VARIABLE INTEREST ENTITIES (Details) (USD $)	3 Months Ended
	Jun. 30, 2012 item	Dec. 31, 2011
VARIABLE INTEREST ENTITIES
Accounts receivable	$ 25,127,000	$ 18,782,000
Property and equipment, net	132,924,000	102,449,000
Goodwill	3,112,000	3,600,000
Other assets	71,000	122,000
Accounts payable	15,609,000	12,075,000
Accrued expenses	11,793,000	9,881,000
Noncontrolling interest	(468,000)	(841,000)
Riverchase Village Facility
VARIABLE INTEREST ENTITIES
Cash		16,000
Accounts receivable	26,000	10,000
Restricted investments	413,000	451,000
Property and equipment, net	5,920,000	5,999,000
Other assets	432,000	432,000
Total assets	6,791,000	6,908,000
Accounts payable	1,055,000	740,000
Accrued expenses	97,000	174,000
Notes payable	6,107,000	6,176,000
Noncontrolling interest	(468,000)	(182,000)
Total liabilities	6,791,000	6,908,000
Oklahoma Owners
VARIABLE INTEREST ENTITIES
Number of skilled nursing facilities	5
Cash		180,000
Accounts receivable		800,000
Property and equipment, net		9,989,000
Goodwill		1,122,000
Other assets		641,000
Total assets		12,732,000
Accounts payable		458,000
Accrued expenses		356,000
Notes payable		12,578,000
Noncontrolling interest		(660,000)
Total liabilities		$ 12,732,000