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Other Real Estate Investments, Net (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Jul. 31, 2020
USD ($)
Apr. 30, 2020
USD ($)
extension_option
property
Jan. 31, 2020
USD ($)
Jul. 31, 2019
USD ($)
bed
Sep. 30, 2016
bed
Sep. 30, 2020
USD ($)
Sep. 30, 2019
USD ($)
facility
Sep. 30, 2020
USD ($)
Sep. 30, 2019
USD ($)
facility
Feb. 14, 2020
USD ($)
facility
Sep. 01, 2019
property
Dec. 31, 2016
USD ($)
Real Estate Properties [Line Items]                        
Aggregate purchase price               $ 42,241,000        
Payment to acquire facility               42,075,000 $ 298,557,000      
Return of initial investment               2,327,000 2,204,000      
Metron Skilled Nursing Facilities | Disposed of by sale                        
Real Estate Properties [Line Items]                        
Number of properties sold | facility                   6    
Mortgage loan receivable                        
Real Estate Properties [Line Items]                        
Mortgage loan           $ 0   0        
Interest income           0 $ 800,000 2,000,000.0 1,800,000      
Other loans receivable                        
Real Estate Properties [Line Items]                        
Interest income           17,000 29,000 200,000 100,000      
Manteca                        
Real Estate Properties [Line Items]                        
Purchase and sale agreement amount       $ 16,400,000                
Number of days after termination of purchase and sale agreement for maturity       5 days                
Manteca | Mortgage loan receivable                        
Real Estate Properties [Line Items]                        
Number of beds in facility used to secure loan | bed       176                
Mortgage loan       $ 3,000,000.0                
Mortgage loan receivable interest rate (percent)       8.00%                
CommuniCare | Mortgage loan receivable                        
Real Estate Properties [Line Items]                        
Mortgage loan             $ 26,500,000   $ 26,500,000      
Mortgage loan receivable interest rate (percent)             10.00%   10.00%      
Facilities utilized to secure mortgage loan             3   3   3  
Cascade Capital Group, LLC                        
Real Estate Properties [Line Items]                        
Combined principal amount of loan   $ 33,900,000                    
Cascade Capital Group, LLC | Mortgage loan receivable                        
Real Estate Properties [Line Items]                        
Mortgage loan                   $ 32,400,000    
Mortgage loan   $ 13,900,000                    
Mortgage loan receivable interest rate (percent)                   7.50%    
Facilities utilized to secure mortgage loan | property   6                    
Proceeds from settlement of loan $ 13,900,000 $ 18,900,000       13,900,000            
LIBOR floor for loan (percent)   1.75%                    
Number of extension options | extension_option   2                    
Extension option term (in months)   6 months                    
Cascade Capital Group, LLC | Mortgage loan receivable | LIBOR                        
Real Estate Properties [Line Items]                        
Basis spread on variable rate for loan (percent)   4.00%                    
Cascadia Development, Boise ID                        
Real Estate Properties [Line Items]                        
Preferred equity investment           $ 0   0       $ 2,300,000
Preferred equity investment minimum yield         12.00%              
Number of beds planned for construction | bed         99              
Initial lease yield (percent)         9.00%              
Return of initial investment     $ 2,300,000                  
Cumulative contractual preferred return through acquisition date     1,400,000                  
Interest income related to preferred equity investments               100,000        
Cascadia Development, Boise ID | Prime Rate                        
Real Estate Properties [Line Items]                        
Basis spread of preferred equity investment yield         9.50%              
Skilled Nursing Properties                        
Real Estate Properties [Line Items]                        
Aggregate purchase price     18,700,000         $ 34,845,000        
Payment to acquire facility     $ 15,000,000.0