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

    <schemaVersion>X0303</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2009-12-20</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 Acctg. Off.&amp; Controller</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2009-12-20</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>110</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>42.85</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>16019.492</value>
                    <footnoteId id="F2"/>
                    <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 December 20, 2006 under the Ventas, Inc. 2000 Incentive Compensation Plan.</footnote>
        <footnote id="F2">Includes 429.822 shares acquired under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.</footnote>
        <footnote id="F3">Includes 403.448 shares acquired between March 2, 2009 and December 21, 2009 under the Ventas Employee and Director Stock Purchase Plan.</footnote>
        <footnote id="F4">As of December 20, 2009, Reporting Person also owns options to purchase 20,700 shares of Issuer's common stock.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Robert J. Brehl, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2009-12-22</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0303
4
2009-12-20
0000740260
VENTAS INC
VTR
0001346588
Brehl Robert J
10350 ORMSBY PARK PLACE, SUITE 300
LOUISVILLE
KY
40223
0
1
0
0
Chief Acctg. Off.& Controller
Common Stock
2009-12-20
4
F
0
110
42.85
D
16019.492
D
Represents shares withheld to pay the taxes on the vesting of restricted stock granted on December 20, 2006 under the Ventas, Inc. 2000 Incentive Compensation Plan.
Includes 429.822 shares acquired under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.
Includes 403.448 shares acquired between March 2, 2009 and December 21, 2009 under the Ventas Employee and Director Stock Purchase Plan.
As of December 20, 2009, Reporting Person also owns options to purchase 20,700 shares of Issuer's common stock.
Robert J. Brehl, By: T. Richard Riney, Attorney-In-Fact
2009-12-22