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Note 2 - Summary of Significant Accounting Policies (Details) (USD $)
3 Months Ended
Mar. 31, 2014
Dec. 31, 2013
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Concentration Risk, Percentage 67.00%  
Malpractice Loss Contingency, Number of Claims 33  
Continuing Care Retirement Communities Advance Fees, Obligation for Future Services, Amount (in Dollars) $ 3,689,000 $ 3,689,000
Building and Building Improvements [Member] | Minimum [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Property, Plant and Equipment, Useful Life 20 years  
Building and Building Improvements [Member] | Maximum [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Property, Plant and Equipment, Useful Life 40 years  
Equipment [Member] | Minimum [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Property, Plant and Equipment, Useful Life 3 years  
Equipment [Member] | Maximum [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Property, Plant and Equipment, Useful Life 15 years  
Medicare and Medicaid [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Allowance for Doubtful Accounts Receivable (in Dollars) 22,508,000 21,619,000
Refundable Advance Fees [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Nonrefundable Resident Entry Fee Percentage 10.00%  
Customer Refundable Fees (in Dollars) $ 11,187,000 $ 10,720,000
Original Entry Fee [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Refundable Resident Entry Fee Percentage 90.00%  
Appreciation [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Appreciation of Apartment Over Original Resident's Entry Fee, Percentage 40.00%  
Minimum [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Management Services Fees 6.00%  
Maximum [Member]
   
Note 2 - Summary of Significant Accounting Policies (Details) [Line Items]    
Management Services Fees 7.00%