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

    <schemaVersion>X0304</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2012-01-20</periodOfReport>

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

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001494933</rptOwnerCik>
            <rptOwnerName>Lillibridge Todd W.</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>353 N. CLARK STREET, SUITE 3300</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>CHICAGO,</rptOwnerCity>
            <rptOwnerState>IL</rptOwnerState>
            <rptOwnerZipCode>60654</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>EVP, Medical Prop. Operations</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2012-01-20</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>414</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>56.42</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>119427.162</value>
                    <footnoteId id="F2"/>
                </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 January 20, 2011 under the Ventas, Inc. 2006 Incentive Plan.</footnote>
        <footnote id="F2">As of January 20, 2012, Reporting Person also owns options to purchase 32,901 shares of Issuer's common stock.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Todd W. Lillibridge, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2012-01-24</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0304
4
2012-01-20
0000740260
VENTAS INC
VTR
0001494933
Lillibridge Todd W.
353 N. CLARK STREET, SUITE 3300
CHICAGO,
IL
60654
0
1
0
0
EVP, Medical Prop. Operations
Common Stock
2012-01-20
4
F
0
414
56.42
D
119427.162
D
Represents shares withheld to pay the taxes on the vesting of restricted stock granted on January 20, 2011 under the Ventas, Inc. 2006 Incentive Plan.
As of January 20, 2012, Reporting Person also owns options to purchase 32,901 shares of Issuer's common stock.
Todd W. Lillibridge, By: T. Richard Riney, Attorney-In-Fact
2012-01-24