Note 3 - Other Revenues (Details) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Note 3 - Other Revenues (Details) [Line Items]
Number Of Beds	9,410		9,410
Number of Skilled Nursing Centers Leased From NHI	73		73
Workers Compensation Premium Revenue [Member] | Des Peres, Missouri [Member]
Note 3 - Other Revenues (Details) [Line Items]
Health Care Organization, Premium Revenue		$ 502,000		$ 2,769,000
Workers Compensation Premium Revenue [Member]
Note 3 - Other Revenues (Details) [Line Items]
Health Care Organization, Premium Revenue	1,184,000	1,781,000	2,280,000	5,390,000
Professional Liability Insurance [Member]
Note 3 - Other Revenues (Details) [Line Items]
Health Care Organization, Premium Revenue	693,000		1,370,000	1,885,000
National [Member]
Note 3 - Other Revenues (Details) [Line Items]
Number of Skilled Nursing Centers	5		5
Management Fees Revenue	870,000	865,000	1,795,000	1,777,000
Other Nursing Centers [Member]
Note 3 - Other Revenues (Details) [Line Items]
Number of Skilled Nursing Centers		21		21
Management Fees Revenue	565,000	1,379,000	1,102,000	2,997,000
Number of Skilled Nursing Centers Leased From NHI	7		7
Health Care Organization, Premium Revenue		$ 923,000
Des Peres, Missouri [Member]
Note 3 - Other Revenues (Details) [Line Items]
Number Of Beds	121		121