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Real Estate Investments (Details 2) (USD $) | 9 Months Ended | 12 Months Ended |  | 9 Months Ended |  | 9 Months Ended |  |  | 9 Months Ended | 3 Months Ended | 9 Months Ended |  | 1 Months Ended |  | 9 Months Ended |
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Sep. 30, 2012 agreement operator property Unit | Sep. 30, 2011 property operator agreement | Dec. 31, 2011 | Sep. 30, 2011 SNF Beds bed | Sep. 30, 2011 ALF Units bed | Sep. 30, 2011 ILF Units bed | Sep. 30, 2012 Memory care property Colorado item | Sep. 30, 2012 Memory care property Colorado Maximum | Sep. 30, 2012 Skilled Nursing item property bed | Sep. 30, 2011 Skilled Nursing property bed | Sep. 30, 2012 Skilled Nursing Maximum | Sep. 30, 2011 Skilled Nursing SNF Beds bed | Sep. 30, 2012 144-bed skilled nursing property SNF Beds Ohio item bed property | Sep. 30, 2012 140-bed skilled nursing property Texas bed | Sep. 30, 2011 524-bed skilled nursing property Texas | Sep. 30, 2011 524-bed skilled nursing property Texas item Unit property | Sep. 30, 2012 120-bed skilled nursing property under development SNF Beds Texas bed | Sep. 30, 2012 234-bed skilled nursing property SNF Beds Texas property bed | Sep. 30, 2012 Land | Oct. 31, 2012 Assisted living and Memory care property Kansas item Unit | Oct. 31, 2012 Assisted living and Memory care property Kansas Maximum | Sep. 30, 2011 Other Senior Housing property | Sep. 30, 2011 Other Senior Housing SNF Beds bed | Sep. 30, 2011 Other Senior Housing ALF Units Unit | Sep. 30, 2011 Other Senior Housing ILF Units Unit
Acquisitions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Lease agreement and development commitment amount | $ 39,215,000 |  |  |  |  |  |  | $ 7,935,000 |  |  |  |  |  |  |  |  |  |  |  |  | $ 9,855,000 |  |  |  |
Number of beds/units in existing property that is being replaced |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 90 |  |  |  |  |  |  |  |
Initial rent rate (as a percent) |  |  |  |  |  |  | 9.25% |  |  |  |  |  |  |  |  |  |  |  |  | 9.25% |  |  |  |  |
Compounded interest rate (as a percent) |  |  |  |  |  |  | 9.00% |  |  |  |  |  |  |  |  |  |  |  |  | 9.00% |  |  |  |  |
Lease term of master lease |  |  |  |  |  |  | 11 years |  |  |  |  |  | 15 years |  |  |  |  |  |  | 10 years |  |  |  |  |
Number of renewal options |  |  |  |  |  |  | 4 |  |  |  |  |  | 2 |  |  |  |  |  |  | 2 |  |  |  |  |
Renewal options |  |  |  |  |  |  | 5 years |  |  |  |  |  | 5 years |  |  |  |  |  |  | 5 years |  |  |  |  |
Annual escalation under lease for first seven years (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  | 2.25% |  |  |  |  |  |  |  |  |  |  |  |
Annual escalation under lease for remainder years (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  | 2.50% |  |  |  |  |  |  |  |  |  |  |  |
Annual escalation under lease (as a percent) |  |  |  |  |  |  | 2.50% |  |  |  |  |  |  |  |  |  |  |  |  | 2.50% |  |  |  |  |
Number of beds/units acquired |  |  |  |  |  |  |  |  |  | 524 |  |  | 144 |  |  | 524 |  | 234 |  | 77 |  |  |  |  |
Purchase Price | 80,982,000 | 72,291,000 |  |  |  |  | 1,882,000 |  | 79,100,000 | 60,841,000 |  |  | 54,000,000 |  | 41,000,000 | 41,000,000 |  |  | 1,882,000 | 730,000 |  | 11,450,000 |  |  |
Used Commitment | 2,422,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 492,000 |  |  |  |  |
Transaction Costs | 366,000 | 222,000 |  |  |  |  |  |  | 246,000 | 188,000 |  |  |  |  |  |  |  |  | 120,000 |  |  | 34,000 |  |  |
Total Acquisition Costs | 81,348,000 | 72,513,000 |  |  |  |  |  |  | 79,346,000 | 61,029,000 |  |  |  |  | 50,841,000 | 50,841,000 |  | 25,100,000 | 2,002,000 |  |  | 11,484,000 |  |  |
Number of Properties | 4 | 7 |  |  |  |  |  |  | 4 | 5 |  |  | 2 |  |  | 4 |  | 2 |  |  |  | 2 |  |  |
Number of Beds/Units | 522 |  |  | 782 | 40 | 53 |  |  | 522 |  |  | 664 |  |  |  |  |  |  |  |  |  |  | 118 | 40 | 53
GAAP yield (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  | 10.10% |  |  |  |  | 10.70% |  |  |  |  |  |  |
Number of beds or units in property sold |  |  |  |  |  |  |  |  |  |  |  |  |  | 140 |  |  |  |  |  |  |  |  |  |  |
Sale of property |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,248,000 |  |  |  |  |  |  |  |  |  |  |
Gain on sale of property, net of selling expenses | 16,000 |  |  |  |  |  |  |  |  |  |  |  |  | 16,000 |  |  |  |  |  |  |  |  |  |  |
Amount invested for expansion and renovation of properties | 2,438,000 | 2,421,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Average yield on amount invested for expansion and renovation of properties (as a percent) | 9.10% | 9.90% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties in which investments to expand and renovate | 4 | 9 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of operators of properties in which investments to expand and renovate | 2 | 5 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of operators of properties to be constructed | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amount invested in properties with yield already included in rental rates | 174,000 | 35,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of existing properties for capital improvements | 2 | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of lease agreements for existing properties | 2 | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of earn-out payments required |  |  |  |  |  |  |  |  | 2 |  |  |  |  |  |  | 2 |  |  |  |  |  |  |  |  |
Total contingent earn-out payment, maximum |  |  |  |  |  |  |  |  |  |  | 11,000,000 |  |  |  | 11,000,000 | 11,000,000 |  |  |  |  |  |  |  |  |
First contingent earn-out payment, amount |  |  | $ 4,000,000 |  |  |  |  |  |  |  |  |  |  |  | $ 4,000,000 |  |  |  |  |  |  |  |  |  |

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- Definition Represents the amount invested for expansion and renovation of properties. + References No definition available. + Details
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- Definition Represents the amount of capital improvement commitment of the entity. + References No definition available. + Details
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- Definition Represents the amount invested into various capital improvement commitments by the entity. + References No definition available. + Details
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- Definition Represents the reference rate used for computing estimated yield. + References No definition available. + Details
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- Definition Represents cash outflow for the first contingent earn-out payment. + References No definition available. + Details
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- Definition Represents the maximum contingent earn-out payment. + References No definition available. + Details
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- Definition Represents the compounded rate of interest on each advance under the lease agreement and development commitment. + References No definition available. + Details
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- Definition Represents the percentage annual escalation under the lease. + References No definition available. + Details
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- Definition Represents the percentage annual escalation under the lease for first seven years. + References No definition available. + Details
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- Definition Represents the percentage annual escalation under the lease for remainder years. + References No definition available. + Details
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- Definition Represents the percentage of GAAP yield as per lease agreement. + References No definition available. + Details
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- Definition Represents the number of renewal options under the lease agreement. + References No definition available. + Details
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- Definition Represents the period available for renewal options under the lease agreement. + References No definition available. + Details
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- Definition Represents the term of the lease agreement. + References No definition available. + Details
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- Definition The number of beds or units in an existing real estate property that is being replaced by the entity. + References No definition available. + Details
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- Definition The number of beds or units in a real estate property sold by the entity. + References No definition available. + Details
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- Definition The number of earn out payments required to be made by the entity. + References No definition available. + Details
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- Definition Represents the number of existing properties for which the entity has invested in capital improvements and whose rental rates already reflect the investment. + References No definition available. + Details
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- Definition Represents the number of lease agreements for the existing properties in which the entity has invested in capital improvements, whose rental rates are reflected in the entity's investment. + References No definition available. + Details
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- Definition Represents the number of units or beds of properties under mortgage loans or owned by the entity. + References No definition available. + Details
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- Definition Amount of cash paid to acquire the entity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141R -Paragraph 68 -Subparagraph f(1) -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 Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph d -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. + Details
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- Definition The total cost of the acquired entity including the cash paid to shareholders of acquired entities, fair value of debt and equity securities issued to shareholders of acquired entities, the fair value of the liabilities assumed, and direct costs of the acquisition. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph d -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. + Details
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- Definition Amount of direct costs of the business combination including legal, accounting, and other costs incurred to consummate the business acquisition. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph d -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 Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 24 -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. + Details
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- Definition Amount of gain (loss), after tax expense or benefit and not previously recognized, resulting from the sale of a business component. + References Reference 1: 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 2: 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 3: 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 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 number of businesses acquired by the entity during the period. + References No definition available. + Details
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- Definition Revenue from the sale of commercial, industrial, or residential property during the period. This element is more likely than not relevant to an entity for which real estate operations are a principal activity. If real estate operations are not a principal activity, the reporting entity would likely use a gain (loss) on sale of property, plant, or equipment type element. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1(e)) -URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 66 -Paragraph 44, 45 -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. + Details
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