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Note 11 - Notes Receivable	12 Months Ended
Dec. 31, 2013
Receivables [Abstract]
Loans, Notes, Trade and Other Receivables Disclosure [Text Block]	Note 11 - Notes Receivable At December 31, 2013 and 2012, we have notes receivable from managed and other skilled nursing facilities totaling $15,378,000 and $21,789,000, respectively, reflected in the accompanying consolidated balance sheets. The notes are first and second mortgages with interest rates ranging from prime plus 2% to 8.5% fixed rate with periodic payments required prior to maturity. The notes mature in the years from 2014 through 2016. The proceeds of the notes were used by the skilled nursing facilities for construction costs, development costs incurred during construction, and working capital.

Note 11 - Notes Receivable

12 Months Ended

Dec. 31, 2013

Loans, Notes, Trade and Other Receivables Disclosure [Text Block]

Note 11 - Notes Receivable

At December 31, 2013 and 2012, we have notes receivable from managed and other skilled nursing facilities totaling $15,378,000 and $21,789,000, respectively, reflected in the accompanying consolidated balance sheets. The notes are first and second mortgages with interest rates ranging from prime plus 2% to 8.5% fixed rate with periodic payments required prior to maturity. The notes mature in the years from 2014 through 2016. The proceeds of the notes were used by the skilled nursing facilities for construction costs, development costs incurred during construction, and working capital.

- Definition

The entire disclosure for claims held for amounts due a entity, excluding financing receivables. Examples include, but are not limited to, trade accounts receivables, notes receivables, loans receivables. Includes disclosure for allowance for credit losses.

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