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Real Estate Investments (Details 2) (USD $)
 12 Months Ended
Dec. 31, 2011
property
Unit
Dec. 31, 2010
property
Dec. 31, 2009
property
Acquisitions      
Purchase Price $ 106,135,000 $ 94,250,000  
Transaction Costs 375,000 350,000  
Total Acquisition Costs 106,510,000 94,600,000  
Number of Properties 9 10  
Commitment 14,080,000    
Number of beds/units 2,923    
Acquisition proforma revenue 91,916,000 86,257,000  
Acquisition proforma net income 53,636,000 52,590,000  
Amount invested for expansion and renovation of properties 3,144,000 4,593,000 3,170,000
Average yield on amount invested for expansion and renovation of properties (as a percent) 9.70% 9.70% 10.60%
Number of properties in which investments to expand and renovate 11 11 8
Number of operators of properties in which investments to expand and renovate 7 7 6
Amount invested in properties with yield already included in rental rates 42,000 1,231,000 633,000
Depreciation expense on buildings and improvements 19,487,000 16,016,000 14,705,000
Future minimum base rents receivable under the remaining non-cancelable terms of operating leases excluding the effects of straight-line rent      
2012 81,021,000    
2013 81,344,000    
2014 81,774,000    
2015 68,533,000    
2016 68,106,000    
Thereafter 343,828,000    
Discontinued operations      
Rental income   1,005,000 1,097,000
Interest and other income 5,000 5,000 3,000
Total revenues 5,000 1,010,000 1,100,000
Depreciation and amortization (108,000) (392,000) (502,000)
Provisions for doubtful accounts   (601,000) (579,000)
Operating and other expenses (127,000) (134,000) (132,000)
Total expenses (235,000) (1,127,000) (1,213,000)
Income (loss) from discontinued operations (230,000) (117,000) (113,000)
SNF Beds
      
Acquisitions      
Number of beds/units acquired 1,134 805  
ALF Units
      
Acquisitions      
Number of beds/units acquired 40 287  
ILF Units
      
Acquisitions      
Number of beds/units acquired 53 47  
Assisted Living
      
Acquisitions      
Purchase Price   26,900,000 13,000,000
Transaction Costs   210,000 181,000
Total Acquisition Costs   27,110,000  
Number of Properties   4 3
Number of beds/units acquired   241 192
Half of prepayment penalty included in transaction costs   106,000  
Skilled Nursing
      
Acquisitions      
Purchase Price 93,841,000 54,011,000  
Transaction Costs 330,000 140,000  
Total Acquisition Costs 94,171,000 54,151,000  
Number of Properties 7 5  
Skilled Nursing | Texas
      
Acquisitions      
Purchase Price 41,000,000    
Total Acquisition Costs 50,841,000    
Number of Properties 4    
Number of earn-out payments 2    
Total contingent earn-out payment, maximum 11,000,000    
First contingent earn-out payment, amount 4,000,000    
Lease inducement paid   125,000  
Skilled Nursing | CA
      
Acquisitions      
Period of master lease (in years) 12    
GAAP yield (as a percent) 10.30%    
Annual escalation under lease (as a percent) 2.00%    
Number of renewal options 2    
Lease term of master lease (in years) 10    
Skilled Nursing | Capital improvement commitment expiring 10/11/2013
      
Acquisitions      
Commitment 8,250,000    
Skilled Nursing | SNF Beds
      
Acquisitions      
Number of beds/units acquired 1,016 668  
Skilled Nursing | SNF Beds | Texas
      
Acquisitions      
Number of beds/units acquired 524 166  
Skilled Nursing | SNF Beds | CA
      
Acquisitions      
Number of beds/units acquired 156    
Skilled Nursing | SNF Beds | Capital improvement commitment expiring 10/11/2013
      
Acquisitions      
Number of beds/units acquired 120    
196-bed skilled nursing property | SNF Beds | Texas
      
Acquisitions      
Purchase Price 15,500,000    
Number of beds/units acquired 196    
120-bed skilled nursing property | Texas
      
Acquisitions      
Period of master lease (in years) 10    
GAAP yield (as a percent) 11.00%    
Annual escalation under lease (as a percent) 2.50%    
Number of renewal options 2    
Lease term of master lease (in years) 5    
120-bed skilled nursing property | SNF Beds | Capital improvement commitment expiring 10/11/2013
      
Acquisitions      
Number of beds/units acquired 120    
Number of units in existing property to be replaced $ 90    
Commitment 8,250,000    
140-bed skilled nursing property | Texas
      
Acquisitions      
Purchase Price 10,000,000    
GAAP yield (as a percent) 10.50%    
140-bed skilled nursing property | SNF Beds | Texas
      
Acquisitions      
Number of beds/units acquired 140    
524-bed skilled nursing property | Texas
      
Acquisitions      
Purchase Price 41,000,000    
Total Acquisition Costs 50,841,000    
Number of Properties 4    
Number of earn-out payments 2    
Total contingent earn-out payment, maximum 11,000,000    
First contingent earn-out payment, amount 4,000,000    
524-bed skilled nursing property | SNF Beds | Texas
      
Acquisitions      
Number of beds/units acquired 524    
Other Senior Housing
      
Acquisitions      
Purchase Price 11,450,000 13,339,000  
Transaction Costs 34,000    
Total Acquisition Costs 11,484,000 13,339,000  
Number of Properties 2 1  
Annual escalation under lease (as a percent) 2.50%    
Future minimum base rents receivable under the remaining non-cancelable terms of operating leases excluding the effects of straight-line rent      
Annualized Rental Income   2,420,000  
Other Senior Housing | South Carolina
      
Acquisitions      
Number of Properties 2    
GAAP yield (as a percent) 10.10%    
Annual escalation under lease (as a percent) 2.50%    
Number of renewal options 3    
Lease term of master lease (in years) 5    
Other Senior Housing | SNF Beds
      
Acquisitions      
Number of beds/units acquired 118 137  
Other Senior Housing | SNF Beds | South Carolina
      
Acquisitions      
Number of beds/units acquired 118    
Other Senior Housing | ALF Units
      
Acquisitions      
Number of beds/units acquired 40 46  
Other Senior Housing | ALF Units | South Carolina
      
Acquisitions      
Number of beds/units acquired 40    
Other Senior Housing | ILF Units
      
Acquisitions      
Number of beds/units acquired 53 47  
Other Senior Housing | ILF Units | South Carolina
      
Acquisitions      
Number of beds/units acquired 53    
Land
      
Acquisitions      
Purchase Price 844,000    
Transaction Costs 11,000    
Total Acquisition Costs 855,000    
Land | Texas
      
Acquisitions      
Purchase Price $ 844,000    
Skilled nursing property associated with the other senior housing property
      
Acquisitions      
Period of master lease (in years)   12  
Number of renewal options   2  
Lease term of master lease (in years)   10  
Skilled nursing property associated with the other senior housing property | SNF Beds
      
Acquisitions      
Number of beds/units acquired 90    
Number of beds/units   90