Commitments and Contingencies (Narrative) (Details)			1 Months Ended	12 Months Ended			32 Months Ended	66 Months Ended
	Sep. 25, 2017 option	Nov. 01, 2016 USD ($)	Jan. 31, 2013 USD ($) center	Dec. 31, 2017 USD ($) facility center bed lawsuit Multiple $ / Bed	Dec. 31, 2016 USD ($)	Dec. 31, 2015 USD ($)	Feb. 29, 2016 civil_investigative_demand	Dec. 31, 2013 USD ($)	Oct. 01, 2016 center	Feb. 26, 2016 USD ($)	Oct. 31, 2014 facility	Sep. 01, 2013 USD ($)
Commitments and Contingencies [Line Items]
Lease and rent expense				$ 54,988,000	$ 33,364,000	$ 28,690,000
Accrued liability related to straightline rent				$ 6,983,000	7,920,000
Number of nursing center facilities leased | center				58
Number of licensed nursing beds | bed				8,456
Cash expenditures for self-insured professional liability costs				$ 6,593,000	$ 4,456,000	$ 3,328,000
Liability for workers compensation claims				867,000
Workers compensation insurance, non current receivable for excess premiums paid				1,113,000
Health insurance, maximum self-insured annual amount per individual				$ 200,000
Salary multiple | Multiple				2
Maximum contingent liability				$ 422,000
Renewal period for employee agreements				1 year
Number of professional liability lawsuits | lawsuit				72
Duration of alleged breaches of statutory and contractual obligations to patents				5 years
Unfavorable regulatory action | Potential violations of false claims act
Commitments and Contingencies [Line Items]
Number of facilities | facility											2
New separate actions | civil_investigative_demand							3
Leases, acquired-in-place
Commitments and Contingencies [Line Items]
Number of nursing center facilities leased | center				7
Scheduled for trial or arbitration over next 12 months
Commitments and Contingencies [Line Items]
Number of professional liability lawsuits | lawsuit				5
Professional malpractice liability insurance
Commitments and Contingencies [Line Items]
Insurance policy coverage limits per claim				$ 500,000
Workers compensation insurance, maximum annual aggregate self-insured amount				1,000,000
Maximum claim amount on insurance				5,000,000
Liability for reported and estimated future claims				20,057,000
Prefunded deductible policy
Commitments and Contingencies [Line Items]
Insurance policy coverage limits per claim								$ 500,000
Professional liability insurance, annual coverage limit per facility								$ 3,000,000
Liability for reported claims and estimates for incurred but unreported claims				$ 1,326,000
Minimum
Commitments and Contingencies [Line Items]
Employee termination agreement term				1 year
Maximum
Commitments and Contingencies [Line Items]
Maximum contingent liability				$ 1,842,000
Employee termination agreement term				3 years
Omega Healthcare Investors, Inc
Commitments and Contingencies [Line Items]
Lease renewal period	10 years			12 years
Annual increase in consumer price index				2.15%
Annual capital expenditures related to leased facilities per licensed bed | $ / Bed				450
Total required capital expenditures during remaining lease term				$ 2,545,000
Letters of credit security deposit for a lease												$ 4,792,000
Term of lease	12 years
Maximum number of lease renewal periods | option	2
Operating leases, minimum lease coverage ratio				1.10
Omega Healthcare Investors, Inc | Leases, acquired-in-place
Commitments and Contingencies [Line Items]
Renovation funding amount			$ 5,000,000
Percentage of amount financed			10.25%
Number of licensed nursing beds | bed				15
Omega Healthcare Investors, Inc | Maximum
Commitments and Contingencies [Line Items]
Multiple of increase in consumer price index | Multiple				2
Annual increase in consumer price index				3.00%
Capital expenditures expected to be funded by landlord				$ 35,000,000
Golden Living master lease
Commitments and Contingencies [Line Items]
Annual capital expenditures related to leased facilities per licensed bed | $ / Bed				510
Total required capital expenditures during remaining lease term				$ 9,366,000
Amended Master Lease agreement | Omega Healthcare Investors, Inc
Commitments and Contingencies [Line Items]
Number of nursing center facilities leased | center				23
Master Lease arrangement | Omega Healthcare Investors, Inc
Commitments and Contingencies [Line Items]
Number of nursing center facilities leased | center				15
Additions through the amended Master Lease | Omega Healthcare Investors, Inc
Commitments and Contingencies [Line Items]
Number of nursing center facilities leased | center				8
Leased | Omega Healthcare Investors, Inc | Leases, acquired-in-place
Commitments and Contingencies [Line Items]
Number of nursing center facilities leased | center			2
Number of nursing center facilities under renovation | facility				1
Leased | Other operating leases
Commitments and Contingencies [Line Items]
Number of nursing center facilities leased | center				15
Leased | Other operating leases | Minimum
Commitments and Contingencies [Line Items]
Term of lease				7 years
Leased | Other operating leases | Maximum
Commitments and Contingencies [Line Items]
Term of lease				19 years
Golden Living | Mississippi
Commitments and Contingencies [Line Items]
Number of nursing center facilities leased | center									8
Golden Living | Alabama
Commitments and Contingencies [Line Items]
Number of nursing center facilities leased | center									12
Golden Living | Amended lease
Commitments and Contingencies [Line Items]
Annual increase in consumer price index		2.00%
Term of lease		10 years
First year rent		$ 24,675,000
Letter of credit | Golden Living master lease
Commitments and Contingencies [Line Items]
Letters of credit security deposit for a lease										$ 6,169,000
Omega Healthcare Investors, Inc
Commitments and Contingencies [Line Items]
Number of nursing center facilities owned | center				35
Golden Living
Commitments and Contingencies [Line Items]
Number of nursing center facilities owned | center				20