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

    <schemaVersion>X0304</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2012-02-25</periodOfReport>

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

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001346588</rptOwnerCik>
            <rptOwnerName>Brehl Robert 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>Chief Acct. Off. &amp; Controller</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2012-02-25</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>186</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>56.00</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>17816.878</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2012-02-26</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>215</value>
                    <footnoteId id="F2"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>56.00</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>17628.282</value>
                    <footnoteId id="F3"/>
                    <footnoteId id="F4"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 25, 2011 under the Ventas, Inc. 2006 Incentive Plan (the &quot;Plan&quot;).</footnote>
        <footnote id="F2">Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 26, 2010 under the Plan.</footnote>
        <footnote id="F3">Includes 26.404 shares acquired between January 24, 2012 and February 27, 2012 under the Ventas Employee and Director Stock Purchase Plan.</footnote>
        <footnote id="F4">As of February 26, 2012, Reporting Person also owns options to purchase 27,385 shares of Issuer's common stock.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Robert J. Brehl, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2012-02-28</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0304
4
2012-02-25
0000740260
VENTAS INC
VTR
0001346588
Brehl Robert J
10350 ORMSBY PARK PLACE, SUITE 300
LOUISVILLE,
KY
40223
0
1
0
0
Chief Acct. Off. & Controller
Common Stock
2012-02-25
4
F
0
186
56.00
D
17816.878
D
Common Stock
2012-02-26
4
F
0
215
56.00
D
17628.282
D
Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 25, 2011 under the Ventas, Inc. 2006 Incentive Plan (the "Plan").
Represents shares withheld to pay the taxes on the vesting of restricted stock granted on February 26, 2010 under the Plan.
Includes 26.404 shares acquired between January 24, 2012 and February 27, 2012 under the Ventas Employee and Director Stock Purchase Plan.
As of February 26, 2012, Reporting Person also owns options to purchase 27,385 shares of Issuer's common stock.
Robert J. Brehl, By: T. Richard Riney, Attorney-In-Fact
2012-02-28