Summary of Significant Accounting Policies (Details 5) (USD $) In Thousands, unless otherwise specified			12 Months Ended
	Dec. 31, 2013 item	Dec. 31, 2012	Dec. 31, 2013 One form	Dec. 31, 2013 Second form	Dec. 31, 2013 Historical form	Dec. 31, 2013 Second historical form	Dec. 31, 2013 Third historical form
Continuing care contracts
Number of forms of contracts offered to new residents	2
Percentage of resident admission fee that becomes non-refundable			10.00%	30.00%	10.00%		99.00%
Remaining percentage of resident admission fee that becomes non-refundable			90.00%
Monthly reduction in refundable fee, as a percentage of original admission fee			1.50%
Period during which admission fee becomes non-refundable			60 months
Percentage of admission fee that become refundable				70.00%	90.00%	100.00%	1.00%
Number of forms of contracts offered to existing residents	3
Refundable admission fees	$ 3,863	$ 4,255