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Related Person Transactions (Details) (USD $) In Thousands, except Share data, unless otherwise specified | 3 Months Ended | 9 Months Ended | 1 Months Ended | 3 Months Ended | 9 Months Ended | 12 Months Ended |  |  |  | 3 Months Ended | 9 Months Ended | 1 Months Ended | 3 Months Ended | 9 Months Ended | 12 Months Ended |  | 1 Months Ended |  | 5 Months Ended | 9 Months Ended | 1 Months Ended | 3 Months Ended | 9 Months Ended |
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Sep. 30, 2011 property segment Y count state | Sep. 30, 2010 | Sep. 30, 2011 property segment Y count state | Sep. 30, 2010 | Jul. 31, 2011 Acquisition Five Star Senior living communities Six States property | Sep. 30, 2011 Five Star officer person | Sep. 30, 2010 Five Star | Sep. 30, 2011 Five Star officer person | Sep. 30, 2010 Five Star | Dec. 31, 2010 Five Star | Oct. 28, 2011 Five Star | May 31, 2011 Five Star | Sep. 30, 2011 Five Star Senior living communities property | Sep. 30, 2011 Five Star Rehabilitation hospitals property | Sep. 30, 2011 RMR | Sep. 30, 2010 RMR | Sep. 30, 2011 RMR | Sep. 30, 2010 RMR | Jun. 30, 2011 AIC Y | Sep. 30, 2011 AIC company | Sep. 30, 2010 AIC | Sep. 30, 2011 AIC company | Sep. 30, 2010 AIC | May 31, 2012 AIC | May 31, 2011 AIC | Dec. 31, 2010 AIC | Sep. 30, 2011 Acquisition CommonWealth REIT (CWH) Medical Office Building property sqft state | Sep. 30, 2011 CommonWealth REIT (CWH) | Sep. 30, 2011 Acquisition sqft agreement | Sep. 30, 2011 Acquisition | Aug. 31, 2011 Acquisition Senior living communities Five States in the southeastern United States property | Jul. 31, 2011 Acquisition Senior living communities Five States in the southeastern United States property | Jun. 30, 2011 Acquisition Senior living communities Five States in the southeastern United States property | May 31, 2011 Acquisition Senior living communities Five States in the southeastern United States property | Mar. 31, 2011 Acquisition Senior living communities Five States in the southeastern United States property state | Sep. 30, 2011 Acquisition Senior living communities Five States in the southeastern United States | Sep. 30, 2011 Acquisition Senior living communities Five States in the southeastern United States property | Sep. 30, 2011 Acquisition Senior living communities Six States state
Related person transactions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investment in common shares (in shares) |  |  |  |  |  | 4,235,000 |  | 4,235,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 250,000 |  |  |  |  |  |  |  |  |  |
Percentage of total shares outstanding (as a percent) |  |  |  |  |  | 8.90% |  | 8.90% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Earnings and losses recognized related to equity investments | $ 28 | $ 35 | $ 111 | $ (17) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 28 | $ 35 | $ 111 | $ (17) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of Managing Trustees also serving as managing directors |  |  |  |  |  | 1 |  | 1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of real estate properties leased |  |  |  |  |  |  |  |  |  |  |  |  | 188 | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Minimum annual rent payable to entity |  |  |  |  |  |  |  | 194,598 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 6,984 |
Total rent recognized |  |  |  |  |  | 48,392 | 46,388 | 141,875 | 138,698 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Rents receivable |  |  |  |  |  | 17,434 |  | 17,434 |  | 16,762 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties agreed to be acquired |  |  |  |  | 9 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 13 |  |  |  |  |  |  |  | 20 |  | 2 |
Amount agreed to be lent under Bridge Loan Agreement |  |  |  |  |  |  |  |  |  |  |  | 80,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Aggregate principal amount outstanding under Bridge Loan |  |  |  |  |  | 48,000 |  | 48,000 |  |  | 48,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of states in which properties are located | 37 |  | 37 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 8 |  |  |  |  |  |  |  | 5 |  |  | 6
Aggregate purchase price of properties acquired, excluding closing costs |  |  |  |  | 478,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 167,000 |  | 43,725 | 569,893 | 17,158 | 44,671 | 196,594 |  | 304,000 |  |  |
Number of properties acquired |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 3 | 14 |  |  |  |  |
Area of real estate properties acquired (in square feet) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,300,000 |  | 138,606 |  |  |  |  |  |  |  |  |
Interest and other income | 462 | 203 | 971 | 703 |  | 187 |  | 245 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage loans expected to be assumed in real estate acquisition |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9,700 | 9,700 |  |  |  |  |  |  |  |
Number of properties agreed to be acquired, referred as managed properties |  |  |  |  | 9 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 15 |  |  |  |
Number of properties agreed to be acquired, referred as leased properties |  |  |  |  | 8 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 |
Number of properties acquired, referred as managed properties |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 2 | 10 |  |  |  |  |
Number of executive officers also serving as officers of RMR |  |  |  |  |  | 3 |  | 3 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real estate improvements purchased |  |  |  |  |  | 10,554 |  | 25,877 |  | 31,894 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Increase or decrease in annual lease rent payable |  |  |  |  |  | 845 |  | 2,073 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business management agreement expense |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4,865 | 4,317 | 15,241 | 12,715 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 326 | 351 |
Property management agreement expense |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,111 | 561 | 3,193 | 1,665 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Beneficial ownership of common shares (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100.00% |  |  |  |  |  |  |  |  |  |
Equity method investments, ownership percentage (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 14.29% |  | 14.29% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of other companies which are shareholders of related party |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 |  | 5 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
The entity owns less than this percentage of an equity method investment (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 20.00% |  | 20.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amount invested in equity investee |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5,209 |  | 5,209 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity method investments, carrying value |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5,245 |  | 5,245 |  |  |  | 5,076 |  |  |  |  |  |  |  |  |  |  |  |
Period for which property insurance program was extended (in years) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total premiums |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 1,170 | $ 275 |  |  |  |  |  |  |  |  |  |  |  |  |

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- Definition The carrying amount of the outstanding balance due under the mortgage loan. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 948 -SubTopic 310 -Section S99 -Paragraph 1 -Subparagraph (SX 210.12-29) -URI http://asc.fasb.org/extlink&oid=6589523&loc=d3e617274-123014 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph c -Subparagraph Schedule IV -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 29 -Article 12 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 10 -Section S99 -Paragraph 6 -Subparagraph (SX 210.5-04.(c) Schedule IV) -URI http://asc.fasb.org/extlink&oid=6882300&loc=d3e5864-122674 + Details
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- Definition Amount of the contractual principal due at the origination of the mortgage loan (face amount). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 948 -SubTopic 310 -Section S99 -Paragraph 1 -Subparagraph (SX 210.12-29) -URI http://asc.fasb.org/extlink&oid=6589523&loc=d3e617274-123014 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph c -Subparagraph Schedule IV -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 29 -Article 12 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 10 -Section S99 -Paragraph 6 -Subparagraph (SX 210.5-04.(c) Schedule IV) -URI http://asc.fasb.org/extlink&oid=6882300&loc=d3e5864-122674 + Details
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- Definition The number of states the entity operates in as of the balance sheet date. + Details
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- Definition The total amount of revenue recognized for the period from operating leases, including minimum lease revenue, contingent revenue, percentage revenue and sublease revenue. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 13 -Paragraph 19 -Subparagraph b -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 840 -SubTopic 20 -Section 25 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6453417&loc=d3e39896-112707 + Details
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- Definition The number of units (items of property) under operating lease arrangements. + Details
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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + Details
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- Definition The amount of square footage related to a real estate property. + Details
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