SEGMENTS (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2012	Sep. 30, 2011	Sep. 30, 2012 item	Sep. 30, 2011	Dec. 31, 2011
SEGMENTS
Number of reportable segments			3
SEGMENTS
Net revenues	$ 58,359	$ 40,522	$ 156,981	$ 105,908
Cost of services	48,608	32,637	127,731	84,916
General and administrative	3,998	3,267	12,336	9,358
Facility rent expense	2,080	1,937	6,195	5,787
Depreciation and amortization	1,929	836	5,233	2,188
Salary retirement and continuation costs	38		38	622
Income from Operations	1,706	1,845	5,448	3,037
Total assets	221,260	159,104	221,260	159,104	159,104
SNF
SEGMENTS
Net revenues	54,408	37,729	145,305	97,382
Cost of services	48,801	32,856	127,842	85,419
Facility rent expense	2,039	1,937	6,065	5,787
Depreciation and amortization	1,407	631	3,939	1,595
Income from Operations	2,161	2,305	7,459	4,581
Total assets	154,022	110,532	154,022	110,532
ALF
SEGMENTS
Net revenues	3,364	2,463	10,038	7,214
Cost of services	2,445	1,885	7,420	5,740
Depreciation and amortization	224	158	653	470
Income from Operations	695	420	1,965	1,004
Total assets	29,211	22,328	29,211	22,328
Corporate & Other
SEGMENTS
Net revenues	3,505	2,349	9,487	7,646
Cost of services	280	(85)	318	91
General and administrative	3,998	3,267	12,336	9,358
Facility rent expense	41		130
Depreciation and amortization	298	47	641	123
Salary retirement and continuation costs	38		38	622
Income from Operations	(1,150)	(880)	(3,976)	(2,548)
Total assets	48,723	35,792	48,723	35,792
Eliminations
SEGMENTS
Net revenues	(2,918)	(2,109)	(7,849)	(6,334)
Cost of services	(2,918)	(2,109)	(7,849)	(6,334)
Total assets	$ (10,696)	$ (9,548)	$ (10,696)	$ (9,548)