Acquisitions and Dispositions (Details) (USD $) In Millions, unless otherwise specified	1 Months Ended	9 Months Ended
Oct. 31, 2013	Sep. 30, 2013 Entrance Fee CCRC, Previously Managed [Member]	Sep. 30, 2013 Assisted Living Community [Member]	Sep. 30, 2013 Home Health Agencies [Member]	Sep. 30, 2013 Communities sold [Member]
Schedule of Acquisitions and Disposals [Line Items]
Number of communities purchased or sold		1	1	3	2
Aggregate purchase price	$ 80.9	$ 15.4	$ 2.4	$ 2.6
Aggregate selling price					$ 7.2

The cash outflow associated with the acquisition of a controlling interest in another entity or an entity that is related to it but not strictly controlled (for example, an unconsolidated subsidiary, affiliate, joint venture or equity method investment).

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Glossary Investing Activities

-URI http://asc.fasb.org/extlink&oid=6516133

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 230

-SubTopic 10

-Section 45

-Paragraph 13

-Subparagraph (b)

-URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3213-108585

Reference 3: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 95

-Paragraph 15, 17

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

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