Business and Summary of Significant Accounting Policies (Narrative) (Details)	12 Months Ended
	Dec. 31, 2016 USD ($) center bed Entity	Dec. 31, 2015 USD ($)	Dec. 31, 2014 USD ($)	Jan. 01, 2017 USD ($)	Oct. 01, 2016 center	Aug. 15, 2016 facility	Jan. 01, 2016 USD ($)	Jan. 31, 2013 center
Accounting Policies [Line Items]
Number of nursing centers | center	76
Number of licensed nursing beds | bed	8,453
Number of licensed assisted living beds | bed	496
Number of variable interest entities | Entity	1
Period of retroactive adjustment for reimbursements	3 years
Unfavorable estimated settlements from federal and state programs	$ 38,000	$ 141,000	$ 298,000
Provision for doubtful accounts	$ 7,163,000	$ 7,507,000	$ 5,710,000
Provision for doubtful accounts as a percentage of net revenue	1.70%	1.90%	1.70%
Amortization of intangible asset	$ 384,000	$ 384,000	$ 384,000
Stock based compensation	1,012,000	1,152,000	$ 580,000
Deferred financing costs	(2,273,000)	(967,000)
Deferred tax asset, net	$ 7,644,000	$ 7,999,000
Leases, acquired-in-place
Accounting Policies [Line Items]
Remaining life of the acquired lease	28 years
Leased
Accounting Policies [Line Items]
Number of nursing centers | center	59
Leased | Leases, acquired-in-place
Accounting Policies [Line Items]
Number of nursing centers | center	7
Omega Healthcare Investors, Inc | Leases, acquired-in-place
Accounting Policies [Line Items]
Number of licensed nursing beds | bed	15
Omega Healthcare Investors, Inc | Leased
Accounting Policies [Line Items]
Number of nursing centers | center	35
Omega Healthcare Investors, Inc | Leased | Leases, acquired-in-place
Accounting Policies [Line Items]
Number of nursing centers | center								2
Other parties | Leased
Accounting Policies [Line Items]
Number of nursing centers | center	4
Pharmacy partnership
Accounting Policies [Line Items]
Percentage of owned joint venture Investment in nonconsolidated affiliate	50.00%
Minimum
Accounting Policies [Line Items]
Number of licensed nursing beds per nursing center | bed	48
Maximum
Accounting Policies [Line Items]
Number of licensed nursing beds per nursing center | bed	320
Subsequent event | Accounting Standards Update 2015-17
Accounting Policies [Line Items]
Deferred tax asset, net				$ (7,644,000)
Deferred income taxes				$ 7,644,000
Deferred financing costs | Accounting Standards Update 2015-03
Accounting Policies [Line Items]
Deferred financing costs							$ 967,000
Long-term debt | Accounting Standards Update 2015-03
Accounting Policies [Line Items]
Deferred financing costs							$ 967,000
Golden Living
Accounting Policies [Line Items]
Number of nursing centers					20	22