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Long-Term Debt and Interest Rate Swap (Details) (USD $)
0 Months Ended 6 Months Ended 0 Months Ended 6 Months Ended
May 01, 2014
Jun. 30, 2014
Letter_Of_Credit
Center
Dec. 31, 2013
Jun. 30, 2014
Interest rate swap
Jun. 30, 2014
Loans Payable
Jun. 30, 2014
Revolving credit facility
Mar. 30, 2014
Revolving credit facility
May 01, 2013
Revolving credit facility
Jun. 30, 2014
LIBOR
May 01, 2014
Credit Agreement
Jun. 30, 2014
Credit Agreement
May 01, 2013
Credit Agreement
Mar. 31, 2014
Maximum
Revolving credit facility
Jun. 30, 2014
Revolving credit facility
Revolving Credit Facility Interest at 4.5% Percent Above LIBOR
Dec. 31, 2013
Revolving credit facility
Revolving Credit Facility Interest at 4.5% Percent Above LIBOR
Mar. 27, 2014
Loans Payable
Rose Terrace Note
Jun. 30, 2014
Letter of Credit
Revolving Credit Facility Interest at 4.5% Percent Above LIBOR
Long-Term Debt and Interest Rate Swap (Textual) [Abstract]                                  
Revolving credit facility and the maximum loan                       $ 65,000,000          
Long-term debt for syndicate of banks mortgage debt 45,000,000 45,000,000                              
Long-term debt revolving credit facility           22,500,000 20,000,000 20,000,000         27,500,000        
Loan acquisition costs                   1,341,000              
Term of debt agreement                     5 years            
Long-term debt five year maturity   5 years                              
Mortgage loan with principal and interest payable monthly based   25 years                              
Long-term debt interest based on LIBOR   4.50%             4.50%                
Long-term debt fixed based on the interest rate swap   6.87%   6.87%                          
Notional Amount of interest rate derivatives       21,973,000                          
Debt interest rate at period end         4.65%                        
Number of owned nursing centers secured   13                              
Borrowings outstanding                           9,000,000 3,000,000   7,712,000
Letters of credit issued under Revolver outstanding   3.00%                              
Number of letters of credit   8                              
Borrowing under the revolving credit facility           10,524,000                      
Amount of term loan                               8,000,000  
Liability at fair value       (959,000)                          
Accumulated other comprehensive loss   594,000 569,000 (594,000)                          
Net income tax benefit       $ 364,000