Note 3 - Other Revenues (Details Textual)	3 Months Ended		6 Months Ended
	Jun. 30, 2016 USD ($)	Jun. 30, 2015 USD ($)	Jun. 30, 2016 USD ($)	Jun. 30, 2015 USD ($)
National [Member]
Number of Skilled Nursing Centers	5		5
Management Fees Revenue	$ 926,000	$ 890,000	$ 1,895,000	$ 1,824,000
Workers Compensation Premium Revenue [Member]
Health Care Organization, Premium Revenue	1,150,000	1,203,000	2,383,000	2,213,000
Professional Liability Insurance [Member]
Health Care Organization, Premium Revenue	$ 665,000	$ 697,000	$ 1,356,000	$ 1,394,000
Number of Skilled Nursing Centers	74		74