Commitments And Contingencies (Details) (USD $)	3 Months Ended				3 Months Ended			3 Months Ended				3 Months Ended				3 Months Ended				3 Months Ended
	Mar. 31, 2014 properties	Mar. 31, 2013	Feb. 06, 2014	Dec. 31, 2013	Mar. 31, 2014 Acquisition Helix Healthcare [Member]	Mar. 31, 2010 Acquisition Helix Healthcare [Member]	Mar. 31, 2014 Construction Loans [Member] beds_or_units	Mar. 31, 2014 Bickford Senior Living [Member] properties	Mar. 31, 2014 Chancellor Healthcare [Member] beds_or_units	Mar. 31, 2014 Kentucky River [Member]	Mar. 31, 2014 Discovery Regency Pointe [Member]	Mar. 31, 2014 Fundamental Long Term Care Holdings [Member] properties	Dec. 31, 2013 Fundamental Long Term Care Holdings [Member] properties	Mar. 31, 2014 Prestige Senior Living [Member]	Mar. 31, 2014 Development Commitment [Member] Chancellor Healthcare [Member] beds_or_units	Mar. 31, 2014 Chancellor Healthcare [Member]	Mar. 31, 2014 Bickford Commitment [Member]	Mar. 31, 2014 Kentucky River Commitment [Member]	Mar. 31, 2014 1st Contingent Payment Amount [Member] Discovery Regency Pointe [Member]	Mar. 31, 2014 Bickford Development Properties [Member] Bickford Senior Living [Member] properties	Mar. 31, 2014 Sante Partners Commitment [Member]
Number of Real Estate Properties To Be Constructed																				1
Maximum Commitment For All Active Development Projects															$ 7,500,000		$ 9,000,000			$ 9,000,000
Construction and Development Costs								19,254,000		6,468,000						521,000				3,958,000
Letters of Credit Outstanding, Amount			2,785,000
Significant development and lease transactions																		8,000,000
Construction Commitment Period in Years																		2
Lease Extension Period in Years	10 years 0 months 0 days
Lease Renewal Period In Years										5 years 0 months 0 days
Asset Purchase, Contingent Consideration Arrangements, Probable Amount														3,000,000
Number of Real Estate Properties	161							29				2	2
Number of years in initial lease term															15 years 0 months 0 days
Initial lease rate															9.00%
Significant acquisitions and disposals, acquisition costs or sale proceeds						12,500,000
Payment of real estate purchase liability	1,600,000	0										1,600,000
Business Combination, Contingent Consideration, Liability												1,600,000
Supplemental Construction Loan Commitment Draw							2,000,000
Construction of transitional rehabilitation center, number of beds							70		63						46
Capital Improvements Commitment Funded									109,000
Capital improvements commitment									500,000					2,000,000
Lease Incentive Commitment Assessed As Not Probable																					1,000,000
Conditional future payments related to purchase/leaseback transaction					1,000,000
Real estate purchase liabilities	4,000,000			2,600,000							2,500,000								750,000
Significant Acquisition, Cost, Cash												$ 26,150,000