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Commitments and Contingencies (Details) (USD $)
 0 Months Ended 12 Months Ended
Jan. 31, 2014
Dec. 31, 2013
property
Dec. 31, 2012
Dec. 31, 2011
Commitments and Contingencies        
Contingent liability paid   $ 7,000,000   $ 4,000,000
Contingent liabilities   0 6,744,000  
Non-cash interest expense   256,000 439,000  
Outstanding commitments to develop, re-develop, renovate or expand properties   80,306,000    
2014 Funding 8,828,000      
Commitments funded   23,418,000    
Remaining commitments 48,060,000 56,888,000    
Commitments per year   73,000    
Number of properties agreed to be funded for expansion   37    
Mortgage and construction loan
        
Commitments and Contingencies        
Loan commitment   10,600,000    
Funded loan commitments   7,590,000    
Remaining loan commitments   3,010,000    
Mortgage Loans
        
Commitments and Contingencies        
Funded loan commitments   124,387,000    
Forward commitments for capital improvements   12,000,000    
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    
Other loans and lines of credit
        
Commitments and Contingencies        
Loan commitment   2,425,000    
Funded loan commitments   595,000    
Remaining loan commitments   1,830,000    
Owned Properties
        
Commitments and Contingencies        
Outstanding commitments to develop, re-develop, renovate or expand properties   80,306,000    
Commitments funded   23,418,000    
Number of Properties   13    
Number of beds under commitments   1,025    
Remaining commitments   56,888,000    
Owned Properties | Subsequent Event [Member]
        
Commitments and Contingencies        
2014 Funding   8,828,000    
Commitments funded (8,828,000)      
Remaining commitments 48,060,000 48,060,000    
Maximum
        
Commitments and Contingencies        
Commitments per year   5,000,000    
Maximum | Mortgage Loans
        
Commitments and Contingencies        
Additional loan proceeds   40,000,000    
Skilled nursing properties | Owned Properties
        
Commitments and Contingencies        
Outstanding commitments to develop, re-develop, renovate or expand properties   29,650,000    
Commitments funded   12,757,000    
Number of Properties   6    
Number of beds under commitments   640    
Remaining commitments   16,893,000    
Memory care property
        
Commitments and Contingencies        
Number of Properties   3    
Assisted living and memory care properties
        
Commitments and Contingencies        
Number of Properties   1    
Assisted living and memory care properties | Owned Properties
        
Commitments and Contingencies        
Outstanding commitments to develop, re-develop, renovate or expand properties   5,800,000    
Number of Properties   1    
Assisted living properties
        
Commitments and Contingencies        
Number of Properties   3    
Assisted living properties | Owned Properties
        
Commitments and Contingencies        
Outstanding commitments to develop, re-develop, renovate or expand properties   50,656,000    
Commitments funded   10,661,000    
Number of Properties   7    
Number of beds under commitments   385    
Remaining commitments   $ 39,995,000