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Goodwill and Other Intangible Assets, Net (Details) (USD $)
3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Dec. 31, 2010
Goodwill [Line Items]          
Gross Carrying Amount $ 325,321,000   $ 325,321,000   $ 325,321,000
Adjustments (140,000)   (140,000)   (142,000)
Accumulated Impairment and Other Charges (215,628,000)   (215,628,000)   (215,486,000)
Net 109,553,000   109,553,000   109,693,000
Schedule of Intangible Assets by Major Class [Line Items]          
Gross Carrying Amount 329,657,000   329,657,000   325,671,000
Accumulated Amortization (171,748,000)   (171,748,000)   (154,330,000)
Net 157,909,000   157,909,000   171,341,000
Amortization expense related to definite-lived intangible assets 8,700,000 8,700,000 17,400,000 17,400,000  
Retirement Centers [Member]
         
Goodwill [Line Items]          
Gross Carrying Amount 7,642,000   7,642,000   7,642,000
Adjustments (34,000)   (34,000)   0
Accumulated Impairment and Other Charges (487,000)   (487,000)   (487,000)
Net 7,121,000   7,121,000   7,155,000
Assisted Living [Member]
         
Goodwill [Line Items]          
Gross Carrying Amount 102,680,000   102,680,000   102,680,000
Adjustments (106,000)   (106,000)   (142,000)
Accumulated Impairment and Other Charges (142,000)   (142,000)   0
Net 102,432,000   102,432,000   102,538,000
CCRCs [Member]
         
Goodwill [Line Items]          
Gross Carrying Amount 214,999,000   214,999,000   214,999,000
Adjustments 0   0   0
Accumulated Impairment and Other Charges (214,999,000)   (214,999,000)   (214,999,000)
Net 0   0   0
Community purchase options [Member]
         
Schedule of Intangible Assets by Major Class [Line Items]          
Gross Carrying Amount 147,610,000   147,610,000   147,782,000
Accumulated Amortization (15,716,000)   (15,716,000)   (13,867,000)
Net 131,894,000   131,894,000   133,915,000
Management contracts and other [Member]
         
Schedule of Intangible Assets by Major Class [Line Items]          
Gross Carrying Amount 158,041,000   158,041,000   158,041,000
Accumulated Amortization (156,032,000)   (156,032,000)   (140,463,000)
Net 2,009,000   2,009,000   17,578,000
Home health licenses [Member]
         
Schedule of Intangible Assets by Major Class [Line Items]          
Gross Carrying Amount 24,006,000   24,006,000   19,848,000
Accumulated Amortization 0   0   0
Net $ 24,006,000   $ 24,006,000   $ 19,848,000