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Mortgage And Other Notes Receivable (Details) (USD $)
 12 Months Ended 12 Months Ended 12 Months Ended
Dec. 31, 2013
properties
Dec. 31, 2012
Dec. 31, 2011
Jun. 30, 2013
SeniorTrust [Member]
Aug. 30, 2013
Elder Trust [Member]
properties
Dec. 31, 2013
National Healthcare Corporation [Member]
properties
Jul. 31, 2013
Bickford Note Investment [Member]
properties
Dec. 31, 2013
Georgia SNF Payoff [Member]
Dec. 31, 2012
Georgia SNF Payoff [Member]
Sep. 30, 2013
Georgia SNF Payoff [Member]
Dec. 31, 2013
Secured By Real Estate [Member]
Dec. 31, 2012
Secured By Real Estate [Member]
Dec. 31, 2012
Secured By Real Estate [Member]
SeniorTrust [Member]
Dec. 31, 2013
Not Secured By Real Estate [Member]
Dec. 31, 2012
Not Secured By Real Estate [Member]
Dec. 31, 2012
Mortgage Note Principal [Member]
Georgia SNF Payoff [Member]
Dec. 31, 2012
Accrued Interest Due [Member]
Georgia SNF Payoff [Member]
Dec. 31, 2012
Recovery Of Other Than Temporary Impairment [Member]
Georgia SNF Payoff [Member]
Dec. 31, 2012
Gain On Payoff Of Note Receivable [Member]
Georgia SNF Payoff [Member]
Oct. 31, 2013
Discovery Regency Pointe [Member]
beds_or_units
Proceeds from Equity Method Investment, Dividends or Distributions $ 0 $ 0                                    
Mortgage and other notes receivable, net 60,639,000 84,250,000   15,000,000     9,200,000     3,293,000 34,926,000 68,214,000 19,037,000 27,082,000 16,036,000         2,500,000
Number of health care properties related to mortgage notes receivables 11           6                          
Allowance for Doubtful Accounts Receivable 0 0                                    
Mortgage Loans On Real Estate, Impairment 4,037,000 2,300,000 0                                  
Significant Acquisition, Cost, Receivable Cancelled         13,741,000                              
Number of Real Estate Properties 157       7 42                            
Number of beds in real estate property             342                          
Loan Term             2                         5 years 0 months 0 days
Note Receivable Interest Rate             12.00%                         12.00%
Purchase Option Amount           49,000,000 97,000,000                          
Loan and realty (recoveries) losses, net 2,061,000 4,495,000 99,000         2,061,000                        
Number of Units in Real Estate Property                                       120
Proceeds from Sale and Collection of Notes Receivable                 $ 13,830,000             $ 4,650,000 $ 80,000 $ 4,495,000 $ 4,605,000