Commitments And Contingencies (Details) (USD $)	9 Months Ended
	Sep. 30, 2014 properties	Sep. 30, 2013	Dec. 31, 2013
Lease Extension Period in Years	10 years 0 months 0 days
Number of Real Estate Properties	163
Payment of real estate purchase liability	$ 1,600,000	$ 0
Real estate purchase liabilities	4,000,000		2,600,000
Prestige Senior Living [Member]
Lessor Leasing Arrangements, Operating Leases, Term of Contract	15 years 0 months 0 days
Asset Purchase, Contingent Consideration Arrangements, Earn Out Payments	6,390,000
Number of Real Estate Properties	4
Initial lease rate	8.40%
Real estate purchase liabilities	3,000,000
Significant Acquisition, Cost, Cash	40,115,000
Acquisition Helix Healthcare [Member]
Asset Sold, Selling Price	12,500,000
Conditional future payments related to purchase/leaseback transaction	1,000,000
Construction Loans [Member]
Supplemental Construction Loan Commitment Draw	2,000,000
Construction of transitional rehabilitation center, number of beds	70
Chancellor Healthcare [Member]
Construction of transitional rehabilitation center, number of beds	63
Capital Improvements Commitment Funded	257,000
Capital improvements commitment	500,000
Kentucky River [Member]
Construction and Development Costs	7,456,000
Lessor Leasing Arrangements, Operating Leases, Renewal Term	5 years 0 months 0 days
Discovery Regency Pointe [Member]
Real estate purchase liabilities	2,500,000
Fundamental Long Term Care Holdings [Member]
Number of Real Estate Properties	2
Payment of real estate purchase liability	1,600,000
Business Combination, Contingent Consideration, Liability	1,600,000
Significant Acquisition, Cost, Cash	26,150,000
Senior Living Management [Member]
Capital improvements commitment	700,000
Development Commitment [Member] | Chancellor Healthcare [Member]
Maximum Commitment For All Active Development Projects	7,500,000
Lessor Leasing Arrangements, Operating Leases, Term of Contract	15 years 0 months 0 days
Initial lease rate	9.00%
Construction of transitional rehabilitation center, number of beds	46
Chancellor Healthcare [Member]
Construction and Development Costs	3,115,000
Sante Partners Commitment [Member]
Capital Improvements Commitment Funded	2,621,000
Capital improvements commitment	3,500,000
Capital Improvement Commitment [Member] | Prestige Senior Living [Member]
Number of Real Estate Properties	2
Capital Improvements Commitment Funded	693,000
Capital improvements commitment	2,000,000
Bickford Development Properties [Member]
Number of Real Estate Properties To Be Constructed	1
Construction and Development Costs	6,990,000
Number of Real Estate Properties	3
Bickford Commitment [Member]
Maximum Commitment For All Active Development Projects	9,000,000
Letters of Credit Outstanding, Amount	2,785,000
1st Contingent Payment Amount [Member] | Discovery Regency Pointe [Member]
Real estate purchase liabilities	750,000
Kentucky River Commitment [Member]
Significant development and lease transactions	8,000,000
Sante Partners Commitment [Member]
Number of Lease Inducement Payments	2
Lease Incentive Commitment Assessed As Not Probable	$ 1,000,000