Commitments And Contingencies (Details) (USD $)	6 Months Ended
	Jun. 30, 2014 properties	Jun. 30, 2013	Dec. 31, 2013
Letters of Credit Outstanding, Amount	$ 2,785,000
Lease Extension Period in Years	10 years 0 months 0 days
Number of Real Estate Properties	162
Payment of real estate purchase liability	1,600,000	0
Real estate purchase liabilities	4,000,000		2,600,000
Prestige Senior Living [Member]
Lessor Leasing Arrangements, Operating Leases, Term of Contract	15 years 0 months 0 days
Asset Purchase, Contingent Consideration Arrangements, Earn Out Payments	6,390,000
Number of Real Estate Properties	4
Initial lease rate	8.40%
Real estate purchase liabilities	3,000,000
Significant Acquisition, Cost, Cash	40,115,000
Acquisition Helix Healthcare [Member]
Significant acquisitions and disposals, acquisition costs or sale proceeds	12,500,000
Conditional future payments related to purchase/leaseback transaction	1,000,000
Construction Loans [Member]
Supplemental Construction Loan Commitment Draw	2,000,000
Construction of transitional rehabilitation center, number of beds	70
Bickford Senior Living [Member]
Construction and Development Costs	20,937,000
Number of Real Estate Properties	29
Chancellor Healthcare [Member]
Construction of transitional rehabilitation center, number of beds	63
Capital Improvements Commitment Funded	161,000
Capital improvements commitment	500,000
Kentucky River [Member]
Construction and Development Costs	7,094,000
Lessor Leasing Arrangements, Operating Leases, Renewal Term	5 years 0 months 0 days
Discovery Regency Pointe [Member]
Real estate purchase liabilities	2,500,000
Fundamental Long Term Care Holdings [Member]
Number of Real Estate Properties	2
Payment of real estate purchase liability	1,600,000
Business Combination, Contingent Consideration, Liability	1,600,000
Significant Acquisition, Cost, Cash	26,150,000
Development Commitment [Member] | Chancellor Healthcare [Member]
Maximum Commitment For All Active Development Projects	7,500,000
Lessor Leasing Arrangements, Operating Leases, Term of Contract	15 years 0 months 0 days
Initial lease rate	9.00%
Construction of transitional rehabilitation center, number of beds	46
Chancellor Healthcare [Member]
Construction and Development Costs	1,029,000
Capital Improvement Commitment [Member] | Prestige Senior Living [Member]
Number of Real Estate Properties	2
Capital Improvements Commitment Funded	13,000
Capital improvements commitment	2,000,000
Bickford Commitment [Member]
Maximum Commitment For All Active Development Projects	9,000,000
Kentucky River Commitment [Member]
Significant development and lease transactions	8,000,000
Construction Commitment Period in Years	2
1st Contingent Payment Amount [Member] | Discovery Regency Pointe [Member]
Real estate purchase liabilities	750,000
Bickford Development Properties [Member] | Bickford Senior Living [Member]
Number of Real Estate Properties To Be Constructed	1
Maximum Commitment For All Active Development Projects	9,000,000
Construction and Development Costs	5,389,000
Sante Partners Commitment [Member]
Lease Incentive Commitment Assessed As Not Probable	$ 1,000,000