklahoma Owners item	Jun. 30, 2012 Oklahoma Owners	Dec. 31, 2011 Oklahoma Owners	Jun. 30, 2012 Accounting errors and certain accounting estimates	Mar. 31, 2012 Accounting errors and certain accounting estimates	Jun. 30, 2012 Accounting errors and certain accounting estimates
Number of skilled nursing facilities acquired			5			5
Monthly fee as a percentage of monthly gross revenues of facility							5.00%
Patient care revenues	$ (51,266,000)	$ (33,872,000)	$ (97,573,000)	$ (64,404,000)					$ 136,000		$ 413,000
Overstatement of managed care revenue due to billing errors									81,000		221,000
Management revenues	525,000	484,000	1,049,000	982,000					162,000		323,000
Accounts receivable, net	(25,127,000)		(25,127,000)		(18,782,000)			(800,000)	699,000		699,000
Impact of overstatement of managed care revenue due to billing errors on accounts receivable									220,000		220,000
Impact of recognition of expense of certain deferred or capitalized operating and other costs on accounts receivable									119,000		119,000
Impact on accounts receivable of eliminated management fee expense and other receivables associated with correction of accounting for certain variable interest entities									327,000		327,000
Direct care compensation obligation expense											918,000
Cost of services (Exclusive of facility rent, depreciation and amortization):
Recognition of direct care compensation obligations incurred for the facilities located in Arkansas to proper recognition in the interim reporting period with the 2012 year									(258,000)
Recognition of direct care compensation obligations incurred for the facilities located in Arkansas to proper recognition in the interim reporting period with the 2012 year											660,000
Recognition of certain payroll related operating expenses due to incorrect accounting for accrual vacation									643,000		803,000
Recognition of certain payroll related operating expenses due to untimely identification and recognition of expenses associated with unemployment tax accrual adjustments									41,000		82,000
Correction of certain operating and other costs incurred within period that were incorrectly deferred or capitalized to the balance sheet that should have been expensed in the interim reporting period									468,000		468,000
Recognition of certain operating expenses that were not recorded in the interim reporting period									3,000		5,000
Reversal of the eliminated management fee expense associated with the correction in the application of Company's accounting for certain variable interest entities									162,000		323,000
Recognition of certain adjustments to the provision for bad debts in the appropriate interim reporting period within period: Untimely recognition of state recoupment for Medicaid overpayments for certain facilities											403,000
Recognition of certain adjustments to the provision for bad debts in the appropriate interim reporting period within period : Delays in collection efforts and lack of timely follow-up on open patient accounts in 2012 for certain facilities									212,000		279,000
Recognition of certain adjustments to the provision for bad debts in the appropriate interim reporting period within period: Offset by improper recognition of bad debt expense relating to managed care revenue									(56,000)		(192,000)
Total	40,316,000	27,104,000	79,123,000	52,279,000					1,215,000		2,831,000
General and administrative
Recognition of certain payroll related operating expenses and other necessary adjustments : Reversal of expenses relating to change in accrued performance-based incentive obligation									(700,000)		(700,000)
Recognition of certain payroll related operating expenses and other necessary adjustments : Offset by expense recognition to an adjustment to the fair value of warrants granted to non-employees											25,000
Incorrect expense capitalized on the balance sheet that should have been expensed in the interim reporting period in which the costs were incurred during period									53,000		74,000
Incorrect accounting for accrued vacation									62,000		77,000
Untimely identification and recognition expenses associated with certain unemployment tax accrual adjustments									1,000		2,000
Total	4,345,000	3,167,000	8,338,000	6,091,000					(584,000)		(522,000)
Interest expense, net
Correction of interest capitalized on the balance sheet that should have been expensed in the interim reporting period in which the costs were incurred during period									269,000		269,000
Recognition of expense related to the fair value of warrants granted to non-employees in connection with loan financing fees									81,000		81,000
Rounding											(1,000)
Total	3,444,000	1,852,000	6,122,000	3,288,000					350,000		349,000
Depreciation and amortization	(1,594,000)	(705,000)	(3,304,000)	(1,352,000)					37,000		(284,000)
Impairment of an office building										389,000
Decrease in depreciation expenses on impairment of office building									5,000
Decrease in amortization expense due to adjustment related to decrease in intangible assets									32,000		100,000
Property and equipment, net	(132,924,000)		(132,924,000)		(102,449,000)			(9,989,000)	1,523,000	1,523,000	1,523,000
Purchase of property and equipment			(1,676,000)	(1,943,000)							692,000
Goodwill and Intangible assets									635,000		635,000
Adjustment related to reclassification from capitalized intangible assets bed licenses to goodwill									87,000		87,000
Adjustment related to reclassification from property and equipments to goodwill									547,000		547,000
Deferred loan costs									94,000		94,000
Senior debt, net of discounts	30,485,000		30,485,000		4,567,000				21,280,000		21,280,000
Revolving credit facilities and lines of credit	7,064,000		7,064,000		7,343,000				5,164,000		5,164,000
Debt incurred in conjunction with certain acquisitions											$ 31,400,000