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Commitments and Contingencies (Details) (USD $)	1 Months Ended	9 Months Ended		12 Months Ended		3 Months Ended		9 Months Ended					1 Months Ended		1 Months Ended	9 Months Ended	1 Months Ended	9 Months Ended		1 Months Ended	9 Months Ended			9 Months Ended			1 Months Ended			1 Months Ended	3 Months Ended	9 Months Ended			1 Months Ended	9 Months Ended
	Oct. 31, 2012	Sep. 30, 2012 property Unit	Sep. 30, 2011 property	Dec. 31, 2011	Sep. 30, 2011 SNF Beds bed	Sep. 30, 2012 Skilled Nursing bed	Sep. 30, 2011 Skilled Nursing	Sep. 30, 2012 Skilled Nursing property item bed	Sep. 30, 2011 Skilled Nursing property bed	Dec. 31, 2011 Skilled Nursing	Sep. 30, 2012 Skilled Nursing Maximum	Sep. 30, 2011 Skilled Nursing SNF Beds bed	Oct. 31, 2012 Assisted living and Memory care property Kansas Unit	Oct. 31, 2012 Assisted living and Memory care property Kansas Maximum	Oct. 31, 2012 Capital improvement commitment expiring 3/31/13 Skilled Nursing	Sep. 30, 2012 Capital improvement commitment expiring 3/31/13 Skilled Nursing property	Oct. 31, 2012 Capital improvement commitment expiring 10/11/2013 UDP units	Sep. 30, 2012 Capital improvement commitment expiring 10/11/2013 UDP units	Sep. 30, 2012 Capital improvement commitment expiring 10/11/2013 UDP units SNF Beds Texas Unit bed	Oct. 31, 2012 Capital improvement commitment expiring 12/1/13 UDP units	Sep. 30, 2012 Capital improvement commitment expiring 12/1/13 UDP units	Sep. 30, 2012 Capital improvement commitment expiring 12/1/13 UDP units Colorado Unit	Sep. 30, 2012 Capital improvement commitment expiring on 6/12/2014 Skilled Nursing property	Sep. 30, 2012 Capital improvement commitment expiring on 8/01/2014 Assisted Living property	Sep. 30, 2012 Capital improvement commitment expiring on 8/01/2014 Assisted Living property	Sep. 30, 2012 Capital improvement commitment expiring 12/31/2014 Assisted Living D property	Oct. 31, 2012 Capital improvement commitment expiring 8/31/2015 EDU units	Sep. 30, 2012 Capital improvement commitment expiring 8/31/2015 EDU units property	Sep. 30, 2012 Loan commitment expiring 12/31/2012	Oct. 31, 2012 Loan commitment expiring 12/31/2012 Skilled Nursing	Sep. 30, 2012 Loan commitment expiring 12/31/2012 Skilled Nursing property	Sep. 30, 2012 Loan commitment expiring 12/31/2012 Skilled Nursing property	Sep. 30, 2012 Loan commitment expiring 3/31/2013	Sep. 30, 2012 Loan commitment expiring 5/14/2014 Unit	Oct. 31, 2012 Loan commitment expiring on 11/30/2012	Sep. 30, 2012 Loan commitment expiring on 11/30/2012
Commitments and Contingencies
Number of Properties		4	7					4	5
Number of beds/units acquired									524				77						120
Number of beds/units in existing property that is being replaced																			90
Number of Beds/Units		522			782	522		522				664
Contingent earn-out payment, maximum											$ 11,000,000
Number of earn-out payments required								2
First contingent earn-out payment				4,000,000
Earn-out liabilities		6,634,000		6,305,000		6,634,000		6,634,000		6,305,000
Non-cash interest expense						110,000	177,000	330,000	354,000
Commitment		39,215,000												9,855,000		1,700,000		8,250,000			7,935,000		1,700,000	8,000,000	6,600,000	5,000,000		30,000	2,500,000
Used Commitment		2,422,000											492,000			492,000		492,000			1,438,000
Open Commitment		36,793,000														1,208,000		7,758,000			6,497,000		1,700,000	8,000,000	6,600,000	5,000,000		30,000
Initial Cash Yield (as a percent)																9.00%		9.00%			9.25%		9.00%	7.75%	7.75%						9.00%	9.00%
Purchase Price		80,982,000	72,291,000			79,100,000	60,841,000	79,100,000	60,841,000				730,000
Commitment		1,717,000																													667,000	667,000	50,000	750,000		250,000
Used Commitment		413,000																													140,000	193,000	20,000			200,000
Open Commitment		1,304,000																													474,000	474,000	30,000	750,000		50,000
Estimated yield (as a percent)																															9.00%	9.00%	10.00%	12.00%		9.00%
Properties																															1	1
Properties																2							1	1	1	37		1
Reference rate for estimated yield (as a percent)													9.25%													9.50%
Maturity period of US Treasury note																										10 years
Number of days prior to funding																										5
Basis points added/deducted from the base rate (as a percent)																										4.20%
Number of units in free-standing, private-pay memory care property																						60												60
Additional funded loan commitment																														177,000
Additional funded capital improvement commitment															219,000		426,000			847,000							30,000
Variable rate basis used to compute estimated yield																								10-year treasury note rate	10-year treasury note rate
Basis spread on variable rate used to compute estimated yield																								5.80%	5.80%
Maturity period of treasury notes																								10 years	10 years
Principal payments received	$ 50,000	$ 273,000	$ 544,000																																$ 50,000

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Represents the number of beds/units in the acquired business.

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Represents the amount of capital improvement commitment of the entity.

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Represents the amount invested into various capital improvement commitments by the entity.

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Represents the rate of estimated yield on capital improvement commitments of the entity.

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The percentage points added to the reference rate to compute the estimated yield on capital improvement commitments of the entity.

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Description of the reference rate used to compute the estimated yield on capital improvement commitments of the entity.

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Represents the amount of open capital improvement commitments of the entity.

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Represents cash outflow for the first contingent earn-out payment.

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Represents the amount invested into various loan commitments by the entity.

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The number of beds or units in an existing real estate property that is being replaced by the entity.

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Amount of cash paid to acquire the entity.

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Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 141R

-Paragraph 68

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-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

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-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.

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The number of real estate properties owned as of the balance sheet date.

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The cash inflow associated with the proceeds from sale of notes receivable, as well as principal collections from a borrowing supported by a written promise to pay an obligation (note receivable).

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Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Glossary Investing Activities

-URI http://asc.fasb.org/extlink&oid=6516133



Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

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-Paragraph 15, 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.



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