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Discontinued Operations (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Bed
Mar. 31, 2013
Mar. 31, 2014
Leased Skilled Nursing Centers
Mar. 31, 2013
Leased Skilled Nursing Centers
Dec. 31, 2013
Leased Skilled Nursing Centers
Sep. 02, 2013
Omega Healthcare Investors, Inc.
Sep. 02, 2013
Omega Healthcare Investors, Inc.
Arkansas
Facility
Bed
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of nursing centers under lease terminated             11
Number of licensed nursing beds 5,449           1,181
Annual decrease in rent payable, amount           $ 5,000  
Revenue     0 15,823      
Income (loss) from discontinued operations (834) 43 (611) 55      
Net accounts receivable     233   334    
Accrued liabilities, current     $ 505   $ 195