Commitments and Contingencies (Details) (USD $)	3 Months Ended
	Mar. 31, 2013 property	Mar. 31, 2012	Dec. 31, 2012
Commitments and Contingencies
Non-cash interest expense	$ 110,000	$ 110,000
Contingent liabilities	6,854,000		6,744,000
Outstanding commitment to develop, re-develop, renovate and expand skilled nursing properties	77,571,000
Number of properties agreed to be funded for construction	37
Maximum
Commitments and Contingencies
Annual commitment through December 2014	5,000,000
ILF Units
Commitments and Contingencies
Number of beds/units acquired	140
785-bed skilled nursing property
Commitments and Contingencies
Number of Properties	6
Number of beds/units acquired	785
Assisted living and Memory care property
Commitments and Contingencies
Number of Properties	2
Number of beds/units acquired	158
Memory care property
Commitments and Contingencies
Number of beds/units acquired	60
Assisted Living
Commitments and Contingencies
Number of Properties	3
Number of beds/units acquired	136
Mortgage Loans
Commitments and Contingencies
Loan commitments	10,600,000
Total funded loan commitments	3,530,000
Remaining loan commitments	7,070,000
Loan commitments, maturities ranging from 2013 to 2014
Commitments and Contingencies
Loan commitments	1,525,000
Total funded loan commitments	209,000
Remaining loan commitments	$ 1,316,000