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Real Estate Investments (Details) (USD $)
12 Months Ended
Dec. 31, 2011
property
Unit
Dec. 31, 2010
Dec. 31, 2009
Real Estate Investments      
Net Investment $ 546,835,000 $ 456,957,000  
Number of Properties 36    
Number of Beds/Units 2,923    
Carrying value of mortgage loans 53,081,000 59,026,000  
Mortgage loans      
Amount received related to payoff of loan, excluding accrued interest 2,831,000 3,904,000 3,716,000
Operating leases      
Specified annual increase over the prior year's rent, low end of range (as a percent) 2.00%    
Specified annual increase over the prior year's rent, high end of range (as a percent) 3.00%    
Net cash proceeds from sale of property   4,864,000  
Gain on sale of property, net of selling expenses   310,000  
Mortgage Loans
     
Real Estate Investments      
Net Investment 54,002,000    
Percentage of Investments 100.00%    
Number of Loans 30    
Number of Properties 36    
Number of states 12    
Number of operators 14    
Interest rate for mortgage loans, low end of range (as a percent) 9.95%    
Interest rate for mortgage loans, high end of range (as a percent) 14.63%    
General amortization schedule of mortgage loans (in years) 25    
Specified basis points for annual increase in interest rate, low end of range 0.10%    
Specified basis points for annual increase in interest rate, high end of range 0.25%    
Carrying value of mortgage loans 53,081,000 59,026,000  
Scheduled principal payments on mortgage loans      
2012 5,013,000    
2013 17,673,000    
2014 9,327,000    
2015 4,477,000    
2016 2,424,000    
Thereafter 15,088,000    
Mortgage loans      
Scheduled principal payments received 3,136,000 4,499,000 4,127,000
Amount received related to payoff of loan, excluding accrued interest 2,831,000    
Number of loans paid off 4    
Provision for doubtful accounts charge   1,235,000  
Number of mortgage loans for which doubtful accounts charge have been created   2  
Owned Properties
     
Real Estate Investments      
Net Investment 725,031,000    
Percentage of Investments 100.00%    
Number of Properties 171    
Number of states 25    
Number of operators 30    
Operating leases      
Specified annual increase over the prior year's rent, low end of range (as a percent) 2.00%    
Specified annual increase over the prior year's rent, high end of range (as a percent) 3.00%    
Owned Properties | Minimum
     
Operating leases      
Initial term of non-cancelable operating lease (in years) 10    
Owned Properties | Maximum
     
Operating leases      
Initial term of non-cancelable operating lease (in years) 15    
SNF Beds
     
Real Estate Investments      
Number of beds/units acquired 1,134 805  
SNF Beds | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 2,425    
SNF Beds | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 8,835    
ALF Units
     
Real Estate Investments      
Number of beds/units acquired 40 287  
ALF Units | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 498    
ALF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 4,197    
ILF Units
     
Real Estate Investments      
Number of beds/units acquired 53 47  
ILF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 423    
Assisted Living
     
Real Estate Investments      
Number of beds/units acquired   241 192
Assisted Living | Mortgage Loans
     
Real Estate Investments      
Net Investment 22,776,000    
Percentage of Investments 42.20%    
Number of Loans 9    
Number of Properties 14    
Investment per Bed/Unit 53.72    
Mortgage loans      
Number of properties securing mortgage loans paid off 1    
Assisted Living | Owned Properties
     
Real Estate Investments      
Net Investment 285,981,000    
Percentage of Investments 39.40%    
Number of Properties 88    
Investment per Bed/Unit 72.57    
Assisted Living | ALF Units | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 424    
Assisted Living | ALF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 3,941    
Skilled Nursing | Mortgage Loans
     
Real Estate Investments      
Net Investment 28,132,000    
Percentage of Investments 52.10%    
Number of Loans 20    
Number of Properties 21    
Investment per Bed/Unit 12.09    
Mortgage loans      
Amount received related to payoff of loan, excluding accrued interest   3,904,000 3,716,000
Number of loans paid off   5 3
Number of properties securing mortgage loans paid off 7 5 3
Amount invested in capital improvements   72,000 221,000
Number of loans in which amount has been invested for capital improvements     1
Amount invested for expansion of property and extension of loan maturity   1,622,000  
Period of extension of loan maturity (in years)   5  
Skilled Nursing | Owned Properties
     
Real Estate Investments      
Net Investment 361,326,000    
Percentage of Investments 49.90%    
Number of Properties 68    
Investment per Bed/Unit 45.05    
Skilled Nursing | SNF Beds
     
Real Estate Investments      
Number of beds/units acquired 1,016 668  
Skilled Nursing | SNF Beds | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 2,326    
Skilled Nursing | SNF Beds | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 8,021    
Operating leases      
Gain on sale of property, net of selling expenses   310,000  
Other Senior Housing | Mortgage Loans
     
Real Estate Investments      
Net Investment 3,094,000    
Percentage of Investments 5.70%    
Number of Loans 1    
Number of Properties 1    
Investment per Bed/Unit 17.88    
Other Senior Housing | Owned Properties
     
Real Estate Investments      
Net Investment 64,638,000    
Percentage of Investments 8.90%    
Number of Properties 13    
Investment per Bed/Unit 43.29    
Other Senior Housing | SNF Beds
     
Real Estate Investments      
Number of beds/units acquired 118 137  
Other Senior Housing | SNF Beds | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 99    
Other Senior Housing | SNF Beds | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 814    
Other Senior Housing | ALF Units
     
Real Estate Investments      
Number of beds/units acquired 40 46  
Other Senior Housing | ALF Units | Mortgage Loans
     
Real Estate Investments      
Number of Beds/Units 74    
Other Senior Housing | ALF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 256    
Other Senior Housing | ILF Units
     
Real Estate Investments      
Number of beds/units acquired 53 47  
Other Senior Housing | ILF Units | Owned Properties
     
Real Estate Investments      
Number of Beds/Units 423    
Schools | Owned Properties
     
Real Estate Investments      
Net Investment 12,192,000    
Percentage of Investments 1.70%    
Number of Properties 2    
Under development | Owned Properties
     
Real Estate Investments      
Net Investment $ 894,000    
Percentage of Investments 0.10%    
Under development | SNF Beds | Owned Properties
     
Real Estate Investments      
Number of beds/units acquired 120    
Skilled nursing property associated with the other senior housing property | SNF Beds
     
Real Estate Investments      
Number of Beds/Units   90  
Number of beds/units acquired 90