Real Estate Investments (Details 3) (USD $)	0 Months Ended	12 Months Ended									12 Months Ended					12 Months Ended						12 Months Ended					12 Months Ended			12 Months Ended
	Jan. 31, 2014	Dec. 31, 2013 property loan	Dec. 31, 2013 Pre-development loan commitment loan	Dec. 31, 2013 Completed construction, development, redevelopment, renovation and expansion projects item bed	Dec. 31, 2013 Investment bed property	Dec. 31, 2013 Development, redevelopment, renovation, and expansion projects item	Dec. 31, 2013 Development, redevelopment, renovation, and expansion projects Development Properties item	Dec. 31, 2013 Development, redevelopment, renovation, and expansion projects Redevelopment, Renovation &Expansion Projects item	Dec. 31, 2013 Maximum	Dec. 31, 2012 Development commitments Maximum Investment	Dec. 31, 2013 Skilled Nursing Completed construction, development, redevelopment, renovation and expansion projects Texas bed	Dec. 31, 2013 Skilled Nursing Investment property bed	Dec. 31, 2013 Skilled Nursing Development, redevelopment, renovation, and expansion projects Development Properties item	Dec. 31, 2013 Skilled Nursing Development, redevelopment, renovation, and expansion projects Redevelopment, Renovation &Expansion Projects item	Dec. 31, 2013 Assisted Living property	Dec. 31, 2013 Assisted Living Completed construction, development, redevelopment, renovation and expansion projects Colorado unit	Dec. 31, 2013 Assisted Living Completed construction, development, redevelopment, renovation and expansion projects Kansas unit	Dec. 31, 2013 Assisted Living Investment property unit	Dec. 31, 2013 Assisted Living Development, redevelopment, renovation, and expansion projects Development Properties item	Dec. 31, 2013 Assisted Living Development, redevelopment, renovation, and expansion projects Redevelopment, Renovation &Expansion Projects item	Dec. 31, 2013 Memory care property property	Dec. 31, 2013 Memory care property Completed construction, development, redevelopment, renovation and expansion projects Colorado	Dec. 31, 2013 Memory care property Investment item	Dec. 31, 2013 Memory care property Development commitments item	Dec. 31, 2013 Memory care property Development commitments Investment Colorado item	Dec. 31, 2013 Memory care property Development commitments Maximum Investment Colorado	Dec. 31, 2013 60-units memory care properties Development commitments Investment Colorado item	Dec. 31, 2013 Assisted living and memory care combination properties property	Dec. 31, 2013 Assisted living and memory care combination properties Investment property	Dec. 31, 2013 Land Investment	Dec. 31, 2013 Other Development, redevelopment, renovation, and expansion projects Redevelopment, Renovation &Expansion Projects item
Investment commitments for completed construction projects
Number of Beds/Units				257							120					60	77
2013 Funding				$ 17,462,000							$ 5,065,000					$ 4,316,000	$ 8,081,000
Total Funding				28,160,000							8,635,000					9,850,000	9,675,000
Aggregate purchase price of land																	730,000					1,882,000								3,475,000
Commitments funding capitalized directly into building and improvements		73,000							5,000,000
Number of properties agreed to be funded for expansion		37
Estimated yield (as a percent)		9.50%
Maturity period of US Treasury note		10 years
Variable rate basis used to compute estimated yield		10-year treasury note rate
Number of days prior to funding		5 days
Basis points added/deducted from the base rate (as a percent)		(4.20%)
Funds requested		0
Investment commitments
Investment Commitment		80,306,000			80,306,000					49,702,000		29,650,000						50,656,000						30,256,000		30,256,000			5,800,000
2013 Funding					16,835,000							7,221,000						9,614,000
2014 Funding	8,828,000
Commitment Funded		23,418,000			23,418,000							12,757,000						10,661,000
Remaining Commitment	48,060,000	56,888,000			56,888,000							16,893,000						39,995,000
Number of Properties					13							6			3			7			3							1	1
Number of Beds/Units					1,025							640						385
Number of developments																							3	3	3		2
Number of properties under expansion																		3
Amount invested for expansion, renovation and construction of properties																		14,600,000
Amount funded during the period for commitments on completed capital projects				260,000
Amount under commitment as marketing expense					6,000
Number of completed projects with no remaining commitments				3
Remaining commitments on completed capital projects				0
Number of commitments		7	3
Pre-development loan balance reclassified to real estate under development			479,000
Development, redevelopment, renovation, and expansion
Projects						17	7	10					1	5					6	4											1
Development, redevelopment, renovation, and expansion activity
CIP, Balance at the beginning of the period						8,288,000	4,700,000	3,588,000					31,000	3,516,000					4,669,000	66,000											6,000
Funded						31,003,000	24,135,000	6,868,000					5,551,000	6,730,000					18,584,000	21,000											117,000
Capitalized Interest						932,000	821,000	111,000					311,000	111,000					510,000
Conversions out of CIP						(25,555,000)	(17,429,000)	(8,126,000)						(7,924,000)					(17,429,000)	(79,000)											(123,000)
CIP, Balance at the end of the period						$ 14,668,000	$ 12,227,000	$ 2,441,000					$ 5,893,000	$ 2,433,000					$ 6,334,000	$ 8,000