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

    <schemaVersion>X0303</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2010-01-01</periodOfReport>

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

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001198222</rptOwnerCik>
            <rptOwnerName>ROSENBERG SHELI  Z</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>TWO NORTH RIVERSIDE PLAZA, SUITE 600</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>CHICAGO</rptOwnerCity>
            <rptOwnerState>IL</rptOwnerState>
            <rptOwnerZipCode>60606</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>2010-01-01</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>1316</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>57240.709</value>
                    <footnoteId id="F2"/>
                    <footnoteId id="F3"/>
                </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>43.74</value>
            </conversionOrExercisePrice>
            <transactionDate>
                <value>2010-01-01</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>5000</value>
                    <footnoteId id="F4"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <exerciseDate>
                <value>2010-01-01</value>
                <footnoteId id="F5"/>
            </exerciseDate>
            <expirationDate>
                <value>2020-01-01</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>5000</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>35000</value>
                    <footnoteId id="F6"/>
                </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 Stock Plan for Directors (the &quot;Stock Plan&quot;).  These shares vest in two equal annual installments beginning on the first anniversary of the date of grant.</footnote>
        <footnote id="F2">Includes 3,205.788 shares acquired between March 31, 2009 and December 30, 2009 under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.</footnote>
        <footnote id="F3">Includes 2,712.402 shares acquired between January 5, 2009 and January 4, 2010 under the Ventas Employee and Director Stock Purchase Plan.</footnote>
        <footnote id="F4">Stock options granted by Issuer pursuant to the Stock Plan.</footnote>
        <footnote id="F5">These options vest in two equal annual installments beginning on the date of grant.</footnote>
        <footnote id="F6">Represents total number of unexercised stock options owned by the Reporting Person as of  January 1, 2010.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Sheli Z. Rosenberg, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2010-01-05</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0303
4
2010-01-01
0000740260
VENTAS INC
VTR
0001198222
ROSENBERG SHELI  Z
TWO NORTH RIVERSIDE PLAZA, SUITE 600
CHICAGO
IL
60606
1
0
0
0
Common Stock
2010-01-01
4
A
0
1316
0
A
57240.709
D
Stock Option (Right to Buy)
43.74
2010-01-01
4
A
0
5000
0
A
2010-01-01
2020-01-01
Common Stock
5000
35000
D
Restricted stock granted by Issuer pursuant to the Ventas, Inc. 2006 Stock Plan for Directors (the "Stock Plan").  These shares vest in two equal annual installments beginning on the first anniversary of the date of grant.
Includes 3,205.788 shares acquired between March 31, 2009 and December 30, 2009 under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.
Includes 2,712.402 shares acquired between January 5, 2009 and January 4, 2010 under the Ventas Employee and Director Stock Purchase Plan.
Stock options granted by Issuer pursuant to the Stock Plan.
These options vest in two equal annual installments beginning on the date of grant.
Represents total number of unexercised stock options owned by the Reporting Person as of  January 1, 2010.
Sheli Z. Rosenberg, By: T. Richard Riney, Attorney-In-Fact
2010-01-05