Note 5 - Long-term Leases (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2015 USD ($)	Jun. 30, 2014 USD ($)	Jun. 30, 2015 USD ($)	Jun. 30, 2014 USD ($)
Note 5 - Long-term Leases (Details) [Line Items]
Operating Leases, Rent Expense (in Dollars)	$ 9,981,000	$ 9,913,000	$ 19,966,000	$ 19,799,000
Two Leases with NHI [Member]
Note 5 - Long-term Leases (Details) [Line Items]
Number Of Skilled Nursing Centers Leased From NHI	35		35
Number of Assisted Living Centers Leased From NHI	7		7
Number of Independent Living Centers Leased From NHI	3		3
Number of Lease Agreements with NHI	2		2
Operating Leases, Rent Expense (in Dollars)			$ 18,355,000	$ 18,267,000
Lease One with NHI [Member]
Note 5 - Long-term Leases (Details) [Line Items]
Operating Leases, Rent Expense, Minimum Rentals (in Dollars)			$ 34,200,000
Operating Lease Additional Percentage Rent Percentage			4.00%