Commitments and Contingencies (Details) (USD $)	3 Months Ended		9 Months Ended					9 Months Ended			1 Months Ended							9 Months Ended
	Sep. 30, 2013 loan	Sep. 30, 2012	Sep. 30, 2013 property loan	Sep. 30, 2012	Dec. 31, 2012	Oct. 31, 2013 Subsequent Event loan	Sep. 30, 2013 Maximum	Sep. 30, 2013 Assisted living and Memory care property property unit	Sep. 30, 2013 Memory care property unit property	Sep. 30, 2013 Mortgage Loan and Construction Commitment	Oct. 31, 2013 Mortgage Loans Subsequent Event	Oct. 31, 2013 Mortgage Loans Maximum Subsequent Event	Oct. 31, 2013 Mortgage Loans 2092-bed skilled nursing property Subsequent Event	Oct. 31, 2013 Pre-development loan commitment Subsequent Event loan property	Oct. 31, 2013 Pre-development loan commitment Memory care property Subsequent Event property	Oct. 31, 2013 Pre-development loan commitment one Subsequent Event	Oct. 31, 2013 Pre-development loan commitment two Subsequent Event	Sep. 30, 2013 Loan commitments, maturities ranging from 2013 to 2017	Sep. 30, 2012 Loan commitments, maturities ranging from 2013 to 2017
Commitments and Contingencies
Contingent liability paid	$ 7,000,000		$ 7,000,000
Non-cash interest expense	36,000	110,000	256,000	330,000
Contingent liabilities	0		0		6,744,000
Outstanding commitment to develop, re-develop, renovate and expand skilled nursing properties			80,188,000
Commitment Funded			22,293,000
Remaining loan commitments	57,895,000		57,895,000
Number of Properties			12					2	2
Number of beds/units under development								158	108
Commitments							5,000,000
Number of properties agreed to be funded for construction			37
Loan commitments	2,325,000		2,325,000				400,000			10,600,000				2,975,000		325,000	325,000
Total funded loan commitments						2,975,000				5,435,000	124,387,000							615,000
Remaining loan commitments						2,360,000				5,165,000				2,360,000				1,710,000
Forward commitments for capital improvements											12,000,000		12,000,000
Period at beginning of loan term that certain operating metrics and valuation thresholds must be achieved and sustained to receive additional loan proceeds											12 years
Additional loan proceeds												40,000,000
Number of commitments	10		10			12								2
Number of properties														2	2
Amount funded			$ 795,000	$ 2,461,000														$ 795,000	$ 2,461,000