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

    <schemaVersion>X0306</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2013-10-01</periodOfReport>

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

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001167958</rptOwnerCik>
            <rptOwnerName>RUFRANO GLENN J</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>353 N. CLARK STREET</rptOwnerStreet1>
            <rptOwnerStreet2>SUITE 3300</rptOwnerStreet2>
            <rptOwnerCity>CHICAGO,</rptOwnerCity>
            <rptOwnerState>IL</rptOwnerState>
            <rptOwnerZipCode>60654</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2013-10-01</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>376.327</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>63.11</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>12174.4</value>
                    <footnoteId id="F2"/>
                    <footnoteId id="F3"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">Common stock in the form of units granted under the Ventas Nonemployee Directors' Deferred Stock Compensation Plan (the &quot;Plan&quot;) in lieu of director fees pursuant to the director's deferral election.  Such units are payable solely in common stock and subject to the terms and conditions of the director's deferral election and the Plan.</footnote>
        <footnote id="F2">Includes 57.522 units acquired on September 27, 2013 under the Plan as a result of dividend equivalents credited with respect to the dividend on Issuer's common stock paid on September 27, 2013.</footnote>
        <footnote id="F3">As of October 1, 2013, Reporting Person also owns options to purchase 12,849 shares of Issuer's common stock.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Glenn J. Rufrano, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2013-10-03</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0306
4
2013-10-01
0000740260
VENTAS INC
VTR
0001167958
RUFRANO GLENN J
353 N. CLARK STREET
SUITE 3300
CHICAGO,
IL
60654
1
0
0
0
Common Stock
2013-10-01
4
A
0
376.327
63.11
A
12174.4
D
Common stock in the form of units granted under the Ventas Nonemployee Directors' Deferred Stock Compensation Plan (the "Plan") in lieu of director fees pursuant to the director's deferral election.  Such units are payable solely in common stock and subject to the terms and conditions of the director's deferral election and the Plan.
Includes 57.522 units acquired on September 27, 2013 under the Plan as a result of dividend equivalents credited with respect to the dividend on Issuer's common stock paid on September 27, 2013.
As of October 1, 2013, Reporting Person also owns options to purchase 12,849 shares of Issuer's common stock.
Glenn J. Rufrano, By: T. Richard Riney, Attorney-In-Fact
2013-10-03