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

    <schemaVersion>X0306</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2013-04-01</periodOfReport>

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

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001213928</rptOwnerCik>
            <rptOwnerName>GELLERT JAY M</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>21650 OXNARD ST., 22ND FLOOR</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>WOODLAND HILLS,</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>91367</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>2013-04-01</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>340.136</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>73.50</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>70441.379</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">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 158.704 units acquired on March 28, 2013 under the Plan as a result of dividend equivalents credited with respect to the dividend on Issuer's common stock paid on March 28, 2013.</footnote>
        <footnote id="F3">Includes 193.270 shares acquired on March 28, 2013 under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.</footnote>
        <footnote id="F4">As of April 1, 2013, Reporting Person also owns options to purchase 45,000 shares of Issuer's common stock.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Jay M. Gellert, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2013-04-03</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0306
4
2013-04-01
0000740260
VENTAS INC
VTR
0001213928
GELLERT JAY M
21650 OXNARD ST., 22ND FLOOR
WOODLAND HILLS,
CA
91367
1
0
0
0
Common Stock
2013-04-01
4
A
0
340.136
73.50
A
70441.379
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 158.704 units acquired on March 28, 2013 under the Plan as a result of dividend equivalents credited with respect to the dividend on Issuer's common stock paid on March 28, 2013.
Includes 193.270 shares acquired on March 28, 2013 under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.
As of April 1, 2013, Reporting Person also owns options to purchase 45,000 shares of Issuer's common stock.
Jay M. Gellert, By: T. Richard Riney, Attorney-In-Fact
2013-04-03