Discontinued Operations (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended	9 Months Ended	12 Months Ended							1 Months Ended		3 Months Ended			1 Months Ended	3 Months Ended	12 Months Ended	1 Months Ended	12 Months Ended		0 Months Ended						1 Months Ended		1 Months Ended
	Sep. 30, 2013	Sep. 30, 2013	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2013 SNH property	Dec. 31, 2013 Assisted living communities property unit	Jun. 30, 2013 Assisted living communities unit property	Jun. 30, 2013 Assisted living communities SNH unit property	Jan. 31, 2014 Assisted living communities SNH Subsequent event property unit	Aug. 31, 2011 Assisted living communities SNH Pennsylvania property unit	Jun. 30, 2013 Senior Living Communities	Dec. 31, 2013 Senior Living Communities SNH property	Jun. 30, 2013 Senior Living Communities SNH property unit	Sep. 30, 2012 Pharmacy business	Dec. 31, 2013 Pharmacy business South Carolina	Dec. 31, 2013 Pharmacy business South Carolina pharmacy	Jul. 31, 2014 Pharmacy business South Carolina Subsequent event	Dec. 31, 2013 Rehabilitation hospitals SNH property	Dec. 31, 2013 Rehabilitation hospitals SNH and others	Apr. 30, 2013 SNF	Dec. 31, 2013 SNF unit	Oct. 31, 2012 SNF property	Sep. 30, 2012 SNF property	Sep. 30, 2011 SNF property	Dec. 31, 2011 SNF Michigan property unit	Aug. 31, 2013 SNF SNH property unit	Jun. 30, 2013 SNF SNH unit property	Jun. 30, 2014 SNF SNH Subsequent event property unit	Jul. 31, 2014 SNF and assisted living communities SNH Subsequent event property
Discontinued Operations
Number of properties offered for sale						4	1																2	2	2	2				2
Number of units in real estate property offered for sale							32			48												271				271	112		155
Number of real estate properties sold										1									2										2
Sale consideration										$ 2,400								$ 205			$ 8,000						$ 2,550		$ 4,500
HUD mortgage debt to be prepaid by the buyer			0	7,547																	7,510
Number of affiliated outpatient clinics where outpatient rehabilitation services are provided																			13
Number of properties in process of being offered for sale by the related party											1		6
Decrease in annual lease rent payable as a percentage of net proceeds of sale										8.75%	9.00%																10.00%		10.00%
Proceeds from sale of real estate															34,298				90,000
Working capital included in proceeds from sale of business															3,789				9,591
Gains (losses) on sale			(2,197)	23,347											23,347
Number of pharmacies whose real estate was not acquired by Omnicare																	1
Impairment on discontinued assets			4,153	644	4,358							1,231				57
Decrease in annual lease rent payable										210										11,500							255		450
Number of properties to be sold								1	3					10													1	7
Number of living units in property to be sold								32	143		103			721														578
Summary of the operating results of discontinued operations
Revenues			151,600	213,020	251,604
Expenses			(154,578)	(218,565)	(253,430)
Impairment on discontinued assets			(4,153)	(644)	(4,358)							(1,231)				(57)
Non-cash asset impairment charges			(2,600)
Benefit (provision) for income taxes			3,539	(5,441)	2,803
(Loss) gain on sale			(2,197)	23,347											23,347
Net (loss) income	$ (1,383)	$ (3,683)	$ (5,789)	$ 11,717	$ (3,381)