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Supplemental Cash Flow Information (Details) (USD $)
In Thousands, unless otherwise specified
 12 Months Ended
Dec. 31, 2011
property
Dec. 31, 2010
property
Dec. 31, 2009
Non-cash investing and financing transactions:      
Conversion of mortgage loans to owned properties   $ 2,900  
Acquisition of real estate investments 5,975    
Conversion of preferred stock to common stock   823 22
Redemption of non-controlling interest     1,144
Restricted stock issued, net of cancellations   2 1
Acquisitions      
Number of properties 9 10  
Total acquisition costs 106,510 94,600  
Cash paid for acquisition of properties 106,135 94,250  
SNF Beds
      
Acquisitions      
Number of beds/units acquired 1,134 805  
Skilled nursing properties
      
Acquisitions      
Number of properties 7 5  
Total acquisition costs 94,171 54,151  
Cash paid for acquisition of properties 93,841 54,011  
Skilled nursing properties | Texas
      
Acquisitions      
Number of properties 4    
Total acquisition costs 50,841    
Cash paid for acquisition of properties 41,000    
Number of earn-out payments 2    
Total contingent earn-out payment, maximum 11,000    
First contingent earn-out payment, amount $ 4,000    
Skilled nursing properties | SNF Beds
      
Acquisitions      
Number of beds/units acquired 1,016 668  
Skilled nursing properties | SNF Beds | Texas
      
Acquisitions      
Number of beds/units acquired 524 166