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Debt (Narrative) (Details)
12 Months Ended
Jan. 26, 2021
USD ($)
Dec. 31, 2020
USD ($)
shares
properties
number_of_loans
$ / shares
Dec. 31, 2019
USD ($)
shares
Dec. 31, 2018
USD ($)
shares
Nov. 02, 2020
USD ($)
Debt Leverage Limit, Coupon Change, Trigger   50.00%      
Unsecured Debt     $ 400,000,000    
Convertible Debt   $ 60,000,000 $ 59,697,000    
Credit Facility, Current Revolving Borrowing Capacity   $ 550,000,000      
Debt Instrument, Convertible, Conversion Ratio   14.95      
Debt Instrument, Convertible, Conversion Price | $ / shares   $ 66.89      
Debt Instrument, Convertible, Number of Equity Instruments | shares   896,994      
Repayments of Convertible Debt   $ (60,285,000)      
Payments for Repurchase of Redeemable Convertible Preferred Stock   $ 73,102,000      
Stock Issued During Period, Shares, New Issues | shares   535,990 1,209,522    
Convertible Debt, Fair Value Disclosures   $ 51,002,000      
Loss on extinguishment of debt   $ (3,924,000) $ (823,000) $ (738,000)  
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities | shares   0 210,224 80,123  
Debt Instrument, Convertible, If-converted Value in Excess of Principal   $ 2,045,000      
Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net   $ 7,149,000      
Derivative, Fair Value, Net     $ (3,433,000)    
Debt Instrument, Variable Rate Basis, Minimum   1400.00% 17600.00%    
Long-term Line of Credit   $ 298,000,000 $ 300,000,000    
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage   0.20%      
Number of Real Estate Properties | properties   228      
Long-term Debt, Gross   $ 1,503,354,000      
Payment for Debt Extinguishment or Debt Prepayment Cost   1,619,000 0 $ 0  
$250M Term Loan [Member]          
Term Loans, Outstanding Balance   250,000,000      
$300M Term Loan [Member]          
Term Loans, Outstanding Balance   300,000,000      
Bank Term Loans [Member]          
Unsecured Debt   $ 650,000,000 550,000,000    
Debt Instrument, Basis Spread on Variable Rate   1.32%      
Debt Instrument, Name, Revolving Credit Facility [Member]          
Debt Instrument, Basis Spread on Variable Rate   1.20%      
Unused balance of the unsecured revolving credit facility   $ 252,000,000      
Debt Instrument, Name, HUD Mortgages [Member]          
Number of Real Estate Properties | properties   10      
Net Book Value of Real Estate Pledged Toward Mortgage   $ 47,436,000      
Debt Instrument, Increase, Accrued Interest   157,000      
Long-term Debt, Gross         $ 42,629,000
Payment for Debt Extinguishment or Debt Prepayment Cost   1,619,000      
Debt Instrument, Unamortized Discount   1,172,000      
Deferred Finance Costs, Own-share Lending Arrangement, Issuance Costs, Gross   $ 1,133,000      
Debt Instrument, HUD Mortgages, 2049 Maturity [Member]          
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Number of Loans | number_of_loans   9      
Debt Instrument, HUD Mortgages, 2047 Maturity [Member]          
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Number of Loans | number_of_loans   1      
Debt Instrument, Name, Fannie Mae Term Loans [Member]          
Debt Instrument, Term   10 years      
SEC Schedule, 12-29, Real Estate Companies, Investment in 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      
Net Book Value of Real Estate Pledged Toward Mortgage   $ 130,006,000      
FNMA Berkadia Note [Member]          
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Face Amount of Mortgages   $ 17,270,000      
Debt Instrument, Interest Rate, Stated Percentage   4.60%      
$100M Term Loan [Member]          
Debt Instrument, Basis Spread on Variable Rate   1.85%      
Debt Instrument, Variable Rate Basis, Minimum   5000.00%      
Term Loans, Outstanding Balance   $ 100,000,000      
Debt Instrument, Maturity, Renewal Fee   20      
Deferred Costs   $ 1,039,000      
At Inception [Member]          
Convertible Debt   $ 120,000,000      
Debt Instrument, Convertible, Conversion Ratio   13.93      
Debt Instrument, Convertible, Conversion Price | $ / shares   $ 71.81      
Debt Instrument, Convertible, Number of Equity Instruments | shares   2,785,200      
Proceeds from Convertible Debt   $ 200,000,000      
Debt Instrument, Name, Convertible Senior Notes [Member]          
Convertible Debt Instrument, Conversion Ratio, Principal Amount, Basis   1,000      
Adjustments to Additional Paid in Capital, Convertible Debt with Conversion Feature   $ 12,816,000      
Debt Instrument, Interest Rate, Stated Percentage   3.25%      
Debt Instrument, Unamortized Discount   $ 0 303,000    
Principal Amount [Member]          
Convertible Debt   $ 60,000,000      
Senior Notes Dues 2031 [Member] | Senior Notes [Member] | Subsequent Event [Member]          
Debt Instrument, Interest Rate, Stated Percentage 3.00%        
Debt Instrument, Face Amount $ 400,000,000        
Proceeds from Issuance of Senior Long-term Debt $ 392,431,000        
Percentage Of Issue Price On Face Value 0.99196%        
Revolving Credit Facility [Member]          
Debt Instrument, Maturity, Renewal Fee   10      
Bickford Senior Living [Member] | Debt Instrument, Name, HUD Mortgages [Member]          
Number of Real Estate Properties | properties   9      
Middletown, OH [Member] | Bickford Senior Living [Member]          
Noncash or Part Noncash Acquisition, Noncash Financial or Equity Instrument Consideration, Rate   2.90%      
Minimum [Member] | Debt Instrument, Name, HUD Mortgages [Member]          
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate   4.30%      
Maximum [Member] | Debt Instrument, Name, HUD Mortgages [Member]          
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate   4.40%      
Fair Value, Inputs, Level 2 [Member]          
Cash Flow Hedge Derivative Instrument Liabilities at Fair Value   $ (7,150,000) $ (3,433,000)    
November 2025 [Member]          
Unsecured Debt   $ 50,000,000      
Debt Instrument, Interest Rate, Stated Percentage   4.33%      
Cash Paid [Member]          
Repayments of Convertible Debt   $ (22,100,000)      
Common Stock [Member]          
Stock Issued During Period, Shares, New Issues | shares       1,112,363  
Convertible Debt [Member] | Common Stock [Member]          
Stock Issued During Period, Shares, New Issues | shares   626,397 626,397    
Interest Rate Swap(s), Date Entered, March & June 2019 [Member] | Bank Term Loans [Member]          
Derivative, Notional Amount   $ 340,000,000      
Interest Rate Swap(s), Date Entered, March & June 2019 [Member] | Debt Instrument, Name, Revolving Credit Facility [Member]          
Derivative, Notional Amount   60,000,000      
Interest Rate Swaps, Maturity Date, After June 2020 [Member]          
Derivative, Notional Amount   400,000,000      
Interest rate swaps, Matured June 2020 [Member]          
Derivative, Notional Amount   $ 210,000,000