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Real Estate Investments (Details) (USD $) | 12 Months Ended
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Dec. 31, 2011 property Unit | Dec. 31, 2010 | Dec. 31, 2009
Real Estate Investments |  |  |
Net Investment | $ 546,835,000 | $ 456,957,000 |
Number of Properties | 36 |  |
Number of Beds/Units | 2,923 |  |
Carrying value of mortgage loans | 53,081,000 | 59,026,000 |
Mortgage loans |  |  |
Amount received related to payoff of loan, excluding accrued interest | 2,831,000 | 3,904,000 | 3,716,000
Operating leases |  |  |
Specified annual increase over the prior year's rent, low end of range (as a percent) | 2.00% |  |
Specified annual increase over the prior year's rent, high end of range (as a percent) | 3.00% |  |
Net cash proceeds from sale of property |  | 4,864,000 |
Gain on sale of property, net of selling expenses |  | 310,000 |
Mortgage Loans |  |  |
Real Estate Investments |  |  |
Net Investment | 54,002,000 |  |
Percentage of Investments | 100.00% |  |
Number of Loans | 30 |  |
Number of Properties | 36 |  |
Number of states | 12 |  |
Number of operators | 14 |  |
Interest rate for mortgage loans, low end of range (as a percent) | 9.95% |  |
Interest rate for mortgage loans, high end of range (as a percent) | 14.63% |  |
General amortization schedule of mortgage loans (in years) | 25 |  |
Specified basis points for annual increase in interest rate, low end of range | 0.10% |  |
Specified basis points for annual increase in interest rate, high end of range | 0.25% |  |
Carrying value of mortgage loans | 53,081,000 | 59,026,000 |
Scheduled principal payments on mortgage loans |  |  |
2012 | 5,013,000 |  |
2013 | 17,673,000 |  |
2014 | 9,327,000 |  |
2015 | 4,477,000 |  |
2016 | 2,424,000 |  |
Thereafter | 15,088,000 |  |
Mortgage loans |  |  |
Scheduled principal payments received | 3,136,000 | 4,499,000 | 4,127,000
Amount received related to payoff of loan, excluding accrued interest | 2,831,000 |  |
Number of loans paid off | 4 |  |
Provision for doubtful accounts charge |  | 1,235,000 |
Number of mortgage loans for which doubtful accounts charge have been created |  | 2 |
Owned Properties |  |  |
Real Estate Investments |  |  |
Net Investment | 725,031,000 |  |
Percentage of Investments | 100.00% |  |
Number of Properties | 171 |  |
Number of states | 25 |  |
Number of operators | 30 |  |
Operating leases |  |  |
Specified annual increase over the prior year's rent, low end of range (as a percent) | 2.00% |  |
Specified annual increase over the prior year's rent, high end of range (as a percent) | 3.00% |  |
Owned Properties | Minimum |  |  |
Operating leases |  |  |
Initial term of non-cancelable operating lease (in years) | 10 |  |
Owned Properties | Maximum |  |  |
Operating leases |  |  |
Initial term of non-cancelable operating lease (in years) | 15 |  |
SNF Beds |  |  |
Real Estate Investments |  |  |
Number of beds/units acquired | 1,134 | 805 |
SNF Beds | Mortgage Loans |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 2,425 |  |
SNF Beds | Owned Properties |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 8,835 |  |
ALF Units |  |  |
Real Estate Investments |  |  |
Number of beds/units acquired | 40 | 287 |
ALF Units | Mortgage Loans |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 498 |  |
ALF Units | Owned Properties |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 4,197 |  |
ILF Units |  |  |
Real Estate Investments |  |  |
Number of beds/units acquired | 53 | 47 |
ILF Units | Owned Properties |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 423 |  |
Assisted Living |  |  |
Real Estate Investments |  |  |
Number of beds/units acquired |  | 241 | 192
Assisted Living | Mortgage Loans |  |  |
Real Estate Investments |  |  |
Net Investment | 22,776,000 |  |
Percentage of Investments | 42.20% |  |
Number of Loans | 9 |  |
Number of Properties | 14 |  |
Investment per Bed/Unit | 53.72 |  |
Mortgage loans |  |  |
Number of properties securing mortgage loans paid off | 1 |  |
Assisted Living | Owned Properties |  |  |
Real Estate Investments |  |  |
Net Investment | 285,981,000 |  |
Percentage of Investments | 39.40% |  |
Number of Properties | 88 |  |
Investment per Bed/Unit | 72.57 |  |
Assisted Living | ALF Units | Mortgage Loans |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 424 |  |
Assisted Living | ALF Units | Owned Properties |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 3,941 |  |
Skilled Nursing | Mortgage Loans |  |  |
Real Estate Investments |  |  |
Net Investment | 28,132,000 |  |
Percentage of Investments | 52.10% |  |
Number of Loans | 20 |  |
Number of Properties | 21 |  |
Investment per Bed/Unit | 12.09 |  |
Mortgage loans |  |  |
Amount received related to payoff of loan, excluding accrued interest |  | 3,904,000 | 3,716,000
Number of loans paid off |  | 5 | 3
Number of properties securing mortgage loans paid off | 7 | 5 | 3
Amount invested in capital improvements |  | 72,000 | 221,000
Number of loans in which amount has been invested for capital improvements |  |  | 1
Amount invested for expansion of property and extension of loan maturity |  | 1,622,000 |
Period of extension of loan maturity (in years) |  | 5 |
Skilled Nursing | Owned Properties |  |  |
Real Estate Investments |  |  |
Net Investment | 361,326,000 |  |
Percentage of Investments | 49.90% |  |
Number of Properties | 68 |  |
Investment per Bed/Unit | 45.05 |  |
Skilled Nursing | SNF Beds |  |  |
Real Estate Investments |  |  |
Number of beds/units acquired | 1,016 | 668 |
Skilled Nursing | SNF Beds | Mortgage Loans |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 2,326 |  |
Skilled Nursing | SNF Beds | Owned Properties |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 8,021 |  |
Operating leases |  |  |
Gain on sale of property, net of selling expenses |  | 310,000 |
Other Senior Housing | Mortgage Loans |  |  |
Real Estate Investments |  |  |
Net Investment | 3,094,000 |  |
Percentage of Investments | 5.70% |  |
Number of Loans | 1 |  |
Number of Properties | 1 |  |
Investment per Bed/Unit | 17.88 |  |
Other Senior Housing | Owned Properties |  |  |
Real Estate Investments |  |  |
Net Investment | 64,638,000 |  |
Percentage of Investments | 8.90% |  |
Number of Properties | 13 |  |
Investment per Bed/Unit | 43.29 |  |
Other Senior Housing | SNF Beds |  |  |
Real Estate Investments |  |  |
Number of beds/units acquired | 118 | 137 |
Other Senior Housing | SNF Beds | Mortgage Loans |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 99 |  |
Other Senior Housing | SNF Beds | Owned Properties |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 814 |  |
Other Senior Housing | ALF Units |  |  |
Real Estate Investments |  |  |
Number of beds/units acquired | 40 | 46 |
Other Senior Housing | ALF Units | Mortgage Loans |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 74 |  |
Other Senior Housing | ALF Units | Owned Properties |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 256 |  |
Other Senior Housing | ILF Units |  |  |
Real Estate Investments |  |  |
Number of beds/units acquired | 53 | 47 |
Other Senior Housing | ILF Units | Owned Properties |  |  |
Real Estate Investments |  |  |
Number of Beds/Units | 423 |  |
Schools | Owned Properties |  |  |
Real Estate Investments |  |  |
Net Investment | 12,192,000 |  |
Percentage of Investments | 1.70% |  |
Number of Properties | 2 |  |
Under development | Owned Properties |  |  |
Real Estate Investments |  |  |
Net Investment | $ 894,000 |  |
Percentage of Investments | 0.10% |  |
Under development | SNF Beds | Owned Properties |  |  |
Real Estate Investments |  |  |
Number of beds/units acquired | 120 |  |
Skilled nursing property associated with the other senior housing property | SNF Beds |  |  |
Real Estate Investments |  |  |
Number of Beds/Units |  | 90 |
Number of beds/units acquired | 90 |  |

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- Definition Gain (loss) after tax expense or benefit, not previously recognized and resulting from the sale of a business component, which is recognized at the date of sale. A gain (loss) reflects the amount by which the consideration received exceeds (is exceeded by) the net carrying amount (reflecting previous provisions for loss on disposal, if any) of the disposal group. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 45 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=6892542&loc=d3e957-107759 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 144 -Paragraph 43 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 144 -Paragraph 47 -Subparagraph b -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1361-107760 + Details
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- Definition The balance represents the amount of loans that are secured by real estate mortgages, offset by the reserve to cover probable credit losses on the loan portfolio. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 60 -Paragraph 47 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Article 7 -Section 03 -Paragraph 1 -Subparagraph c Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03.1(c)) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 + Details
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- Definition The highest stated interest rate within the mortgage loans included in the loan grouping. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 948 -SubTopic 310 -Section S99 -Paragraph 1 -Subparagraph (SX 210.12-29.3) -URI http://asc.fasb.org/extlink&oid=6589523&loc=d3e617274-123014 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph c -Subparagraph Schedule IV -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 29 -Article 12 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 10 -Section S99 -Paragraph 6 -Subparagraph (SX 210.5-04.(c) Schedule IV) -URI http://asc.fasb.org/extlink&oid=6882300&loc=d3e5864-122674 + Details
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- Definition The lowest stated interest rate within the mortgage loans included in the loan grouping. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 948 -SubTopic 310 -Section S99 -Paragraph 1 -Subparagraph (SX 210.12-29.3) -URI http://asc.fasb.org/extlink&oid=6589523&loc=d3e617274-123014 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph c -Subparagraph Schedule IV -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 29 -Article 12 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 10 -Section S99 -Paragraph 6 -Subparagraph (SX 210.5-04.(c) Schedule IV) -URI http://asc.fasb.org/extlink&oid=6882300&loc=d3e5864-122674 + Details
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- Definition Indicates the number of mortgages under each classification. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 948 -SubTopic 310 -Section S99 -Paragraph 1 -Subparagraph (SX 210.12-29.3) -URI http://asc.fasb.org/extlink&oid=6589523&loc=d3e617274-123014 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph c -Subparagraph Schedule IV -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Article 12 -Section 29 -Paragraph 3 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 10 -Section S99 -Paragraph 6 -Subparagraph (SX 210.5-04.(c) Schedule IV) -URI http://asc.fasb.org/extlink&oid=6882300&loc=d3e5864-122674 + Details
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- Definition The amount of any write-down or reserve provided in the period on a mortgage loan on real estate. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 948 -SubTopic 310 -Section S99 -Paragraph 1 -Subparagraph (SX 210.12-29.7) -URI http://asc.fasb.org/extlink&oid=6589523&loc=d3e617274-123014 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph c -Subparagraph Schedule IV -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 29 -Article 12 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 10 -Section S99 -Paragraph 6 -Subparagraph (SX 210.5-04.(c) Schedule IV) -URI http://asc.fasb.org/extlink&oid=6882300&loc=d3e5864-122674 + Details
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- Definition Cash received from the sale of real estate that is held for investment, that is, it is part of an investing activity during the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 16 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3179-108585 + Details
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- Definition Investments in real estate held solely for investment purposes (income production and capital appreciation). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Article 7 -Section 03 -Paragraph 1 -Subparagraph d Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03.1(d)) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 + Details
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