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Related Person Transactions (Details 2) (USD $)
In Thousands, unless otherwise specified
1 Months Ended 2 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 3 Months Ended 1 Months Ended 2 Months Ended 3 Months Ended 1 Months Ended 12 Months Ended 1 Months Ended
Nov. 30, 2009
Property
Jun. 30, 2011
Property
Dec. 31, 2011
state
Dec. 31, 2011
TRS
May 31, 2011
TRS
Dec. 31, 2011
Five Star
Property
Dec. 31, 2010
Five Star
Dec. 31, 2009
Five Star
Feb. 29, 2012
Five Star
Senior living communities
Property
unit
Dec. 31, 2011
Five Star
Senior living communities
Property
unit
Dec. 31, 2011
Five Star
Rehabilitation hospitals
Property
Dec. 31, 2011
Acquisition
Senior living communities
Property
May 31, 2011
Acquisition
Senior living communities
Illinois
Property
unit
Aug. 31, 2011
Acquisition
Senior living communities
Five States, Southeast
Property
Jul. 31, 2011
Acquisition
Senior living communities
Five States, Southeast
Property
Jun. 30, 2011
Acquisition
Senior living communities
Five States, Southeast
Property
Dec. 31, 2011
Acquisition
Senior living communities
Six states
Property
Dec. 31, 2011
Acquisition
Senior living communities
Six states
TRS
Property
Dec. 31, 2011
Acquisition
Five Star
Senior living communities
Five States, Southeast
Property
May 31, 2011
Acquisition
Five Star
Five Star Lease No. 1
Senior living communities
Illinois
Dec. 31, 2011
Sale
Dec. 31, 2011
Sale
Skilled nursing facilities
Property
Dec. 31, 2010
Sale
Skilled nursing facilities
Property
Dec. 31, 2011
Sale
Assisted living community
Property
Jun. 30, 2011
Sale
Assisted living community
Pennsylvania
Property
May 31, 2011
Sale
Five Star
Jun. 30, 2011
Sale
Five Star
Feb. 29, 2012
Agreement to acquire
Mar. 31, 2011
Agreement to acquire
Senior living communities
Five States, Southeast
Property
state
Jul. 31, 2011
Agreement to acquire
Senior living communities
Six states
Property
state
unit
May 31, 2011
Agreement to acquire
Five Star
Senior living communities
Five States, Southeast
Property
Dec. 31, 2011
Agreement to acquire
Five Star
Senior living communities
Five States, Southeast
Property
May 31, 2011
Agreement to acquire
Five Star
Senior living communities
Five States, Southeast
TRS
Property
Jan. 31, 2011
Agreement to acquire
Five Star
Assisted living community
Pennsylvania
Property
unit
Nov. 30, 2010
Agreement to sell
Senior living communities
Georgia
unit
Nov. 30, 2010
Agreement to sell
Skilled nursing facilities
Georgia
Property
Aug. 31, 2011
Agreement to sell
Five Star
Assisted living community
Pennsylvania
Property
unit
Related person transactions                                                                          
Number of real estate properties leased                   188 2                                                    
Minimum annual rent payable to entity           $ 195,228                           $ 608                                  
Total rent recognized           195,400 189,682 178,909                                                          
Number of properties mortgaged           28                                                              
Real estate improvements purchased           33,269 31,894                                                            
Increase or decrease in annual lease rent payable           2,665 2,555                       6,923             (72) (1,792)                    
Number of properties sold or agreed to be sold 1 2                                       4 4 1 1                 1   3 1
Number of properties acquired or agreed to be acquired                 1 1   28 1 1 3 14 8   18                   20 9              
Number of units                 92 57     73                                 2,226       70 329   103
Aggregate sale price                                         39,460   1,450                     800 18,000    
Number of states in which properties are located     38                                                   5 6              
Aggregate purchase price of properties acquired, excluding closing costs                 $ 11,300 $ 11,300     $ 7,500 $ 17,158 $ 44,671 $ 196,594 $ 379,000                     $ 144,750 $ 304,000 $ 478,000              
Number of properties acquired, or agreed to be acquired, referred to as managed properties                                     13                           15        
Investment ownership (as a percent)       100.00% 100.00%                                                                
Number of properties agreed to be acquired, or agreed to be acquired, referred as leased properties                                   7 5                       5 2          
Increase or decrease in annual lease rent payable (as a percent)                                                                         9.00%