Note 3 - Other Revenues (Details Textual)	3 Months Ended		9 Months Ended
	Sep. 30, 2015 USD ($)	Sep. 30, 2014 USD ($)	Sep. 30, 2015 USD ($)	Sep. 30, 2014 USD ($)
National [Member]
Number of Skilled Nursing Centers	5		5
Management Fees Revenue	$ 885,000	$ 884,000	$ 2,709,000	$ 2,679,000
Workers Compensation Premium Revenue [Member]
Health Care Organization, Premium Revenue	977,000	1,082,000	3,190,000	3,362,000
Professional Liability Insurance [Member]
Health Care Organization, Premium Revenue	$ 697,000	$ 705,000	$ 2,091,000	$ 2,075,000
Number of Skilled Nursing Centers	74		74