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Real Estate Investments (Details) (USD $)
3 Months Ended 9 Months Ended
Sep. 30, 2012
property
states
operator
Sep. 30, 2012
loan
property
states
operator
Sep. 30, 2011
Real Estate Investments      
Number of Beds/Units 522 522  
Weighted Average Interest Rate (as a percent) 8.60% 8.60%  
Mortgage Loans
     
Real Estate Investments      
Gross Investments $ 49,141,000 $ 49,141,000  
Percentage of Investments 100.00% 100.00%  
Number of Loans   28  
Number of properties 33 33  
Number of states 12 12  
Number of operators 12 12  
Interest rate for mortgage loans, low end of range (as a percent)   10.00%  
Interest rate for mortgage loans, high end of range (as a percent)   14.20%  
Mortgage loans      
Scheduled principal payments received 621,000 2,010,000 2,429,000
Mortgage Loans | Minimum
     
Real Estate Investments      
General amortization schedule of mortgage loans   20 years  
Specified basis points for annual increase in interest rate (as a percent)   0.10%  
Mortgage Loans | Maximum
     
Real Estate Investments      
General amortization schedule of mortgage loans   25 years  
Specified basis points for annual increase in interest rate (as a percent)   0.25%  
Owned Properties
     
Real Estate Investments      
Gross Investments 805,759,000 805,759,000  
Percentage of Investments 100.00% 100.00%  
Number of properties 174 174  
Number of states 25 25  
Number of operators 32 32  
Owned Properties | Minimum
     
Operating leases      
Initial term of non-cancelable operating lease   10 years  
Specified annual increase over the prior year's rent (as a percent)   2.00%  
Owned Properties | Maximum
     
Operating leases      
Initial term of non-cancelable operating lease   15 years  
Specified annual increase over the prior year's rent (as a percent)   3.00%  
SNF Beds
     
Real Estate Investments      
Number of Beds/Units     782
SNF Beds | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 2,093 2,093  
SNF Beds | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 9,217 9,217  
ALF Units
     
Real Estate Investments      
Number of Beds/Units     40
ALF Units | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 498 498  
ALF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 4,197 4,197  
ILF Units
     
Real Estate Investments      
Number of Beds/Units     53
ILF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 423 423  
Memory care property | 60-unit free-standing, private-pay memory care property | Colorado
     
Real Estate Investments      
Number of beds/units acquired 60 60  
Skilled Nursing
     
Real Estate Investments      
Number of Beds/Units 522 522  
Skilled Nursing | Mortgage Loans
     
Real Estate Investments      
Gross Investments 23,780,000 23,780,000  
Percentage of Investments 48.40% 48.40%  
Number of Loans   18  
Number of properties 18 18  
Average Investment per Bed/Unit 11,930 11,930  
Amount received related to payoff of loan, excluding accrued interest 483,000 2,846,000  
Number of units/beds at the property securing mortgage loans paid off 118    
Mortgage loans      
Number of loans paid off   3 3
Number of properties securing mortgage loans paid off   3 5
Skilled Nursing | Owned Properties
     
Real Estate Investments      
Gross Investments 438,135,000 438,135,000  
Percentage of Investments 54.40% 54.40%  
Number of properties 71 71  
Average Investment per Bed/Unit 52,140 52,140  
Skilled Nursing | SNF Beds
     
Real Estate Investments      
Number of Beds/Units     664
Skilled Nursing | SNF Beds | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 1,994 1,994  
Skilled Nursing | SNF Beds | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 8,403 8,403  
120-bed skilled nursing property under development | SNF Beds | Texas
     
Real Estate Investments      
Number of beds/units acquired   90  
Assisted Living | Mortgage Loans
     
Real Estate Investments      
Gross Investments 22,438,000 22,438,000  
Percentage of Investments 45.70% 45.70%  
Number of Loans   9  
Number of properties 14 14  
Average Investment per Bed/Unit 52,920 52,920  
Mortgage loans      
Number of properties securing mortgage loans paid off     1
Assisted Living | Mortgage Loans | Notice of prepayment
     
Real Estate Investments      
Number of Loans 7    
Number of properties 7 7  
Expected amount to be received related to payoff of loan, excluding accrued interest 15,157,000    
Weighted Average Interest Rate (as a percent) 12.10% 12.10%  
Assisted Living | Owned Properties
     
Real Estate Investments      
Gross Investments 285,981,000 285,981,000  
Percentage of Investments 35.50% 35.50%  
Number of properties 88 88  
Average Investment per Bed/Unit 72,570 72,570  
Assisted Living | ALF Units | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 424 424  
Assisted Living | ALF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 3,941 3,941  
Skilled Nursing and Assisted Living | Mortgage Loans
     
Real Estate Investments      
Amount received related to payoff of loan, excluding accrued interest     2,557,000
Other Senior Housing | Mortgage Loans
     
Real Estate Investments      
Gross Investments 2,923,000 2,923,000  
Percentage of Investments 5.90% 5.90%  
Number of Loans   1  
Number of properties 1 1  
Average Investment per Bed/Unit 16,900 16,900  
Other Senior Housing | Owned Properties
     
Real Estate Investments      
Gross Investments 64,704,000 64,704,000  
Percentage of Investments 8.00% 8.00%  
Number of properties 13 13  
Average Investment per Bed/Unit 43,340 43,340  
Other Senior Housing | SNF Beds
     
Real Estate Investments      
Number of Beds/Units     118
Other Senior Housing | SNF Beds | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 99 99  
Other Senior Housing | SNF Beds | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 814 814  
Other Senior Housing | ALF Units
     
Real Estate Investments      
Number of Beds/Units     40
Other Senior Housing | ALF Units | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 74 74  
Other Senior Housing | ALF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 256 256  
Other Senior Housing | ILF Units
     
Real Estate Investments      
Number of Beds/Units     53
Other Senior Housing | ILF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 423 423  
Schools | Owned Properties
     
Real Estate Investments      
Gross Investments 12,268,000 12,268,000  
Percentage of Investments 1.50% 1.50%  
Number of properties 2 2  
Under development | Owned Properties
     
Real Estate Investments      
Gross Investments $ 4,671,000 $ 4,671,000  
Percentage of Investments 0.60% 0.60%  
Number of properties under development   2  
Number of units in free-standing, private-pay memory care property   60