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

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2008-01-17</periodOfReport>

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

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001215187</rptOwnerCik>
            <rptOwnerName>LEWIS RAYMOND J</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>10350 ORMSBY PARK PLACE, SUITE 300</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>LOUISVILLE</rptOwnerCity>
            <rptOwnerState>KY</rptOwnerState>
            <rptOwnerZipCode>40223</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>EVP &amp; Chief Investment Officer</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2008-01-17</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>1066</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>41.62</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>79831</value>
                    <footnoteId id="F2"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">Represents shares withheld to pay taxes on the vesting of restricted stock previously granted to Reporting Person on January 17, 2007 under the Ventas, Inc. 2006 Incentive Plan.</footnote>
        <footnote id="F2">As of January 17, 2007, Reporting Person also owns options to purchase 152,956 shares of Issuer's common stock.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Raymond J. Lewis, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2008-01-22</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0202
4
2008-01-17
0000740260
VENTAS INC
VTR
0001215187
LEWIS RAYMOND J
10350 ORMSBY PARK PLACE, SUITE 300
LOUISVILLE
KY
40223
0
1
0
0
EVP & Chief Investment Officer
Common Stock
2008-01-17
4
F
0
1066
41.62
D
79831
D
Represents shares withheld to pay taxes on the vesting of restricted stock previously granted to Reporting Person on January 17, 2007 under the Ventas, Inc. 2006 Incentive Plan.
As of January 17, 2007, Reporting Person also owns options to purchase 152,956 shares of Issuer's common stock.
Raymond J. Lewis, By: T. Richard Riney, Attorney-In-Fact
2008-01-22