Note 3 - Other Revenues (Detail) (USD $)	6 Months Ended
Jun. 30, 2012	Jun. 30, 2011
National [Member]
Management Fees Revenue	$ 1,714,000	$ 1,793,000
Other Nursing Centers [Member]
Management Fees Revenue	$ 3,442,000	$ 3,640,000

Revenue, comprised of base and incentive revenue derived from the management of joint ventures, managing third-party properties, or another entity's operations.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 225

-SubTopic 10

-Section S99

-Paragraph 2

-Subparagraph (SX 210.5-03.1(d))

-URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688

Name:	us-gaap_ManagementFeesRevenue
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration