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Commitments and Contingencies (Details) (USD $)
 3 Months Ended 6 Months Ended 6 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Jun. 30, 2013
property
Jun. 30, 2012
Dec. 31, 2012
Jun. 30, 2013
Maximum
Jun. 30, 2013
Assisted living and Memory care property
property
unit
Jun. 30, 2013
Memory care property
unit
Jun. 30, 2013
Assisted Living
property
unit
Jun. 30, 2013
Skilled Nursing
bed
property
Jul. 31, 2013
Mortgage Loan and Construction Commitment
Jun. 30, 2013
Mortgage Loan and Construction Commitment
Jul. 31, 2013
Loan commitments, maturities ranging from 2013 to 2014
Jun. 30, 2013
Loan commitments, maturities ranging from 2013 to 2014
Commitments and Contingencies                            
Number of Properties             2   3 6        
Number of beds/units acquired             158 60 136 640        
Non-cash interest expense $ 110,000 $ 110,000 $ 220,000 $ 220,000                    
Contingent liabilities 6,963,000   6,963,000   6,744,000                  
Outstanding commitment to develop, re-develop, renovate and expand skilled nursing properties     70,352,000                      
Annual commitment through December 2014           5,000,000                
Number of properties agreed to be funded for construction     37                      
Loan commitments                       10,600,000   1,850,000
Commitment Funded     23,869,000           16,218,000 7,651,000        
Total funded loan commitments                       3,533,000 83,000 655,000
Remaining loan commitments 46,483,000   46,483,000           24,584,000 21,899,000        
Remaining loan commitments                     $ 5,170,000 $ 7,067,000 $ 1,112,000 $ 1,195,000