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Other Contingencies (Details) (USD $)
1 Months Ended 3 Months Ended
Jul. 31, 2011
Mar. 31, 2012
Other Contingencies [Line Items]    
Bank line of credit   $ 57,000,000
Borrowings under line of credit   0
Line of credit expiration date   June 30, 2012
Cash in excess of FDIC insured limits   41,700,000
Number of states in which the entity operates   47
Percent reduction of Medicare payments to nursing centers 11.10%  
Standby Letter Of Credit [Member]
   
Other Contingencies [Line Items]    
Irrevocable standby letter of credit, outstanding   $ 40,420,000