Notes Payable and Other Debt - Additional Information (Details)										6 Months Ended
	Jun. 13, 2019 USD ($)	Apr. 30, 2019 USD ($)	Apr. 15, 2019	Feb. 01, 2019 USD ($)	Jan. 28, 2019 USD ($)	Jan. 04, 2019 USD ($)	Sep. 06, 2018 USD ($)	May 18, 2018 USD ($)	Feb. 15, 2018 USD ($)	Jun. 30, 2019 USD ($) credit_instrument	Aug. 01, 2019 USD ($) credit_instrument	Mar. 31, 2019 USD ($)	Dec. 31, 2018 USD ($)	Sep. 05, 2018	May 10, 2018
Debt Instrument [Line Items]
Gross proceeds from transfer of integral physical assets to lessor										$ 1,192,000
Tail fee percentage										3.00%
Percentage of prepayment penalty										1.00%
Rate of break up fee										1.00%
Number of credit related instruments | credit_instrument										23
Subsequent Event
Debt Instrument [Line Items]
Number of credit related instruments | credit_instrument											18
Minimum
Debt Instrument [Line Items]
Debt instrument prepayment penalties percentage										1.00%
Forbearance fees										$ 300,000
Maximum
Debt Instrument [Line Items]
Debt instrument prepayment penalties percentage										3.00%
Forbearance fees										$ 550,000
Omega Lease Termination
Debt Instrument [Line Items]
Gross proceeds from transfer of integral physical assets to lessor					$ 1,500,000
Lease termination payments					1,200,000
Pinecone Credit Facility
Debt Instrument [Line Items]
Principal amount of the debt instrument									$ 16,250,000
Refinanced, amount									$ 8,700,000	$ 5,300,000
Debt instrument, maturity date										Aug. 15, 2020
Stated interest rate on loans								12.50%	10.00%						12.50%
Finance fee percentage on loans									3.00%
Interest rate terms of loans									was August 15, 2020 and it originally bore interest at a fixed rate equal to 10% per annum for the first three months after the Closing Date and at a fixed rate equal to 12.5% per annum thereafter, subject to adjustment upon an event of default and specified regulatory events. The Pinecone Credit Facility was secured by, among other things, first priority liens on the Facilities and all tangible and intangible assets of the borrowers owning the Facilities, including all rent payments received from the operators thereof.
Agreement termination date								Jul. 06, 2018
Forbearance fees								$ 400,000
Pinecone Credit Facility | Subsequent Event
Debt Instrument [Line Items]
Principal amount of the debt instrument											$ 20,700,000
Pinecone Credit Facility | AdCare Property Holdings, LLC
Debt Instrument [Line Items]
Debt instrument, maturity date										Aug. 15, 2020
Effective interest rate (as a percent)										13.50%
Pinecone Credit Facility | Omega Lease Termination
Debt Instrument [Line Items]
Lease termination payments				$ 1,200,000
Pinecone | Omega Lease Termination
Debt Instrument [Line Items]
Payment for lease termination unpaid expense					300,000
Quail Creek Credit Facility
Debt Instrument [Line Items]
Principal amount of the debt instrument		$ 5,000,000										$ 4,000,000
Debt instrument, maturity date										Jun. 30, 2019
Variable rate interest basis		LIBOR + 4.75
Quail Creek Credit Facility | Subsequent Event
Debt Instrument [Line Items]
Principal amount of the debt instrument											$ 3,900,000
Quail Creek Credit Facility | LIBOR
Debt Instrument [Line Items]
Basis spread on variable rate		4.75%
Quail Creek Credit Facility | Minimum
Debt Instrument [Line Items]
Notice period for debt extension option										30 days
Quail Creek Credit Facility | Maximum
Debt Instrument [Line Items]
Notice period for debt extension option										45 days
Pinecone First Amendment
Debt Instrument [Line Items]
Debt instrument increase in outstanding amount	$ 500,000
Debt instrument amount (paid in kind)	$ 200,000
Forbearance Agreement | Pinecone Credit Facility
Debt Instrument [Line Items]
Stated interest rate on loans									18.50%
Increase in outstanding principal balance of credit facility								2.50%
Effective interest rate (as a percent)								13.50%
Agreement termination date							Jul. 06, 2018
New Forbearance Agreement
Debt Instrument [Line Items]
Agreement termination date							Dec. 31, 2018
New Forbearance Agreement | Pinecone Credit Facility
Debt Instrument [Line Items]
Stated interest rate on loans							13.50%							18.50%
Effective interest rate (as a percent)							13.50%
Agreement termination date							Dec. 31, 2018
Finance fee payable on repayment before 31st December 2018							$ 250,000
Finance fee payable on repayment after 31st December 2018							500,000
Increase in outstanding balance for meeting unpaid expenses and interest							700,000
Increase in outstanding balance to settle against non-refundable payment of additional interest							$ 1,500,000
A&R New Forbearance Agreement | Pinecone Credit Facility
Debt Instrument [Line Items]
Stated interest rate on loans										13.50%
Effective interest rate (as a percent)										13.50%
Payment related to proceeds from lease termination						$ 200,000
Debt instrument prepayment penalties percentage			1.00%
Debt instrument fee (paid in kind)										$ 350,000			$ 350,000
Debt instrument, interest rate, payment in kind										3.50%
Debt instrument, default interest rate, additional payment in kind										2.50%
A&R New Forbearance Agreement | Pinecone Credit Facility | AdCare Property Holdings, LLC
Debt Instrument [Line Items]
Principal amount of the debt instrument												$ 4,500,000
Payment related to proceeds from lease termination					1,200,000					$ 900,000
A&R New Forbearance Agreement | Pinecone Credit Facility | Omega Lease Termination
Debt Instrument [Line Items]
Agreement termination date										Feb. 01, 2019
Payment related to proceeds from lease termination					1,400,000	1,400,000
A&R New Forbearance Agreement | Pinecone Credit Facility | Omega Lease Termination
Debt Instrument [Line Items]
Gross proceeds from transfer of integral physical assets to lessor					1,500,000
Payment for lease termination unpaid expense					300,000
A&R New Forbearance Agreement | Pinecone Credit Facility | Unpaid Expense
Debt Instrument [Line Items]
Payment related to proceeds from lease termination					300,000	$ 200,000
Debt instrument prepayment penalties percentage						1.00%
Secured Debt | Pinecone Credit Facility
Debt Instrument [Line Items]
Principal amount of the debt instrument									$ 16,250,000
Prepayment premium percentage									1.00%
AdCare Holdco Loan | Omega Lease Termination
Debt Instrument [Line Items]
Payment related to proceeds from lease termination					$ 900,000