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Real Estate Investments (Details 5) (USD $)
 12 Months Ended 1 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended
Dec. 31, 2013
loan
Dec. 31, 2012
Oct. 31, 2013
Prestige Healthcare
Dec. 31, 2013
Mortgage Loans
loan
operator
state
property
Dec. 31, 2012
Mortgage Loans
loan
Dec. 31, 2011
Mortgage Loans
loan
Dec. 31, 2013
Mortgage Loans
Minimum
Dec. 31, 2013
Mortgage Loans
Maximum
Dec. 31, 2013
Mortgage and construction loan
Dec. 31, 2013
SNF Beds
Mortgage Loans
bed
Dec. 31, 2013
ALF Units
Mortgage Loans
unit
Dec. 31, 2013
Skilled Nursing
property
Oct. 31, 2013
Skilled Nursing
Prestige Healthcare
property
Dec. 31, 2013
Skilled Nursing
Mortgage Loans
loan
property
Dec. 31, 2012
Skilled Nursing
Mortgage Loans
property
Dec. 31, 2011
Skilled Nursing
Mortgage Loans
property
Dec. 31, 2013
Skilled Nursing
Mortgage Loans
Prestige Healthcare
Michigan
item
property
bed
Dec. 31, 2013
Skilled Nursing
Mortgage Loans
Prestige Healthcare
Maximum
Michigan
Dec. 31, 2013
Skilled Nursing
SNF Beds
Mortgage Loans
bed
Dec. 31, 2013
106-bed skilled nursing property
Mortgage and construction loan
bed
Dec. 31, 2012
106-bed skilled nursing property
Mortgage and construction loan
Dec. 31, 2013
106-bed skilled nursing property
Mortgage and construction loan
Minimum
Dec. 31, 2013
Assisted Living
Mortgage Loans
loan
property
Dec. 31, 2012
Assisted Living
Mortgage Loans
property
Dec. 31, 2011
Assisted Living
Mortgage Loans
property
Dec. 31, 2013
Assisted Living
ALF Units
Mortgage Loans
unit
Dec. 31, 2012
70-unit assisted living property
Interest-only bridge loan
Pennsylvania
unit
Dec. 31, 2013
Range of Care
Mortgage Loans
loan
property
Dec. 31, 2013
Range of Care
SNF Beds
Mortgage Loans
bed
Dec. 31, 2013
Range of Care
ALF Units
Mortgage Loans
unit
Mortgage Loans                                                            
Gross Investments       $ 167,115,000                   $ 152,401,000                 $ 12,112,000         $ 2,602,000    
Percentage of Investments       100.00%                   91.20%                 7.20%         1.60%    
Number of Loans 20     20                   16                 3         1    
Number of Properties       41               6   32                 8         1    
Number of Beds/Units                   4,052 285           2,092   3,953             211 70   99 74
Investment per Bed/Unit                           38,550                 57,400         15,040    
Number of states       9                                                    
Number of operators       12                                                    
Interest rate for mortgage loans, low end of range (as a percent)       7.00%                                                    
Interest rate for mortgage loans, high end of range (as a percent)       13.60%                                                    
General amortization schedule of mortgage loans             20 years 30 years                                            
Specified basis points for annual increase in interest rate (as a percent)             0.10% 0.25%                 2.25%                   1.50%      
Funded loan commitments       124,387,000         7,590,000                     4,971,000 2,619,000                  
Loan commitment                 10,600,000                       10,600,000           5,100,000      
Number of beds/units under development                                       106                    
Term of loan                                 30 years     10 years             2 years      
Interest rate, option one (as a percent)                                       7.25%                    
Interest rate, option two (as a percent)                                           9.25%                
Mortgage Loans on Real Estate Interest Rate Annual Increase Option Two                                       0.25%                    
Interest rate (as a percent)                                                     7.00%      
Purchase price of replacement facility                                       13,500,000                    
Term of right to purchase replacement facility                                       18 months                    
Remaining loan commitments                 3,010,000                     3,010,000                    
Amount funded 124,387,000 7,719,000 124,387,000                           124,387,000                          
Number of properties securing loan                         15       15                          
Interest rate for first five years                                 9.53%                          
Period during which loan bears the initial specified interest rate                                 5 years                          
Period of interest-only payments                                 3 years                          
Annual principal payments                                 1,000,000                          
Forward commitments for capital improvements       12,000,000                         12,000,000                          
Interest rate for first twelve months (as a percent)                                 9.41%                          
Period during which capital improvement commitments bear the initial specified interest rate                                 12 months                          
Period during which subsequent interest rate calculation becomes effective                                 13 months                          
Interest rate for beginning in the thirteenth month, option one (as a percent)                                 7.25%                          
Variable rate basis used to compute estimated yield 10-year treasury note rate                               10-year treasury note rate     10-year treasury note rate                    
Maturity period of US Treasury note 10 years                               10 years     10 years                    
Number of days prior to funding 5 days                               20 days     20 days                    
Interest rate subject to escalation beginning in the thirteenth month, option two (as a percent)                                 9.00%                          
Annual increase in rate of interest (as a percent)                                 2.25%                          
Period at beginning of loan term that certain operating metrics and valuation thresholds must be achieved and sustained to receive additional loan proceeds       12 years                         12 years                          
Additional loan proceeds               40,000,000                   40,000,000                        
Additional loan proceeds available annually                                   10,000,000                        
Period additional loan proceeds are limited to $10M                                 12 months                          
Interest rate related to additional loan, option one (as a percent)                                 7.25%                          
Variable rate basis used to compute interest related to additional loan                                 10-year treasury note rate                          
Maturity period of U.S. Treasury note                                 10 years                          
Number of days prior to funding related to additional loan                                 20 days                          
Interest rate related to additional loan, option two (as a percent)                                 9.00%                          
Annual increase in rate of interest related to additional loan (as a percent)                                 2.25%                          
Percentage of loan balance outstanding between the third and twelfth years that may be prepaid without penalty                                   50.00%                        
Number of asset pools of properties collateralized                                 2                          
Carrying value of mortgage loans 165,444,000 39,299,000   165,444,000 39,299,000                                                  
Scheduled principal payments on mortgage loan receivables                                                            
2014       14,244,000                                                    
2015       4,272,000                                                    
2016       2,695,000                                                    
2017       7,118,000                                                    
2018       8,233,000                                                    
Thereafter       130,553,000                                                    
Total       167,115,000                                                    
Scheduled principal payments received       1,933,000 2,572,000 3,136,000                                                
Amount received related to payoff of loan, excluding accrued interest         $ 19,061,000 $ 2,831,000                                                
Number of properties securing mortgage loans paid off                             4 7               7 1          
Number of loans paid off         11 4