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Other Real Estate Investments, Net - Narrative (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Jan. 31, 2020
USD ($)
facility
Jul. 31, 2019
USD ($)
bed
Jun. 30, 2019
USD ($)
Feb. 28, 2019
USD ($)
extension_option
facility
Sep. 30, 2016
USD ($)
bed
Jul. 31, 2016
USD ($)
bed
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Sep. 30, 2019
USD ($)
facility
Sep. 01, 2019
USD ($)
property
Oct. 31, 2017
USD ($)
Real Estate Properties [Line Items]                        
Preferred equity investment             $ 3,800          
Aggregate purchase price             326,700 $ 113,334        
Payment to acquire facility             321,458 111,640 $ 296,517      
Return of initial investment             2,204 0 7,500      
Cumulative contractual preferred return through acquisition date     $ 1,100                  
Mortgage Loan Receivable                        
Real Estate Properties [Line Items]                        
Mortgage loans             29,500          
Interest income related to mortgage loans             3,000 1,200 200      
Providence | Mortgage Loan Receivable                        
Real Estate Properties [Line Items]                        
Mortgage loans                       $ 12,500
Mortgage loan receivable interest rate (percent)                       9.00%
Covenant Care | Mortgage Loan Receivable                        
Real Estate Properties [Line Items]                        
Mortgage loans       $ 11,400                
Mortgage loan receivable interest rate (percent)       9.00%                
Facilities utilized to secure mortgage loan | facility       5                
Number of extension options | extension_option       2                
Extension option term (in months)       6 months                
Manteca                        
Real Estate Properties [Line Items]                        
Purchase and sale agreement amount   $ 16,400                    
Manteca | Mortgage Loan Receivable                        
Real Estate Properties [Line Items]                        
Mortgage loans   $ 3,000                    
Mortgage loan receivable interest rate (percent)   8.00%                    
Number of beds in facility utilized to secure loan | bed   176                    
CommuniCare | Mortgage Loan Receivable                        
Real Estate Properties [Line Items]                        
Mortgage loans                   $ 26,500 $ 26,500  
Mortgage loan receivable interest rate (percent)                   10.00%    
Facilities utilized to secure mortgage loan                   3 3  
Cascadia Development, Nampa ID                        
Real Estate Properties [Line Items]                        
Preferred equity investment           $ 2,200            
Preferred equity instrument minimum yield           12.00%            
Number of beds planned for construction | bed           99            
Initial lease yield (percent)           9.00%            
Return of initial investment     2,200                  
Interest income related to preferred equity investments             600          
Cascadia Development, Nampa ID | Prime Rate                        
Real Estate Properties [Line Items]                        
Basis spread on preferred equity investment yield           9.50%            
Cascadia Development, Boise ID                        
Real Estate Properties [Line Items]                        
Preferred equity investment         $ 2,300              
Preferred equity instrument minimum yield         12.00%              
Number of beds planned for construction | bed         99              
Initial lease yield (percent)         9.00%              
Interest income related to preferred equity investments             700          
Cascadia Development, Boise ID | Prime Rate                        
Real Estate Properties [Line Items]                        
Basis spread on preferred equity investment yield         9.50%              
Preferred Equity Investment                        
Real Estate Properties [Line Items]                        
Interest income related to preferred equity investments             1,300 200 $ 1,700      
Recognition of unrecognized preferred return from prior periods             600          
Skilled Nursing Properties                        
Real Estate Properties [Line Items]                        
Aggregate purchase price     16,200       $ 254,760 $ 85,814        
Payment to acquire facility     $ 12,900                  
Subsequent Event                        
Real Estate Properties [Line Items]                        
Cumulative contractual preferred return through acquisition date $ 1,400                      
Subsequent Event | CommuniCare | Mortgage Loan Receivable                        
Real Estate Properties [Line Items]                        
Facilities utilized to secure mortgage loan | facility 3                      
Subsequent Event | Cascadia Development, Boise ID                        
Real Estate Properties [Line Items]                        
Return of initial investment $ 2,300                      
Subsequent Event | Skilled Nursing Properties                        
Real Estate Properties [Line Items]                        
Aggregate purchase price 18,700                      
Payment to acquire facility $ 15,000