Supplemental Cash Flow Information (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Non-cash investing and financing transactions:
Acquisition of real estate investments			$ 5,975
Capitalized interest	932	130	45
Redemption of non-controlling interests		396
Restricted stock issued, net of cancellations		1
Investment commitment up to $5,000,000 per year through December 2014
Contingent earn-out payments	7,000		4,000
Skilled nursing properties | Texas
Investment commitment up to $5,000,000 per year through December 2014
Number of properties			4
Total acquisition costs			50,841
Cash paid for acquisition of properties			41,000
Contingent earn-out payments	$ 7,000		$ 4,000
Skilled nursing properties | SNF Beds | Texas
Investment commitment up to $5,000,000 per year through December 2014
Number of beds/units acquired			524