Commitments And Contingencies (Details) (USD $)	12 Months Ended								12 Months Ended			12 Months Ended			12 Months Ended									12 Months Ended
	Dec. 31, 2013 properties	Dec. 31, 2012	Dec. 31, 2011	Oct. 31, 2013 Chancellor Healthcare [Member] beds_or_units	Dec. 31, 2013 Fundamental Long Term Care Holdings [Member] properties	Apr. 30, 2013 Fundamental Long Term Care Holdings [Member] beds_or_units properties	Jan. 31, 2011 Fundamental Long Term Care Holdings [Member]	Oct. 31, 2011 Acquisition Legend Healthcare [Member] properties	Dec. 31, 2013 Acquisition Helix Healthcare [Member]	Mar. 31, 2010 Acquisition Helix Healthcare [Member]	Dec. 31, 2013 Bickford Commitment [Member] properties	Dec. 31, 2013 Bickford Development Properties [Member]	Dec. 31, 2013 Kentucky River Commitment [Member]	Oct. 31, 2011 Contingent Payment [Member] Acquisition Legend Healthcare [Member]	Dec. 31, 2013 Sante Partners Commitment [Member]	Dec. 31, 2013 Construction Loans [Member] beds_or_units	Dec. 31, 2013 Discovery Regency Pointe [Member]	Sep. 30, 2013 Discovery Regency Pointe [Member]	Dec. 31, 2013 Discovery Regency Pointe [Member] 1st Contingent Payment Amount [Member]	Jun. 30, 2013 SeniorTrust [Member]	Aug. 30, 2013 Elder Trust [Member] properties	Dec. 31, 2013 Bickford Senior Living [Member] properties	Jun. 28, 2013 Bickford Senior Living [Member]	Dec. 31, 2013 Bickford Senior Living [Member] Bickford Development Properties [Member]	Dec. 31, 2013 Kentucky River [Member]	Dec. 31, 2013 Legend Healthcare [Member]	Dec. 31, 2012 Legend Healthcare [Member]	Oct. 31, 2013 Development Commitment [Member] Chancellor Healthcare [Member] beds_or_units	Feb. 06, 2014 Letter of Credit [Member]
Letters of Credit Outstanding, Amount																													$ 2,785,000
Number of Real Estate Properties To Be Constructed											1
Maximum Commitment For All Active Development Projects											9,000,000	9,000,000																7,500,000
Construction and Development Costs												17,796,000												2,712,000	5,838,000
Lease Extension Period in Years	10 years 0 months 0 days
Significant development and lease transactions													8,000,000
Construction Commitment Period in Years													2
Lease Renewal Period In Years						5 years 0 months 0 days												5 years 0 months 0 days							5 years 0 months 0 days
Number of Real Estate Properties	157				3	2		4													7	29
Significant Acquisition, Cost, Receivable Cancelled																					13,741,000
Significant Acquisition, Cost, Cash						26,150,000															23,676,000
Number of years in initial lease term				7 years 0 months 0 days		10												15 years 0 months 0 days										15 years 0 months 0 days
Initial lease rate				8.00%		9.00%						9.00%																9.00%
Initial Lease Amount																		942,000				18,836,000	7,750,000
Significant acquisitions and disposals, acquisition costs or sale proceeds				9,000,000	18,500,000		4,500,000	55,278,000		12,500,000				5,478,000				12,000,000			37,417,000
Cash Paid In Settlement Of Contingent Purchase Consideration Liability		2,222,000																									2,222,000
Business Combination, Contingent Consideration, Liability						1,600,000																				3,256,000
Gain on purchase liability settlement	(3,256,000)	0	0																							3,256,000
Supplemental Construction Loan Commitment Draw																2,000,000
Construction of transitional rehabilitation center, number of beds				63		254										70		120										46
Capital improvements commitment				500,000											3,500,000
Lease Incentive Commitment Assessed As Not Probable															1,000,000
Conditional future payments related to purchase/leaseback transaction									1,000,000
Real estate purchase liabilities	2,600,000	4,256,000															2,500,000		750,000
Loans and Leases Receivable, Net Amount	$ 60,639,000	$ 84,250,000																		$ 15,000,000