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Real Estate Investments - Acquisitions (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Oct. 31, 2015
USD ($)
item
Sep. 30, 2015
USD ($)
property
item
Sep. 30, 2014
USD ($)
Sep. 30, 2015
USD ($)
property
item
Sep. 30, 2014
USD ($)
Real estate investments          
Transaction Costs   $ 539,000 $ 2,000 $ 564,000 $ 22,000
Investment Commitment   173,550,000   173,550,000  
Funding       49,490,000  
2015 Acquisitions          
Real estate investments          
Purchase Price       183,576,000  
Transaction Costs       422,000  
Total Acquisition Costs       $ 183,998,000  
Number of properties acquired | property       12  
Number of beds/units acquired | item       1,057  
Skilled Nursing Property Acquisition          
Real estate investments          
Lease inducement fee payments       $ 1,054,000  
Wisconsin | Skilled Nursing Property Acquisition          
Real estate investments          
Purchase Price       13,946,000  
Real Estate Investment          
Real estate investments          
Investment Commitment   90,758,000   90,758,000  
Real Estate Investment | Oregon | Land Acquisition | 2015 Acquisitions          
Real estate investments          
Purchase Price   500,000      
Mortgage Loans on Real Estate          
Real estate investments          
Investment Commitment   33,990,000   33,990,000  
Funding       3,927,000  
Mortgage Loans on Real Estate | Subsequent Event          
Real estate investments          
Funding $ 9,500,000        
Mortgage and Construction Loans on Real Estate | Skilled Nursing Property Acquisition          
Real estate investments          
Loan commitment under which the purchase option was exercised   10,600,000   10,600,000  
Payments to equip property       $ 3,346,000  
Maximum | Real Estate Investment          
Real estate investments          
Initial term of operating lease       15 years  
Real Estate Development Commitments One | Real Estate Investment          
Real estate investments          
Number of development commitments | item       4  
Real Estate Development Commitments One | Maximum | Real Estate Investment          
Real estate investments          
Investment Commitment   55,529,000   $ 55,529,000  
Skilled Nursing | 2015 Acquisitions          
Real estate investments          
Purchase Price       13,946,000  
Total Acquisition Costs       $ 13,946,000  
Number of properties acquired | property       1  
Number of beds/units acquired | item       106  
Skilled Nursing | Real Estate Investment          
Real estate investments          
Investment Commitment   6,000,000   $ 6,000,000  
Skilled Nursing | Real Estate Investment | 2015 Acquisitions          
Real estate investments          
Purchase Price       $ 13,946,000  
Number of beds/units acquired | item       106  
Loan commitment under which the purchase option was exercised   10,600,000   $ 10,600,000  
Skilled Nursing | Mortgage Loans on Real Estate          
Real estate investments          
Investment Commitment   33,500,000   33,500,000  
Funding       3,697,000  
ALF & MC | Real Estate Investment          
Real estate investments          
Investment Commitment   $ 16,535,000   $ 16,535,000  
ALF & MC | Real Estate Investment | 2015 Acquisitions          
Real estate investments          
Number of properties acquired | property   10      
ALF & MC | Real Estate Development Commitments One | Real Estate Investment          
Real estate investments          
Number of beds/units under development | item       89  
Assisted Living | 2015 Acquisitions          
Real estate investments          
Purchase Price       $ 156,097,000  
Transaction Costs       325,000  
Total Acquisition Costs       $ 156,422,000  
Number of properties acquired | property       11  
Number of beds/units acquired | item       951  
Assisted Living | Real Estate Investment          
Real estate investments          
Investment Commitment   $ 84,758,000   $ 84,758,000  
Assisted Living | Real Estate Investment | 2015 Acquisitions          
Real estate investments          
Purchase Price       142,000,000  
Assisted Living | Real Estate Investment | 2015 Acquisitions | Rent coverage ratio stipulation          
Real estate investments          
Contingent consideration   10,000,000   $ 10,000,000  
Assisted Living | Real Estate Investment | Land Acquisition | 2015 Acquisitions          
Real estate investments          
Number of properties acquired | property       5  
Number of beds/units acquired | item       385  
Assisted Living | Mortgage Loans on Real Estate          
Real estate investments          
Investment Commitment   490,000   $ 490,000  
Funding       230,000  
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | 2015 Acquisitions          
Real estate investments          
Purchase Price       14,250,000  
Total Acquisition Costs       $ 14,132,000  
Number of beds/units acquired | item       60  
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | 2015 Acquisitions | Working capital reserve          
Real estate investments          
Contingent consideration   2,000,000   $ 2,000,000  
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | 2015 Acquisitions | Rent coverage ratio stipulation          
Real estate investments          
Contingent consideration   300,000   300,000  
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | 2015 Acquisitions | Fair Value | Working capital reserve          
Real estate investments          
Contingent consideration   1,847,000   1,847,000  
Memory Care | Illinois | 2015 Acquisitions | Subsequent Event          
Real estate investments          
Purchase Price 2,800,000        
Memory Care | Real Estate Investment          
Real estate investments          
Investment Commitment   48,923,000   48,923,000  
Memory Care | Real Estate Investment | Florida | 2015 Acquisitions          
Real estate investments          
Purchase Price   $ 14,250,000      
Number of beds/units acquired | item   60      
Contingent consideration   $ 2,000,000   2,000,000  
Memory Care | Real Estate Investment | Florida | 2015 Acquisitions | Fair Value          
Real estate investments          
Contingent consideration   1,847,000   $ 1,847,000  
Memory Care | Real Estate Investment | Illinois | 2015 Acquisitions | Subsequent Event          
Real estate investments          
Purchase Price 2,800,000        
Memory Care | Real Estate Development Commitments One | Real Estate Investment          
Real estate investments          
Number of properties acquired | property       2  
Number of beds/units under development | item       132  
Memory Care | Real Estate Development Commitments Two | Real Estate Investment          
Real estate investments          
Investment Commitment   12,182,000   $ 12,182,000  
Number of beds/units under development | item       56  
Land | 2015 Acquisitions          
Real estate investments          
Purchase Price       $ 13,533,000  
Transaction Costs       97,000  
Total Acquisition Costs       $ 13,630,000  
Independent Living | Real Estate Development Commitments One | Real Estate Investment          
Real estate investments          
Number of beds/units under development | item       108  
Independent, ALF, and MC properties | Real Estate Investment | 2015 Acquisitions          
Real estate investments          
Purchase Price   $ 142,000,000      
Number of properties acquired | property       10  
Number of beds/units acquired | item   891      
Independent, ALF, and MC properties | Real Estate Investment | Wisconsin | 2015 Acquisitions          
Real estate investments          
Number of properties acquired | property   9      
Independent, ALF, and MC properties | Real Estate Investment | Illinois | 2015 Acquisitions          
Real estate investments          
Number of properties acquired | property   1      
Hospital | Real Estate Investment | Nevada | 2015 Acquisitions | Subsequent Event          
Real estate investments          
Purchase Price $ 9,250,000        
Development Project | Real Estate Investment | California | Land Acquisition | 2015 Acquisitions          
Real estate investments          
Purchase Price   $ 2,022,000      
Development Project | ALF & MC          
Real estate investments          
Number of beds/units under development | item       89  
Development Project | Memory Care          
Real estate investments          
Number of beds/units under development | item       254  
Development Project | Memory Care | Real Estate Investment | California | 2015 Acquisitions          
Real estate investments          
Investment Commitment   $ 12,606,000   $ 12,606,000  
Number of beds/units under development | item   66      
Development Project | Memory Care | Real Estate Development Commitments | Illinois | 2015 Acquisitions | Subsequent Event          
Real estate investments          
Number of beds/units acquired | item 66        
Investment Commitment $ 14,769,000        
Development Project | Independent Living          
Real estate investments          
Investment Commitment   $ 14,500,000   $ 14,500,000  
Number of beds/units under development | item       108  
Master Lease Agreement | Memory Care | Real Estate Investment | Florida | 2015 Acquisitions          
Real estate investments          
Initial cash yield (as a percent)   8.00%   8.00%  
Annual cash yield percentage increase   2.50%      
Contingent consideration   $ 300,000   $ 300,000  
Master Lease Agreement | Independent, ALF, and MC properties | 2015 Acquisitions          
Real estate investments          
Term of lease agreement   15 years      
Initial cash yield (as a percent)   6.50%   6.50%  
Increase in basis points on the cash yield for each of the first and second year anniversaries under the master lease agreement (as a percent)   0.25%   0.25%  
Increase in the cash yield percentage rate in year three and thereafter under the master lease agreement (as a percent)   2.75%   2.75%  
Contingent consideration   $ 10,000,000   $ 10,000,000  
Master Lease Agreement | Development Project | Memory Care | Real Estate Investment | California | 2015 Acquisitions          
Real estate investments          
Initial cash yield (as a percent)   9.00%   9.00%