<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0303</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2011-02-25</periodOfReport>

    <issuer>
        <issuerCik>0000740260</issuerCik>
        <issuerName>VENTAS INC</issuerName>
        <issuerTradingSymbol>VTR</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001422747</rptOwnerCik>
            <rptOwnerName>Dreixler Julie M.</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>111 SOUTH WACKER DRIVE, SUITE 4800</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>CHICAGO</rptOwnerCity>
            <rptOwnerState>IL</rptOwnerState>
            <rptOwnerZipCode>60606</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>SVP-Human Resources</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2011-02-25</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>1441</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>6530.841</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2011-02-25</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>151</value>
                    <footnoteId id="F2"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>57.19</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>6379.841</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2011-02-26</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>188</value>
                    <footnoteId id="F3"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>57.19</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>6191.841</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2011-02-27</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>413</value>
                    <footnoteId id="F4"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>57.19</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>6000.547</value>
                    <footnoteId id="F5"/>
                    <footnoteId id="F6"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <derivativeTable>
        <derivativeTransaction>
            <securityTitle>
                <value>Stock Option (Right to Buy)</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>57.19</value>
            </conversionOrExercisePrice>
            <transactionDate>
                <value>2011-02-25</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>2873</value>
                    <footnoteId id="F7"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <exerciseDate>
                <value>2011-02-25</value>
                <footnoteId id="F8"/>
            </exerciseDate>
            <expirationDate>
                <value>2021-02-25</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>2873</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>9641</value>
                    <footnoteId id="F9"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </derivativeTransaction>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">Restricted stock granted by Issuer pursuant to the Ventas, Inc. 2006 Incentive Plan (the &quot;Plan&quot;). These shares vest in three equal annual installments beginning on the date of grant.</footnote>
        <footnote id="F2">Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 25, 2011 under the Plan.</footnote>
        <footnote id="F3">Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 26, 2010 under the Plan.</footnote>
        <footnote id="F4">Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 27, 2009 under the Plan.</footnote>
        <footnote id="F5">Includes 115.925 shares acquired between March 31, 2010 and December 31, 2010 under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.</footnote>
        <footnote id="F6">Includes 105.781 shares acquired between March 2, 2010 and February 28, 2011 under the Ventas Employee and Director Stock Purchase Plan.</footnote>
        <footnote id="F7">Stock options granted by Issuer pursuant to the Plan.</footnote>
        <footnote id="F8">These options vest in three equal annual installments beginning on the date of grant.</footnote>
        <footnote id="F9">Represents total number of unexercised stock options held by the Reporting Person as of February 27, 2011.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Julie M. Dreixler, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2011-03-01</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0303
4
2011-02-25
0000740260
VENTAS INC
VTR
0001422747
Dreixler Julie M.
111 SOUTH WACKER DRIVE, SUITE 4800
CHICAGO
IL
60606
0
1
0
0
SVP-Human Resources
Common Stock
2011-02-25
4
A
0
1441
0
A
6530.841
D
Common Stock
2011-02-25
4
F
0
151
57.19
D
6379.841
D
Common Stock
2011-02-26
4
F
0
188
57.19
D
6191.841
D
Common Stock
2011-02-27
4
F
0
413
57.19
D
6000.547
D
Stock Option (Right to Buy)
57.19
2011-02-25
4
A
0
2873
0
A
2011-02-25
2021-02-25
Common Stock
2873
9641
D
Restricted stock granted by Issuer pursuant to the Ventas, Inc. 2006 Incentive Plan (the "Plan"). These shares vest in three equal annual installments beginning on the date of grant.
Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 25, 2011 under the Plan.
Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 26, 2010 under the Plan.
Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 27, 2009 under the Plan.
Includes 115.925 shares acquired between March 31, 2010 and December 31, 2010 under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.
Includes 105.781 shares acquired between March 2, 2010 and February 28, 2011 under the Ventas Employee and Director Stock Purchase Plan.
Stock options granted by Issuer pursuant to the Plan.
These options vest in three equal annual installments beginning on the date of grant.
Represents total number of unexercised stock options held by the Reporting Person as of February 27, 2011.
Julie M. Dreixler, By: T. Richard Riney, Attorney-In-Fact
2011-03-01