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Dispositions of Real Estate and Discontinued Operations (Details) (USD $)
 3 Months Ended 9 Months Ended 9 Months Ended 1 Months Ended 9 Months Ended 9 Months Ended 9 Months Ended
Sep. 30, 2013
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Sep. 30, 2014
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Sep. 30, 2013
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Aug. 29, 2014
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Dec. 31, 2013
Sep. 30, 2014
Post-acute/skilled
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Sep. 30, 2013
Hospital
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Sep. 30, 2014
Hospital
Dec. 31, 2013
Hospital
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Sep. 30, 2014
Post-acute/skilled nursing and senior housing
Dec. 31, 2013
Post-acute/skilled nursing and senior housing
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Sep. 30, 2013
Senior housing
Sep. 30, 2014
Medical office
Aug. 29, 2014
CCRC JV
Aug. 29, 2014
CCRC JV
Senior housing
Brookdale Senior Living
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Dispositions of Real Estate and Land                              
Number of properties contributed to joint venture       48                     3
Carrying value of properties contributed   $ 91,603,000                       $ 92,000,000 $ 92,000,000
Number of properties disposed           2                  
Total consideration for disposition of real estate               17,000,000   22,000,000   4,000,000 145,000    
Number of properties held for sale   0             1   2        
Carrying value of properties classified as held for sale         9,819,000                    
Number of beds sold             62                
Number of beds acquired             60                
Discontinued Operation, Gain (Loss) on Disposal of Discontinued Operation, Net of Tax 8,298,000 28,010,000 9,185,000       8,000,000                
Operating income from discontinued operations                              
Rental and related revenues 4,261,000 1,810,000 14,169,000                        
Depreciation and amortization expenses 1,509,000   4,604,000                        
Operating expenses 1,155,000 54,000 3,001,000                        
Other expenses, net 70,000 20,000 865,000                        
Income before gain on sales of real estate, net of income taxes 1,527,000 1,736,000 5,699,000                        
Gain on sales of real estate, net of income taxes $ 8,298,000 $ 28,010,000 $ 9,185,000       $ 8,000,000                
Number of properties included in discontinued operations 14 3 16