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Real Estate Investments (Details) (USD $)
12 Months Ended
Dec. 31, 2013
Operating leases  
Contingent rent income $ 0
Owned Properties
 
Real Estate Investments  
Gross Investments 937,617,000
Percentage of Investments 100.00%
Number of properties 176
Number of states 27
Number of operators 33
Operating leases  
Number of ways to compute annual rent increases 4
Owned Properties | Minimum
 
Operating leases  
Initial term of non-cancelable operating lease 10 years
Specified annual increase over the prior year's rent (as a percent) 2.00%
Owned Properties | Maximum
 
Operating leases  
Initial term of non-cancelable operating lease 15 years
Specified annual increase over the prior year's rent (as a percent) 3.00%
SNF Beds | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 8,898
ALF Units | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 4,915
Skilled Nursing
 
Real Estate Investments  
Number of properties 6
Skilled Nursing | Owned Properties
 
Real Estate Investments  
Gross Investments 458,759,000
Percentage of Investments 48.90%
Number of properties 68
Average Investment per Bed/Unit 55,510
Skilled Nursing | SNF Beds | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 8,264
Assisted Living | Owned Properties
 
Real Estate Investments  
Gross Investments 399,912,000
Percentage of Investments 42.70%
Number of properties 98
Average Investment per Bed/Unit 86,170
Assisted Living | ALF Units | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 4,641
Range of Care | Owned Properties
 
Real Estate Investments  
Gross Investments 43,907,000
Percentage of Investments 4.70%
Number of properties 8
Average Investment per Bed/Unit 48,360
Range of Care | SNF Beds | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 634
Range of Care | ALF Units | Owned Properties
 
Real Estate Investments  
Number of Beds/Units 274
Under development | Owned Properties
 
Real Estate Investments  
Gross Investments 21,432,000
Percentage of Investments 2.30%
143-bed skilled nursing property | Owned Properties
 
Real Estate Investments  
Number of beds/units under development 143
Memory care property | Owned Properties
 
Real Estate Investments  
Number of developments 3
Number of beds/units under development 168
Land | Owned Properties
 
Real Estate Investments  
Number of parcels of land 4
Assisted living and Memory care property | Owned Properties
 
Real Estate Investments  
Number of beds/units under development 81
Other | Owned Properties
 
Real Estate Investments  
Gross Investments $ 13,607,000
Percentage of Investments 1.40%
Number of properties 2
Schools | Owned Properties
 
Real Estate Investments  
Number of properties 2