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Debt (Narrative) (Details)
3 Months Ended 12 Months Ended
Mar. 31, 2014
USD ($)
Dec. 31, 2015
USD ($)
properties
shares
number_of_loans
$ / shares
Dec. 31, 2014
USD ($)
shares
Dec. 31, 2013
USD ($)
shares
Nov. 03, 2015
USD ($)
Debt Instrument, Unamortized Discount   $ 7,435,000      
Line of Credit Facility, Maximum Borrowing Capacity   800,000,000      
Credit Facility Expansion Amount   250,000,000      
Credit Facility, Current Revolving Borrowing Capacity   $ 550,000,000      
Debt Instrument, Variable Interest Rate, Reference Rate, Basis Points   4300.00%      
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage   4000.00%      
Number of Real Estate Properties | properties   180      
Proceeds from Convertible Debt $ 200,000,000 $ 0 $ 200,000,000 $ 0  
Debt Instrument, Convertible, Conversion Ratio   13.926      
Convertible Debt Instrument, Conversion Ratio, Principal Amount, Basis   $ 1,000      
Debt Instrument, Convertible, Conversion Price | $ / shares   $ 71.81      
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities | shares   4,735 0 0  
Debt Instrument, Convertible, Number of Equity Instruments | shares   2,785,200      
Convertible Debt $ 192,238,000 $ 194,138,000 $ 193,037,000    
Debt Instrument, Convertible, Carrying Amount of Equity Component   $ 7,762,000      
Debt Instrument, Interest Rate, Effective Percentage   3.90%      
Noncash or Part Noncash Acquisition, Value of Liabilities Assumed   $ 1,076,000 2,091,000 $ 3,086,000  
Cash Flow Hedge Gain (Loss) to be Reclassified within Twelve Months   3,401,137      
12-Year Private Placement Notes [Member]          
Unsecured Debt   $ 100,000,000      
Debt Instrument, Term   12 years      
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate   4.51%      
8-Year AIG Private Placement Notes [Member]          
Unsecured Debt         $ 50,000,000
Debt Instrument, Term   8 years      
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate   3.99%      
10-Year AIG Private Placement Notes [Member]          
Unsecured Debt   $ 50,000,000      
Debt Instrument, Term   10 years      
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate   4.33%      
Debt Instrument, Name, Revolving Credit Facility [Member]          
Debt Maturity, Extension Option, Number Of Years   1 year      
Debt Instrument, Basis Spread on Variable Rate   15000.00%      
Unused balance of the unsecured revolving credit facility   $ 516,000,000      
Debt Instrument Name, $130m Term Loan - June 2020 Maturity [Member]          
Debt Instrument, Basis Spread on Variable Rate   17500.00%      
Term Loans, Outstanding Balance   $ 130,000,000      
Debt Instrument Name, $120m Term Loans - June 2020 Maturity [Member]          
Debt Instrument, Basis Spread on Variable Rate   17500.00%      
Term Loans, Outstanding Balance   $ 120,000,000      
Number of Term Loans   2      
Debt Instrument, Prior to Amendment [Member]          
Line of Credit Facility, Maximum Borrowing Capacity   $ 700,000,000      
Debt Instrument, Name, Convertible Senior Notes [Member]          
Debt Instrument, Unamortized Discount   $ 5,862,000 6,963,000    
Debt Instrument, Interest Rate, Stated Percentage   3.25%      
Debt Issuance Cost   $ 6,063,000      
Unamortized Debt Issuance Expense   $ 4,158,000      
Debt Instrument, Name, HUD Mortgages [Member]          
Number of Real Estate Properties | properties   10      
Debt Instrument, HUD Mortgages, 2049 Maturity [Member]          
Mortgage Loans on Real Estate, Number of Loans | number_of_loans   9      
Debt Instrument, Name, Fannie Mae Term Loans [Member]          
Debt Instrument, Term   10 years      
Mortgage Loans on Real Estate, Face Amount of Mortgages   $ 78,084,000      
Debt Instrument, Interest Rate, Stated Percentage   3.79%      
Number of Real Estate Properties   13      
8-Year Private Placement Notes [Member]          
Unsecured Debt   $ 125,000,000      
Debt Instrument, Term   8 years      
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate   3.99%      
Debt Instrument, Name, Q3 2014 HUD Mortgages [Member]          
Debt Instrument, Unamortized Discount   $ 1,573,000 $ 1,662,000    
Debt Instrument, HUD Mortgages, 2047 Maturity [Member]          
Mortgage Loans on Real Estate, Number of Loans | number_of_loans   1      
Allocated to Debt [Member] | Debt Instrument, Name, Convertible Senior Notes [Member]          
Debt Issuance Cost   $ 5,788,000      
Allocated to Equity [Member] | Debt Instrument, Name, Convertible Senior Notes [Member]          
Debt Issuance Cost   $ 275,000      
Bickford Senior Living [Member]          
Number of Real Estate Properties   32      
Middletown, OH [Member] | Bickford Senior Living [Member]          
Noncash or Part Noncash Acquisition, Noncash Financial or Equity Instrument Consideration, Rate   2.90%      
Noncash or Part Noncash Acquisition, Debt Assumed   $ 9,311,000      
Noncash or Part Noncash Acquisition, Value of Liabilities Assumed   $ 7,737,000      
Minimum [Member] | Debt Instrument, Name, HUD Mortgages [Member]          
Mortgage Loans on Real Estate, Interest Rate   4.30%      
Maximum [Member] | Debt Instrument, Name, HUD Mortgages [Member]          
Mortgage Loans on Real Estate, Interest Rate   4.40%