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Summary of Significant Accounting Policies (Details 2) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Investment Securities      
Available for sale securities, fair value $ 31,055 $ 23,500  
Unrealized holding gain 1,928 1,780  
Available for sale securities, interest and dividend income 693 799 1,122
Available for sale securities      
Available for sale securities, Fair Value, Less than 12 months 7,392 4,052  
Available for sale securities, Unrealized Loss , Less than 12 months 257 75  
Available for sale securities, Fair Value, Greater than 12 months   3,268  
Available for sale securities, Unrealized Loss, Greater than 12 months   195  
Available for sale securities, Fair Value, Total 7,392 7,320  
Available for sale securities, Unrealized Loss, Total 257 270  
Restricted cash      
Current 9,003 6,548  
Long term 9,795 12,166  
Insurance reserves
     
Restricted cash      
Current 3,859 3,053  
Long term 9,795 8,768  
Real estate taxes and capital expenditures as required by the entity's mortgages
     
Restricted cash      
Current 1,182 2,761  
Indemnification obligations associated with the sale of the entity's pharmacy business
     
Restricted cash      
Current 3,248    
Long term   3,398  
Resident security deposits
     
Restricted cash      
Current $ 714 $ 734