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Stock-Based Compensation - Narrative (Details)
$ / shares in Units, $ in Millions
1 Months Ended 12 Months Ended
Jun. 01, 2014
company
shares
May 31, 2019
$ / shares
shares
Feb. 28, 2019
installment
$ / shares
shares
May 31, 2018
$ / shares
shares
Feb. 28, 2018
installment
$ / shares
shares
Dec. 31, 2019
USD ($)
shares
Dec. 31, 2018
shares
Dec. 31, 2017
shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Number of separate and independent companies after spin-off | company 2              
Restricted Stock Award and Performance Award                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Unamortized stock-based compensation expense related to unvested awards | $           $ 4.3    
Weighted average remaining vesting period related to expense recognition (in years)           2 years 1 month 6 days    
Shares vested (shares)           247,534 191,287  
Shares forfeited (shares)           134 334  
Unvested stock awards outstanding (shares)           452,233 519,272 422,911
Number of shares granted (shares)           180,629 287,982  
Restricted Stock Award | Ensign Employees                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Restricted stock award conversion ratio related to the spin-off 1              
Stock awards unvested during spin-off (shares) 207,580              
Shares vested (shares)           0    
Shares forfeited (shares)           0    
Unvested stock awards outstanding (shares)           1,760    
Restricted Stock Award | Officers and Employees                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Number of shares granted (shares)     91,440   141,060      
Grant date fair market value (usd per share) | $ / shares     $ 22.00   $ 15.13      
Number of equal annual vesting installments | installment     4   4      
Restricted Stock Award | Director                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Number of shares granted (shares)   17,749   26,462        
Grant date fair market value (usd per share) | $ / shares   $ 24.23   $ 16.44        
Performance Stock Award                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting metric, Normalized Funds from Operations, minimum (percent)     5.00%   6.00%      
Performance Stock Award | Minimum                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)     1 year   1 year      
Performance Stock Award | Maximum                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)     4 years   4 years      
Performance Stock Award | Officer                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Number of shares granted (shares)     71,440   120,460      
Grant date fair market value (usd per share) | $ / shares     $ 22.00   $ 15.13