Discontinued Operations (Details) (USD $)	3 Months Ended				9 Months Ended
	Sep. 30, 2012		Sep. 30, 2011		Sep. 30, 2012		Sep. 30, 2011
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Assets of disposal group, held for sale	$ 4,900,000				$ 4,900,000
Property and equipment of disposal group, held for sale	3,200,000				3,200,000
Other noncurrent assets of disposal group, held for sale	1,200,000				1,200,000
Prepaid and other assets of disposal group, held for sale	500,000				500,000
Net operating revenues	12,330,000		17,998,000		42,631,000		57,676,000
Loss from discontinued operations, net (1)	(2,702,000)	[1]	(2,031,000)	[1]	(8,301,000)	[2]	(5,036,000)	[2]
Tax benefit	1,727,000		1,313,000		4,378,000		3,276,000
Inpatient Services [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of centers in discontinued operations - Skilled Nursing Center	8				8
Number of centers in discontinued operations - Assisted Living Center	1				1
Net operating revenues	12,330,000		17,998,000		42,631,000		57,676,000
Loss from discontinued operations, net (1)	(2,690,000)	[1]	(2,020,000)	[1]	(8,283,000)	[2]	(5,007,000)	[2]
Other Services [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Net operating revenues	0		0		0		0
Loss from discontinued operations, net (1)	$ (12,000)	[1]	$ (11,000)	[1]	$ (18,000)	[2]	$ (29,000)	[2]

[1] Net of related tax benefit of $1,727 and $1,313, respectively

[2] Net of related tax benefit of $4,378 and $3,276, respectively