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Real Estate Investments (Details) (USD $)
1 Months Ended 3 Months Ended 9 Months Ended
Oct. 31, 2013
Sep. 30, 2013
Sep. 30, 2013
Sep. 30, 2012
Operating leases        
(Loss) gain on real estate assets, net   $ 2,619,000 $ 1,605,000 $ 16,000
2013 Funding 3,054,000   14,116,000  
Investment Commitment   80,188,000 80,188,000  
Owned Properties
       
Real Estate Investments        
Gross Investments   911,096,000 911,096,000  
Percentage of Investments   100.00% 100.00%  
Number of properties   174 174  
Number of states   26 26  
Number of operators   33 33  
Operating leases        
Number of ways to compute annual rent increases     4  
Owned Properties | Minimum
       
Operating leases        
Initial term of non-cancelable operating lease     10 years  
Number of properties under each triple net lease     1  
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   8,822 8,822  
ALF Units | Owned Properties
       
Real Estate Investments        
Number of Beds/Units   4,836 4,836  
Skilled Nursing | Owned Properties
       
Real Estate Investments        
Gross Investments   443,757,000 443,757,000  
Percentage of Investments   48.70% 48.70%  
Number of properties   67 67  
Investment per Bed/Unit   54,200 54,200  
Number of beds/units under development     640  
Operating leases        
Number of properties for which lessee has exercised purchase option contained in master lease   6 6  
Cash purchase price of properties for which lessee has exercised purchase option   11,000,000    
Number of beds or units in property sold   230 230  
Sale price of property     11,000,000  
(Loss) gain on real estate assets, net   2,619,000    
2013 Funding     4,212,000  
Investment Commitment   29,650,000 29,650,000  
Skilled Nursing | SNF Beds | Owned Properties
       
Real Estate Investments        
Number of Beds/Units   8,188 8,188  
120-bed licensed skilled nursing property | SNF Beds | Owned Properties | Texas
       
Real Estate Investments        
Number of Beds/Units   120 120  
Operating leases        
2013 Funding     5,066,000  
Investment Commitment   9,094,000 9,094,000  
47-bed skilled nursing property | Colorado
       
Operating leases        
Number of beds or units in property sold     47  
Sale price of property     1,000  
(Loss) gain on real estate assets, net     (1,014,000)  
Assisted Living | Owned Properties
       
Real Estate Investments        
Gross Investments   390,105,000 390,105,000  
Percentage of Investments   42.80% 42.80%  
Number of properties   97 97  
Investment per Bed/Unit   85,510 85,510  
Number of beds/units under development     136  
Operating leases        
2013 Funding     9,904,000  
Investment Commitment   50,538,000 50,538,000  
Assisted Living | ALF Units | Owned Properties
       
Real Estate Investments        
Number of Beds/Units   4,562 4,562  
Range of Care | Owned Properties
       
Real Estate Investments        
Gross Investments   43,907,000 43,907,000  
Percentage of Investments   4.80% 4.80%  
Number of properties   8 8  
Investment per Bed/Unit   48,360 48,360  
Range of Care | SNF Beds | Owned Properties
       
Real Estate Investments        
Number of Beds/Units   634 634  
Range of Care | ALF Units | Owned Properties
       
Real Estate Investments        
Number of Beds/Units   274 274  
Under development | Owned Properties
       
Real Estate Investments        
Gross Investments   20,883,000 20,883,000  
Percentage of Investments   2.30% 2.30%  
143-bed skilled nursing property | SNF Beds
       
Real Estate Investments        
Number of beds/units under development     143  
120-bed skilled nursing property | Owned Properties | Florida
       
Operating leases        
Specified annual increase over the prior year's rent (as a percent)     2.20%  
Schools | Owned Properties
       
Real Estate Investments        
Gross Investments   12,444,000 12,444,000  
Percentage of Investments   1.40% 1.40%  
Number of properties   2 2  
Memory care property
       
Real Estate Investments        
Number of beds/units under development     108  
Operating leases        
Investment Commitment   19,553,000 19,553,000  
Memory care property | Owned Properties
       
Real Estate Investments        
Number of beds/units under development     108  
Memory care property | 60-units memory care properties | Owned Properties | Colorado
       
Real Estate Investments        
Number of Beds/Units   60 60  
Operating leases        
2013 Funding     4,373,000  
Investment Commitment   $ 9,925,000 $ 9,925,000  
Assisted living and Memory care property
       
Real Estate Investments        
Number of beds/units under development     158  
Operating leases        
Number of developments     2