Note 5 - Long-term Leases (Details) (USD $)	1 Months Ended	12 Months Ended	0 Months Ended		12 Months Ended		1 Months Ended
	Dec. 31, 2010	Dec. 31, 2014	Dec. 26, 2012	Jan. 01, 2007	Dec. 31, 2013	Dec. 31, 2012	Sep. 30, 2013
Note 5 - Long-term Leases (Details) [Line Items]
Number of Additional Lease Options	5
Lessee Leasing Arrangements, Operating Leases, Term of Contract	10 years
Skilled Nursing Facility [Member] | Capital Lease [Member]
Note 5 - Long-term Leases (Details) [Line Items]
Number of Facilities Under Capitalized Lease		2
Capital Lease [Member]
Note 5 - Long-term Leases (Details) [Line Items]
Number of Facilities Under Capitalized Lease		3
Number of Capitalized Lease Agreements		3
Initial Lease Term		10 years
Number of Additional Lease Options		2
Term of Additional Lease Option		5 years
Capital Leases, Future Minimum Payments, Net Minimum Payments (in Dollars)		$ 5,200,000
Capital Lease Additional Percentage Rent Percentage		4.00%
Two Leases with NHI [Member]
Note 5 - Long-term Leases (Details) [Line Items]
Number of Skilled Nursing Centers Leased From NHI		35
Number of Assisted Living Centers Leased From NHI		7
Number of Independent Living Centers Leased From NHI		3
Number of Lease Agreements with NHI		2
Operating Leases, Rent Expense, Minimum Rentals (in Dollars)		34,200,000
Lease One with NHI [Member]
Note 5 - Long-term Leases (Details) [Line Items]
Number of Additional Lease Options			2	3
Term of Additional Lease Option				5 years
Number of Skilled Nursing Facilities Subleased		4
Number of Corporations Subleased To		4
Lessee Leasing Arrangements, Operating Leases, Term of Contract				15 years
Operating Leases, Year of Expiration			2026
Operating Leases, Rent Expense, Minimum Rentals (in Dollars)			30,750,000
Operating Lease Additional Percentage Rent Percentage			4.00%
Operating Leases, Percentage Rent Expense (in Dollars)		2,334,000			2,526,000	2,591,000
Lease 2 with NHI [Member]
Note 5 - Long-term Leases (Details) [Line Items]
Lessee Leasing Arrangements, Operating Leases, Term of Contract							15 years
Operating Leases, Rent Expense, Minimum Rentals (in Dollars)							3,450,000
Operating Lease Additional Percentage Rent Percentage							4.00%
Number of Skilled Nursing Centers							7
Facility Purchase Price (in Dollars)							$ 49,000,000,000