Note 4 - Other Revenues (Details Textual)	3 Months Ended
	Mar. 31, 2024 USD ($)	Mar. 31, 2023 USD ($)
Number of Skilled Nursing Centers	65
Insurance Services Revenue	$ 872,000	$ 1,048,000
Workers Compensation Revenue [Member]
Insurance Services Revenue	582,000	736,000
Professional Liability Insurance [Member]
Insurance Services Revenue	$ 290,000	312,000
National [Member]
Number of Skilled Nursing Centers	5
Property Management Fee Revenue	$ 1,320,000	$ 1,190,000
FLORIDA
Number of Skilled Nursing Centers	4