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

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2006-07-01</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>2006-07-01</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>164.968</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>33.88</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>42940.905</value>
                    <footnoteId id="F2"/>
                    <footnoteId id="F3"/>
                    <footnoteId id="F4"/>
                    <footnoteId id="F5"/>
                </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 Non-Employee Director 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 31.572 Units acquired on June 28, 2006 under the Plan as a result of dividend equivalents credited with respect to dividends paid on Issuer's common stock.</footnote>
        <footnote id="F3">Includes 485.093 shares acquired on June 28, 2006 under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.</footnote>
        <footnote id="F4">Includes 23.901 shares acquired on June 2, 2006 under the Ventas Employee and Director Stock Purchase Plan.</footnote>
        <footnote id="F5">As of July 1, 2006, Reporting Person also owns options to purchase 35,000 shares of Issuer's common stock.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Sheli Z. Rosenberg, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2006-07-05</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0202
4
2006-07-01
0000740260
VENTAS INC
VTR
0001198222
ROSENBERG SHELI  Z
TWO NORTH RIVERSIDE PLAZA, SUITE 600
CHICAGO
IL
60606
1
0
0
0
Common Stock
2006-07-01
4
A
0
164.968
33.88
A
42940.905
D
Common Stock in the form of Units granted under the Non-Employee Director 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 31.572 Units acquired on June 28, 2006 under the Plan as a result of dividend equivalents credited with respect to dividends paid on Issuer's common stock.
Includes 485.093 shares acquired on June 28, 2006 under the Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.
Includes 23.901 shares acquired on June 2, 2006 under the Ventas Employee and Director Stock Purchase Plan.
As of July 1, 2006, Reporting Person also owns options to purchase 35,000 shares of Issuer's common stock.
Sheli Z. Rosenberg, By: T. Richard Riney, Attorney-In-Fact
2006-07-05