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Real Estate Investments (Details) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2012
Minimum
 
Operating leases  
Specified annual increase over the prior year's rent (as a percent) 2.00%
Maximum
 
Operating leases  
Specified annual increase over the prior year's rent (as a percent) 3.00%
Owned Properties
 
Real Estate Investments  
Gross Investments 900,095
Percentage of Investments 100.00%
Number of properties 179
Number of states 26
Number of operators 35
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 | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 9,025
ALF Units | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 4,820
Skilled Nursing | Owned Properties
 
Real Estate Investments  
Gross Investments 438,388
Percentage of Investments 48.70%
Number of properties 71
Average Investment per Bed/Unit 53,390
Skilled Nursing | SNF Beds | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 8,211
Assisted Living | Owned Properties
 
Real Estate Investments  
Gross Investments 379,869
Percentage of Investments 42.20%
Number of properties 96
Average Investment per Bed/Unit 84,380
Assisted Living | ALF Units | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 4,502
Range of Care | Owned Properties
 
Real Estate Investments  
Gross Investments 52,870
Percentage of Investments 5.90%
Number of properties 10
Average Investment per Bed/Unit 46,700
Range of Care | SNF Beds | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 814
Range of Care | ALF Units | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 318
Under development | Owned Properties
 
Real Estate Investments  
Gross Investments 16,642
Percentage of Investments 1.80%
School | Owned Properties
 
Real Estate Investments  
Gross Investments 12,326
Percentage of Investments 1.40%
Number of properties 2