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Real Estate Investments (Details 2) (Owned Properties, USD $)
 3 Months Ended 1 Months Ended 3 Months Ended 3 Months Ended
Mar. 31, 2014
item
bed
property
Apr. 30, 2014
Subsequent event
Mar. 31, 2014
Development Properties
item
Mar. 31, 2014
Redevelopment, Renovation &Expansion Projects
item
Mar. 31, 2014
Capital Improvement commitments
property
Mar. 31, 2014
Capital Improvement commitments
Maximum
Mar. 31, 2014
Skilled Nursing
property
bed
Mar. 31, 2014
Skilled Nursing
Development Properties
item
Mar. 31, 2014
Skilled Nursing
Redevelopment, Renovation &Expansion Projects
item
Mar. 31, 2014
Assisted Living
unit
property
Mar. 31, 2014
Assisted Living
Development Properties
item
Mar. 31, 2014
Assisted Living
Redevelopment, Renovation &Expansion Projects
item
Mar. 31, 2014
Assisted Living
Expansion commitments
property
Mar. 31, 2014
Memory care property
item
Mar. 31, 2014
Memory care property
Development commitments
item
Mar. 31, 2014
Assisted living and memory care combination properties
Development commitments
property
Real estate investments                                
Commitments for expansion           $ 5,000,000                    
Number of properties agreed to be funded for expansion         37                      
Estimated yield (as a percent)         9.50%                      
Maturity period of US Treasury note         10 years                      
Variable rate basis used to compute estimated yield         10-year treasury note rate                      
Number of days prior to funding         5 days                      
Basis points added/deducted from the base rate (as a percent)         (4.20%)                      
Funds requested         0                      
Investment commitments                                
Investment Commitment 80,806,000           30,150,000     50,656,000         30,256,000 5,800,000
2014 Funding 13,117,000 2,438,000         1,757,000     11,360,000            
Commitment funded 36,535,000           14,514,000     22,021,000            
Remaining Commitment 44,271,000 41,833,000         15,636,000     28,635,000            
Number of Properties 14           7     7           1
Number of Beds/Units 1,145           760     385            
Number of developments                           3 3  
Number of properties under expansion                         3      
Amount invested for expansion, renovation and construction of properties                         14,600,000      
Amount funded during the period for commitments on completed capital projects capitalized directly into building 450,000                              
Development, redevelopment, renovation, and expansion                                
Projects 14   6 8       1 5   5 3        
Development, redevelopment, renovation, and expansion activity                                
CIP, Balance at the beginning of the period 14,668,000   12,227,000 2,441,000       5,893,000 2,433,000   6,334,000 8,000        
Funded 13,117,000   5,707,000 7,410,000       1,166,000 591,000   4,541,000 6,819,000        
Capitalized Interest 307,000   255,000 52,000       118,000     137,000 52,000        
Conversions out of CIP (8,000)   (8,000)               (8,000)          
CIP, Balance at the end of the period $ 28,084,000   $ 18,181,000 $ 9,903,000       $ 7,177,000 $ 3,024,000   $ 11,004,000 $ 6,879,000