Sonida Senior Living (SNDA) 10-K 3 Mar 14 2013 FY Annual report Financial data

Document_and_Entity_Informatio

Document and Entity Information (USD $)	12 Months Ended
In Millions, except Share data, unless otherwise specified	Dec. 31, 2013	Feb. 21, 2014	Jun. 28, 2013
Document And Entity Information [Abstract]	'	'	'
Document Type	'10-K	'	'
Amendment Flag	'false	'	'
Document Period End Date	31-Dec-13	'	'
Document Fiscal Year Focus	'2013	'	'
Document Fiscal Period Focus	'FY	'	'
Trading Symbol	'CSU	'	'
Entity Registrant Name	'CAPITAL SENIOR LIVING CORP	'	'
Entity Central Index Key	'0001043000	'	'
Current Fiscal Year End Date	'--12-31	'	'
Entity Well-known Seasoned Issuer	'No	'	'
Entity Current Reporting Status	'Yes	'	'
Entity Voluntary Filers	'No	'	'
Entity Filer Category	'Accelerated Filer	'	'
Entity Common Stock, Shares Outstanding	'	28,858,933	'
Entity Public Float	'	'	$649.50

CONSOLIDATED_BALANCE_SHEETS

CONSOLIDATED BALANCE SHEETS (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Current assets:	'	'
Cash and cash equivalents	$13,611	$18,737
Restricted cash	11,425	10,179
Accounts receivable, net	3,752	5,229
Accounts receivable from affiliates	416	753
Federal and state income taxes receivable	5,123	3,901
Deferred taxes	845	1,443
Property tax and insurance deposits	11,036	11,442
Prepaid expenses and other	6,605	4,758
Total current assets	52,813	56,442
Property and equipment, net	649,967	527,159
Deferred taxes	'	9,350
Investments in unconsolidated joint ventures	1,010	1,074
Other assets, net	41,759	42,917
Total assets	745,549	636,942
Current liabilities:	'	'
Accounts payable	3,813	6,978
Accounts payable to affiliates	1	2
Accrued expenses	29,321	24,445
Current portion of notes payable	11,918	20,230
Current portion of deferred income	11,215	8,193
Current portion of capital lease and financing obligations	948	766
Customer deposits	1,489	1,540
Total current liabilities	58,705	62,154
Deferred income	18,021	19,990
Capital lease and financing obligations, net of current portion	41,093	42,146
Deferred taxes	845	'
Other long-term liabilities	1,559	1,692
Notes payable, net of current portion	467,376	342,366
Commitments and contingencies	'	'
Shareholders' equity:	'	'
Preferred stock, $.01 par value: Authorized shares - 15,000; no shares issued or outstanding	'	'
Common stock, $.01 par value: Authorized shares - 65,000; issued and outstanding shares 28,845 and 28,218 in 2013 and 2012, respectively	292	286
Additional paid-in capital	143,721	137,867
Retained earnings	14,871	31,375
Treasury stock, at cost - 350 shares in 2013 and 2012	-934	-934
Total shareholders' equity	157,950	168,594
Total liabilities and shareholders' equity	$745,549	$636,942

CONSOLIDATED_BALANCE_SHEETS_Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, except Per Share data, unless otherwise specified
Statement Of Financial Position [Abstract]	'	'
Preferred stock, par value	$0.01	$0.01
Preferred stock, shares authorized	15,000	15,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Common stock, par value	$0.01	$0.01
Common stock, shares authorized	65,000	65,000
Common stock, shares issued	28,845	28,218
Common stock, shares outstanding	28,845	28,218

CONSOLIDATED_STATEMENTS_OF_OPE

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE (LOSS) INCOME (USD $)	12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Revenues:	'	'	'
Resident and health care revenue	$343,478	$304,848	$256,584
Affiliated management services revenue	797	674	883
Community reimbursement revenue	6,087	5,014	6,035
Total revenues	350,362	310,536	263,502
Expenses:	'	'	'
Operating expenses (exclusive of facility lease expense and depreciation and amortization expense shown below)	207,744	182,286	154,042
General and administrative expenses	20,238	16,114	13,198
Facility lease expense	56,986	55,144	52,233
Provision for bad debts	497	749	287
Stock-based compensation expense	4,322	2,444	1,497
Depreciation and amortization	43,238	35,130	18,299
Community reimbursement expense	6,087	5,014	6,035
Total expenses	339,112	296,881	245,591
Income from operations	11,250	13,655	17,911
Other income (expense):	'	'	'
Interest income	151	453	102
Interest expense	-23,767	-18,022	-11,900
Gain (Loss) on disposition of assets, net	1,454	-19	171
Equity in earnings (losses) of unconsolidated joint ventures, net	133	-217	-760
Other income	34	'	'
(Loss) Income before (provision) benefit for income taxes	-10,745	-4,150	5,524
(Provision) Benefit for income taxes	-5,759	1,031	-2,499
Net (loss) income	-16,504	-3,119	3,025
Per share data:	'	'	'
Basic net (loss) income per share	($0.58)	($0.11)	$0.11
Diluted net (loss) income per share	($0.58)	($0.11)	$0.11
Weighted average shares outstanding - basic	27,815	27,349	26,995
Weighted average shares outstanding - diluted	27,815	27,349	27,062
Comprehensive (loss) income	($16,504)	($3,119)	$3,025

CONSOLIDATED_STATEMENTS_OF_SHA

CONSOLIDATED STATEMENTS OF SHAREHOLDERS EQUITY (USD $)	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	Retained Earnings [Member]	Treasury Stock [Member]
In Thousands, except Share data
Beginning Balance at Dec. 31, 2010	$163,823	$274	$133,014	$31,469	($934)
Beginning Balance, Shares at Dec. 31, 2010	'	27,083,000	'	'	'
Exercise of stock options	501	2	499	'	'
Exercise of stock options, Shares	231,234	231,000	'	'	'
Restricted stock awards	4	4	'	'	'
Restricted stock awards, Shares	'	385,000	'	'	'
Stock-based compensation	1,497	'	1,497	'	'
Excess tax benefits	291	'	291	'	'
Net (loss) income	3,025	'	'	3,025	'
Ending Balance at Dec. 31, 2011	169,141	280	135,301	34,494	-934
Ending Balance, Shares at Dec. 31, 2011	'	27,699,000	'	'	'
Exercise of stock options	159	'	159	'	'
Exercise of stock options, Shares	19,170	19,000	'	'	'
Restricted stock awards	6	6	'	'	'
Restricted stock awards, Shares	'	500,000	'	'	'
Stock-based compensation	2,444	'	2,444	'	'
Excess tax benefits	-37	'	-37	'	'
Net (loss) income	-3,119	'	'	-3,119	'
Ending Balance at Dec. 31, 2012	168,594	286	137,867	31,375	-934
Ending Balance, Shares at Dec. 31, 2012	'	28,218,000	'	'	'
Exercise of stock options	3,159	2	3,157	'	'
Exercise of stock options, Shares	246,930	247,000	'	'	'
Restricted stock awards	4	4	'	'	'
Restricted stock awards, Shares	'	380,000	'	'	'
Stock-based compensation	4,322	'	4,322	'	'
Excess tax benefits	-1,625	'	-1,625	'	'
Net (loss) income	-16,504	'	'	-16,504	'
Ending Balance at Dec. 31, 2013	$157,950	$292	$143,721	$14,871	($934)
Ending Balance, Shares at Dec. 31, 2013	'	28,845,000	'	'	'

CONSOLIDATED_STATEMENTS_OF_CAS

CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Operating Activities	'	'	'
Net (loss) income	($16,504)	($3,119)	$3,025
Adjustments to reconcile net (loss) income to net cash provided by operating activities:	'	'	'
Depreciation and amortization	43,238	35,130	18,299
Amortization of deferred financing charges	1,100	788	352
Amortization of deferred lease costs and lease intangibles	1,164	753	1,710
Deferred income	1,053	-1,816	-2,669
Deferred income taxes	10,793	-3,532	-2,493
Equity in (earnings) losses of unconsolidated joint ventures, net	-133	217	760
(Gain) Loss on disposition of assets, net	-1,454	19	-171
Provision for bad debts	497	749	287
Stock-based compensation expense	4,322	2,444	1,497
Changes in operating assets and liabilities:	'	'	'
Accounts receivable	980	-1,452	-1,036
Accounts receivable from affiliates	337	-45	203
Property tax and insurance deposits	406	-47	-336
Prepaid expenses and other	-1,847	1,310	-1,172
Other assets	-1,745	3,721	-6,548
Accounts payable	-3,166	4,369	660
Accrued expenses	4,876	5,359	2,961
Federal and state income taxes receivable/payable	-1,222	1,537	-1,476
Customer deposits	-51	10	231
Net cash provided by operating activities	42,644	46,395	14,084
Investing Activities	'	'	'
Capital expenditures	-13,562	-12,302	-10,472
Cash paid for acquisitions	-150,391	-178,110	-83,450
Proceeds from Spring Meadows Transaction	'	'	15,844
Proceeds from disposition of assets	1,460	19	'
Contributions to joint ventures	'	-243	-801
Distributions from joint ventures	197	21	1,442
Net cash used in investing activities	-162,296	-190,615	-77,437
Financing Activities	'	'	'
Proceeds from notes payable	140,237	160,413	64,202
Repayments of notes payable	-23,539	-15,900	-6,737
Cash payments for capital lease and financing obligations	-871	-499	-137
Increase in restricted cash	-1,246	-1,077	-2,768
Cash proceeds from the issuance of common stock	3,163	165	505
Excess tax benefits on stock options exercised	-1,625	-37	291
Deferred financing charges paid	-1,593	-2,391	-968
Net cash provided by financing activities	114,526	140,674	54,388
Decrease in cash and cash equivalents	-5,126	-3,546	-8,965
Cash and cash equivalents at beginning of year	18,737	22,283	31,248
Cash and cash equivalents at end of year	13,611	18,737	22,283
Cash paid during the year for:	'	'	'
Interest	21,953	16,620	11,266
Income taxes	702	4,719	6,810
Non-cash operating, investing, and financing activities:	'	'	'
Intangible assets acquired through capital lease and financing obligations	'	11,794	'
Property and equipment acquired through capital lease and financing obligations	'	13,243	'
Notes payable assumed through capital lease and financing obligations	'	18,293	'
Notes payable assumed through acquisitions	'	$3,240	'

Organization

Organization	12 Months Ended
	Dec. 31, 2013
Accounting Policies [Abstract]	'
Organization	'
	1	Organization
	Capital Senior Living Corporation, a Delaware corporation (together with its subsidiaries, the “Company”), is one of the largest operators of senior living communities in the United States in terms of resident capacity. The Company owns, operates, develops and manages senior living communities throughout the United States. As of December 31, 2013, the Company operated 112 senior living communities in 26 states with an aggregate capacity of approximately 14,600 residents, including 62 senior living communities which the Company either owned or in which the Company had an ownership interest and 50 senior living communities that the Company leased. As of December 31, 2013, the Company also operated one home care agency. The accompanying consolidated financial statements include the financial statements of Capital Senior Living Corporation and its wholly owned subsidiaries. All material intercompany balances and transactions have been eliminated in consolidation. The Company accounts for significant investments in unconsolidated companies, in which the Company has significant influence, using the equity method of accounting.

Summary_of_Significant_Account

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2013
Accounting Policies [Abstract]	'
Summary of Significant Accounting Policies	'
	2	Summary of Significant Accounting Policies
	Cash and Cash Equivalents and Restricted Cash
	The Company considers all highly liquid investments with original maturities of three months or less at the date of acquisition to be cash equivalents. The Company has deposits in banks that exceed Federal Deposit Insurance Corporation insurance limits. Management believes that credit risk related to these deposits is minimal. Restricted cash consists of deposits required by certain lenders as collateral pursuant to letters of credit. The deposit must remain so long as the letter of credit is outstanding which is subject to renewal annually.
	Long-Lived Assets
	Property and equipment are stated at cost and depreciated on a straight-line basis over the estimated useful lives of the assets. At each balance sheet date, the Company reviews the carrying value of its property and equipment to determine if facts and circumstances suggest that they may be impaired or that the depreciation period may need to be changed. The Company considers internal factors such as net operating losses along with external factors relating to each asset, including contract changes, local market developments, and other publicly available information. The carrying value of a long-lived asset is considered impaired when the anticipated undiscounted cash flows from such asset is separately identifiable and is less than its carrying value. In that event, a loss is recognized based on the amount the carrying value exceeds the fair market value, generally based on discounted cash flows, of the long-lived asset. The Company does not believe there are any indicators of impairment that would require an adjustment to the carrying value of the property and equipment or their remaining useful lives as of December 31, 2013 and 2012.
	Investments in Unconsolidated Joint Ventures
	The Company accounts for its investments in unconsolidated joint ventures under the equity method of accounting. The Company owned member interests in three joint ventures at December 31, 2013. The Company has not consolidated these joint venture interests because the Company has concluded that the other member of each joint venture has substantive kick-out rights or substantive participating rights. Under the equity method of accounting, the Company records its investments in the unconsolidated joint ventures at cost and adjusts such investments for its share of the earnings and losses of the joint ventures.
	Off-Balance Sheet Arrangements
	The Company had no material off-balance sheet arrangements at December 31, 2013.
	Income Taxes
	Income taxes are computed using the asset and liability method and current income taxes are recorded based on amounts refundable or payable in the current year. Deferred income taxes are recorded based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates that are expected to apply to taxable income in the years in which we expect those carryforwards and temporary differences to be recovered or settled. Management regularly evaluates the future realization of deferred tax assets and provides a valuation allowance, if considered necessary, based on such evaluation. As part of the evaluation, management has evaluated taxable income in carryback years, future reversals of taxable temporary differences, feasible tax planning strategies, and future expectations of income.
	The Company evaluates uncertain tax positions through consideration of accounting and reporting guidance on criteria, measurement, derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition that is intended to provide better financial-statement comparability among different companies. The Company is required to recognize a tax benefit in its financial statements for an uncertain tax position only if management’s assessment is that its position is “more likely than not” (i.e., a greater than 50 percent likelihood) to be upheld on audit based only on the technical merits of the tax position. The Company’s policy is to recognize interest related to unrecognized tax benefits as interest expense and penalties as income tax expense.
	Revenue Recognition
	Resident and health care revenue is recognized at estimated net realizable amounts, based on historical experiences, due from residents in the period in which the rental and other services are provided.
	Revenues from the Medicare and Medicaid programs accounted for approximately 4% of the Company’s revenue in fiscal 2013 and 5% of the Company’s revenue in each of fiscal 2012 and 2011. During fiscal 2013, 29 of the Company’s communities were providers of services under the Medicaid program. Accordingly, these communities were entitled to reimbursement under the foregoing program at established rates that were lower than private pay rates. Patient service revenue for Medicaid patients was recorded at the reimbursement rates as the rates were set prospectively by the applicable state upon the filing of an annual cost report. Two of the Company’s communities were providers of services under the Medicare program during fiscal 2013 and were entitled to payment under the program in amounts determined based upon rates established by the federal government.
	Laws and regulations governing the Medicare and Medicaid programs are complex and subject to interpretation. The Company believes that it is in compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing. While no such regulatory inquiries have been made, compliance with such laws and regulations can be subject to future government review and interpretation as well as significant regulatory action including fines, penalties, and exclusion from the Medicare and Medicaid programs.
	Management services revenue is recognized when earned. Management services revenue relates to providing certain management and administrative support services under management contracts, which have terms expiring through January 2019.
	Substantially all community fees received from residents are non-refundable and are recorded initially by the Company as deferred revenue. The deferred amounts are amortized over the respective residents’ initial lease term which is consistent with the contractual obligation associated with the estimated stay of the resident.
	Community reimbursement revenue is comprised of reimbursable expenses from the non-consolidated communities that the Company operates under long-term management agreements.
	Lease Accounting
	The Company determines whether to account for its leases as operating, capital or financing leases depending on the underlying terms of the lease agreement. This determination of classification is complex and requires significant judgment relating to certain information, including the estimated fair value and remaining economic life of the community, the Company’s cost of funds, minimum lease payments and other lease terms. The lease rates under the Company’s lease agreements are subject to certain conditional escalation clauses which are recognized when probable or incurred and are based on changes in the consumer price index or certain operational performance measures. As of December 31, 2013, the Company leased 50 communities, 48 of which the Company classified as operating leases and two of which the Company classified as capital lease and financing obligations. The Company incurs lease acquisition costs and amortizes these costs over the term of the lease agreement. Certain leases entered into by the Company qualified as sale/leaseback transactions, and as such, any related gains have been deferred and are being amortized over the respective lease term.
	Facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income includes rent expense plus amortization expense relating to leasehold acquisition costs offset by the amortization of deferred gains and lease incentives.
	Credit Risk and Allowance for Doubtful Accounts
	The Company’s resident receivables are generally due within 30 days. Accounts receivable are reported net of an allowance for doubtful accounts, and represent the Company’s estimate of the amount that ultimately will be collected. The adequacy of the Company’s allowance for doubtful accounts is reviewed on an ongoing basis, using historical payment trends, write-off experience, analyses of receivable portfolios by payor source and aging of receivables, as well as a review of specific accounts, and adjustments are made to the allowance as necessary. Credit losses on resident receivables have historically been within management’s estimates, and management believes that the allowance for doubtful accounts adequately provides for expected losses.
	Employee Health and Dental Benefits and Insurance Reserves
	The Company offers certain full-time employees an option to participate in its health and dental plans. The Company is self-insured up to certain limits and is insured if claims in excess of these limits are incurred. The cost of employee health and dental benefits, net of employee contributions, is shared between the corporate office and the senior living communities based on the respective number of plan participants. Funds collected are used to pay the actual program costs, including estimated annual claims, third-party administrative fees, network provider fees, communication costs, and other related administrative costs incurred by the plans. Claims are paid as they are submitted to the Company’s third-party administrator. The Company records a liability for outstanding claims and claims that have been incurred but not yet reported. This liability is based on the historical claim reporting lag and payment trends of health insurance claims. Management believes that the liability for outstanding losses and expenses is adequate to cover the ultimate cost of losses and expenses incurred at December 31, 2013; however, actual claims and expenses may differ. Any subsequent changes in estimates are recorded in the period in which they are determined.
	The Company uses a combination of insurance and self-insurance for workers’ compensation. Determining the reserve for workers’ compensation losses and costs that the Company has incurred as of the end of a reporting period involves significant judgments based on projected future events, including potential settlements for pending claims, known incidents which may result in claims, estimates of incurred but not yet reported claims, changes in insurance premiums, estimated litigation costs and other factors. The Company regularly adjusts these estimates to reflect changes in the foregoing factors. However, since this reserve is based on estimates, the actual expenses incurred may differ from the amounts reserved. Any subsequent changes in estimates are recorded in the period in which they are determined.
	Advertising
	Advertising is expensed as incurred. Advertising expenses for the years ended December 31, 2013, 2012, and 2011 were $10.5 million, $9.6 million, and $7.9 million, respectively, and are included as a component of operating expenses within the Consolidated Statements of Operations and Comprehensive (Loss) Income.
	Net (Loss) Income Per Share
	Basic net (loss) income per common share is computed by dividing net (loss) income remaining after allocation to unvested restricted shares by the weighted average number of common shares outstanding for the period. Except when the effect would be anti-dilutive, the calculation of diluted net income per common share includes the net impact of unvested restricted shares and shares that could be issued under outstanding stock options.
	The following table sets forth the computation of basic and diluted net (loss) income per share (in thousands, except for per share amounts):
			Year Ended December 31,
			2013			2012			2011
	Net (loss) income		$	(16,504	)	$	(3,119	)	$	3,025
	Net loss (income) allocated to unvested restricted shares			513			90			(67	)
	Undistributed net (loss) income allocated to common shares		$	(15,991	)	$	(3,029	)	$	2,958
	Weighted average shares outstanding — basic			27,815			27,349			26,995
	Effects of dilutive securities:
	Employee equity compensation plans			—			—			67
	Weighted average shares outstanding — diluted			27,815			27,349			27,062
	Basic net (loss) income per share		$	(0.58	)	$	(0.11	)	$	0.11
	Diluted net (loss) income per share		$	(0.58	)	$	(0.11	)	$	0.11
	Awards of unvested restricted stock representing approximately 0.9 million, 0.8 million, and 0.6 million shares were outstanding for the fiscal years ended December 31, 2013, 2012, and 2011, respectively, and were included in the computation of allocable net income.
	Treasury Stock
	The Company accounts for treasury stock under the cost method and includes treasury stock as a component of shareholders’ equity.
	Stock-Based Compensation
	The Company recognizes compensation expense for share-based payment awards to employees, including grants of employee stock options and awards of restricted stock, in the Consolidated Statements of Operations and Comprehensive (Loss) Income based on their fair values.
	On May 8, 2007, the Company’s stockholders approved the 2007 Omnibus Stock and Incentive Plan for Capital Senior Living Corporation (the “2007 Plan”) which provides for, among other things, the grant of restricted stock awards and stock options to purchase shares of the Company’s common stock. The 2007 Plan authorizes the Company to issue up to 2.6 million shares of common stock and the Company has reserved 0.6 million shares of common stock for future issuance pursuant to awards under the 2007 Plan. Effective May 8, 2007, the 1997 Omnibus Stock and Incentive Plan (as amended, the “1997 Plan”) was terminated and no additional shares will be granted under the 1997 Plan. The Company has reserved 0.3 million shares of common stock for future issuance upon the exercise of outstanding stock options pursuant to the 1997 Plan.
	Segment Information
	The Company evaluates the performance and allocates resources of its senior living facilities based on current operations and market assessments on a property-by-property basis. The Company does not have a concentration of operations geographically or by product or service as its management functions are integrated at the property level. The Company has determined that all of its operating units meet the criteria in ASC 280 to be aggregated into one reporting segment. As such, the Company operates in one segment.
	Use of Estimates and Critical Accounting Policies
	The preparation of financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the accompanying financial statements and related footnotes. Management bases its estimates and assumptions on historical experience, observance of industry trends and various other sources of information and factors, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results could differ from these estimates. Critical accounting policies are defined as those that are reflective of significant judgments and uncertainties, and potentially could result in materially different results under different assumptions and conditions. The Company believes revenue recognition, investments in unconsolidated joint ventures, leases, long-lived assets, self-insured employee benefits, and income taxes are its most critical accounting policies and require management’s most difficult, subjective and complex judgments.

Transactions_with_Affiliates

Transactions with Affiliates	12 Months Ended
	Dec. 31, 2013
Related Party Transactions [Abstract]	'
Transactions with Affiliates	'
	3	Transactions with Affiliates
	In May 2007, the Company and SHPIII formed SHPIII/CSL Miami to develop a senior housing community in Miamisburg, Ohio. Under the joint venture and related agreements, the Company earns development and management fees and may receive incentive distributions. The senior housing community currently consists of 100 independent living units and 49 assisted living units and opened in August 2008. The Company contributed $0.8 million to SHPIII/CSL Miami for its 10% interest and accounts for its investment in SHPIII/CSL Miami under the equity method of accounting.
	In November 2007, the Company and SHPIII formed SHPIII/CSL Richmond Heights to develop a senior housing community in Richmond Heights, Ohio. Under the joint venture and related agreements, the Company earns development and management fees and may receive incentive distributions. The senior housing community currently consists of 68 independent living units and 80 assisted living units and opened in April 2009. The Company contributed $0.8 million to SHPIII/CSL Richmond Heights for its 10% interest and accounts for its investment in SHPIII/CSL Richmond Heights under the equity method of accounting. The Company contributed land to SHP III/CSL Richmond Heights as a capital contribution during formation of the joint venture in November 2007 resulting in a $0.2 million gain to the Company. The gain had been deferred when the land was initially contributed to SHP III/CSL Richmond Heights due to the continuing involvement of the Company as a result of a development agreement guarantee. The Company met the breakeven requirements of the development agreement guarantee during the third quarter of fiscal 2011 resulting in full satisfaction and termination of the guarantee and recognition of the deferred gain as a component of gain on disposition of assets, net, within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income.
	In December 2007, the Company and SHPIII formed SHPIII/CSL Levis Commons to develop a senior housing community near Toledo, Ohio. Under the joint venture and related agreements, the Company earns development and management fees and may receive incentive distributions. The senior housing community currently consists of 90 independent living units and 56 assisted living units and opened in April 2009. The Company contributed $0.8 million to SHPIII/CSL Levis Commons for its 10% interest and accounts for its investment in SHPIII/CSL Levis Commons under the equity method of accounting.
	The Company is party to the SHPIII/CSL Management Agreements with SHPIII/CSL. The SHPIII/CSL Management Agreements are for initial terms of ten years from the date the certificate of occupancy was issued and currently extend until various dates through January 2019. The SHPIII/CSL Management Agreements generally provide for management fees of 5% of gross revenue plus reimbursement for costs and expenses related to the communities.

Acquisitions

Acquisitions	12 Months Ended
	Dec. 31, 2013
Business Combinations [Abstract]	'
Acquisitions	'
	4	Acquisitions
	Fiscal 2013
	Effective December 24, 2013, the Company closed the Indiana Transaction for $57.0 million. The communities consist of 48 independent living units and 304 assisted living units. The Company incurred approximately $0.3 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing from Fannie Mae for approximately $43.7 million of the acquisition price at fixed rates of 5.56% with 10-year terms with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective December 24, 2013, the Company closed the Dillon Pointe Transaction for approximately $7.9 million. The community consists of 36 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing from Fannie Mae for approximately $5.6 million of the acquisition price at a fixed rate of 5.56% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective October 31, 2013, the Company closed the acquisition of the Whitcomb House Transaction for approximately $15.8 million. The community consists of 68 assisted living units. The Company incurred approximately $0.2 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing from Fannie Mae for approximately $11.9 million of the acquisition price at a fixed rate of 5.38% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective October 23, 2013, the Company closed the acquisition of the Fitchburg Transaction for approximately $16.0 million. The community consists of 82 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing from Fannie Mae for approximately $11.9 million of the acquisition price at a fixed rate of 5.50% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective September 30, 2013, the Company closed the Oakwood Transaction for approximately $11.8 million. The community consists of 64 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained interim financing from Berkadia for approximately $8.5 million of the acquisition price at a variable interest rate of LIBOR plus 3.75% with a maturity date of October 10, 2015, with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective September 5, 2013, the Company closed the Middletown Transaction for $9.9 million. The community consists of 61 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing from Fannie Mae for approximately $7.6 million of the acquisition price at a fixed interest rate of 5.93% with a 10-year term, with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective June 28, 2013, the Company closed the Autumn Glen Transaction for $6.3 million. The community consists of 52 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained interim financing from Berkadia for approximately $4.6 million of the acquisition price at a variable interest rate of LIBOR plus 3.75% with a maturity date of July 10, 2015, with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective May 31, 2013, the Company closed the Vintage Transaction for $19.1 million. The community consists of 80 assisted living units and 22 independent living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing from Fannie Mae for approximately $14.5 million of the acquisition price at a fixed interest rate of 5.30% with a 12-year term, with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective March 7, 2013, the Company closed the Elkhorn Transaction for approximately $6.7 million. The community consists of 64 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing from Fannie Mae for $4.0 million of the acquisition price at a fixed interest rate of 4.66% with a 10-year term, with the balance of the acquisition price paid from the Company’s existing cash resources.
	As a result of these acquisitions, the Company recorded additions to property and equipment of approximately $135.4 million and other assets, primarily consisting of in-place lease intangibles, of approximately $15.1 million within the Company’s Consolidated Balance Sheets which will be depreciated or amortized over the estimated useful lives. The purchase accounting for fourth quarter 2013 acquisitions is preliminary as it is subject to final valuation adjustments.
	During fiscal 2013, these acquisitions generated $8.0 million of revenue and $(2.2) million of losses before income taxes which are included in the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income from the dates of acquisition. Losses before income taxes primarily result from the amortization of in-place lease intangibles associated with acquisitions during fiscal 2013 and 2012. The unaudited pro forma combined results of operations have been prepared as if the acquisitions had occurred on January 1, 2012, as follows (in thousands):
			December 31,
			2013			2012
	Total revenues		$	376,528		$	342,121
	Income (loss) before income taxes		$	(4,466	)	$	(22,090	)
	The unaudited pro forma consolidated amounts are presented for informational purposes only and do not necessarily reflect the results of operations of the Company that would have actually resulted had the acquisitions occurred on January 1, 2012.
	Fiscal 2012
	Effective December 21, 2012, the Company closed the acquisition of one senior living community located in Rocky River, Ohio, for approximately $10.8 million. The community consists of 116 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing through Fannie Mae for approximately $7.6 million of the acquisition price at a fixed rate of 4.58% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective December 20, 2012, the Company closed the acquisition of one senior living community located in Springfield, Missouri, for approximately $22.0 million. The community consists of 159 independent living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing through Fannie Mae for approximately $17.0 million of the acquisition price at a fixed rate of 4.32% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective October 23, 2012, the Company closed the acquisition of six senior living communities located in Indiana and Ohio for approximately $62.5 million. The Company incurred approximately $0.3 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The communities consist of 440 assisted living units. The Company obtained financing for four of the communities through Fannie Mae for approximately $26.4 million of the acquisition price at a fixed rate of 4.34% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources. The Company obtained interim financing for one of the communities through Berkadia for $6.4 million of the acquisition price at a variable rate of LIBOR plus 4.5%, with the balance of the acquisition price paid from the Company’s existing cash resources. The Company obtained long-term fixed rate financing through Fannie Mae on December 28, 2012, for approximately $6.4 million to replace the Berkadia interim loan at a fixed rate of 4.5% with a 10-year term. Due to a recent expansion, the Company also obtained interim financing for one of the communities through Berkadia for $11.6 million of the acquisition price at a variable rate of LIBOR plus 4.5% which matures on November 10, 2013, with the balance of the acquisition price paid from the Company’s existing cash resources. The Company obtained long-term fixed rate financing to replace the $11.6 million Berkadia interim loan on March 7, 2013, from Fannie Mae at a fixed rate of 4.66% with a 10-year term.
	Effective October 23, 2012, the Company closed the acquisition of one senior living community located in Batesville, Indiana, for approximately $4.0 million. The community consists of 41 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing through Fannie Mae for approximately $2.6 million of the acquisition price at a fixed rate of 4.34% with a 10-year term with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective October 17, 2012, the Company closed the acquisition of one senior living community located in Corpus Christi, Texas, for approximately $6.4 million. The community acquired is part of the five-community transaction of which the other four communities closed on March 30, 2012. The community consists of 50 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company assumed mortgage debt originated by the U.S. Department of Housing and Urban Development (“HUD”) of approximately $3.2 million of the acquisition price at a fixed rate of 4.48% with approximately a 33-year remaining term with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective April 30, 2012, the Company closed the acquisition of one senior living community located in Irving, Texas, for approximately $19.2 million. The community consists of 128 independent living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing through Fannie Mae for approximately $11.8 million of the acquisition price at a fixed rate of 4.48% with a 10-year term, with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective March 30, 2012, the Company closed the acquisition of one senior living community located in Jeffersonville, Indiana, for approximately $15.3 million. The community consists of 97 assisted living units. The Company incurred approximately $0.1 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing through Fannie Mae for approximately $11.5 million of the acquisition price at a fixed rate of 4.76% with a 10-year term, with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective March 30, 2012, the Company closed the acquisition of four senior living communities located in Arlington, College Station, Conroe, and Stephenville, Texas, for approximately $34.1 million. The four communities acquired are part of a five-community transaction with the fifth community located in Corpus Christi, Texas, which closed on October 17, 2012. The four communities acquired consist of 45 independent living units and 211 assisted living units. The Company incurred approximately $0.2 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing through Fannie Mae for approximately $26.1 million of the acquisition price at a fixed rate of 4.69% with a 10-year term, with the balance of the acquisition price paid from the Company’s existing cash resources.
	Effective March 1, 2012, the Company closed the acquisition of one senior living community located in Granbury, Texas, for approximately $7.0 million. The community consists of 82 assisted living units. The Company incurred approximately $0.2 million in transaction costs related to this acquisition which have been included in general and administrative expenses within the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company obtained financing through Fannie Mae for approximately $5.4 million of the acquisition price at a fixed rate of 4.38% with a 10-year term, with the balance of the acquisition price paid from the Company’s existing cash resources.
	As a result of these acquisitions, during fiscal 2012 the Company recorded additions to property and equipment of approximately $170.3 million and other assets, primarily consisting of in-place lease intangibles, of approximately $22.9 million within the Company’s Consolidated Balance Sheets which will be depreciated or amortized over the estimated useful lives.

Property_and_Equipment

Property and Equipment	12 Months Ended
	Dec. 31, 2013
Property Plant And Equipment [Abstract]	'
Property and Equipment	'
	5	Property and Equipment
	Property and equipment consists of the following (in thousands):
				December 31,
			Asset Lives	2013		2012
	Land			$	48,974	$	39,599
	Land improvements		5 to 20 years		10,507		7,256
	Buildings and building improvements		10 to 40 years		676,466		551,633
	Furniture and equipment		5 to 10 years		31,340		26,121
	Automobiles		5 to 7 years		3,437		2,616
	Leasehold improvements		-1		34,635		29,170
	Construction in progress		-2		268		367
					805,627		656,762
	Less accumulated depreciation and amortization.				155,660		129,603
	Property and equipment, net			$	649,967	$	527,159
	-1	Leasehold improvements are amortized over the shorter of the useful life of the asset or the remaining lease term.
	-2	Construction in progress at December 31, 2012, includes $0.3 million of capitalized computer software development costs.
	At December 31, 2013 and 2012, furniture and equipment includes $2.9 million and $2.3 million, respectively, of capitalized computer software development costs of which $2.6 million and $2.2 million, respectively, has been amortized and is included as a component of accumulated depreciation and amortization. Automobiles include $0.1 million of assets under capital lease at December 31, 2012, of which $35,000 has been amortized and is included as a component of accumulated depreciation and amortization at December 31, 2012. No automobiles were under capital lease by the Company at December 31, 2013.
	Property and equipment includes $32.4 million of assets under capital lease in connection with the Ventas Lease Transaction, of which $12.0 million and $10.9 million has been amortized and is included as a component of accumulated depreciation and amortization at December 31, 2013 and 2012, respectively.

Other_Assets

Other Assets	12 Months Ended
	Dec. 31, 2013
Deferred Costs Capitalized Prepaid And Other Assets Disclosure [Abstract]	'
Other Assets	'
	6	Other Assets
	Other assets consist of the following (in thousands):
			December 31,
			2013		2012
	Deferred loan costs, net		$	4,509	$	4,016
	Deferred lease costs, net			11,278		11,839
	Security and other deposits			12,012		10,673
	In-place lease intangibles, net			12,063		14,163
	Other			1,897		2,226
			$	41,759	$	42,917
	In connection with the Company’s acquisitions and certain lease transactions, subject to final valuation adjustments, the Company recorded additions to in-place lease intangibles in order to reflect the value associated with the resident operating leases acquired. In-place lease intangibles are being amortized over the estimated remaining useful life of the respective resident operating leases. The value of in-place leases includes lost revenue that would be realized if the resident operating leases were to be replaced by the Company. At December 31, 2013 and 2012, the Company had gross in-place lease intangibles of $48.3 million and $33.3 million, respectively, of which $36.2 million and $19.1 million, respectively, has been amortized. The unamortized balance at December 31, 2013 is expected to be fully amortized during fiscal 2014.

Accrued_Expenses

Accrued Expenses	12 Months Ended
	Dec. 31, 2013
Text Block [Abstract]	'
Accrued Expenses	'
	7	Accrued Expenses
	Accrued expenses consist of the following (in thousands):
			December 31,
			2013		2012
	Accrued salaries, bonuses and related expenses		$	8,923	$	7,529
	Accrued property taxes			12,716		11,311
	Accrued interest			1,822		1,503
	Accrued health claims and workers comp			3,608		1,822
	Accrued professional fees			436		572
	Other			1,816		1,708
			$	29,321	$	24,445

Notes_Payable

Notes Payable	12 Months Ended
	Dec. 31, 2013
Debt Disclosure [Abstract]	'
Notes Payable	'
	8	Notes Payable
	Notes payable consists of the following (in thousands):
	Lender		Average		Net Book  Value		Interest			Maturity	Notes Payable
			Monthly		Of Collateral(1)		Rate			Date	December 31,
			Payment								2013		2012
	Freddie Mac		$	728	$	162,829		6.29	%	Jul-15	$	93,765	$	96,433
	Freddie Mac			101		87,345		4.39		Jul-15		19,742		20,068
	Freddie Mac			60		6,800		5.75		Apr-17		8,629		8,837
	Fannie Mae			178		42,167		5.91		Jun-17		27,324		27,809
	Fannie Mae			28		31,890		4.47		Jun-17		5,467		5,557
	Fannie Mae			78		16,271		5.69		Aug-21		13,103		13,281
	Fannie Mae			26		5,812		4.97		Oct-21		4,657		4,729
	Fannie Mae			101		22,374		4.92		Oct-21		18,398		18,685
	Fannie Mae			117		25,304		4.92		Nov-21		21,391		21,723
	Fannie Mae			27		5,874		4.38		Mar-22		5,224		5,312
	Fannie Mae			60		12,963		4.76		Apr-22		11,190		11,364
	Fannie Mae			135		29,520		4.69		Apr-22		25,448		25,851
	Fannie Mae			60		16,801		4.48		May-22		11,546		11,735
	Fannie Mae			144		35,467		4.34		Nov-22		28,455		28,920
	Fannie Mae			33		7,639		4.5		Nov-22		6,325		6,417
	Fannie Mae			84		19,675		4.32		Jan-23		16,744		16,995
	Fannie Mae			39		8,788		4.58		Jan-23		7,471		7,577
	Fannie Mae			85		19,720		4.66		Apr-23		16,221		—
	Fannie Mae			45		8,818		5.93		Oct-23		7,595		—
	Fannie Mae			67		14,210		5.5		Nov-23		11,837		—
	Fannie Mae			67		14,025		5.38		Nov-23		11,900		—
	Fannie Mae			282		57,984		5.56		Jan-24		49,292		—
	Fannie Mae			81		17,446		5.3		Jun-25		14,434		—
	Berkadia			—		—		-3		November 2013		—		11,550
	Berkadia			108		19,402		5.46		Aug-15		14,294		14,784
	Berkadia			15		5,639		-4		Jul-15		4,550		—
	Berkadia			28		10,647		-4		Oct-15		8,472		—
	Berkadia			37		9,406		-5		Jan-16		9,500		—
	HUD			16		5,798		4.48		September 2045		3,188		3,233
	TCF			1		8		7.55		Jan-14		1		7
	Insurance Financing			496		—		1.97		May-14		2,466		—
	Insurance Financing			67		—		1.89		Oct-14		665		—
	Insurance Financing			—		—		—		Mar-13		—		644
	Insurance Financing			—		—		—		May-13		—		585
	Insurance Financing			—		—		—		Sep-13		—		500
			$	3,394				5.23	%(2)			479,294		362,596
	Less current portion											11,918		20,230
											$	467,376	$	342,366
	-1	58 of the facilities owned by the Company are encumbered by mortgage debt and are provided as collateral under their respective loan agreements.
	-2	Weighted average interest rate on current fixed interest rate debt outstanding.
	-3	On March 7, 2013, the Company obtained long-term fixed rate financing from Fannie Mae to replace this loan with a fixed interest rate of 4.66% and a 10-year term.
	-4	Variable interest rate of LIBOR plus 3.75% which was 3.92% at December 31, 2013.
	-5	Variable interest rate of LIBOR plus 4.50% which was 4.67% at December 31, 2013.
	The aggregate scheduled maturities of notes payable at December 31, 2013 are as follows (in thousands):
	2014		$	11,918
	2015			142,534
	2016			15,150
	2017			43,793
	2018			5,262
	Thereafter			260,637
			$	479,294
	On December 24, 2013, the Company obtained approximately $43.7 million of mortgage debt on three senior living communities from Fannie Mae. The new mortgage loans have 10-year terms with 5.56% fixed interest rates and the principal amortized over 30-year terms. The Company incurred approximately $0.4 million in deferred financing costs related to this loan, which is being amortized over ten years.
	On December 24, 2013, the Company obtained approximately $5.6 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 10-year term with a 5.56% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over ten years.
	On December 23, 2013, the Company obtained approximately $9.5 million of short-term financing on an existing community from Berkadia. The new loan is interest only short-term financing at a variable interest rate of LIBOR plus 4.50% with a maturity date of January 10, 2016. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which is being amortized over two years.
	On October 31, 2013, the Company obtained approximately $11.9 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 10-year term with a 5.38% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over ten years.
	On October 23, 2013, the Company obtained approximately $11.9 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 10-year term with a 5.50% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over ten years.
	On September 30, 2013, in conjunction with the acquisition of one senior living community, the Company obtained interim financing from Berkadia for approximately $8.5 million. The interim financing is interest only at a variable interest rate of LIBOR plus 3.75% with a maturity date of October 10, 2015. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over the initial loan term.
	On September 5, 2013, the Company obtained approximately $7.6 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 10-year term with a 5.93% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over ten years.
On June 28, 2013, in conjunction with the acquisition of one senior living community, the Company obtained interim financing from Berkadia for approximately $4.6 million. The interim financing is interest only at a variable interest rate of LIBOR plus 3.75% with a maturity date of July 10, 2015. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over the initial loan term.
On May 31, 2013, the Company obtained approximately $14.5 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 12-year term with a 5.30% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which is being amortized over 12-years.
On May 31, 2013, the Company renewed certain insurance policies and entered into a finance agreement totaling approximately $5.4 million. The finance agreement has a fixed interest rate of 1.97% with principal being repaid over an 11-month term.
On March 7, 2013, the Company obtained approximately $4.0 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 10-year term with a 4.66% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over ten years.
On March 7, 2013, the Company obtained approximately $12.4 million of mortgage debt from Fannie Mae to replace an interim financing obtained by the Company from Berkadia on October 23, 2012, in connection with the Company’s previous acquisition of a senior living community. The new mortgage loan has a 10-year term with a 4.66% fixed interest rate and the principal amortized over a 30-year term and is cross-collateralized and cross-defaulted with the approximately $4 million mortgage loan that also closed on March 7, 2013. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which is being amortized over ten years.
On December 28, 2012, the Company obtained approximately $6.4 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 10-year term with a 4.5% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over ten years.
On December 21, 2012, the Company obtained approximately $7.6 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 10-year term with a 4.58% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which is being amortized over ten years.
On December 20, 2012, the Company obtained approximately $17.0 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 10-year term with a 4.32% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which is being amortized over ten years.
On October 23, 2012, the Company obtained approximately $2.6 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a 10-year term with a 4.34% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over ten years.
On October 23, 2012, in conjunction with the acquisition of one senior living community, the Company obtained interim financing from Berkadia for approximately $6.4 million at a variable interest rate of LIBOR plus 4.5% with a maturity date of February 10, 2013. The Company incurred approximately $42,000 in deferred financing costs related to this loan, which is being amortized over the initial loan term. The Company obtained long-term fixed rate financing from Fannie Mae on December 28, 2012, to replace this loan.
On October 23, 2012, in conjunction with the acquisition of one senior living community, the Company obtained interim financing from Berkadia for approximately $11.6 million at a variable interest rate of LIBOR plus 4.5% with a maturity date of November 10, 2013. The Company incurred approximately $0.2 million in deferred financing costs related to this loan, which is being amortized over the initial loan term. The Company obtained long-term fixed rate financing of $12.4 million from Fannie Mae on March 7, 2013, to replace this loan at a fixed rate of 4.66% with a 10-year term.
On October 23, 2012, the Company obtained approximately $26.4 million of mortgage debt on four senior living communities from Fannie Mae. The new mortgage loans are cross-collateralized and cross-defaulted with each other and with the $2.6 million mortgage loan from Fannie Mae that closed on October 23, 2012, and each have a ten-year term with interest rates fixed at 4.34% and the principal amortized over a 30-year term. The Company incurred approximately $0.4 million in deferred financing costs related to these loans, which is being amortized over ten years.
On October 17, 2012, the Company assumed approximately $3.2 million of mortgage debt on one senior living community originated by HUD. The mortgage loan has a remaining term of approximately 33-years with a 4.48% fixed interest rate.
On June 27, 2012, in conjunction with the Ventas Lease Transaction, existing mortgage debt of approximately $18.3 million was assumed by Ventas with no further obligation to the Company. Approximately $0.1 million of unamortized deferred loan costs were written off in connection with the debt assumption by Ventas.
On June 21, 2012, the Company completed supplemental financing of approximately $20.2 million from Freddie Mac at a fixed rate of 4.39% on eight communities with existing mortgage debt maturing in July 2015. The supplemental loans are cross-collateralized and cross-defaulted with each other and with the original mortgage debt. The Company incurred approximately $0.6 million in deferred financing costs related to these loans, which is being amortized over the remaining loan terms.
On May 31, 2012, the Company renewed certain insurance policies and entered into a finance agreement totaling approximately $1.4 million. The finance agreement has a fixed interest rate of 2.6% with principal being repaid over an 11-month term.
On April 30, 2012, the Company obtained approximately $11.8 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a ten-year term with a 4.48% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to this loan, which is being amortized over ten years.
On March 30, 2012, the Company obtained approximately $11.5 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a ten-year term with a 4.76% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to these loans, which is being amortized over ten years.
On March 30, 2012, the Company obtained approximately $26.1 million of mortgage debt on four senior living communities from Fannie Mae. The new mortgage loans are cross-collateralized and cross-defaulted and each have a ten-year term with interest rates fixed at 4.69% and the principal amortized over a 30-year term. The Company incurred approximately $0.3 million in deferred financing costs related to these loans, which is being amortized over ten years.
On March 8, 2012, the Company completed supplemental financing of approximately $5.6 million from Fannie Mae at a fixed rate of 4.47% on three communities with existing mortgage debt maturing in June 2017. The supplemental loans are cross-collateralized and cross-defaulted with each other and with the original mortgage debt. The Company incurred approximately $0.2 million in deferred financing costs related to these loans, which is being amortized over the remaining loan terms.
On March 1, 2012, the Company obtained approximately $5.4 million of mortgage debt on one senior living community from Fannie Mae. The new mortgage loan has a ten-year term and a 4.38% fixed interest rate and the principal amortized over a 30-year term. The Company incurred approximately $0.1 million in deferred financing costs related to these loans, which is being amortized over ten years.
On March 25, 2011, in connection with the Spring Meadows Transaction, the Company issued standby letters of credit, totaling approximately $2.6 million, for the benefit of HCN on certain leases between HCN and the Company.
On September 10, 2010, the Company issued standby letters of credit, totaling approximately $2.2 million, for the benefit of HCN on certain leases between HCN and the Company.
On April 16, 2010, the Company issued standby letters of credit, totaling approximately $1.7 million, for the benefit of HCN on certain leases between HCN and the Company.
The senior housing communities owned by the Company and encumbered by mortgage debt are provided as collateral under their respective loan agreements. At December 31, 2013 and 2012, these communities carried a total net book value of $601.2 million and $469.8 million, respectively, with total mortgage loans outstanding of $476.2 million and $360.9 million, respectively.
In connection with the Company’s loan commitments described above, the Company incurred financing charges that were deferred and amortized over the life of the notes. At December 31, 2013 and 2012, the Company had gross deferred loan costs of $7.7 million and $6.2 million, respectively. Accumulated amortization was $3.2 million and $2.2 million at December 31, 2013 and 2012, respectively. Amortization expense is expected to be approximately $1.1 million in each of the next five fiscal years.
The Company must maintain certain levels of tangible net worth and comply with other restrictive covenants under the terms of certain promissory notes. The Company was in compliance with all of its debt covenants at December 31, 2013 and 2012.

Equity

Equity	12 Months Ended
	Dec. 31, 2013
Equity [Abstract]	'
Equity	'
	9	Equity
	Preferred Stock
	The Company is authorized to issue preferred stock in series and to fix and state the voting powers and such designations, preferences and relative participating, optional or other special rights of the shares of each such series and the qualifications, limitations and restrictions thereof. Such action may be taken by the Board without stockholder approval. The rights, preferences and privileges of holders of common stock are subject to the rights of the holders of preferred stock. No preferred stock was outstanding as of December 31, 2013 and 2012.
	Share Repurchases
	On January 22, 2009, the Company’s board of directors approved a share repurchase program that authorized the Company to purchase up to $10.0 million of the Company’s common stock. Purchases may be made from time to time using a variety of methods, which may include open market purchases, privately negotiated transactions or block trades, or by any combination of such methods, in accordance with applicable insider trading and other securities laws and regulations. The size, scope and timing of any purchases will be based on business, market and other conditions and factors, including price, regulatory and contractual requirements or consents, and capital availability. The repurchase program does not obligate the Company to acquire any particular amount of common stock and the share repurchase authorization has no stated expiration date. Shares of stock repurchased under the program will be held as treasury shares. Pursuant to this authorization, during fiscal 2009, the Company purchased 349,800 shares at an average cost of $2.67 per share for a total cost to the Company of approximately $0.9 million. All such purchases were made in open market transactions. The Company did not purchase any shares of its common stock pursuant to the Company’s share repurchase program during fiscal 2013 or 2012.

StockBased_Compensation

Stock-Based Compensation	12 Months Ended
	Dec. 31, 2013
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]	'
Stock-Based Compensation	'
	10	Stock-Based Compensation
	Stock Options
	The Company’s stock option program is a long-term retention program that is intended to attract, retain and provide incentives for employees, officers and directors and to align stockholder and employee interest. The Company’s options generally vest over one to five years and the related expense is amortized on a straight-line basis over the vesting period.
	A summary of the Company’s stock option activity and related information for the years ended December 31, 2013, 2012, and 2011 is presented below:
			Outstanding at		Granted		Exercised		Forfeited		Outstanding		Options
			Beginning of								End of Year		Exercisable
			Year
	December 31, 2013
	Shares			265,930		—		246,930		—		19,000		19,000
	Weighted average price		$	6.28		—	$	6.21		—	$	7.1	$	7.1
	December 31, 2012
	Shares			285,100		—		19,170		—		265,930		265,930
	Weighted average price		$	6.28		—	$	6.36		—	$	6.28	$	6.28
	December 31, 2011
	Shares			516,334		—		231,234		—		285,100		285,100
	Weighted average price		$	4.44		—	$	2.17		—	$	6.28	$	6.28
	The options outstanding and the options exercisable at December 31, 2013, 2012, and 2011, had an aggregate intrinsic value of $0.3 million, $3.3 million, and $0.5 million, respectively. All stock options outstanding are fully vested.
	The following table summarizes information relating to the Company’s options outstanding and options exercisable as of December 31, 2013.
			Options Outstanding						Options Exercisable
	Range of Exercise Prices		Number		Weighted  Average		Weighted Average		Number		Weighted Average
			Outstanding  at		Remaining		Exercise Price		Exercisable  at		Exercise Price
			End of Year		Contractual Life				End of Year
					(Years)
	$4.50			1,000		0.08	$	4.5		1,000	$	4.5
	$4.85			6,000		0.38	$	4.85		6,000	$	4.85
	$5.90			6,000		1.36	$	5.9		6,000	$	5.9
	$10.97			6,000		2.35	$	10.97		6,000	$	10.97
	$4.50 to $10.97			19,000		1.3	$	7.1		19,000	$	7.1
	Restricted Stock
	The Company may grant restricted stock awards to employees, officers, and directors in order to attract, retain, and provide incentives for such individuals and to more closely align stockholder and employee interests. For restricted stock awards without performance-based vesting conditions, the Company records compensation expense for the entire award on a straight-line basis over the requisite service period, which is generally a period of three to four years, but such awards are considered outstanding at the time of grant since the holders thereof are entitled to dividends and voting rights. For restricted stock awards with performance-based vesting conditions, total compensation expense is recognized over the requisite service period for each separately vesting tranche of the award as if the award is, in substance, multiple awards once the performance target is deemed probable of achievement. Performance goals are evaluated periodically and if such goals are not ultimately met or it is not probable the goals will be achieved, no compensation expense is recognized and any previously recognized compensation expense is reversed.
	The Company recognizes compensation expense of a restricted stock award over its respective vesting or performance period based on the fair value of the award on the grant date, net of forfeitures. A summary of the Company’s restricted common stock awards activity and related information for the years ended December 31, 2013, 2012, and 2011 is presented below:
			Outstanding at		Issued		Vested		Forfeited		Outstanding
			Beginning of								End of Year
			Year
	December 31, 2013
	Shares			803,218		403,715		312,980		23,736		870,217
	December 31, 2012
	Shares			626,442		508,191		323,415		8,000		803,218
	December 31, 2011
	Shares			449,893		400,580		207,961		16,070		626,442
	The restricted stock outstanding at December 31, 2013, 2012, and 2011, had an aggregate intrinsic value of $20.9 million, $15.0 million, and $5.0 million, respectively.
	During fiscal 2013, the Company awarded 403,715 shares of restricted common stock to certain employees and directors of the Company, of which 130,000 shares were subject to performance-based vesting conditions. The average market value of the common stock on the date of grant was $23.93. These awards of restricted shares vest over a one to four-year period and had an intrinsic value of $9.7 million on the date of grant.
	Stock Based Compensation
	The Company uses the Black-Scholes option pricing model to estimate the grant date fair value of its stock options. The Black-Scholes model requires the input of certain assumptions including expected volatility, expected dividend yield, expected life of the option and the risk free interest rate. The expected volatility used by the Company is based primarily on an analysis of historical prices of the Company’s common stock. The expected term of options granted is based primarily on historical exercise patterns on the Company’s outstanding stock options. The risk free rate is based on zero-coupon U.S. Treasury yields in effect at the date of grant with the same period as the expected option life. The Company does not expect to pay dividends on its common stock and therefore has used a dividend yield of zero in determining the fair value of its awards. The option forfeiture rate assumption used by the Company, which affects the expense recognized as opposed to the fair value of the award, is based primarily on the Company’s historical option forfeiture patterns. The Company recognizes compensation expense of a restricted stock award over its vesting period based on the fair value of the award on the grant date, net of estimated forfeitures.
	The Company has total stock-based compensation expense, net of estimated forfeitures, of $7.6 million not recognized for the year ended December 31, 2013, and expects this expense to be recognized over approximately a one to four-year period.

Income_Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2013
Income Tax Disclosure [Abstract]	'
Income Taxes	'
	11	Income Taxes
	The (benefit) provision for income taxes consists of the following (in thousands):
			Year Ended December 31,
			2013			2012			2011
	Current:
	Federal		$	(5,411	)	$	574		$	3,441
	State			377			1,927			1,739
	Deferred:
	Federal			6,251			(2,613	)		(1,791	)
	State			4,542			(919	)		(890	)
			$	5,759		$	(1,031	)	$	2,499
	The provision (benefit) for income taxes differed from the amounts of income tax provision (benefit) determined by applying the U.S. federal statutory income tax rate to income before provision (benefit) for income taxes as a result of the following (in thousands):
			Year Ended December 31,
			2013			2012			2011
	Tax (benefit) provision at federal statutory rates		$	(3,653	)	$	(1,397	)	$	1,878
	State income tax expense, net of federal effects			401			641			489
	Federal and state income tax return true up			325			(122	)		47
	State effective rate changes			(20	)		36			71
	Change in deferred tax asset valuation allowance			8,810			—			—
	Other			(104	)		(189	)		14
			$	5,759		$	(1,031	)	$	2,499
	A summary of the Company’s deferred tax assets and liabilities, are as follows (in thousands):
			December 31,
			2013			2012
	Deferred tax assets:
	Deferred gains on sale/leaseback transactions		$	7,771		$	9,915
	Net operating loss carryforward (expiring up to 2032)			5,271			2,787
	Compensation costs			877			818
	Investments in unconsolidated joint ventures			73			541
	Capital loss carryforward			605			—
	Other			1,537			1,555
	Total deferred tax assets			16,134			15,616
	Valuation Allowance			(8,810	)		—
	Total deferred tax assets, net			7,324			15,616
	Deferred tax liabilities:
	Depreciation and amortization			(7,324	)		(4,823	)
	Total deferred tax assets, net		$	—		$	10,793
	Current deferred tax assets, net		$	845		$	1,443
	Long-term deferred tax (liabilities) assets, net			(845	)		9,350
	Total deferred tax assets, net		$	—		$	10,793
	Income taxes are computed using the asset and liability method and current income taxes are recorded based on amounts refundable or payable in the current year. Deferred income taxes are recorded based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates that are expected to apply to taxable income in the years in which we expect those carryforwards and temporary differences to be recovered or settled. Management regularly evaluates the future realization of deferred tax assets and provides a valuation allowance, if considered necessary, based on such evaluation. As part of the evaluation, management has evaluated taxable income in carryback years, future reversals of taxable temporary differences, feasible tax planning strategies, and future expectations of income. Based upon this evaluation, a valuation allowance of $8.8 million was recorded during fiscal 2013, to reduce the Company’s net deferred tax assets to the amount that is more likely than not to be realized. Prior to fiscal 2013, a valuation allowance had not been provided. A significant component of objective evidence evaluated was the cumulative loss incurred by the Company over the three-year period ended December 31, 2013. Such objective evidence severely limits the ability to consider other subjective evidence such as the Company’s ability to generate sufficient taxable income in future periods to fully recover the deferred tax assets. However, in the event that we were to determine that it would be more likely than not that the Company would realize the benefit of deferred tax assets in the future in excess of their net recorded amounts, adjustments to deferred tax assets would increase net income in the period we made such a determination. The benefits of the net deferred tax assets might not be realized if actual results differ from expectations.
	As of December 31, 2013, the Company has Federal and State Net Operating Loss (“NOL”) carryforwards of $9.0 million and $26.0 million and related deferred tax assets of $3.0 million and $2.0 million, respectively, and a Federal Alternative Minimum Tax Credit carryforward of $0.3 million. Additionally, the Company has a Federal NOL carryforward of $7.2 million related to the excess tax benefits associated with stock-based compensation and stock option exercises. The benefit of this NOL will be recognized as an increase to additional paid-in capital at the point when such NOL provides cash benefit to the Company.
	The effective tax rates for fiscal 2013 and 2012 differ from the statutory tax rates due to state income taxes, permanent tax differences, and changes in the deferred tax asset valuation allowance. The Company is impacted by the TMT, which effectively imposes tax on modified gross revenues for communities within the State of Texas. During both fiscal 2013 and 2012, the Company consolidated 36 Texas communities and the TMT increased the overall provision for income taxes. The Company is generally no longer subject to federal and state tax audits for years before 2010.

Employee_Benefit_Plans

Employee Benefit Plans	12 Months Ended
	Dec. 31, 2013
Compensation And Retirement Disclosure [Abstract]	'
Employee Benefit Plans	'
	12	Employee Benefit Plans
	The Company has a 401(k) salary deferral plan (the “Plan”) in which all employees of the Company meeting minimum service and age requirements are eligible to participate. Contributions to the Plan are in the form of employee salary deferrals, which are subject to employer matching contributions of up to 2% of the employee’s annual salary. The Company’s contributions are funded semi-monthly to the Plan administrator. Matching contributions of $0.4 million were contributed to the Plan annually in fiscal 2013, 2012, and 2011. The Company incurred administrative expenses related to the Plan of $15,300, $14,500, and $14,200 in fiscal 2013, 2012, and 2011, respectively.

Contingencies

Contingencies	12 Months Ended
	Dec. 31, 2013
Commitments And Contingencies Disclosure [Abstract]	'
Contingencies	'
	13	Contingencies
	The Company has claims incurred in the normal course of its business. Most of these claims are believed by management to be covered by insurance, subject to normal reservations of rights by the insurance companies and possibly subject to certain exclusions in the applicable insurance policies. Whether or not covered by insurance, these claims, in the opinion of management, based on advice of legal counsel, should not have a material effect on the consolidated financial statements of the Company if determined adversely to the Company.

Fair_Value_of_Financial_Instru

Fair Value of Financial Instruments	12 Months Ended
	Dec. 31, 2013
Fair Value Disclosures [Abstract]	'
Fair Value of Financial Instruments	'
	14	Fair Value of Financial Instruments
	The carrying amounts and fair values of financial instruments at December 31, 2013 and 2012 are as follows (in thousands):
			2013				2012
			Carrying		Fair Value		Carrying		Fair Value
			Amount				Amount
	Cash and cash equivalents		$	13,611	$	13,611	$	18,737	$	18,737
	Restricted cash			11,425		11,425		10,179		10,179
	Notes payable			479,294		459,708		362,596		378,459
	The following methods and assumptions were used in estimating its fair value disclosures for financial instruments:
	Cash and cash equivalents and Restricted cash:    The carrying amounts reported in the balance sheet for cash and cash equivalents and restricted cash equal fair value.
	Notes payable:    The fair value of notes payable is estimated using discounted cash flow analysis, based on current incremental borrowing rates for similar types of borrowing arrangements, which represent level 2 inputs as defined in the accounting standards codification.
	The estimated fair value of these assets and liabilities could be affected by market changes and this effect could be material.

Investments_in_Unconsolidated_

Investments in Unconsolidated Joint Ventures	12 Months Ended
	Dec. 31, 2013
Equity Method Investments And Joint Ventures [Abstract]	'
Investments in Unconsolidated Joint Ventures	'
	15	Investments in Unconsolidated Joint Ventures
	The Company’s investments in unconsolidated joint ventures consist of the following (in thousands):
			December 31,
			2013		2012
	SHPIII/CSL Miami member interest		$	39	$	16
	SHPIII/CSL Richmond Heights member interest			484		570
	SHPIII/CSL Levis Commons member interest			487		488
			$	1,010	$	1,074
	SHPIII/CSL Miami:    In May 2007, the Company and SHPIII entered into SHPIII/CSL Miami to develop a senior housing community in Miamisburg, Ohio. Under the joint venture and related agreements, the Company earns development and management fees and may receive incentive distributions. The senior housing community currently consists of 100 independent living units and 49 assisted living units with a capacity of 196 residents and opened in August 2008. The Company contributed $0.8 million to SHPIII/CSL Miami for its 10% interest. The Company accounts for its investment in SHPIII/CSL Miami under the equity method of accounting and the Company recognized earnings (losses) in the equity of SHPIII/CSL Miami of $24,000, $(0.2) million, and $(0.7) million in fiscal 2013, 2012, and 2011, respectively. The Company earned $0.2 million in management fees on the community in each of fiscal 2013, 2012, and 2011.
	SHPIII/CSL Richmond Heights:    In November 2007, the Company and SHPIII entered into SHPIII/CSL Richmond Heights to develop a senior housing community in Richmond Heights, Ohio. Under the joint venture and related agreements, the Company earns development and management fees and may receive incentive distributions. The senior housing community currently consists of 68 independent living units and 80 assisted living units with a capacity of 197 residents and opened in April 2009. The Company contributed $0.8 million to SHPIII/CSL Richmond Heights for its 10% interest. The Company accounts for its investment in SHPIII/CSL Richmond Heights under the equity method of accounting and the Company recognized earnings (losses) in the equity of SHPIII/CSL Richmond Heights of $67,000, $19,000, and $(44,000) in fiscal 2013, 2012, and 2011, respectively. The Company earned $0.3 million in management fees on the community in each of fiscal 2013 and 2012 and $0.2 million in management fees on the community in fiscal 2011.
	SHPIII/CSL Levis Commons:    In December 2007, the Company and SHPIII entered into SHPIII/CSL Levis Commons to develop a senior housing community near Toledo, Ohio. Under the joint venture and related agreements, the Company earns development and management fees and may receive incentive distributions. The senior housing community currently consists of 90 independent living units and 56 assisted living units with a capacity of 197 residents and opened in April 2009. The Company has contributed $0.8 million to SHPIII/CSL Levis Commons for its 10% interest. The Company accounts for its investment in SHPIII/CSL Levis Commons under the equity method of accounting and the Company recognized earnings (losses) in the equity of SHPIII/CSL Levis Commons of $43,000, $(9,000), and $(0.1) million in fiscal 2013, 2012, and 2011, respectively. The Company earned $0.3 million in management fees on the community in fiscal 2013 and $0.2 million in management fees on the community in each of fiscal 2012 and 2011.

Allowance_for_Doubtful_Account

Allowance for Doubtful Accounts	12 Months Ended
	Dec. 31, 2013
Text Block [Abstract]	'
Allowance for Doubtful Accounts	'
	16	Allowance for Doubtful Accounts
	The components of the allowance for doubtful accounts are as follows (in thousands):
			December 31,
			2013			2012			2011
	Balance at beginning of year		$	1,825		$	1,705		$	1,607
	Provision for bad debts, net of recoveries			497			749			287
	Write-offs and other			(422	)		(629	)		(189	)
	Balance at end of year		$	1,900		$	1,825		$	1,705

Leases

Leases	12 Months Ended
	Dec. 31, 2013
Leases [Abstract]	'
Leases	'
	17	Leases
	The Company currently leases 50 senior living communities from certain REITs. The lease terms are generally for 10-15 years with renewal options for 5-20 years at the Company’s option. The following table summarizes each of the Company’s facility lease agreements as of December 31, 2013 (dollars in millions):
	Landlord		Date of Lease		Number of		Value of		Term	Initial			Lease			Deferred
					Communities		Transaction			Lease			Acquisition			Gains /  Lease
										Rate(1)			Costs(2)			Concessions(3)
	Ventas		September 30, 2005			6	$	84.6	-4		8	%	$	1.4		$	4.6
									(Two five-year renewals)
	Ventas		October 18, 2005			1		19.5	-4		8	%		0.2			—
									(Two five-year renewals)
	Ventas		June 8, 2006			1		19.1	-4		8	%		0.4			—
									(Two five-year renewals)
	Ventas		January 31, 2008			1		5	-4		7.75	%		0.2			—
									(Two five-year renewals)
	Ventas		June 27, 2012			2		43.3	-4		6.75	%		0.8			—
									(Two five-year renewals)
	HCP		May 1, 2006			3		54	-5		8	%		0.2			12.8
									(Two ten-year renewals)
	HCP		May 31, 2006			6		43	10 years		8	%		0.2			0.6
									(Two ten-year renewals)
	HCP		December 1, 2006			4		51	-5		8	%		0.7			—
									(Two ten-year renewals)
	HCP		December 14, 2006			1		18	-5		7.75	%		0.3			—
									(Two ten-year renewals)
	HCP		April 11, 2007			1		8	-5		7.25	%		0.1			—
									(Two ten-year renewals)
	HCN		April 16, 2010			5		48.5	15 years		8.25	%		0.6			0.8
									(One 15-year renewal)
	HCN		May 1, 2010			3		36	15 years		8.25	%		0.2			0.4
									(One 15-year renewal)
	HCN		10-Sep-10			12		104.6	15 years		8.5	%		0.4			2
									(One 15-year renewal)
	HCN		8-Apr-11			4		141	15 years		7.25	%		0.9			16.2
									(One 15-year renewal)
	Subtotal													6.6			37.4
	Accumulated amortization through December 31, 2013													(3.1	)		—
	Accumulated deferred gains / lease concessions recognized through December 31, 2013													—			(15.8	)
	Net lease acquisition costs / deferred gains / lease concessions as of December 31, 2013												$	3.5		$	21.6
	-1	Initial lease rates are measured against agreed upon fair market values and are subject to conditional lease escalation provisions as set forth in each respective lease agreement.
	-2	Lease acquisition costs are being amortized over the respective initial lease terms.
	-3	Deferred gains of $34.8 million and lease concessions of $2.6 million are being recognized in the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income as a reduction in facility lease expense over the respective initial lease terms. Lease concessions of $0.6 million relate to the transaction with HCP on May 31, 2006, and $2.0 million relate to the transaction with HCN on September 10, 2010.
	-4	Effective June 27, 2012, the Company closed the lease transaction with Ventas. All of the leased communities in the Ventas lease portfolio were modified to be coterminous expiring on September 30, 2020, with two 5-year renewal extensions available at the Company’s option.
	-5	On November 11, 2013, the Company executed a third amendment to the master lease agreement associated with nine of its leases with HCP to facilitate a $3.3 million capital improvement project and extend the respective lease terms through October 31, 2020.
	Ventas
	As of December 31, 2013, the Company leased 11 senior living facilities from Ventas. During the second quarter of fiscal 2012, the Company closed the Ventas Lease Transaction which resulted in modification to the Ventas Lease Agreements. All of the leased communities in the Ventas lease portfolio were modified to be coterminous expiring on September 30, 2020, with two five-year renewal extensions available at the Company’s option. The initial lease rates under each of the Ventas Lease Agreements range from 6.75% to 8% and are subject to certain conditional escalation clauses which will be recognized when probable or incurred. The Company incurred $3.0 million in lease acquisition costs related to the Ventas Lease Agreements. These deferred lease acquisition costs are being amortized over the lease terms and are included in facility lease expense in the Company’s Consolidated Statement of Operations and Comprehensive (Loss) Income. The Company accounts for nine of the Ventas Lease Agreements as an operating lease and two as a Capital lease and financing obligation.
	Effective June 27, 2012, the Company closed a lease modification transaction with Ventas which resulted in the Company exchanging two of its owned communities for one of the communities in the existing Ventas lease portfolio and simultaneously leasing back the two communities exchanged (the “Ventas Lease Transaction”). This transaction was the result of negotiations for a solution to the anticipation of the Company not meeting certain lease coverage ratio requirements for its lease portfolio of ten properties with Ventas. The two communities previously owned by the Company are located in East Lansing, Michigan (the “East Lansing Community”) and Raleigh, North Carolina (the “Raleigh Community”) and were exchanged for a community located in Merrillville, Indiana (the “Towne Centre Community”). All three communities continue to be operated by the Company. In conjunction with this transaction, Ventas assumed approximately $18.3 million of existing mortgage debt from Berkadia and the Company received the Towne Centre Community unencumbered. All of the leased communities in the Ventas lease portfolio were modified to be coterminous with the East Lansing and Raleigh Community leases expiring on September 30, 2020, with two 5-year renewal extensions available at the Company’s option, eliminate property-level lease covenants, and contain substantially similar terms and conditions. These leases were re-evaluated by the Company at the modification date and continue to be treated as operating leases. Under the terms of the original lease agreements with Ventas, the Company had previously deposited additional cash collateral of approximately $3.4 million which was returnable to the Company once certain performance targets were reached. However, due to the rebalanced lease portfolio meeting the lease coverage ratio requirements, the Company negotiated the return of these deposits as a condition to the lease modification. Additionally, due to the extension of the lease terms for the Ventas lease portfolio to fiscal 2020, the rights of Ventas to reset the underlying values of the leased communities were deferred for five years.
	Pursuant to Accounting Standards Codification (“ASC”) 840, Leases, the Company performed a sale/leaseback analysis to determine whether the East Lansing Community and Raleigh Community could be removed from its Consolidated Balance Sheets. Based upon the analysis performed, the Company concluded certain aspects of the lease modification would be considered forms of “continuing involvement” which precludes the Company from derecognizing these assets from its Consolidated Balance Sheets under sale/leaseback accounting criteria. Therefore, the Company recorded financing obligations equal to the fair market value of the communities exchanged and the mortgage debt assumed by Ventas. At the end of the lease term, including exercise of any renewal options, the net remaining financing obligation less the net carrying value of the leased assets will be recognized as a non-cash gain on sale of the East Lansing Community and Raleigh Community. Rental payments under these leases will not be reflected as a component of facility lease expense but will be recognized as a reduction of the financing obligation and interest expense based upon the Company’s incremental borrowing rate at the time the transaction was closed. As a result of this transaction, the Company recorded additions to property and equipment of approximately $13.2 million and other assets, primarily consisting of lease intangibles, of approximately $11.8 million within the Company’s Consolidated Balance Sheets which will be depreciated or amortized over the estimated useful lives. The additions to property and equipment were reduced by approximately $4.9 million which represented the unamortized portion of the deferred gain previously recognized by the Company when the Towne Centre Community had been sold in fiscal 2006. Lease intangibles consist of the fair value of in-place leases associated with the Towne Centre Community and the fair value attributable to Ventas deferring its right to reset the underlying values of the lease portfolio five years until fiscal 2020.
	HCP
	As of December 31, 2013, the Company leased 15 senior living facilities from HCP. Effective November 11, 2013, the Company executed a third amendment to the master lease agreement with HCP to facilitate a $3.3 million capital improvement project for nine properties within the HCP lease portfolio, which extended the initial lease with respect to such properties until October 31, 2020. The remaining six communities in the HCP lease portfolio currently expire May 2016. The HCP Lease Agreements each have two 10-year renewal extensions available at the Company’s option. The initial lease rates under the HCP Lease Agreements range from 7.25% to 8% and are subject to certain conditional escalation clauses, which will be recognized when probable or incurred. The Company incurred $1.5 million in lease acquisition costs related to the HCP Lease Agreements. These deferred lease acquisition costs are being amortized over the lease terms and are included in facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company accounts for each of the HCP Lease Agreements as an operating lease.
	HCN
	As of December 31, 2013, the Company leased 24 senior living facilities from HCN. The HCN Lease Agreements each have an initial term of 15 years, with one 15-year renewal extension available at the Company’s option. The initial lease rates under the HCN Lease Agreements range from 7.25% to 8.5% and are subject to certain conditional escalation clauses, which will be recognized when probable or incurred. The initial terms on the HCN Lease Agreements expire on various dates through April 2026. The Company incurred $2.1 million in lease acquisition costs related to the HCN Lease Agreements. These deferred lease acquisition costs are being amortized over the initial 15-year lease terms and are included in facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income. The Company accounts for each of the HCN Lease Agreements as an operating lease.
	Facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income includes rent expense plus amortization expense relating to leasehold acquisition costs offset by the amortization of deferred gains and lease incentives. The Company leases its corporate headquarters in Dallas, Texas, and an office in New York City and has various lease contracts for a duration of 5 years or less on automobiles, buses and office equipment. The lease on the corporate headquarters currently expires on September 30, 2020.
	The Company incurred $58.8 million, $58.5 million, and $55.1 million in lease expense during fiscal 2013, 2012, and 2011, respectively. Future minimum lease commitments as of December 31, 2013, are as follows (in thousands):
	2014		$	61,831
	2015			61,889
	2016			59,093
	2017			57,677
	2018			57,681
	Thereafter			246,331
			$	544,502
	At December 31, 2013 and 2012, the Company had gross deferred lease costs of $6.6 million. Accumulated amortization at December 31, 2013 and 2012 was $3.1 million and $2.6 million, respectively, and amortization expense is expected to be approximately $0.5 million in each of the next five fiscal years. There are various financial covenants and other restrictions in the Company’s lease agreements. The Company was in compliance with all of its lease covenants at December 31, 2013.

Summary_of_Significant_Account1

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2013
Accounting Policies [Abstract]	'
Cash and Cash Equivalents and Restricted Cash	'
	Cash and Cash Equivalents and Restricted Cash
	The Company considers all highly liquid investments with original maturities of three months or less at the date of acquisition to be cash equivalents. The Company has deposits in banks that exceed Federal Deposit Insurance Corporation insurance limits. Management believes that credit risk related to these deposits is minimal. Restricted cash consists of deposits required by certain lenders as collateral pursuant to letters of credit. The deposit must remain so long as the letter of credit is outstanding which is subject to renewal annually.
Long-Lived Assets	'
	Long-Lived Assets
	Property and equipment are stated at cost and depreciated on a straight-line basis over the estimated useful lives of the assets. At each balance sheet date, the Company reviews the carrying value of its property and equipment to determine if facts and circumstances suggest that they may be impaired or that the depreciation period may need to be changed. The Company considers internal factors such as net operating losses along with external factors relating to each asset, including contract changes, local market developments, and other publicly available information. The carrying value of a long-lived asset is considered impaired when the anticipated undiscounted cash flows from such asset is separately identifiable and is less than its carrying value. In that event, a loss is recognized based on the amount the carrying value exceeds the fair market value, generally based on discounted cash flows, of the long-lived asset. The Company does not believe there are any indicators of impairment that would require an adjustment to the carrying value of the property and equipment or their remaining useful lives as of December 31, 2013 and 2012.
Investments in Unconsolidated Joint Ventures	'
	Investments in Unconsolidated Joint Ventures
	The Company accounts for its investments in unconsolidated joint ventures under the equity method of accounting. The Company owned member interests in three joint ventures at December 31, 2013. The Company has not consolidated these joint venture interests because the Company has concluded that the other member of each joint venture has substantive kick-out rights or substantive participating rights. Under the equity method of accounting, the Company records its investments in the unconsolidated joint ventures at cost and adjusts such investments for its share of the earnings and losses of the joint ventures.
Off-Balance Sheet Arrangements	'
	Off-Balance Sheet Arrangements
	The Company had no material off-balance sheet arrangements at December 31, 2013.
Income Taxes	'
	Income Taxes
	Income taxes are computed using the asset and liability method and current income taxes are recorded based on amounts refundable or payable in the current year. Deferred income taxes are recorded based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates that are expected to apply to taxable income in the years in which we expect those carryforwards and temporary differences to be recovered or settled. Management regularly evaluates the future realization of deferred tax assets and provides a valuation allowance, if considered necessary, based on such evaluation. As part of the evaluation, management has evaluated taxable income in carryback years, future reversals of taxable temporary differences, feasible tax planning strategies, and future expectations of income.
	The Company evaluates uncertain tax positions through consideration of accounting and reporting guidance on criteria, measurement, derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition that is intended to provide better financial-statement comparability among different companies. The Company is required to recognize a tax benefit in its financial statements for an uncertain tax position only if management’s assessment is that its position is “more likely than not” (i.e., a greater than 50 percent likelihood) to be upheld on audit based only on the technical merits of the tax position. The Company’s policy is to recognize interest related to unrecognized tax benefits as interest expense and penalties as income tax expense.
Revenue Recognition	'
	Revenue Recognition
	Resident and health care revenue is recognized at estimated net realizable amounts, based on historical experiences, due from residents in the period in which the rental and other services are provided.
	Revenues from the Medicare and Medicaid programs accounted for approximately 4% of the Company’s revenue in fiscal 2013 and 5% of the Company’s revenue in each of fiscal 2012 and 2011. During fiscal 2013, 29 of the Company’s communities were providers of services under the Medicaid program. Accordingly, these communities were entitled to reimbursement under the foregoing program at established rates that were lower than private pay rates. Patient service revenue for Medicaid patients was recorded at the reimbursement rates as the rates were set prospectively by the applicable state upon the filing of an annual cost report. Two of the Company’s communities were providers of services under the Medicare program during fiscal 2013 and were entitled to payment under the program in amounts determined based upon rates established by the federal government.
	Laws and regulations governing the Medicare and Medicaid programs are complex and subject to interpretation. The Company believes that it is in compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing. While no such regulatory inquiries have been made, compliance with such laws and regulations can be subject to future government review and interpretation as well as significant regulatory action including fines, penalties, and exclusion from the Medicare and Medicaid programs.
	Management services revenue is recognized when earned. Management services revenue relates to providing certain management and administrative support services under management contracts, which have terms expiring through January 2019.
	Substantially all community fees received from residents are non-refundable and are recorded initially by the Company as deferred revenue. The deferred amounts are amortized over the respective residents’ initial lease term which is consistent with the contractual obligation associated with the estimated stay of the resident.
	Community reimbursement revenue is comprised of reimbursable expenses from the non-consolidated communities that the Company operates under long-term management agreements.
Lease Accounting	'
	Lease Accounting
	The Company determines whether to account for its leases as operating, capital or financing leases depending on the underlying terms of the lease agreement. This determination of classification is complex and requires significant judgment relating to certain information, including the estimated fair value and remaining economic life of the community, the Company’s cost of funds, minimum lease payments and other lease terms. The lease rates under the Company’s lease agreements are subject to certain conditional escalation clauses which are recognized when probable or incurred and are based on changes in the consumer price index or certain operational performance measures. As of December 31, 2013, the Company leased 50 communities, 48 of which the Company classified as operating leases and two of which the Company classified as capital lease and financing obligations. The Company incurs lease acquisition costs and amortizes these costs over the term of the lease agreement. Certain leases entered into by the Company qualified as sale/leaseback transactions, and as such, any related gains have been deferred and are being amortized over the respective lease term.
	Facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income includes rent expense plus amortization expense relating to leasehold acquisition costs offset by the amortization of deferred gains and lease incentives.
Credit Risk and Allowance for Doubtful Accounts	'
	Credit Risk and Allowance for Doubtful Accounts
	The Company’s resident receivables are generally due within 30 days. Accounts receivable are reported net of an allowance for doubtful accounts, and represent the Company’s estimate of the amount that ultimately will be collected. The adequacy of the Company’s allowance for doubtful accounts is reviewed on an ongoing basis, using historical payment trends, write-off experience, analyses of receivable portfolios by payor source and aging of receivables, as well as a review of specific accounts, and adjustments are made to the allowance as necessary. Credit losses on resident receivables have historically been within management’s estimates, and management believes that the allowance for doubtful accounts adequately provides for expected losses.
Employee Health and Dental Benefits and Insurance Reserves	'
	Employee Health and Dental Benefits and Insurance Reserves
	The Company offers certain full-time employees an option to participate in its health and dental plans. The Company is self-insured up to certain limits and is insured if claims in excess of these limits are incurred. The cost of employee health and dental benefits, net of employee contributions, is shared between the corporate office and the senior living communities based on the respective number of plan participants. Funds collected are used to pay the actual program costs, including estimated annual claims, third-party administrative fees, network provider fees, communication costs, and other related administrative costs incurred by the plans. Claims are paid as they are submitted to the Company’s third-party administrator. The Company records a liability for outstanding claims and claims that have been incurred but not yet reported. This liability is based on the historical claim reporting lag and payment trends of health insurance claims. Management believes that the liability for outstanding losses and expenses is adequate to cover the ultimate cost of losses and expenses incurred at December 31, 2013; however, actual claims and expenses may differ. Any subsequent changes in estimates are recorded in the period in which they are determined.
	The Company uses a combination of insurance and self-insurance for workers’ compensation. Determining the reserve for workers’ compensation losses and costs that the Company has incurred as of the end of a reporting period involves significant judgments based on projected future events, including potential settlements for pending claims, known incidents which may result in claims, estimates of incurred but not yet reported claims, changes in insurance premiums, estimated litigation costs and other factors. The Company regularly adjusts these estimates to reflect changes in the foregoing factors. However, since this reserve is based on estimates, the actual expenses incurred may differ from the amounts reserved. Any subsequent changes in estimates are recorded in the period in which they are determined.
Advertising	'
	Advertising
	Advertising is expensed as incurred. Advertising expenses for the years ended December 31, 2013, 2012, and 2011 were $10.5 million, $9.6 million, and $7.9 million, respectively, and are included as a component of operating expenses within the Consolidated Statements of Operations and Comprehensive (Loss) Income.
Net (Loss) Income Per Share	'
	Net (Loss) Income Per Share
	Basic net (loss) income per common share is computed by dividing net (loss) income remaining after allocation to unvested restricted shares by the weighted average number of common shares outstanding for the period. Except when the effect would be anti-dilutive, the calculation of diluted net income per common share includes the net impact of unvested restricted shares and shares that could be issued under outstanding stock options.
	The following table sets forth the computation of basic and diluted net (loss) income per share (in thousands, except for per share amounts):
		Year Ended December 31,
		2013			2012			2011
	Net (loss) income	$	(16,504	)	$	(3,119	)	$	3,025
	Net loss (income) allocated to unvested restricted shares		513			90			(67	)
	Undistributed net (loss) income allocated to common shares	$	(15,991	)	$	(3,029	)	$	2,958
	Weighted average shares outstanding — basic		27,815			27,349			26,995
	Effects of dilutive securities:
	Employee equity compensation plans		—			—			67
	Weighted average shares outstanding — diluted		27,815			27,349			27,062
	Basic net (loss) income per share	$	(0.58	)	$	(0.11	)	$	0.11
	Diluted net (loss) income per share	$	(0.58	)	$	(0.11	)	$	0.11
	Awards of unvested restricted stock representing approximately 0.9 million, 0.8 million, and 0.6 million shares were outstanding for the fiscal years ended December 31, 2013, 2012, and 2011, respectively, and were included in the computation of allocable net income.
Treasury Stock	'
	Treasury Stock
	The Company accounts for treasury stock under the cost method and includes treasury stock as a component of shareholders’ equity.
Stock-Based Compensation	'
	Stock-Based Compensation
	The Company recognizes compensation expense for share-based payment awards to employees, including grants of employee stock options and awards of restricted stock, in the Consolidated Statements of Operations and Comprehensive (Loss) Income based on their fair values.
	On May 8, 2007, the Company’s stockholders approved the 2007 Omnibus Stock and Incentive Plan for Capital Senior Living Corporation (the “2007 Plan”) which provides for, among other things, the grant of restricted stock awards and stock options to purchase shares of the Company’s common stock. The 2007 Plan authorizes the Company to issue up to 2.6 million shares of common stock and the Company has reserved 0.6 million shares of common stock for future issuance pursuant to awards under the 2007 Plan. Effective May 8, 2007, the 1997 Omnibus Stock and Incentive Plan (as amended, the “1997 Plan”) was terminated and no additional shares will be granted under the 1997 Plan. The Company has reserved 0.3 million shares of common stock for future issuance upon the exercise of outstanding stock options pursuant to the 1997 Plan.
Segment Information	'
	Segment Information
	The Company evaluates the performance and allocates resources of its senior living facilities based on current operations and market assessments on a property-by-property basis. The Company does not have a concentration of operations geographically or by product or service as its management functions are integrated at the property level. The Company has determined that all of its operating units meet the criteria in ASC 280 to be aggregated into one reporting segment. As such, the Company operates in one segment.
Use of Estimates and Critical Accounting Policies	'
	Use of Estimates and Critical Accounting Policies
	The preparation of financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the accompanying financial statements and related footnotes. Management bases its estimates and assumptions on historical experience, observance of industry trends and various other sources of information and factors, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results could differ from these estimates. Critical accounting policies are defined as those that are reflective of significant judgments and uncertainties, and potentially could result in materially different results under different assumptions and conditions. The Company believes revenue recognition, investments in unconsolidated joint ventures, leases, long-lived assets, self-insured employee benefits, and income taxes are its most critical accounting policies and require management’s most difficult, subjective and complex judgments.

Summary_of_Significant_Account2

Summary of Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2013
Accounting Policies [Abstract]	'
Computation of Basic and Diluted Net Income Per Share	'
	The following table sets forth the computation of basic and diluted net (loss) income per share (in thousands, except for per share amounts):
		Year Ended December 31,
		2013			2012			2011
	Net (loss) income	$	(16,504	)	$	(3,119	)	$	3,025
	Net loss (income) allocated to unvested restricted shares		513			90			(67	)
	Undistributed net (loss) income allocated to common shares	$	(15,991	)	$	(3,029	)	$	2,958
	Weighted average shares outstanding — basic		27,815			27,349			26,995
	Effects of dilutive securities:
	Employee equity compensation plans		-			-			67
	Weighted average shares outstanding — diluted		27,815			27,349			27,062
	Basic net (loss) income per share	$	(0.58	)	$	(0.11	)	$	0.11
	Diluted net (loss) income per share	$	(0.58	)	$	(0.11	)	$	0.11

Acquisitions_Tables

Acquisitions (Tables)	12 Months Ended
	Dec. 31, 2013
Business Combinations [Abstract]	'
Schedule of Pro Forma Combined Results of Operations	'
	The unaudited pro forma combined results of operations have been prepared as if the acquisitions had occurred on January 1, 2012, as follows (in thousands):
		December 31,
		2013			2012
	Total revenues	$	376,528		$	342,121
	Income (loss) before income taxes	$	(4,466	)	$	(22,090	)

Property_and_Equipment_Tables

Property and Equipment (Tables)	12 Months Ended
	Dec. 31, 2013
Property Plant And Equipment [Abstract]	'
Schedule of Property and Equipment	'
	Property and equipment consists of the following (in thousands):
				December 31,
			Asset Lives	2013		2012
	Land			$	48,974	$	39,599
	Land improvements		5 to 20 years		10,507		7,256
	Buildings and building improvements		10 to 40 years		676,466		551,633
	Furniture and equipment		5 to 10 years		31,340		26,121
	Automobiles		5 to 7 years		3,437		2,616
	Leasehold improvements		-1		34,635		29,170
	Construction in progress		-2		268		367
					805,627		656,762
	Less accumulated depreciation and amortization.				155,660		129,603
	Property and equipment, net			$	649,967	$	527,159
	-1	Leasehold improvements are amortized over the shorter of the useful life of the asset or the remaining lease term.
	-2	Construction in progress at December 31, 2012, includes $0.3 million of capitalized computer software development costs.

Other_Assets_Tables

Other Assets (Tables)	12 Months Ended
	Dec. 31, 2013
Deferred Costs Capitalized Prepaid And Other Assets Disclosure [Abstract]	'
Schedule of Other Assets	'
	Other assets consist of the following (in thousands):
		December 31,
		2013		2012
	Deferred loan costs, net	$	4,509	$	4,016
	Deferred lease costs, net		11,278		11,839
	Security and other deposits		12,012		10,673
	In-place lease intangibles, net		12,063		14,163
	Other		1,897		2,226
		$	41,759	$	42,917

Accrued_Expenses_Tables

Accrued Expenses (Tables)	12 Months Ended
	Dec. 31, 2013
Text Block [Abstract]	'
Schedule of Accrued Expenses	'
	Accrued expenses consist of the following (in thousands):
		December 31,
		2013		2012
	Accrued salaries, bonuses and related expenses	$	8,923	$	7,529
	Accrued property taxes		12,716		11,311
	Accrued interest		1,822		1,503
	Accrued health claims and workers comp		3,608		1,822
	Accrued professional fees		436		572
	Other		1,816		1,708
		$	29,321	$	24,445

Notes_Payable_Tables

Notes Payable (Tables)	12 Months Ended
	Dec. 31, 2013
Debt Disclosure [Abstract]	'
Schedule of Notes Payable	'
	Notes payable consists of the following (in thousands):
	Lender		Average		Net Book  Value		Interest			Maturity	Notes Payable
			Monthly		Of Collateral(1)		Rate			Date	December 31,
			Payment								2013		2012
	Freddie Mac		$	728	$	162,829		6.29	%	Jul-15	$	93,765	$	96,433
	Freddie Mac			101		87,345		4.39		Jul-15		19,742		20,068
	Freddie Mac			60		6,800		5.75		Apr-17		8,629		8,837
	Fannie Mae			178		42,167		5.91		Jun-17		27,324		27,809
	Fannie Mae			28		31,890		4.47		Jun-17		5,467		5,557
	Fannie Mae			78		16,271		5.69		Aug-21		13,103		13,281
	Fannie Mae			26		5,812		4.97		Oct-21		4,657		4,729
	Fannie Mae			101		22,374		4.92		Oct-21		18,398		18,685
	Fannie Mae			117		25,304		4.92		Nov-21		21,391		21,723
	Fannie Mae			27		5,874		4.38		Mar-22		5,224		5,312
	Fannie Mae			60		12,963		4.76		Apr-22		11,190		11,364
	Fannie Mae			135		29,520		4.69		Apr-22		25,448		25,851
	Fannie Mae			60		16,801		4.48		May-22		11,546		11,735
	Fannie Mae			144		35,467		4.34		Nov-22		28,455		28,920
	Fannie Mae			33		7,639		4.5		Nov-22		6,325		6,417
	Fannie Mae			84		19,675		4.32		Jan-23		16,744		16,995
	Fannie Mae			39		8,788		4.58		Jan-23		7,471		7,577
	Fannie Mae			85		19,720		4.66		Apr-23		16,221		—
	Fannie Mae			45		8,818		5.93		Oct-23		7,595		—
	Fannie Mae			67		14,210		5.5		Nov-23		11,837		—
	Fannie Mae			67		14,025		5.38		Nov-23		11,900		—
	Fannie Mae			282		57,984		5.56		Jan-24		49,292		—
	Fannie Mae			81		17,446		5.3		Jun-25		14,434		—
	Berkadia			—		—		-3		November 2013		—		11,550
	Berkadia			108		19,402		5.46		Aug-15		14,294		14,784
	Berkadia			15		5,639		-4		Jul-15		4,550		—
	Berkadia			28		10,647		-4		Oct-15		8,472		—
	Berkadia			37		9,406		-5		Jan-16		9,500		—
	HUD			16		5,798		4.48		September 2045		3,188		3,233
	TCF			1		8		7.55		Jan-14		1		7
	Insurance Financing			496		—		1.97		May-14		2,466		—
	Insurance Financing			67		—		1.89		Oct-14		665		—
	Insurance Financing			—		—		—		Mar-13		—		644
	Insurance Financing			—		—		—		May-13		—		585
	Insurance Financing			—		—		—		Sep-13		—		500
			$	3,394				5.23	%(2)			479,294		362,596
	Less current portion											11,918		20,230
											$	467,376	$	342,366
	-1	58 of the facilities owned by the Company are encumbered by mortgage debt and are provided as collateral under their respective loan agreements.
	-2	Weighted average interest rate on current fixed interest rate debt outstanding.
	-3	On March 7, 2013, the Company obtained long-term fixed rate financing from Fannie Mae to replace this loan with a fixed interest rate of 4.66% and a 10-year term.
	-4	Variable interest rate of LIBOR plus 3.75% which was 3.92% at December 31, 2013.
	-5	Variable interest rate of LIBOR plus 4.50% which was 4.67% at December 31, 2013.
Summary of Aggregate Scheduled Maturities of Notes Payable	'
	The aggregate scheduled maturities of notes payable at December 31, 2013 are as follows (in thousands):
	2014		$	11,918
	2015			142,534
	2016			15,150
	2017			43,793
	2018			5,262
	Thereafter			260,637
			$	479,294

StockBased_Compensation_Tables

Stock-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2013
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]	'
Stock Option Activity and Related Information	'
	A summary of the Company’s stock option activity and related information for the years ended December 31, 2013, 2012, and 2011 is presented below:
		Outstanding at		Granted		Exercised		Forfeited		Outstanding		Options
		Beginning of								End of Year		Exercisable
		Year
	December 31, 2013
	Shares		265,930		—		246,930		—		19,000		19,000
	Weighted average price	$	6.28		—	$	6.21		—	$	7.1	$	7.1
	December 31, 2012
	Shares		285,100		—		19,170		—		265,930		265,930
	Weighted average price	$	6.28		—	$	6.36		—	$	6.28	$	6.28
	December 31, 2011
	Shares		516,334		—		231,234		—		285,100		285,100
	Weighted average price	$	4.44		—	$	2.17		—	$	6.28	$	6.28
Summary of Options Outstanding and Options Exercisable	'
	The following table summarizes information relating to the Company’s options outstanding and options exercisable as of December 31, 2013.
		Options Outstanding						Options Exercisable
	Range of Exercise Prices	Number		Weighted  Average		Weighted Average		Number		Weighted Average
		Outstanding  at		Remaining		Exercise Price		Exercisable  at		Exercise Price
		End of Year		Contractual Life				End of Year
				(Years)
	$4.50		1,000		0.08	$	4.5		1,000	$	4.5
	$4.85		6,000		0.38	$	4.85		6,000	$	4.85
	$5.90		6,000		1.36	$	5.9		6,000	$	5.9
	$10.97		6,000		2.35	$	10.97		6,000	$	10.97
	$4.50 to $10.97		19,000		1.3	$	7.1		19,000	$	7.1
Restricted Common Stock Awards Activity and Related Information	'
	A summary of the Company’s restricted common stock awards activity and related information for the years ended December 31, 2013, 2012, and 2011 is presented below:
		Outstanding at		Issued		Vested		Forfeited		Outstanding
		Beginning of								End of Year
		Year
	December 31, 2013
	Shares		803,218		403,715		312,980		23,736		870,217
	December 31, 2012
	Shares		626,442		508,191		323,415		8,000		803,218
	December 31, 2011
	Shares		449,893		400,580		207,961		16,070		626,442

Income_Taxes_Tables

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2013
Income Tax Disclosure [Abstract]	'
Schedule of Provision for Income Taxes	'
	The (benefit) provision for income taxes consists of the following (in thousands):
		Year Ended December 31,
		2013			2012			2011
	Current:
	Federal	$	(5,411	)	$	574		$	3,441
	State		377			1,927			1,739
	Deferred:
	Federal		6,251			(2,613	)		(1,791	)
	State		4,542			(919	)		(890	)
		$	5,759		$	(1,031	)	$	2,499
Summary of Provision for Income Taxes Differed from Amounts of Income Tax Provision Determined by Applying U.S. Federal Statutory Income Tax Rate to Income Before Benefit for Income Taxes	'
	The provision (benefit) for income taxes differed from the amounts of income tax provision (benefit) determined by applying the U.S. federal statutory income tax rate to income before provision (benefit) for income taxes as a result of the following (in thousands):
		Year Ended December 31,
		2013			2012			2011
	Tax (benefit) provision at federal statutory rates	$	(3,653	)	$	(1,397	)	$	1,878
	State income tax expense, net of federal effects		401			641			489
	Federal and state income tax return true up		325			(122	)		47
	State effective rate changes		(20	)		36			71
	Change in deferred tax asset valuation allowance		8,810			—			—
	Other		(104	)		(189	)		14
		$	5,759		$	(1,031	)	$	2,499
Summary of Deferred Tax Assets and Liabilities	'
	A summary of the Company’s deferred tax assets and liabilities, are as follows (in thousands):
		December 31,
		2013			2012
	Deferred tax assets:
	Deferred gains on sale/leaseback transactions	$	7,771		$	9,915
	Net operating loss carryforward (expiring up to 2032)		5,271			2,787
	Compensation costs		877			818
	Investments in unconsolidated joint ventures		73			541
	Capital loss carryforward		605			—
	Other		1,537			1,555
	Total deferred tax assets		16,134			15,616
	Valuation Allowance		(8,810	)		—
	Total deferred tax assets, net		7,324			15,616
	Deferred tax liabilities:
	Depreciation and amortization		(7,324	)		(4,823	)
	Total deferred tax assets, net	$	—		$	10,793
	Current deferred tax assets, net	$	845		$	1,443
	Long-term deferred tax (liabilities) assets, net		(845	)		9,350
	Total deferred tax assets, net	$	—		$	10,793

Fair_Value_of_Financial_Instru1

Fair Value of Financial Instruments (Tables)	12 Months Ended
	Dec. 31, 2013
Fair Value Disclosures [Abstract]	'
Carrying Amounts and Fair Values of Financial Instruments	'
	The carrying amounts and fair values of financial instruments at December 31, 2013 and 2012 are as follows (in thousands):
		2013				2012
		Carrying		Fair Value		Carrying		Fair Value
		Amount				Amount
	Cash and cash equivalents	$	13,611	$	13,611	$	18,737	$	18,737
	Restricted cash		11,425		11,425		10,179		10,179
	Notes payable		479,294		459,708		362,596		378,459

Investments_in_Unconsolidated_1

Investments in Unconsolidated Joint Ventures (Tables)	12 Months Ended
	Dec. 31, 2013
Equity Method Investments And Joint Ventures [Abstract]	'
Summary of Investments in Unconsolidated Joint Ventures	'
	The Company’s investments in unconsolidated joint ventures consist of the following (in thousands):
		December 31,
		2013		2012
	SHPIII/CSL Miami member interest	$	39	$	16
	SHPIII/CSL Richmond Heights member interest		484		570
	SHPIII/CSL Levis Commons member interest		487		488
		$	1,010	$	1,074

Allowance_for_Doubtful_Account1

Allowance for Doubtful Accounts (Tables)	12 Months Ended
	Dec. 31, 2013
Text Block [Abstract]	'
Schedule of Allowance for Doubtful Accounts	'
	The components of the allowance for doubtful accounts are as follows (in thousands):
		December 31,
		2013			2012			2011
	Balance at beginning of year	$	1,825		$	1,705		$	1,607
	Provision for bad debts, net of recoveries		497			749			287
	Write-offs and other		(422	)		(629	)		(189	)
	Balance at end of year	$	1,900		$	1,825		$	1,705

Leases_Tables

Leases (Tables)	12 Months Ended
	Dec. 31, 2013
Leases [Abstract]	'
Summary of Company's Facility Lease Agreements	'
	The following table summarizes each of the Company’s facility lease agreements as of December 31, 2013 (dollars in millions):
	Landlord		Date of Lease		Number of		Value of		Term	Initial			Lease			Deferred
					Communities		Transaction			Lease			Acquisition			Gains /  Lease
										Rate(1)			Costs(2)			Concessions(3)
	Ventas		September 30, 2005			6	$	84.6	-4		8	%	$	1.4		$	4.6
									(Two five-year renewals)
	Ventas		October 18, 2005			1		19.5	-4		8	%		0.2			—
									(Two five-year renewals)
	Ventas		June 8, 2006			1		19.1	-4		8	%		0.4			—
									(Two five-year renewals)
	Ventas		January 31, 2008			1		5	-4		7.75	%		0.2			—
									(Two five-year renewals)
	Ventas		June 27, 2012			2		43.3	-4		6.75	%		0.8			—
									(Two five-year renewals)
	HCP		May 1, 2006			3		54	-5		8	%		0.2			12.8
									(Two ten-year renewals)
	HCP		May 31, 2006			6		43	10 years		8	%		0.2			0.6
									(Two ten-year renewals)
	HCP		December 1, 2006			4		51	-5		8	%		0.7			—
									(Two ten-year renewals)
	HCP		December 14, 2006			1		18	-5		7.75	%		0.3			—
									(Two ten-year renewals)
	HCP		April 11, 2007			1		8	-5		7.25	%		0.1			—
									(Two ten-year renewals)
	HCN		April 16, 2010			5		48.5	15 years		8.25	%		0.6			0.8
									(One 15-year renewal)
	HCN		May 1, 2010			3		36	15 years		8.25	%		0.2			0.4
									(One 15-year renewal)
	HCN		10-Sep-10			12		104.6	15 years		8.5	%		0.4			2
									(One 15-year renewal)
	HCN		8-Apr-11			4		141	15 years		7.25	%		0.9			16.2
									(One 15-year renewal)
	Subtotal													6.6			37.4
	Accumulated amortization through December 31, 2013													(3.1	)		—
	Accumulated deferred gains / lease concessions recognized through December 31, 2013													—			(15.8	)
	Net lease acquisition costs / deferred gains / lease concessions as of December 31, 2013												$	3.5		$	21.6
	-1	Initial lease rates are measured against agreed upon fair market values and are subject to conditional lease escalation provisions as set forth in each respective lease agreement.
	-2	Lease acquisition costs are being amortized over the respective initial lease terms.
	-3	Deferred gains of $34.8 million and lease concessions of $2.6 million are being recognized in the Company’s Consolidated Statements of Operations and Comprehensive (Loss) Income as a reduction in facility lease expense over the respective initial lease terms. Lease concessions of $0.6 million relate to the transaction with HCP on May 31, 2006, and $2.0 million relate to the transaction with HCN on September 10, 2010.
	-4	Effective June 27, 2012, the Company closed the lease transaction with Ventas. All of the leased communities in the Ventas lease portfolio were modified to be coterminous expiring on September 30, 2020, with two 5-year renewal extensions available at the Company’s option.
	-5	On November 11, 2013, the Company executed a third amendment to the master lease agreement associated with nine of its leases with HCP to facilitate a $3.3 million capital improvement project and extend the respective lease terms through October 31, 2020.
Summary of Future Minimum Lease Commitments	'
	The Company incurred $58.8 million, $58.5 million, and $55.1 million in lease expense during fiscal 2013, 2012, and 2011, respectively. Future minimum lease commitments as of December 31, 2013, are as follows (in thousands):
	2014		$	61,831
	2015			61,889
	2016			59,093
	2017			57,677
	2018			57,681
	Thereafter			246,331
			$	544,502

Organization_Additional_Inform

Organization - Additional Information (Detail)	Dec. 31, 2013
	Resident
	Independent_Living_Unit
	Community
	State
Organization Consolidation And Presentation Of Financial Statements [Abstract]	'
Senior living communities operated by company	112
Number of states in which senior living communities operated	26
Aggregate capacity of residents in company operated senior living communities	14,600
Senior living communities owned by company	62
Senior living communities on lease by company	50
Number of home care agency	1

Summary_of_Significant_Account3

Summary of Significant Accounting Policies - Additional Information (Detail) (USD $)	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
	Community
	Segment
	JointVenture
Accounting Policies [Line Items]	'	'	'
Number of joint ventures in which company owns interest	3	'	'
Uncertain tax position maximum percentage	50.00%	'	'
Percentage of revenue from Medicare and Medicaid programs	4.00%	5.00%	5.00%
Provider of services under Medicaid program, number of communities	29	'	'
Provider of services under Medicare program, number of communities	2	'	'
Management services revenue contract, expiry date	'2019-01	'	'
Communities on lease by company	50	'	'
Communities on operating lease	48	'	'
Senior living communities on capital lease and financing obligations	2	'	'
Resident receivables due period	'30 days	'	'
Advertising expenses	$10.50	$9.60	$7.90
Outstanding unvested restricted stock	0.9	0.8	0.6
Number of reporting segment	1	'	'
Number of operating segment	1	'	'
2007 Omnibus Stock and Incentive Plan [Member]	'	'	'
Accounting Policies [Line Items]	'	'	'
Authorized shares of common stock	2.6	'	'
Number of shares of common stock reserved for future issuance	0.6	'	'
1997 Plan [Member]	'	'	'
Accounting Policies [Line Items]	'	'	'
Additional shares granted	0.3	'	'

Summary_of_Significant_Account4

Summary of Significant Accounting Policies - Computation of Basic and Diluted Net Income Per Share (Detail) (USD $)	12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Accounting Policies [Abstract]	'	'	'
Net (loss) income	($16,504)	($3,119)	$3,025
Net loss (income) allocated to unvested restricted shares	513	90	-67
Undistributed net (loss) income allocated to common shares	($15,991)	($3,029)	$2,958
Weighted average shares outstanding - basic	27,815	27,349	26,995
Effects of dilutive securities:	'	'	'
Employee equity compensation plans	'	'	67
Weighted average shares outstanding - diluted	27,815	27,349	27,062
Basic net (loss) income per share	($0.58)	($0.11)	$0.11
Diluted net (loss) income per share	($0.58)	($0.11)	$0.11

Transactions_with_Affiliates_A

Transactions with Affiliates - Additional Information (Detail) (USD $)	1 Months Ended
In Millions, unless otherwise specified	31-May-07	Nov. 30, 2007	Dec. 31, 2007	Dec. 31, 2007
	SHPIII/CSL Miami [Member]	SHPIII/CSL Richmond Heights [Member]	SHPIII/CSL Levis Commons [Member]	SHPIII/CSL Management Agreement [Member]
	Assisted_Living_Unit	Independent_Living_Unit	Independent_Living_Unit
	Independent_Living_Unit	Assisted_Living_Unit	Assisted_Living_Unit
Schedule of Equity Method Investments [Line Items]	'	'	'	'
Number of independent living units	100	68	90	'
Number of assisted living units	49	80	56	'
Contributed to interest by the company	$0.80	$0.80	$0.80	'
Company ownership percentage ratio	10.00%	10.00%	10.00%	'
Gain from joint venture to the company	'	$0.20	'	'
Initial term of lease	'	'	'	'10 years
Management fees percentage	'	'	'	5.00%

Acquisitions_Additional_Inform

Acquisitions - Additional Information (Detail) (USD $)	12 Months Ended		12 Months Ended		1 Months Ended	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013	Dec. 24, 2013	Dec. 31, 2013	Dec. 24, 2013	Oct. 31, 2013	Dec. 31, 2013
	Anderson, Indiana [Member]	Anderson, Indiana [Member]	Dillon Pointe Transaction [Member]	Dillon Pointe Transaction [Member]	Whitcomb House Transaction [Member]	Whitcomb House Transaction [Member]
	Independent_Living_Unit		Assisted_Living_Unit		Assisted_Living_Unit
	Assisted_Living_Unit
Business Acquisition [Line Items]	'	'	'	'	'	'
Acquisition cost	'	$57	'	$7.90	$15.80	'
Number of independent living units	48	'	'	'	'	'
Number of assisted living units	304	'	36	'	68	'
Transaction cost of acquisition	0.3	'	0.1	'	0.2	'
Long term finance of Fannie Mae	'	$43.70	'	$5.60	$11.90	'
Long term fixed rate of Fannie Mae	'	5.56%	'	5.56%	5.38%	'
Maximum period for expansion of permanent financing	'10 years	'	'10 years	'	'	'10 years

Acquisitions_Additional_Inform1

Acquisitions - Additional Information 1 (Detail) (USD $)	3 Months Ended	0 Months Ended	12 Months Ended	0 Months Ended	12 Months Ended	0 Months Ended	12 Months Ended	0 Months Ended	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013	Oct. 23, 2013	Dec. 31, 2013	Sep. 30, 2013	Dec. 31, 2013	Sep. 05, 2013	Dec. 31, 2013	Jun. 28, 2013	Dec. 31, 2013
		Fitchburg Transaction [Member]	Fitchburg Transaction [Member]	Oakwood Transaction [Member]	Oakwood Transaction [Member]	Middletown Transaction [Member]	Middletown Transaction [Member]	Autumn Glen Transaction [Member]	Autumn Glen Transaction [Member]
		Assisted_Living_Unit		Assisted_Living_Unit		Assisted_Living_Unit		Assisted_Living_Unit
Business Acquisition [Line Items]	'	'	'	'	'	'	'	'	'
Acquisition cost	'	$16	'	$11.80	'	$9.90	'	$6.30	'
Number of assisted living units	'	82	'	64	'	61	'	52	'
Transaction cost of acquisition	'	0.1	'	0.1	'	0.1	'	0.1	'
Long term finance of Fannie Mae	'	11.9	'	'	'	7.6	'	'	'
Long term fixed rate of Fannie Mae	'	5.50%	'	'	'	5.93%	'	'	'
Maximum period for expansion of permanent financing	'	'	'10 years	'	'	'	'	'	'
Interim financing obtained for acquisition	'	'	'	$8.50	'	'	'	$4.60	'
Interim financing variable rate	'	'	'	3.75%	'	'	'	3.75%	'
Maturity date of financing	'	'	'	'	10-Oct-15	'	'	'	10-Jul-15
Interim financing variable rate description	'	'	'	'	'LIBOR plus 3.75%	'	'	'	'LIBOR plus 3.75%
Term period of mortgage loans	'10 years	'	'	'	'	'	'10 years	'	'

Acquisitions_Additional_Inform2

Acquisitions - Additional Information 2 (Detail) (USD $)	12 Months Ended		1 Months Ended	12 Months Ended	0 Months Ended	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	31-May-13	Dec. 31, 2013	Mar. 07, 2013	Dec. 31, 2013
			Vintage Transaction [Member]	Vintage Transaction [Member]	Elkhorn Transaction [Member]	Elkhorn Transaction [Member]
			Assisted_Living_Unit		Assisted_Living_Unit
			Independent_Living_Unit
Business Acquisition [Line Items]	'	'	'	'	'	'
Acquisition cost	'	'	$19.10	'	$6.70	'
Number of independent living units	'	'	22	'	'	'
Number of assisted living units	'	'	80	'	64	'
Transaction cost of acquisition	'	'	0.1	'	0.1	'
Long term finance of Fannie Mae	'	'	14.5	'	4	'
Long term fixed rate of Fannie Mae	'	'	5.30%	'	4.66%	'
Maximum period for expansion of permanent financing	'	'	'	'12 years	'	'10 years
Additions to property and equipment	135.4	170.3	'	'	'	'
Finite lived intangible asset acquired in place leases during period	15.1	22.9	'	'	'	'
Revenue generated from acquisition	8	'	'	'	'	'
Losses before income taxes due to acquisition	($2.20)	'	'	'	'	'

Acquisition_Schedule_of_Pro_Fo

Acquisition - Schedule of Pro Forma Combined Results of Operations (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Business Combinations [Abstract]	'	'
Total revenues	$376,528	$342,121
Income (loss) before income taxes	($4,466)	($22,090)

Acquisitions_Additional_Inform3

Acquisitions - Additional Information 3 (Detail) (USD $)

3 Months Ended

0 Months Ended

0 Months Ended

3 Months Ended

0 Months Ended

1 Months Ended

3 Months Ended

12 Months Ended

0 Months Ended

12 Months Ended

0 Months Ended

In Millions, unless otherwise specified

Dec. 31, 2013

Dec. 21, 2012

Dec. 20, 2013

Dec. 20, 2012

Oct. 23, 2012

Mar. 31, 2013

Sep. 30, 2013

Oct. 23, 2012

Oct. 31, 2012

Mar. 31, 2013

Dec. 31, 2013

Oct. 23, 2012

Dec. 31, 2013

Dec. 28, 2012

Oct. 23, 2012

Harbor Court Transaction [Member]

Montclair Transaction [Member]

Montclair Transaction [Member]

Country Charm and Woodlands Transaction [Member]

Country Charm and Woodlands Transaction [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Commercial Mortgage [Member]

Berkadia Commercial Mortgage [Member]

Berkadia Commercial Mortgage [Member]

Batesville Transaction [Member]

Assisted_Living_Unit

Independent_Living_Unit

Community

Assisted_Living_Unit

Community

Community

Community

Assisted_Living_Unit

Community

Community

Community

Business Acquisition [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Acquisition cost

'

$10.80

'

$22

$62.50

'

'

'

'

'

'

$6.40

'

'

$4

Acquisition of senior living community

'

1

'

1

6

'

'

'

'

'

'

'

'

'

1

Number of assisted living units

'

116

'

'

440

'

'

'

'

'

'

'

'

'

41

Transaction cost of acquisition

'

0.1

0.1

'

0.3

'

'

'

'

'

'

'

'

'

0.1

Interim financing obtained for acquisition

'

7.6

'

17

26.4

'

8.5

11.6

'

'

'

11.6

'

'

'

Long term fixed rate of Fannie Mae

'

4.58%

'

4.32%

4.34%

'

'

4.50%

'

4.66%

'

'

'

'

4.34%

Term period of mortgage loans

'10 years

'10 years

'10 years

'

'10 years

'

'

'

'10 years

'10 years

'

'

'

'

'10 years

Number of independent living units

'

'

159

'

'

'

'

'

'

'

'

'

'

'

'

Number of communities obtained financing

'

'

'

'

'

4

'

'

'

1

'

'

1

'

'

Interim financing variable rate description

'

'

'

'

'

'

'

'

'LIBOR plus 4.5%

'

'LIBOR plus 3.75%

'

'LIBOR plus 4.5%

'

'

Long term finance of Fannie Mae

'

'

'

'

'

'

'

'

'

'

'

'

'

$6.40

$2.60

Maturity date of financing

'

'

'

'

'

'

'

'

'

'

10-Oct-15

'

28-Dec-12

'

'

Interim financing variable rate

'

'

'

'

'

'

3.75%

4.50%

'

'

'

4.50%

'

'

'

Acquisitions_Additional_Inform4

Acquisitions - Additional Information 4 (Detail) (USD $)	3 Months Ended	12 Months Ended		0 Months Ended		3 Months Ended	0 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2012	Oct. 17, 2012	Mar. 30, 2012	Mar. 31, 2012	Apr. 30, 2012	Mar. 30, 2012	Mar. 02, 2012	Mar. 01, 2012
				Esperanza Transaction [Member]	Esperanza Transaction [Member]	Esperanza Transaction [Member]	Remington Transaction [Member]	Riverbend Transaction [Member]	Granbury, Texas [Member]	Granbury, Texas [Member]
				Assisted_Living_Unit	Independent_Living_Unit	Community	Independent_Living_Unit	Assisted_Living_Unit	Assisted_Living_Unit	Community
				Community	Assisted_Living_Unit		Community	Community	Community
Business Acquisition [Line Items]	'	'	'	'	'	'	'	'	'	'
Acquisition of senior living community from Corpus Christi, Texas	'	'	'	1	'	'	'	'	'	'
Acquisition of senior living community	'	'	'	5	'	'	1	1	'	1
Acquisition cost	'	'	'	$6.40	$34.10	'	$19.20	$15.30	'	$7
Interim financing obtained for acquisition	'	'	'	3.2	'	'	'	'	'	'
Long term fixed rate of Fannie Mae	'	'	'	4.48%	'	'	4.48%	'	'	'
Number of assisted living units	'	'	'	50	211	'	'	97	82	'
Transaction cost of acquisition	'	'	'	0.1	0.2	'	0.1	0.1	0.2	'
Term period of mortgage loans	'10 years	'	'	'33 years	'10 years	'	'10 years	'10 years	'	'
Number of independent living units	'	'	'	'	45	'	128	'	'	'
Long term finance of Fannie Mae	'	'	'	'	26.1	'	11.8	11.5	'	5.4
Long term fixed rate of Fannie Mae	'	'	'	'	4.69%	'	'	4.76%	'	4.38%
Number of closed communities	'	'	'	'	'	4	'	'	'	'
Additions to property and equipment	'	135.4	170.3	'	'	'	'	'	'	'
Finite lived intangible asset acquired in place leases during period	'	$15.10	$22.90	'	'	'	'	'	'	'

Property_and_Equipment_Schedul

Property and Equipment - Schedule of Property and Equipment (Detail) (USD $)

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2012

In Thousands, unless otherwise specified

Construction in Progress [Member]

Construction in Progress [Member]

Land [Member]

Land [Member]

Land improvements [Member]

Land improvements [Member]

Land improvements [Member]

Land improvements [Member]

Building and building improvements [Member]

Building and building improvements [Member]

Building and building improvements [Member]

Building and building improvements [Member]

Furniture And Equipment [Member]

Furniture And Equipment [Member]

Furniture And Equipment [Member]

Furniture And Equipment [Member]

Automobiles [Member]

Automobiles [Member]

Automobiles [Member]

Automobiles [Member]

Leasehold Improvements [Member]

Leasehold Improvements [Member]

Minimum [Member]

Maximum [Member]

Minimum [Member]

Maximum [Member]

Minimum [Member]

Maximum [Member]

Minimum [Member]

Maximum [Member]

Property, Plant and Equipment [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Asset Lives

'

'

'

'

'

'

'

'

'5 years

'20 years

'

'

'10 years

'40 years

'

'

'5 years

'10 years

'

'

'5 years

'7 years

'

'

Property and equipment, gross

$805,627

$656,762

$268

$367

$48,974

$39,599

$10,507

$7,256

'

'

$676,466

$551,633

'

'

$31,340

$26,121

'

'

$3,437

$2,616

'

'

$34,635

$29,170

Less accumulated depreciation and amortization

155,660

129,603

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Property and equipment, net

$649,967

$527,159

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Property_and_Equipment_Schedul1

Property and Equipment - Schedule of Property and Equipment (Parenthetical) (Detail) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Millions, unless otherwise specified
Property, Plant and Equipment [Line Items]	'	'
Capitalized computer software development costs	$2.90	$2.30
Construction in Progress [Member]	'	'
Property, Plant and Equipment [Line Items]	'	'
Capitalized computer software development costs	'	$0.30

Property_and_Equipment_Additio

Property and Equipment - Additional Information (Detail) (USD $)	Dec. 31, 2013	Dec. 31, 2012
Property, Plant and Equipment [Line Items]	'	'
Capitalized computer software development costs	$2,900,000	$2,300,000
Capitalized computer software development costs, accumulated depreciation and amortization	2,600,000	2,200,000
Assets under capital lease	'	100,000
Assets under capital lease, accumulated depreciation and amortization	'	35,000
Assets under capital lease included in Property and Equipment	805,627,000	656,762,000
Assets under capital lease, accumulated amortization	155,660,000	129,603,000
Assets Held under Capital Leases [Member]	'	'
Property, Plant and Equipment [Line Items]	'	'
Assets under capital lease included in Property and Equipment	32,400,000	32,400,000
Assets under capital lease, accumulated amortization	$12,000,000	$10,900,000

Other_Assets_Schedule_of_Other

Other Assets - Schedule of Other Assets (Detail) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Deferred Costs Capitalized Prepaid And Other Assets Disclosure [Abstract]	'	'
Deferred loan costs, net	$4,509	$4,016
Deferred lease costs, net	11,278	11,839
Security and other deposits	12,012	10,673
In-place lease intangibles, net	12,063	14,163
Other	1,897	2,226
Other assets, net	$41,759	$42,917

Other_Assets_Additional_Inform

Other Assets - Additional Information (Detail) (Leases, Acquired-in-Place [Member], USD $)	Dec. 31, 2013	Dec. 31, 2012
In Millions, unless otherwise specified
Leases, Acquired-in-Place [Member]	'	'
Other Assets [Line Items]	'	'
Gross in-place lease intangibles	$48.30	$33.30
Accumulated amortization	$36.20	$19.10

Accrued_Expenses_Schedule_of_A

Accrued Expenses - Schedule of Accrued Expenses (Detail) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Other Income And Expenses [Abstract]	'	'
Accrued salaries, bonuses and related expenses	$8,923	$7,529
Accrued property taxes	12,716	11,311
Accrued interest	1,822	1,503
Accrued health claims and workers comp	3,608	1,822
Accrued professional fees	436	572
Other	1,816	1,708
Accrued Expenses, Current, Total	$29,321	$24,445

Notes_Payable_Schedule_of_Note

Notes Payable - Schedule of Notes Payable (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Debt Instrument [Line Items]	'	'
Current portion of notes payable	$11,918	$20,230
Notes payable, Noncurrent, Total	467,376	342,366
Notes Payable [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	3,394	'
Interest Rate	5.23%	'
Notes Payable	479,294	362,596
Current portion of notes payable	11,918	20,230
Notes payable, Noncurrent, Total	467,376	342,366
Notes Payable [Member] | Freddie Mac Maturing on July 2015 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	728	'
Net Book Value Of Collateral	162,829	'
Interest Rate	6.29%	'
Maturity Date	'2015-07	'
Notes Payable	93,765	96,433
Notes Payable [Member] | Freddie Mac Two Maturing on July 2015 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	101	'
Net Book Value Of Collateral	87,345	'
Interest Rate	4.39%	'
Maturity Date	'2015-07	'
Notes Payable	19,742	20,068
Notes Payable [Member] | Freddie Mac Maturing on April 2017 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	60	'
Net Book Value Of Collateral	6,800	'
Interest Rate	5.75%	'
Maturity Date	'2017-04	'
Notes Payable	8,629	8,837
Notes Payable [Member] | Fannie Mae Maturing on June 2017 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	178	'
Net Book Value Of Collateral	42,167	'
Interest Rate	5.91%	'
Maturity Date	'2017-06	'
Notes Payable	27,324	27,809
Notes Payable [Member] | Fannie Mae Two Maturing on June 2017 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	28	'
Net Book Value Of Collateral	31,890	'
Interest Rate	4.47%	'
Maturity Date	'2017-06	'
Notes Payable	5,467	5,557
Notes Payable [Member] | Fannie Mae Maturing on August 2021 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	78	'
Net Book Value Of Collateral	16,271	'
Interest Rate	5.69%	'
Maturity Date	'2021-08	'
Notes Payable	13,103	13,281
Notes Payable [Member] | Fannie Mae Maturing on October 2021 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	26	'
Net Book Value Of Collateral	5,812	'
Interest Rate	4.97%	'
Maturity Date	'2021-10	'
Notes Payable	4,657	4,729
Notes Payable [Member] | Fannie Mae Two Maturing on October 2021 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	101	'
Net Book Value Of Collateral	22,374	'
Interest Rate	4.92%	'
Maturity Date	'2021-10	'
Notes Payable	18,398	18,685
Notes Payable [Member] | Fannie Mae Maturing on November 2021 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	117	'
Net Book Value Of Collateral	25,304	'
Interest Rate	4.92%	'
Maturity Date	'2021-11	'
Notes Payable	21,391	21,723
Notes Payable [Member] | Fannie Mae Maturing on March 2022 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	27	'
Net Book Value Of Collateral	5,874	'
Interest Rate	4.38%	'
Maturity Date	'2022-03	'
Notes Payable	5,224	5,312
Notes Payable [Member] | Fannie Mae Maturing on April 2022 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	60	'
Net Book Value Of Collateral	12,963	'
Interest Rate	4.76%	'
Maturity Date	'2022-04	'
Notes Payable	11,190	11,364
Notes Payable [Member] | Fannie Mae Two Maturing on April 2022 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	135	'
Net Book Value Of Collateral	29,520	'
Interest Rate	4.69%	'
Maturity Date	'2022-04	'
Notes Payable	25,448	25,851
Notes Payable [Member] | Fannie Mae Maturing on May 2022 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	60	'
Net Book Value Of Collateral	16,801	'
Interest Rate	4.48%	'
Maturity Date	'2022-05	'
Notes Payable	11,546	11,735
Notes Payable [Member] | Fannie Mae Maturing on November 2022 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	144	'
Net Book Value Of Collateral	35,467	'
Interest Rate	4.34%	'
Maturity Date	'2022-11	'
Notes Payable	28,455	28,920
Notes Payable [Member] | Fannie Mae Two Maturing on November 2022 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	33	'
Net Book Value Of Collateral	7,639	'
Interest Rate	4.50%	'
Maturity Date	'2022-11	'
Notes Payable	6,325	6,417
Notes Payable [Member] | Fannie Mae Maturing on January 2023 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	84	'
Net Book Value Of Collateral	19,675	'
Interest Rate	4.32%	'
Maturity Date	'2023-01	'
Notes Payable	16,744	16,995
Notes Payable [Member] | Fannie Mae Two Maturing on January 2023 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	39	'
Net Book Value Of Collateral	8,788	'
Interest Rate	4.58%	'
Maturity Date	'2023-01	'
Notes Payable	7,471	7,577
Notes Payable [Member] | Fannie Mae Two Maturing On April 2023 [Member]	'	'
Debt Instrument [Line Items]	'	'
Net Book Value Of Collateral	19,720	'
Interest Rate	4.66%	'
Maturity Date	'2023-04	'
Notes Payable	16,221	'
Notes Payable [Member] | Fannie Mae Two Maturing On October 2023 [Member]	'	'
Debt Instrument [Line Items]	'	'
Net Book Value Of Collateral	8,818	'
Interest Rate	5.93%	'
Maturity Date	'2023-10	'
Notes Payable	7,595	'
Notes Payable [Member] | Fannie Mae Maturing On November 2023 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	67	'
Net Book Value Of Collateral	14,210	'
Interest Rate	5.50%	'
Maturity Date	'2023-11	'
Notes Payable	11,837	'
Notes Payable [Member] | Fannie Mae Two Maturing On November 2023 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	67	'
Net Book Value Of Collateral	14,025	'
Interest Rate	5.38%	'
Maturity Date	'2023-11	'
Notes Payable	11,900	'
Notes Payable [Member] | Fannie Mae Two Maturing On January 2024 [Member]	'	'
Debt Instrument [Line Items]	'	'
Net Book Value Of Collateral	57,984	'
Interest Rate	5.56%	'
Maturity Date	'2024-01	'
Notes Payable	49,292	'
Notes Payable [Member] | Fannie Mae Two Maturing On June 2025 [Member]	'	'
Debt Instrument [Line Items]	'	'
Net Book Value Of Collateral	17,446	'
Interest Rate	5.30%	'
Maturity Date	'2025-06	'
Notes Payable [Member] | Berkadia Maturing on November 2013 [Member]	'	'
Debt Instrument [Line Items]	'	'
Maturity Date	'2013-11	'
Notes Payable	'	11,550
Notes Payable [Member] | Berkadia Maturing on August 2015 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	108	'
Net Book Value Of Collateral	19,402	'
Interest Rate	5.46%	'
Maturity Date	'2015-08	'
Notes Payable	14,294	14,784
Notes Payable [Member] | Berkadia Maturing On July 2025 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	15	'
Net Book Value Of Collateral	5,639	'
Interest Rate	3.92%	'
Maturity Date	'2015-07	'
Notes Payable	4,550	'
Notes Payable [Member] | Berkadia Maturing On October 2015 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	28	'
Net Book Value Of Collateral	10,647	'
Interest Rate	3.92%	'
Maturity Date	'2015-10	'
Notes Payable	8,472	'
Notes Payable [Member] | Berkadia Maturing On January 2016 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	37	'
Net Book Value Of Collateral	9,406	'
Interest Rate	4.67%	'
Maturity Date	'2016-01	'
Notes Payable	9,500	'
Notes Payable [Member] | HUD Maturing on September 2045 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	16	'
Net Book Value Of Collateral	5,798	'
Interest Rate	4.48%	'
Maturity Date	'2045-09	'
Notes Payable	3,188	3,233
Notes Payable [Member] | TCF Maturing on January 2014 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	1	'
Net Book Value Of Collateral	8	'
Interest Rate	7.55%	'
Maturity Date	'2014-01	'
Notes Payable	1	7
Notes Payable [Member] | Insurance Financing Maturing On May 2014 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	496	'
Interest Rate	1.97%	'
Maturity Date	'2014-05	'
Notes Payable	2,466	'
Notes Payable [Member] | Insurance Financing Maturing On October 2014 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	67	'
Interest Rate	1.89%	'
Maturity Date	'2014-10	'
Notes Payable	665	'
Notes Payable [Member] | Insurance Financing Maturing on March 2013 [Member]	'	'
Debt Instrument [Line Items]	'	'
Maturity Date	'2013-03	'
Notes Payable	'	644
Notes Payable [Member] | Insurance Financing Maturing on May 2013 [Member]	'	'
Debt Instrument [Line Items]	'	'
Maturity Date	'2013-05	'
Notes Payable	'	585
Notes Payable [Member] | Insurance Financing Maturing on September 2013 [Member]	'	'
Debt Instrument [Line Items]	'	'
Maturity Date	'2013-09	'
Notes Payable	'	500
Notes Payable [Member] | Fannie Mae Maturing On June 2025 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	81	'
Notes Payable	14,434	'
Notes Payable [Member] | Fannie Mae Maturing On April 2023 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	85	'
Notes Payable [Member] | Fannie Mae Maturing On October 2023 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	45	'
Notes Payable [Member] | Fannie Mae Maturing On January 2024 [Member]	'	'
Debt Instrument [Line Items]	'	'
Average Monthly Payment	$282	'

Notes_Payable_Schedule_of_Note1

Notes Payable - Schedule of Notes Payable (Parenthetical) (Detail)	3 Months Ended	12 Months Ended				12 Months Ended	0 Months Ended	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2013	31-May-12	Dec. 31, 2013	Mar. 07, 2013	Dec. 31, 2013	Mar. 07, 2013	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2013
		Facility		Notes Payable [Member]	4.66% Debt [Member]	Fannie Mae [Member]	Fannie Mae [Member]	Fannie Mae [Member]	Berkadia Maturing On July 2025 [Member]	Berkadia Maturing On October 2015 [Member]	Berkadia Maturing On January 2016 [Member]
							4.66% Debt [Member]	4.66% Debt [Member]	Notes Payable [Member]	Notes Payable [Member]	Notes Payable [Member]
Debt Instrument [Line Items]	'	'	'	'	'	'	'	'	'	'	'
Number of facilities owned	'	58	'	'	'	'	'	'	'	'	'
Mortgage loans term	'10 years	'	'	'	'	'10 years	'10 years	'10 years	'	'	'
Acquisition price at a variable rate	'	'	'	'	'	'	'	'	'LIBOR plus 3.75%	'LIBOR plus 3.75%	'LIBOR plus 4.50%
Fixed interest rate	'	'	2.60%	'	4.66%	'	4.66%	'	3.75%	3.75%	4.50%
Interest Rate	'	'	'	5.23%	'	'	'	'	3.92%	3.92%	4.67%

Notes_Payable_Summary_of_Aggre

Notes Payable - Summary of Aggregate Scheduled Maturities of Notes Payable (Detail) (Notes Payable [Member], USD $)	Dec. 31, 2013
In Thousands, unless otherwise specified
Notes Payable [Member]	'
Debt Instrument [Line Items]	'
2014	$11,918
2015	142,534
2016	15,150
2017	43,793
2018	5,262
Thereafter	260,637
Total	$479,294

Notes_Payable_Mortgage_Debt_Re

Notes Payable - Mortgage Debt Relating to Fannie Mae - Additional Information (Detail) (USD $)

0 Months Ended

3 Months Ended

0 Months Ended

12 Months Ended

12 Months Ended

0 Months Ended

12 Months Ended

0 Months Ended

0 Months Ended

12 Months Ended

12 Months Ended

0 Months Ended

31-May-12

Dec. 31, 2013

Dec. 31, 2012

Mar. 07, 2013

Dec. 23, 2013

Oct. 23, 2012

Dec. 31, 2013

Jun. 28, 2013

Dec. 31, 2013

Mar. 07, 2013

Dec. 31, 2013

Mar. 08, 2012

Oct. 17, 2012

Dec. 24, 2013

Oct. 31, 2013

Oct. 23, 2013

Sep. 05, 2013

31-May-13

Mar. 07, 2013

Dec. 28, 2012

Dec. 21, 2012

Dec. 20, 2012

Dec. 31, 2013

Oct. 23, 2012

Apr. 30, 2012

Mar. 30, 2012

Dec. 31, 2013

1-May-12

Dec. 31, 2013

Oct. 23, 2012

Mar. 30, 2012

Dec. 24, 2013

4.66% Debt [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

One Senior Living Community [Member]

Four Senior Living Community [Member]

Four Senior Living Community [Member]

Four Senior Living Community [Member]

Three Senior Living Communities [Member]

4.66% Debt [Member]

4.66% Debt [Member]

4.47% Debt [Member]

4.48% Debt [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Note

5.56% Debt [Member]

5.38% [Member]

5.50% [Member]

5.93% [Member]

5.30% Debt [Member]

4.66% Debt [Member]

4.5% Debt [Member]

4.58% Debt [Member]

4.32% Debt [Member]

4.34% Debt [Member]

4.34% Debt [Member]

4.48% Debt [Member]

4.76% Debt [Member]

4.38% Debt [Member]

4.38% Debt [Member]

4.34% Debt [Member]

4.34% Debt [Member]

4.69% Debt [Member]

5.56% Debt [Member]

Note

Note

Note

Note

Note

Note

Note

Note

Note

Note

Note

Note

Note

Community

Note

Note

Debt Instrument [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Mortgage debt

'

$476,200,000

$360,900,000

'

$9,500,000

'

'

'

'

$12,400,000

'

'

$3,200,000

$5,600,000

$11,900,000

$11,900,000

$7,600,000

$14,500,000

$4,000,000

$6,400,000

$7,600,000

$17,000,000

'

$2,600,000

$11,800,000

$11,500,000

'

$5,400,000

'

$26,400,000

$26,100,000

$43,700,000

Mortgage debt on senior living communities with Fannie Mae, Number of notes held

'

'

'

'

'

'

'

'

'

'

'

'

1

1

1

1

1

1

1

1

1

1

'

1

1

1

'

1

'

4

4

3

Mortgage loans term

'

'10 years

'

'

'

'

'

'

'10 years

'10 years

'10 years

'

'33 years

'10 years

'10 years

'10 years

'10 years

'12 years

'10 years

'10 years

'10 years

'10 years

'10 years

'

'10 years

'10 years

'10 years

'

'10 years

'

'10 years

'10 years

Fixed interest rate

2.60%

'

'

4.66%

'

'

'

'

'

4.66%

'

4.47%

4.48%

5.56%

5.38%

5.50%

5.93%

5.30%

4.66%

4.50%

4.58%

4.32%

'

4.34%

4.48%

4.76%

'

4.38%

'

4.34%

4.69%

5.56%

Gross deferred loan and capital lease and financing obligation costs

'

4,509,000

4,016,000

'

200,000

42,000

'

100,000

'

200,000

'

'

'

100,000

100,000

100,000

100,000

200,000

100,000

100,000

200,000

200,000

'

100,000

100,000

100,000

'

100,000

'

400,000

300,000

400,000

Term period for principle amortization

'

'

'

'

'

'

'

'

'

'30 years

'

'

'

'30 years

'

'

'30 years

'30 years

'30 years

'30 years

'30 years

'30 years

'30 years

'

'30 years

'30 years

'30 years

'

'30 years

'

'30 years

'30 years

Deferred financing costs amortization period

'

'

'

'

'2 years

'

'

'

'

'10 years

'

'

'

'10 years

'10 years

'10 years

'10 years

'12 years

'10 years

'10 years

'10 years

'10 years

'10 years

'

'10 years

'10 years

'10 years

'

'10 years

'

'10 years

'10 years

Interim financing variable rate description

'

'

'

'

'LIBOR plus 4.50%

'LIBOR plus 4.5%

'LIBOR plus 3.75%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Interest Rate

'

'

'

'

4.50%

'

'

3.75%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Maturity date of financing

'

'

'

'

10-Jan-16

10-Feb-13

10-Jul-15

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Cross-collateralized and cross-defaulted mortgage loans

'

'

'

'

'

'

'

'

'

4,000,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Finance agreement entered by company

1,400,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Repayment period of principle of finance agreement

'11 months

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Debt financing from subsidiary

'

'

'

'

'

'

'

'

'

'

'

5,600,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Deferred financing costs incurred

'

'

'

'

'

'

'

'

'

'

'

$200,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Notes_Payable_Interim_Financin

Notes Payable - Interim Financing Obtained from Berkadia - Additional Information (Detail) (USD $)

3 Months Ended

0 Months Ended

1 Months Ended

3 Months Ended

12 Months Ended

0 Months Ended

12 Months Ended

0 Months Ended

12 Months Ended

12 Months Ended

Dec. 31, 2013

Dec. 31, 2012

31-May-12

Mar. 07, 2013

Sep. 30, 2013

Oct. 23, 2012

Oct. 31, 2012

Mar. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Mar. 07, 2013

Dec. 31, 2013

Dec. 23, 2013

Oct. 23, 2012

Dec. 31, 2013

Jun. 28, 2013

Dec. 31, 2013

Oct. 23, 2012

4.66% Debt [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Fannie Mae [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

Berkadia Interim Loan [Member]

4.66% Debt [Member]

4.66% Debt [Member]

Note

Community

One Senior Living Community Maturing On November Ten Two Thousand Thirteen [Member]

One Senior Living Community Maturing On November Ten Two Thousand Thirteen [Member]

Community

Debt Instrument [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Interim financing obtained for acquisition

'

'

'

'

$8,500,000

$11,600,000

'

'

'

'

'

'

'

$6,400,000

'

$4,600,000

'

$11,600,000

Interim financing variable rate description

'

'

'

'

'

'

'LIBOR plus 4.5%

'

'LIBOR plus 3.75%

'

'

'

'LIBOR plus 4.50%

'LIBOR plus 4.5%

'LIBOR plus 3.75%

'

'LIBOR plus 4.5%

'

Interim financing variable rate

'

'

'

'

3.75%

4.50%

'

'

'

'

'

'

'

4.50%

'

'

4.50%

'

Maturity date of financing

'

'

'

'

'

'

'

'

10-Oct-15

'

'

'

10-Jan-16

10-Feb-13

10-Jul-15

'

10-Nov-13

'

Gross deferred loan and capital lease and financing obligation costs

4,509,000

4,016,000

'

'

100,000

'

'

'

'

'

200,000

'

200,000

42,000

'

100,000

'

200,000

Acquisition of senior living community

'

'

'

'

'

'

'

'

'

'

'

'

'

1

'

1

'

1

Interest Rate

'

'

'

'

'

4.50%

'

4.66%

'

'

'

'

4.50%

'

'

3.75%

'

'

Mortgage debt

$476,200,000

$360,900,000

'

'

'

'

'

'

'

'

$12,400,000

'

$9,500,000

'

'

'

'

'

Term period of mortgage loans

'10 years

'

'

'

'

'

'10 years

'10 years

'

'10 years

'10 years

'10 years

'

'

'

'

'

'

Fixed interest rate

'

'

2.60%

4.66%

'

'

'

'

'

'

4.66%

'

'

'

'

'

'

'

Notes_Payable_Additional_Infor

Notes Payable - Additional Information (Detail) (USD $)

0 Months Ended

3 Months Ended

12 Months Ended

0 Months Ended

0 Months Ended

31-May-13

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2012

31-May-12

Mar. 25, 2011

Sep. 10, 2010

Apr. 16, 2010

Oct. 17, 2012

31-May-13

Jun. 27, 2012

Jun. 21, 2012

One Senior Living Community [Member]

Financing Agreement [Member]

Ventas Lease Transaction [Member]

Freddie Mac [Member]

4.48% Debt [Member]

Note

Debt Instrument [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

Renewed insurance policies and finance agreement

$5,400,000

'

'

'

'

'

'

'

'

'

'

'

Interest Rate

'

'

'

'

'

'

'

'

'

1.97%

'

'

Repayment period

'11 months

'

'

'

'

'

'

'

'

'

'

'

Mortgage debt

'

476,200,000

476,200,000

360,900,000

'

'

'

'

3,200,000

'

'

'

Mortgage debt on senior living communities with Fannie Mae, Number of notes held

'

'

'

'

'

'

'

'

1

'

'

'

Mortgage loans term

'

'10 years

'

'

'

'

'

'

'33 years

'

'

'

Fixed interest rate

'

'

'

'

2.60%

'

'

'

4.48%

'

'

4.39%

Mortgage debt assumed

'

'

'

'

'

'

'

'

'

'

18,300,000

'

Unamortized deferred loan cost written off

'

'

'

'

'

'

'

'

'

'

100,000

'

Debt financing from subsidiary

'

'

'

'

'

'

'

'

'

'

'

20,200,000

Deferred financing costs incurred

'

'

'

'

'

'

'

'

'

'

'

600,000

Letters of Credit

'

'

'

'

'

2,600,000

2,200,000

1,700,000

'

'

'

'

Net book value of housing communities

'

601,200,000

601,200,000

469,800,000

'

'

'

'

'

'

'

'

Gross deferred loan and capital lease and financing obligation costs

'

4,509,000

4,509,000

4,016,000

'

'

'

'

'

'

'

'

Accumulated amortization

'

3,200,000

3,200,000

2,200,000

'

'

'

'

'

'

'

'

Amortization expense

'

'

$1,100,000

'

'

'

'

'

'

'

'

'

Equity_Additional_Information_

Equity - Additional Information (Detail) (USD $)	0 Months Ended	12 Months Ended
In Millions, except Share data, unless otherwise specified	Jan. 22, 2009	Dec. 31, 2013	Dec. 31, 2009	Dec. 31, 2012
Equity [Abstract]	'	'	'	'
Preferred stock, shares outstanding	'	0	'	0
Authorization for purchase of company's Common stock	$10	'	'	'
Purchase Common stock shares	'	0	349,800	'
Average cost of per share	'	'	$2.67	'
Purchase Common stock value	'	'	$0.90	'

StockBased_Compensation_Additi

Stock-Based Compensation - Additional Information (Detail) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Stock options vesting period, Minimum	'1 year	'	'
Stock options vesting period, Maximum	'5 years	'	'
Stock options outstanding and options exercisable	$300,000	$3,300,000	$500,000
Period of recognition for compensation expense, Minimum	'3 years	'	'
Period of recognition for compensation expense, Maximum	'4 years	'	'
Compensation expense recognized	0	'	'
Restricted stock outstanding	9,700,000	'	'
Average market value of common stock awarded to employees and directors of company	$23.93	'	'
Expected dividend yield	0.00%	'	'
Stock option issued	0	0	'
Stock based compensation expense excluding forfeitures which was not recognized	7,600,000	'	'
Expected period of expenses, Minimum	'1 year	'	'
Expected period of expenses, Maximum	'4 years	'	'
Restricted Stock [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Restricted stock outstanding	$20,900,000	$15,000,000	$5,000,000
Restricted common stock to employees and directors of the Company	403,715	508,191	400,580
Shares with performance-based vesting conditions	130,000	'	'
Restricted stock award vesting period, Minimum	'1 year	'	'
Restricted stock award vesting period, Maximum	'4 years	'	'

StockBased_Compensation_Stock_

Stock-Based Compensation - Stock Option Activity and Related Information (Detail) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]	'	'	'
Weighted average exercise price, Outstanding at Beginning of Period	$6.28	$6.28	$4.44
Weighted average exercise price, Granted	'	'	'
Weighted average exercise price, Exercised	$6.21	$6.36	$2.17
Weighted average exercise price, Forfeited	'	'	'
Weighted average exercise price, Outstanding at End of Period	$7.10	$6.28	$6.28
Weighted average exercise price, Options Exercisable	$7.10	$6.28	$6.28
Shares, Outstanding at Beginning of Period	265,930	285,100	516,334
Shares, Granted	'	'	'
Shares, Exercised	246,930	19,170	231,234
Shares, Forfeited	'	'	'
Shares, Outstanding at End of Period	19,000	265,930	285,100
Shares, Options Exercisable	19,000	265,930	285,100

StockBased_Compensation_Summar

Stock-Based Compensation - Summary of Options Outstanding and Options Exercisable (Detail) (USD $)	12 Months Ended
	Dec. 31, 2013
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Options outstanding end of year	19,000
Weighted average remaining contractual life (years), option outstanding	'1 year 3 months 18 days
Weighted average exercise price options outstanding	$7.10
Options exercisable, number exercisable at end of year	19,000
Weighted average exercise price options exercisable	$7.10
$4.50 [Member]	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Lower range	$4.50
Options outstanding end of year	1,000
Weighted average remaining contractual life (years), option outstanding	'29 days
Weighted average exercise price options outstanding	$4.50
Options exercisable, number exercisable at end of year	1,000
Weighted average exercise price options exercisable	$4.50
$4.85 [Member]	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Lower range	$4.85
Options outstanding end of year	6,000
Weighted average remaining contractual life (years), option outstanding	'4 months 17 days
Weighted average exercise price options outstanding	$4.85
Options exercisable, number exercisable at end of year	6,000
Weighted average exercise price options exercisable	$4.85
$5.90 [Member]	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Lower range	$5.90
Options outstanding end of year	6,000
Weighted average remaining contractual life (years), option outstanding	'1 year 4 months 10 days
Weighted average exercise price options outstanding	$5.90
Options exercisable, number exercisable at end of year	6,000
Weighted average exercise price options exercisable	$5.90
$10.97 [Member]	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Upper range	$10.97
Options outstanding end of year	6,000
Weighted average remaining contractual life (years), option outstanding	'2 years 4 months 6 days
Weighted average exercise price options outstanding	$10.97
Options exercisable, number exercisable at end of year	6,000
Weighted average exercise price options exercisable	$10.97
$4.50 to $10.97 [Member]	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Upper range	$10.97
Lower range	$4.50

StockBased_Compensation_Restri

Stock-Based Compensation - Restricted Stock Awards Activity and Related Information (Detail) (Restricted Stock [Member])	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Restricted Stock [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Shares, Outstanding at Beginning of Year	803,218	626,442	449,893
Shares, Issued	403,715	508,191	400,580
Shares, Vested	312,980	323,415	207,961
Shares, Forfeited	23,736	8,000	16,070
Shares, Outstanding at End of Year	870,217	803,218	626,442

Income_Taxes_Schedule_of_Provi

Income Taxes - Schedule of Provision for Income Taxes (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Current	'	'	'
Federal	($5,411)	$574	$3,441
State	377	1,927	1,739
Deferred	'	'	'
Federal	6,251	-2,613	-1,791
State	4,542	-919	-890
Total provision for income taxes	$5,759	($1,031)	$2,499

Income_Taxes_Summary_of_Provis

Income Taxes - Summary of Provision for Income Taxes Differed from Amounts of Income Tax Provision Determined by Applying U.S. Federal Statutory Income Tax Rate to Income Before Benefit for Income Taxes (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Income Tax Disclosure [Abstract]	'	'	'
Tax (benefit) provision at federal statutory rates	($3,653)	($1,397)	$1,878
State income tax expense, net of federal effects	401	641	489
Federal and state income tax return true up	325	-122	47
State effective rate changes	-20	36	71
Change in deferred tax asset valuation allowance	8,810	'	'
Other	-104	-189	14
Income Tax Continuing Operations, Total	$5,759	($1,031)	$2,499

Income_Taxes_Summary_of_Deferr

Income Taxes - Summary of Deferred Tax Assets and Liabilities (Detail) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Deferred tax assets	'	'
Deferred gains on sale/leaseback transactions	$7,771	$9,915
Net operating loss carryforward (expiring up to 2032)	5,271	2,787
Compensation costs	877	818
Investments in unconsolidated joint ventures	73	541
Capital loss carryforward	605	'
Other	1,537	1,555
Total deferred tax assets, Gross	16,134	15,616
Valuation Allowance	-8,810	'
Total deferred tax assets	7,324	15,616
Deferred tax liabilities	'	'
Depreciation and amortization	-7,324	-4,823
Total deferred tax assets, net	'	10,793
Current deferred tax assets, net	845	1,443
Long-term deferred tax (liabilities) assets, net	-845	9,350
Total deferred tax assets, net	'	$10,793

Income_Taxes_Additional_Inform

Income Taxes - Additional Information (Detail) (USD $)	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
	Community	Community
Income Tax Contingency [Line Items]	'	'
Valuation Allowance	$8.80	'
Deferred tax assets related to federal Net operating loss carryforwards	3	'
Deferred tax assets related to State Net operating loss carryforwards	2	'
Operating loss carryforward additional	7.2	'
Texas communities consolidated	36	36
State and Local Jurisdiction [Member]	'	'
Income Tax Contingency [Line Items]	'	'
Net operating loss carryforwards	9	'
Domestic Tax Authority [Member]	'	'
Income Tax Contingency [Line Items]	'	'
Net operating loss carryforwards	26	'
Alternative Minimum Tax credit carryforward	$0.30	'

Employee_Benefit_Plans_Additio

Employee Benefit Plans - Additional Informations (Detail) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Compensation Related Costs [Abstract]	'	'	'
Employer matching contributions from annual salary	2.00%	'	'
Contributed to the Plan annually	$400,000	$400,000	$400,000
Administrative expenses	$15,300	$14,500	$14,200

Fair_Value_of_Financial_Instru2

Fair Value of Financial Instruments - Carrying Amounts and Fair Values of Financial Instruments (Detail) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]	'	'
Restricted cash	$11,425	$10,179
Carrying Amount [Member]	'	'
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]	'	'
Cash and cash equivalents	13,611	18,737
Restricted cash	11,425	10,179
Notes payable	479,294	362,596
Fair Value [Member]	'	'
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]	'	'
Cash and cash equivalents	13,611	18,737
Restricted cash	11,425	10,179
Notes payable	$459,708	$378,459

Investment_in_Unconsolidated_J

Investment in Unconsolidated Joint Ventures - Summary of Investments in Unconsolidated Joint Ventures (Detail) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Schedule Of Investments In Joint Venture [Line Items]	'	'
Investments in unconsolidated joint ventures, Total	$1,010	$1,074
SHPIII/CSL Miami [Member]	'	'
Schedule Of Investments In Joint Venture [Line Items]	'	'
Investments in unconsolidated joint ventures, Total	39	16
SHPIII/CSL Richmond Heights [Member]	'	'
Schedule Of Investments In Joint Venture [Line Items]	'	'
Investments in unconsolidated joint ventures, Total	484	570
SHPIII/CSL Levis Commons [Member]	'	'
Schedule Of Investments In Joint Venture [Line Items]	'	'
Investments in unconsolidated joint ventures, Total	$487	$488

Investments_in_Unconsolidated_2

Investments in Unconsolidated Joint Ventures - Additional Information (Detail) (USD $)

12 Months Ended

1 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Aug. 31, 2008

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Apr. 30, 2009

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Apr. 30, 2009

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

SHPIII/CSL Miami [Member]

SHPIII/CSL Miami [Member]

SHPIII/CSL Miami [Member]

SHPIII/CSL Miami [Member]

SHPIII/CSL Levis Commons [Member]

SHPIII/CSL Levis Commons [Member]

SHPIII/CSL Levis Commons [Member]

SHPIII/CSL Levis Commons [Member]

SHPIII/CSL Richmond Heights [Member]

SHPIII/CSL Richmond Heights [Member]

SHPIII/CSL Richmond Heights [Member]

SHPIII/CSL Richmond Heights [Member]

Independent_Living_Unit

Assisted_Living_Unit

Independent_Living_Unit

Assisted_Living_Unit

Independent_Living_Unit

Assisted_Living_Unit

Resident

Resident

Resident

Schedule of Equity Method Investments [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Number of independent living units

'

'

'

100

'

'

'

90

'

'

'

68

'

'

'

Assisted living units

'

'

'

49

'

'

'

56

'

'

'

80

'

'

'

Combined capacity of residents

'

'

'

196

'

'

'

197

'

'

'

197

'

'

'

Contributed to interest by the company

'

'

'

$800,000

'

'

'

$800,000

'

'

'

$800,000

'

'

'

Company ownership percentage ratio

'

'

'

10.00%

'

'

'

10.00%

'

'

'

10.00%

'

'

'

Investment under the recognized losses in the equity method of accounting by the company

133,000

-217,000

-760,000

'

24,000

-200,000

-700,000

'

43,000

'

'

'

67,000

19,000

-44,000

Management fees earned on senior living communities

'

'

'

'

$200,000

$200,000

$200,000

'

$300,000

$200,000

$200,000

'

$300,000

$300,000

$200,000

Allowance_for_Doubtful_Account2

Allowance for Doubtful Accounts - Schedule of Allowance for Doubtful Accounts (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Receivables [Abstract]	'	'	'
Balance at beginning of year	$1,825	$1,705	$1,607
Provision for bad debts, net of recoveries	497	749	287
Write-offs and other	-422	-629	-189
Balance at end of year	$1,900	$1,825	$1,705

Lease_Summary_of_Companys_Faci

Lease - Summary of Company's Facility Lease Agreements (Detail) (USD $)	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013
	Facility
Schedule Of Operating Leases [Line Items]	'
Lease Acquisition Costs(2)	$6.60
Deferred Gains / Lease Concessions(3)	37.4
Accumulated amortization through December 31, 2013	-3.1
Accumulated deferred gains / lease concessions recognized through December 31, 2013	-15.8
Net lease acquisition costs as of December 31, 2013	3.5
Net deferred gains / lease concessions as of December 31, 2013	21.6
Ventas September 30, 2005 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	30-Sep-05
Number of Communities	6
Value of Transaction	84.6
Term	'10 years
Initial Lease Rate(1)	8.00%
Lease Acquisition Costs(2)	1.4
Deferred Gains / Lease Concessions(3)	4.6
Ventas October 18, 2005 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	18-Oct-05
Number of Communities	1
Value of Transaction	19.5
Term	'10 years
Initial Lease Rate(1)	8.00%
Lease Acquisition Costs(2)	0.2
Deferred Gains / Lease Concessions(3)	'
Ventas June 8, 2006 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	8-Jun-06
Number of Communities	1
Value of Transaction	19.1
Term	'10 years
Initial Lease Rate(1)	8.00%
Lease Acquisition Costs(2)	0.4
Deferred Gains / Lease Concessions(3)	'
Ventas January 31, 2008 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	31-Jan-08
Number of Communities	1
Value of Transaction	5
Term	'10 years
Initial Lease Rate(1)	7.75%
Lease Acquisition Costs(2)	0.2
Deferred Gains / Lease Concessions(3)	'
Ventas June 27, 2012 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	27-Jun-12
Number of Communities	2
Value of Transaction	43.3
Term	'10 years
Initial Lease Rate(1)	6.75%
Lease Acquisition Costs(2)	0.8
Deferred Gains / Lease Concessions(3)	'
HCP May 1, 2006 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	1-May-06
Number of Communities	3
Value of Transaction	54
Term	'20 years
Initial Lease Rate(1)	8.00%
Lease Acquisition Costs(2)	0.2
Deferred Gains / Lease Concessions(3)	12.8
HCP May 31, 2006 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	31-May-06
Number of Communities	6
Value of Transaction	43
Term	'20 years
Initial Lease Rate(1)	8.00%
Lease Acquisition Costs(2)	0.2
Deferred Gains / Lease Concessions(3)	0.6
HCP December 1, 2006 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	1-Dec-06
Number of Communities	4
Value of Transaction	51
Term	'20 years
Initial Lease Rate(1)	8.00%
Lease Acquisition Costs(2)	0.7
Deferred Gains / Lease Concessions(3)	'
HCP December 14, 2006 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	14-Dec-06
Number of Communities	1
Value of Transaction	18
Term	'20 years
Initial Lease Rate(1)	7.75%
Lease Acquisition Costs(2)	0.3
Deferred Gains / Lease Concessions(3)	'
HCP April 11, 2007 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	11-Apr-07
Number of Communities	1
Value of Transaction	8
Term	'20 years
Initial Lease Rate(1)	7.25%
Lease Acquisition Costs(2)	0.1
Deferred Gains / Lease Concessions(3)	'
HCN April 16, 2010 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	16-Apr-10
Number of Communities	5
Value of Transaction	48.5
Term	'15 years
Initial Lease Rate(1)	8.25%
Lease Acquisition Costs(2)	0.6
Deferred Gains / Lease Concessions(3)	0.8
HCN May 1, 2010 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	1-May-10
Number of Communities	3
Value of Transaction	36
Term	'15 years
Initial Lease Rate(1)	8.25%
Lease Acquisition Costs(2)	0.2
Deferred Gains / Lease Concessions(3)	0.4
HCN September 10, 2010 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	10-Sep-10
Number of Communities	12
Value of Transaction	104.6
Term	'15 years
Initial Lease Rate(1)	8.50%
Lease Acquisition Costs(2)	0.4
Deferred Gains / Lease Concessions(3)	2
HCN April 8, 2011 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Date of Lease	8-Apr-11
Number of Communities	4
Value of Transaction	141
Term	'15 years
Initial Lease Rate(1)	7.25%
Lease Acquisition Costs(2)	0.9
Deferred Gains / Lease Concessions(3)	$16.20

Lease_Summary_of_Companys_Faci1

Lease - Summary of Company's Facility Lease Agreements (Parenthetical) (Detail) (USD $)	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013
	Lease
Schedule Of Operating Leases [Line Items]	'
Deferred gains	$34.80
Lease Concessions	2.6
Capital improvement project	3.3
Number of operating lease remaining	9
HCP May 31, 2006 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Lease Concessions	0.6
HCN September 10, 2010 [Member]	'
Schedule Of Operating Leases [Line Items]	'
Lease Concessions	$2
Ventas [Member]	'
Schedule Of Operating Leases [Line Items]	'
Lease expiration date	30-Sep-20
Lease agreements initial terms	'10 years
Available renewal extension period	'5 years
HCP [Member]	'
Schedule Of Operating Leases [Line Items]	'
Lease expiration date	31-Oct-20

Leases_Additional_Information_

Leases - Additional Information (Detail) (USD $)	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Loans And Leases [Line Items]	'	'	'
Capital improvement project	$3.30	'	'
Period of Initial lease terms in which deferred lease acquisition costs are being amortized	'5 years	'	'
Lease contracts period	'5 years	'	'
Incurred lease expense	58.8	58.5	55.1
Deferred lease costs, Gross	6.6	6.6	'
Accumulated amortization cost	3.1	2.6	'
Expected amortization expense next five fiscal years	0.5	'	'
HCN [Member]	'	'	'
Loans And Leases [Line Items]	'	'	'
Number of leased senior living facilities	24	'	'
Number of Lease Extension Available	1	'	'
Lease agreements initial terms	'15 years	'	'
Available renewal extension period	'15 years	'	'
Lease acquisition costs incurred	2.1	'	'
Period of Initial lease terms in which deferred lease acquisition costs are being amortized	'15 years	'	'
Lease expiration year and month	'2026-04	'	'
HCP [Member]	'	'	'
Loans And Leases [Line Items]	'	'	'
Number of leased senior living facilities	15	'	'
Number of Lease Extension Available	2	'	'
Lease agreements initial terms	'10 years	'	'
Available renewal extension period	'10 years	'	'
Lease acquisition costs incurred	1.5	'	'
Capital improvement project	3.3	'	'
Period of Initial lease terms in which deferred lease acquisition costs are being amortized	'10 years	'	'
Lease expiration year and month	'2016-05	'	'
Minimum [Member] | HCN [Member]	'	'	'
Loans And Leases [Line Items]	'	'	'
Lease agreements range	7.25%	'	'
Minimum [Member] | HCP [Member]	'	'	'
Loans And Leases [Line Items]	'	'	'
Lease agreements range	7.25%	'	'
Maximum [Member] | HCN [Member]	'	'	'
Loans And Leases [Line Items]	'	'	'
Lease agreements range	8.50%	'	'
Maximum [Member] | HCP [Member]	'	'	'
Loans And Leases [Line Items]	'	'	'
Lease agreements range	8.00%	'	'
Ventas [Member]	'	'	'
Loans And Leases [Line Items]	'	'	'
Number of leased senior living facilities	11	'	'
Number of Lease Extension Available	2	'	'
Lease expiration date	30-Sep-20	'	'
Lease agreements initial terms	'10 years	'	'
Available renewal extension period	'5 years	'	'
Lease acquisition costs incurred	3	'	'
Number of properties accounts as operating lease	9	'	'
Number of properties accounts as financing obligation	2	'	'
Mortgage debt assumed	18.3	'	'
Additional Cash collateral Deposits	3.4	'	'
Lease period	'5 years	'	'
Additions to property and equipment	13.2	'	'
Property and equipment amortized	11.8	'	'
Unamortized portion of the deferred gain	$4.90	'	'
Lease portfolio period	'5 years	'	'
Ventas [Member] | Minimum [Member]	'	'	'
Loans And Leases [Line Items]	'	'	'
Lease agreements range	6.75%	'	'
Ventas [Member] | Maximum [Member]	'	'	'
Loans And Leases [Line Items]	'	'	'
Lease agreements range	8.00%	'	'

Leases_Summary_of_Future_Minim

Leases - Summary of Future Minimum Lease Commitments (Detail) (USD $)	Dec. 31, 2013
In Thousands, unless otherwise specified
Leases [Abstract]	'
2014	$61,831
2015	61,889
2016	59,093
2017	57,677
2018	57,681
Thereafter	246,331
Total	$544,502