Note 3 - Other Revenues (Details) (USD $)	3 Months Ended
	Mar. 31, 2014	Mar. 31, 2013
Note 3 - Other Revenues (Details) [Line Items]
Number Of Beds	9,410
Health Care Organization, Premium Revenue		$ 2,268,000
Des Peres, Missouri [Member]
Note 3 - Other Revenues (Details) [Line Items]
Number Of Beds	121
National [Member]
Note 3 - Other Revenues (Details) [Line Items]
Number of Skilled Nursing Centers	5
Management Fees Revenue	925,000	912,000
Other Nursing Centers [Member]
Note 3 - Other Revenues (Details) [Line Items]
Number of Skilled Nursing Centers	21
Management Fees Revenue	537,000	1,619,000
Workers Compensation Premium Revenue [Member]
Note 3 - Other Revenues (Details) [Line Items]
Health Care Organization, Premium Revenue	1,096,000	3,609,000
Professional Liability Insurance [Member]
Note 3 - Other Revenues (Details) [Line Items]
Health Care Organization, Premium Revenue	$ 677,000	$ 962,000