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Concentration of Credit Risk - Narrative (Details)
9 Months Ended 12 Months Ended
Sep. 30, 2018
facility
renewal
Dec. 31, 2017
Brookdale | Minimum    
Concentration Risk [Line Items]    
Percentage of EDITDAR payable as base management fee 4.50%  
Brookdale | Maximum    
Concentration Risk [Line Items]    
Percentage of EDITDAR payable as base management fee 5.00%  
SHOP | Management and Accounting Services | Brookdale    
Concentration Risk [Line Items]    
Number of facilities | facility 43  
Number of facilities owned by unconsolidated joint venture | facility 16  
Management and Accounting Services | SHOP | Brookdale    
Concentration Risk [Line Items]    
Management agreement renewal term (in years) 5 years  
Management and Accounting Services | SHOP | Brookdale | Minimum    
Concentration Risk [Line Items]    
Management agreement term (in years) 10 years  
Number of renewals on management agreement | renewal 3  
Management and Accounting Services | SHOP | Brookdale | Maximum    
Concentration Risk [Line Items]    
Management agreement term (in years) 15 years  
Number of renewals on management agreement | renewal 4  
Total Assets | SHOP | Brookdale    
Concentration Risk [Line Items]    
Concentration risk (as a percent) 7.00% 13.00%
Brookdale | Total Assets    
Concentration Risk [Line Items]    
Concentration risk (as a percent) 8.00% 10.00%