RESTATEMENT OF PREVIOUSLY ISSUED CONSOLIDATED FINANCIAL STATEMENTS (Details) (USD $)	3 Months Ended		9 Months Ended			0 Months Ended	9 Months Ended		3 Months Ended	9 Months Ended	3 Months Ended	9 Months Ended
	Sep. 30, 2012 item	Sep. 30, 2011	Sep. 30, 2012 item	Sep. 30, 2011	Dec. 31, 2011	Aug. 02, 2011 Oklahoma Facilities item	Sep. 30, 2012 Oklahoma Facilities	Dec. 31, 2011 Oklahoma Facilities	Sep. 30, 2012 Accounting errors and certain accounting estimates related to non-routine items	Sep. 30, 2012 Accounting errors and certain accounting estimates related to non-routine items	Sep. 30, 2012 As Reported	Sep. 30, 2012 As Reported	Dec. 31, 2011 As Reported
Number of skilled nursing facilities acquired			8			5
Monthly fee as a percentage of monthly gross revenues of facility							5.00%
Patient care revenues	$ (57,772,000)	$ (40,192,000)	$ (155,345,000)	$ (104,596,000)					$ 381,000	$ 794,000	$ (61,342,000)	$ (165,793,000)
Overstatement of managed care revenue due to billing errors									361,000	582,000
Impact of overstatement of managed care revenue due to billing errors on accounts receivable									582,000	582,000
Impact of recognition of expense of certain deferred or capitalized operating and other costs on accounts receivable									410,000	410,000
Impact of collection efforts and lack of timely follow-up on open patient accounts of certain facilities on accounts receivable									528,000	528,000
Impact on accounts receivable of eliminated management fee expense and other receivables associated with correction of accounting for certain variable interest entities									440,000	440,000
Decrease in depreciation expenses on impairment of office building									5,000	10,000
Depreciation and amortization	1,929,000	836,000	5,233,000	2,188,000					(50,000)	233,000	2,112,000	5,370,000
Market value of office building less cost to sell	400,000		400,000
Property and Equipment	150,779,000		150,779,000		102,449,000			9,989,000	(3,389,000)	(3,389,000)	164,014,000	164,014,000
Impairment of an office building									45,000	389,000
Decrease in amortization of certain intangibles									146,000	146,000
Goodwill resulting from the respective acquisitions										2,180,000
Expense inadvertently capitalized										976,000
Goodwill	4,745,000		4,745,000		3,600,000			1,122,000	2,267,000	2,267,000	3,600,000	3,600,000	900,000
Adjustments related to an acquisition reclassification to goodwill from property and equipment									2,180,000	2,180,000
Adjustments related to an acquisition reclassification to goodwill from the capitalized intangible assets bed licenses									87,000	87,000
Deferred loan costs	6,151,000		6,151,000		4,818,000				34,000	34,000	6,630,000	6,630,000
Current Obligation of private bank loan	30,237,000		30,237,000		4,567,000				21,244,000	21,244,000	11,991,000	11,991,000
Debt incurred in conjunction with certain acquisitions										43,500,000
Adjustments relating to convertible debt										7,500,000
Facilities with misapplication of accounting principles related to operating and other costs requiring a restatement	2		2
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									525,000	1,185,000
Recognition of certain payroll related operating expenses due to incorrect accounting for accrual vacation									34,000	838,000
Recognition of certain payroll related operating expenses due to untimely identification and recognition of expenses associated with unemployment tax accrual adjustments									41,000	123,000
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									473,000	940,000
Incorrect reversal of the expenses associated with a state's bed tax that should have been expensed in the interim reporting period in which the costs were incurred									984,000	984,000
Recognition of certain operating expenses that were not recorded in the interim reporting period									75,000	80,000
Untimely recorded of payroll expense for a certain facility									112,000	112,000
Reversal of the eliminated management fee expense associated with the correction in the application of Company's accounting for certain variable interest entities									159,000	482,000
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									441,000	721,000
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									(20,000)	(212,000)
Cost of services	48,608,000	32,637,000	127,731,000	84,916,000					2,824,000	5,656,000	49,164,000	131,514,000
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									(443,000)	(1,143,000)
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 expenses in the interim reporting period in which the costs were incurred during period									85,000	159,000
Incorrect accounting for accrued vacation									3,000	80,000
Untimely identification and recognition expenses associated with certain unemployment tax accrual adjustments										2,000
Incorrect expenses coding originally recorded to Interest expenses, net, reclassified to consulting fees in General and administrative									25,000	25,000
General and administrative expense	3,998,000	3,267,000	12,336,000	9,358,000					(330,000)	(852,000)	4,328,000	13,188,000
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									82,000	351,000
Recognition of expense related to the fair value of warrants granted to non-employees in connection with loan financing fees									83,000	164,000
Correction of consulting expenses originally recorded to Interest expenses, net, reclassified to General and administrative									(25,000)	(25,000)
Interest expense, net	$ 3,857,000	$ 2,223,000	$ 9,979,000	$ 5,511,000					$ 140,000	$ 490,000	$ 3,992,000	$ 10,312,000