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Note 18 - Relationship With National Health Corporation (Details Textual)
12 Months Ended
Dec. 31, 2024
USD ($)
shares
Dec. 31, 2023
USD ($)
shares
Dec. 31, 2022
USD ($)
shares
Dec. 31, 2021
shares
Common Stock [Member]        
Shares, Outstanding (in shares) | shares 15,450,003 15,350,661 15,357,746 15,452,033
National [Member]        
Line of Credit Facility, Maximum Borrowing Capacity $ 2,000,000      
Payroll and Related Services Administrative Fee Percentage 1.00%      
Payment for Administrative Fees $ 5,878,000 $ 5,431,000 $ 5,074,000  
Employee-related Liabilities $ 2,933,000 $ 1,499,000    
National [Member] | Common Stock [Member]        
Shares, Outstanding (in shares) | shares 1,030,887 1,084,763    
Equity Owned by Related Parties 6.70% 7.10%    
Line of Credit [Member] | National Health Care [Member]        
Line of Credit Facility, Maximum Borrowing Capacity $ 2,000,000      
Long-Term Line of Credit $ 0 $ 0    
National [Member]        
Number of Skilled Nursing Ficilitiess 5