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

    <schemaVersion>X0306</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2013-10-01</periodOfReport>

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

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001203367</rptOwnerCik>
            <rptOwnerName>LUSTIG MATTHEW J</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>30 ROCKEFELLER PLAZA</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>NEW YORK,</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10020</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>2013-10-01</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>297.1</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>63.11</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>8584.806</value>
                    <footnoteId id="F2"/>
                    <footnoteId id="F3"/>
                </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 32.360 units acquired on September 27, 2013 under the Plan as a result of dividend equivalents credited with respect to the dividend on Issuer's common stock paid on September 27, 2013.</footnote>
        <footnote id="F3">As of October 1, 2013, Reporting Person also owns options to purchase 8,191 shares of Issuer's common stock.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Matthew J. Lustig, By: T. Richard Riney, Attorney-In-Fact</signatureName>
        <signatureDate>2013-10-03</signatureDate>
    </ownerSignature>
</ownershipDocument>
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X0306
4
2013-10-01
0000740260
VENTAS INC
VTR
0001203367
LUSTIG MATTHEW J
30 ROCKEFELLER PLAZA
NEW YORK,
NY
10020
1
0
0
0
Common Stock
2013-10-01
4
A
0
297.1
63.11
A
8584.806
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 32.360 units acquired on September 27, 2013 under the Plan as a result of dividend equivalents credited with respect to the dividend on Issuer's common stock paid on September 27, 2013.
As of October 1, 2013, Reporting Person also owns options to purchase 8,191 shares of Issuer's common stock.
Matthew J. Lustig, By: T. Richard Riney, Attorney-In-Fact
2013-10-03