West Virginia Facility (Details) (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2012	Dec. 31, 2011
Summarizes the accounts and amounts included real estate developer's interests
Total assets	$ 115,664	$ 116,744
Notes payable, including current portion	28,380	28,768
Non-controlling interests equity	1,608	1,654
Total liabilities and shareholder's equity	115,664	116,744
Variable Interest Entity, Not Primary Beneficiary | Culloden, WV
Summarizes the accounts and amounts included real estate developer's interests
Land	787	787
Building and improvements	5,916	5,938
Furniture, fixtures and equipment	518	573
Other assets	114	46
Total assets	7,335	7,344
Current accruals	0	450
Notes payable, including current portion	5,727	5,240
Non-controlling interests equity	1,608	1,654
Total liabilities and shareholder's equity	7,335	7,344
Stockholders' Equity Attributable to Noncontrolling Interest [Roll Forward]
Beginning non-controlling interests equity	1,654
Less: comprehensive income attributable to noncontrolling interest	109
Distributions to non-controlling interest owners	(155)
Ending non-controlling interests equity	$ 1,608