Business and Summary of Significant Accounting Policies (Narrative) (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2015 USD ($)	Dec. 31, 2014 USD ($) Facility	Dec. 31, 2013 USD ($)	Dec. 15, 2016 USD ($)	Dec. 31, 2015 Facility	Dec. 31, 2015	Dec. 31, 2015 Center	Dec. 31, 2015 Bed	Dec. 31, 2015 Entity	Jan. 31, 2013 Center
Accounting Policies [Line Items]
Number of nursing centers		8			1		55
Number of licensed nursing beds | Bed								6,060
Number of licensed assisted living beds | Bed								496
Number of variable interest entities | Entity									1
Investment in unconsolidated affiliate	$ 798	$ 463
Period of retroactive adjustment for reimbursements	3 years
Net favorable (unfavorable) estimated settlements from federal and state programs	$ (141)	(298)	$ (141)
Provision for doubtful accounts	$ 7,507	$ 5,710	$ 4,068
Provision for doubtful accounts as a percentage of net revenue	1.90%	1.70%	1.60%
Amortization of intangible asset	$ 384	$ 384	$ 384
Stock based compensation	1,152	580	$ 950
Reclassification of current deferred income tax assets	$ (7,999)	$ (7,016)
Accounting Standards Update 2015-17 | Scenario, Forecast
Accounting Policies [Line Items]
Reclassification of current deferred income tax assets				$ 7,999
Reclassification of current deferred income tax assets to non-current				$ 7,999
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							40
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							36
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