Goodwill and Intangibles (Details Textual) (USD $)	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Goodwill and Intangibles (Textual) [Abstract]
Other intangibles impairment charge	$ (864,000)
Other intangible assets net of accumulated amortization	62,042,000	59,389,000
Goodwill and Intangibles (Additional Textual) [Abstract]
Write-off of the carrying amount of intangible assets associated with the closure of an agency	214,000
Certificate of need and noncompete agreement acquired	1,700,000
Noncompeting agreement will be amortized over the life of agreement	3 years
Goodwill impairment charges	0	0	0
Home Based Services [Member]
Goodwill and Intangibles (Textual) [Abstract]
Other intangibles impairment charge	(464,000)
Other intangible assets net of accumulated amortization	60,500,000
Facility Based Services [Member]
Goodwill and Intangibles (Textual) [Abstract]
Other intangibles impairment charge	(400,000)
Other intangible assets net of accumulated amortization	$ 1,500,000