<?xml version="1.0"?>
<ownershipDocument>
    <schemaVersion>X0101</schemaVersion>

    <documentType>3</documentType><periodOfReport>2003-06-04</periodOfReport>
    <noSecuritiesOwned>0</noSecuritiesOwned>

    <issuer>
        <issuerCik>0000740260</issuerCik>
        <issuerName>VENTAS INC</issuerName>
        <issuerTradingSymbol>VTR</issuerTradingSymbol></issuer><reportingOwner><reportingOwnerId>
            <rptOwnerCik>0001042563</rptOwnerCik>
            <rptOwnerName>THEOBALD THOMAS C</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>  </rptOwnerStreet1>
            <rptOwnerStreet2>  </rptOwnerStreet2>
            <rptOwnerCity>  </rptOwnerCity>
            <rptOwnerState>  </rptOwnerState>
            <rptOwnerZipCode>  </rptOwnerZipCode>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
<isDirector>1</isDirector><isOfficer>0</isOfficer><isTenPercentOwner>0</isTenPercentOwner><isOther>0</isOther></reportingOwnerRelationship></reportingOwner><nonDerivativeSecurity><securityTitle><value>Common Stock</value></securityTitle><transactionAmounts><transactionShares><value>5000</value></transactionShares></transactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership><natureOfOwnership><value></value></natureOfOwnership></ownershipNature></nonDerivativeSecurity><derivativeSecurity><securityTitle><value>Stock Option (Right to Buy)</value><footnoteId id="F1"/></securityTitle><conversionOrExercisePrice><value>14.53</value></conversionOrExercisePrice><exerciseDate><value>2003-06-04</value><footnoteId id="F2"/></exerciseDate><expirationDate><value>2013-06-04</value></expirationDate><underlyingSecurity><underlyingSecurityTitle><value>Common Stock</value></underlyingSecurityTitle><underlyingSecurityShares><value>10000</value></underlyingSecurityShares></underlyingSecurity><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership><natureOfOwnership><value></value></natureOfOwnership></ownershipNature></derivativeSecurity><footnotes><footnote id="F1">Options granted pursuant to the Ventas, Inc. 2000 Stock Option Plan for Directors.</footnote><footnote id="F2">These options vest in two equal installments on June 4, 2003 and June 4, 2004.</footnote></footnotes><ownerSignature><signatureName>Thomas C. Theobald</signatureName><signatureDate>2003-06-09</signatureDate></ownerSignature></ownershipDocument>

