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Selected Quarterly Financial Data (Unaudited) (Details) (USD $)
In Thousands, except Per Share data, unless otherwise specified
 3 Months Ended 6 Months Ended 9 Months Ended 12 Months Ended
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2011
Jun. 30, 2013
Jun. 30, 2012
Sep. 30, 2013
Sep. 30, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Selected Quarterly Financial Data (Unaudited)                                
Revenues $ 325,225 $ 324,263 $ 323,447 $ 323,852 $ 322,469 $ 297,341 $ 296,572 $ 291,424   $ 647,299 $ 587,996 $ 971,562 $ 885,337 $ 1,296,787 $ 1,207,806 $ 1,060,602
Operating income (loss) (1,471) 2,354 5,711 3,668 5,003 4,887 10,178 2,773   9,379 12,951 11,733 17,838 10,262 22,841 17,346
Net income (loss) from continuing operations (3,324) 625 2,955 3,193 1,623 2,730 5,295 942   6,148 6,237 6,773 8,967 3,449 10,590 75,555
Net income (loss) (5,430) (758) 1,456 2,392 1,576 15,855 4,629 247   3,848 4,876 3,090 20,731 (2,340) 22,307 72,174
Net income (loss) per share - basic (in dollars per share) $ (0.11) $ (0.02) $ 0.03 $ 0.05 $ 0.04 $ 0.33 $ 0.09 $ 0.01   $ 0.08 $ 0.10 $ 0.07 $ 0.43 $ (0.05) $ 0.47 $ 1.71
Net income (loss) per share - diluted (in dollars per share) $ (0.11) $ (0.02) $ 0.03 $ 0.05 $ 0.03 $ 0.32 $ 0.09 $ 0.01   $ 0.08 $ 0.10 $ 0.07 $ 0.42 $ (0.05) $ 0.46 $ 1.62
Consolidated Statement of Operations data:                                
Senior living revenue   269,845 268,833 269,306           538,139   807,984   1,077,062 1,074,333 1,038,737
Reimbursed costs incurred on behalf of managed communities   52,128 52,333 52,244 50,529 27,491 26,177 23,531   104,577 49,708 156,705 77,127 210,491 127,656 20,967
Total revenues 325,225 324,263 323,447 323,852 322,469 297,341 296,572 291,424   647,299 587,996 971,562 885,337 1,296,787 1,207,806 1,060,602
Senior living wages and benefits   131,026 130,637 132,646           263,283   394,309   525,733 522,444 510,012
Other senior living operating expenses   67,942 64,843 65,455 67,693 65,139 64,237 64,680   130,298 128,917 198,240 194,056 265,764 261,749 248,547
Costs incurred on behalf of managed communities   52,128 52,333 52,244 50,529 27,419 26,177 23,531   104,577 49,708 156,705 77,127 210,491 127,656 20,967
General and administrative   15,334 15,059 15,456 16,229 14,678 15,459 15,451   30,515 30,910 45,849 45,588 63,509 61,817 57,540
Total operating expenses   321,909 317,736 320,184 317,466 292,454 286,394 288,651   637,920 575,045 959,829 867,499 1,286,525 1,184,965 1,043,256
Operating income (1,471) 2,354 5,711 3,668 5,003 4,887 10,178 2,773   9,379 12,951 11,733 17,838 10,262 22,841 17,346
Income from continuing operations before income taxes and equity in earnings of an investee   725 4,409 2,496 3,682 3,287 8,852 1,551   6,905 10,403 7,630 13,690 5,031 17,372 17,027
(Provision) benefit for income taxes   (164) (1,533) 621 (2,139) (672) (3,633) (654) 58,389 (912) (4,287) (1,076) (4,959) 1,916 7,098 (58,389)
Income from continuing operations (3,324) 625 2,955 3,193 1,623 2,730 5,295 942   6,148 6,237 6,773 8,967 3,449 10,590 75,555
(Loss) income from discontinued operations   (1,383)                   (3,683)   (5,789) 11,717 (3,381)
Net (loss) income (5,430) (758) 1,456 2,392 1,576 15,855 4,629 247   3,848 4,876 3,090 20,731 (2,340) 22,307 72,174
Continuing operations (in dollars per share)   $ 0.01 $ 0.06 $ 0.07 $ 0.04 $ 0.05 $ 0.11 $ 0.02   $ 0.13 $ 130.00 $ 0.14 $ 0.19 $ 0.07 $ 0.23 $ 1.79
Discontinued operations (in dollars per share)   $ (0.03) $ (0.03) $ (0.02)   $ 0.28 $ (0.02) $ (0.01)   $ (0.05) $ (0.03) $ (0.07) $ 0.24 $ (0.12) $ 0.24 $ (0.08)
Net (loss) income per share - basic (in dollars per share) $ (0.11) $ (0.02) $ 0.03 $ 0.05 $ 0.04 $ 0.33 $ 0.09 $ 0.01   $ 0.08 $ 0.10 $ 0.07 $ 0.43 $ (0.05) $ 0.47 $ 1.71
Continuing operations (in dollars per share)   $ 0.01 $ 0.06 $ 0.07 $ 0.03 $ 0.05 $ 0.10 $ 0.02   $ 0.13 $ 0.13 $ 0.14 $ 0.19 $ 0.07 $ 0.23 $ 1.70
Discontinued operations (in dollars per share)   $ (0.03) $ (0.03) $ (0.02)   $ 0.27 $ (0.01) $ (0.01)   $ (0.05) $ (0.03) $ 0.07 $ 0.23 $ (0.12) $ 0.23 $ (0.08)
Net (loss) income per share - diluted (in dollars per share) $ (0.11) $ (0.02) $ 0.03 $ 0.05 $ 0.03 $ 0.32 $ 0.09 $ 0.01   $ 0.08 $ 0.10 $ 0.07 $ 0.42 $ (0.05) $ 0.46 $ 1.62
As Previously Reported
                                
Selected Quarterly Financial Data (Unaudited)                                
Revenues   324,112 323,261 323,600 322,185 297,169 296,493 291,298   646,861 587,791 970,973 884,960   1,207,145 1,060,187
Operating income (loss)   2,518 4,651 3,262 5,615 5,478 10,643 3,145   7,913 13,788 10,431 19,266   24,881 16,499
Net income (loss) from continuing operations   727 2,297 2,941 1,993 3,088 5,576 1,167   5,238 6,743 5,965 9,831   11,824 74,168
Net income (loss)   (198) 798 2,140 1,946 16,213 4,910 472   2,938 5,382 2,740 21,595   23,541 70,787
Net income (loss) per share - basic (in dollars per share)     $ 0.02 $ (0.04) $ 0.04 $ 0.34 $ 0.10 $ 0.01   $ 0.06 $ 0.11 $ 0.06 $ 0.45   $ 0.49 $ 1.68
Net income (loss) per share - diluted (in dollars per share)     $ 0.02 $ (0.04) $ 0.04 $ 0.33 $ 0.10 $ 0.01   $ 0.06 $ 0.11 $ 0.06 $ 0.44   $ 0.48 $ 1.59
Consolidated Statement of Operations data:                                
Senior living revenue   269,839 268,827 269,240           538,067   807,906        
Reimbursed costs incurred on behalf of managed communities   51,983 52,153 52,058 50,245 27,247 26,098 23,405   104,211 49,503 156,194 76,750   126,995 20,552
Total revenues   324,112 323,261 323,600 322,185 297,169 296,493 291,298   646,861 587,791 970,973 884,960   1,207,145 1,060,187
Senior living wages and benefits   130,824 130,390 132,427           262,817   393,641        
Other senior living operating expenses   68,227 65,752 66,338 67,113 64,579 63,797 64,260   132,090 128,057 200,317 192,636   259,749 249,491
Costs incurred on behalf of managed communities   51,983 52,153 52,058 50,245 27,247 26,098 23,405   104,211 49,503 156,194 76,750   126,995 20,552
General and administrative   15,081 15,451 15,132 16,197 14,647 15,434 15,499   30,583 30,933 45,664 45,580   61,777 57,443
Total operating expenses   321,594 318,610 320,338 316,570 291,691 285,850 288,153   638,948 574,003 960,542 865,694   1,182,264 1,043,688
Operating income   2,518 4,651 3,262 5,615 5,478 10,643 3,145   7,913 13,788 10,431 19,266   24,881 16,499
Income from continuing operations before income taxes and equity in earnings of an investee   889 3,349 2,090 4,294 3,878 9,317 1,923   5,439 11,240 6,328 15,118   19,412 16,180
(Provision) benefit for income taxes   (226) (1,131) 775 (2,381) (905) (3,817) (801)   (356) (4,618) (582) (5,523)   (7,904) 57,849
Income from continuing operations   727 2,297 2,941 1,993 3,088 5,576 1,167   5,238 6,743 5,965 9,831   11,824 74,168
(Loss) income from discontinued operations   (925)                   (3,225)        
Net (loss) income   (198) 798 2,140 1,946 16,213 4,910 472   2,938 5,382 2,740 21,595   23,541 70,787
Continuing operations (in dollars per share)   $ 0.02 $ 0.05 $ 0.06 $ 0.04 $ 0.06 $ 0.12 $ 0.02   $ 0.11 $ 0.14 $ 0.12 $ 0.21   $ 0.25 $ 1.76
Discontinued operations (in dollars per share)   $ (0.02) $ (0.03) $ (0.02)   $ 0.28 $ (0.02) $ (0.01)   $ (0.05) $ (0.03) $ (0.06) $ 0.24   $ 0.24 $ (0.08)
Net (loss) income per share - basic (in dollars per share)     $ 0.02 $ (0.04) $ 0.04 $ 0.34 $ 0.10 $ 0.01   $ 0.06 $ 0.11 $ 0.06 $ 0.45   $ 0.49 $ 1.68
Continuing operations (in dollars per share)   $ 0.02 $ 0.05 $ 0.06 $ 0.04 $ 0.06 $ 0.11 $ 0.02   $ 0.11 $ 0.14 $ 0.12 $ 0.21   $ 0.25 $ 1.67
Discontinued operations (in dollars per share)   $ (0.02) $ (0.03) $ (0.02)   $ 0.27 $ (0.01) $ (0.01)   $ (0.05) $ (0.03) $ (0.06) $ 0.23   $ 0.23 $ (0.08)
Net (loss) income per share - diluted (in dollars per share)     $ 0.02 $ (0.04) $ 0.04 $ 0.33 $ 0.10 $ 0.01   $ 0.06 $ 0.11 $ 0.06 $ 0.44   $ 0.48 $ 1.59
Accounts payable and certain other errors | Adjustments
                                
Selected Quarterly Financial Data (Unaudited)                                
Revenues   151 186 252 284 172 79 126   438 205 589 377   661 415
Operating income (loss)   (164) 1,060 406 (612) (591) (465) (372)   1,466 (837) 1,302 (1,428)   (2,040) 847
Net income (loss) from continuing operations   (102) 658 252 (370) (358) (281) (225)   910 (506) 808 (864)   (1,234) 1,387
Net income (loss)   (560) 658 252 (370) (358) (281) (225)   910 (506) 350 (864)   (1,234) 1,387
Net income (loss) per share - basic (in dollars per share)   $ (0.02) $ 0.01 $ 0.01   $ (0.01) $ (0.01)     $ 0.02 $ (0.01) $ 0.01 $ (0.02)   $ (0.02) $ 0.03
Net income (loss) per share - diluted (in dollars per share)   $ (0.02) $ 0.01 $ 0.01 $ (0.01) $ (0.01) $ (0.01)     $ 0.02 $ (0.01) $ 0.01 $ (0.02)   $ (0.02) $ 0.03
Consolidated Statement of Operations data:                                
Senior living revenue   6 6 66           72   78        
Reimbursed costs incurred on behalf of managed communities   145 180 186 284 172 79 126   366 205 511 377   661 415
Total revenues   151 186 252 284 172 79 126   438 205 589 377   661 415
Senior living wages and benefits   202 247 219           466   668        
Other senior living operating expenses   (285) (909) (883) 580 560 440 420   (1,792) 860 (2,077) 1,420   2,000 (944)
Costs incurred on behalf of managed communities   145 180 186 284 172 79 126   366 205 511 377   661 415
General and administrative   253 (392) 324 32 31 25 (48)   (68) (23) 185 8   40 97
Total operating expenses   315 (874) (154) 896 763 544 498   (1,028) 1,042 (713) 1,805   2,701 (432)
Operating income   (164) 1,060 406 (612) (591) (465) (372)   1,466 (837) 1,302 (1,428)   (2,040) 847
Income from continuing operations before income taxes and equity in earnings of an investee   (164) 1,060 406 (612) (591) (465) (372)   1,466 (837) 1,302 (1,428)   (2,040) 847
(Provision) benefit for income taxes   62 (402) (154) 242 233 184 147   (556) 331 (494) 564   806 540
Income from continuing operations   (102) 658 252 (370) (358) (281) (225)   910 (506) 808 (864)   (1,234) 1,387
(Loss) income from discontinued operations   (458)                   (458)        
Net (loss) income   $ (560) $ 658 $ 252 $ (370) $ (358) $ (281) $ (225)   $ 910 $ (506) $ 350 $ (864)   $ (1,234) $ 1,387
Continuing operations (in dollars per share)   $ (0.01) $ 0.01 $ 0.01   $ (0.01) $ (0.01)     $ 0.02 $ (0.01) $ 0.02 $ (0.02)   $ (0.02) $ 0.03
Discontinued operations (in dollars per share)   $ (0.01)                   $ (0.01)        
Net (loss) income per share - basic (in dollars per share)   $ (0.02) $ 0.01 $ 0.01   $ (0.01) $ (0.01)     $ 0.02 $ (0.01) $ 0.01 $ (0.02)   $ (0.02) $ 0.03
Continuing operations (in dollars per share)   $ (0.01) $ 0.01 $ 0.01 $ (0.01) $ (0.01) $ (0.01)     $ 0.02 $ (0.01) $ 0.02 $ (0.02)   $ (0.02) $ 0.03
Discontinued operations (in dollars per share)   $ (0.01)                   $ (0.01)        
Net (loss) income per share - diluted (in dollars per share)   $ (0.02) $ 0.01 $ 0.01 $ (0.01) $ (0.01) $ (0.01)     $ 0.02 $ (0.01) $ 0.01 $ (0.02)   $ (0.02) $ 0.03