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Supplemental Cash Flow Information (Details) (USD $)
 12 Months Ended
Dec. 31, 2012
property
item
Dec. 31, 2011
property
item
Dec. 31, 2010
item
property
Non-cash investing and financing transactions:      
Conversion of mortgage loans to owned properties     $ 2,900,000
Acquisition of real estate investments   5,975,000 [1]  
Capitalized interest 130,000 45,000 117,000
Conversion of preferred stock to common stock     823,000
Redemption of non-controlling interests 396,000    
Acquisitions      
Number of properties 9 9 10
Number of beds/units acquired 788 1,227 1,139
Total acquisition costs 167,517,000 106,510,000 94,600,000
Cash paid for acquisition of properties 166,750,000 106,135,000 94,250,000
Skilled nursing properties
      
Acquisitions      
Number of properties 4 7 5
Number of beds/units acquired 522 1,016 668
Total acquisition costs 79,375,000 94,171,000 54,151,000
Cash paid for acquisition of properties 79,100,000 93,841,000 54,011,000
Skilled nursing properties | Texas
      
Acquisitions      
Number of properties   4  
Total acquisition costs   50,841,000  
Cash paid for acquisition of properties   41,000,000  
Number of earn-out payments   2  
Total contingent earn-out payments, maximum   11,000,000  
First contingent earn-out payment, amount   $ 4,000,000  
Skilled nursing properties | SNF Beds | Texas
      
Acquisitions      
Number of beds/units acquired   524  
[1] We purchased four skilled nursing properties with 524-beds in Texas for $50,841 which consists of $41,000 in cash at closing with the remainder in the form of contingent earn-out payments. The contingent earn-out payment arrangements require us to pay two earn-out payments totaling up to $11,000 upon the properties achieving a sustainable stipulated rent coverage ratio. During 2011, we paid $4,000 related to the first contingent earn-out payment which has been included in Investment in real estate properties and capital improvements, net on our consolidated statement of cash flows.