Real Estate Investments - Properties held-for-sale (Details) $ in Thousands	Mar. 31, 2018 USD ($) $ / item property	Dec. 31, 2017 USD ($)
Real estate investments
Accumulated depreciation	$ 292,222	$ 304,117
Properties held-for-sale
Real estate investments
Number of properties \| property	7
Gross Investments	$ 43,405
Accumulated depreciation	$ 23,223
Number of beds/units \| $ / item	460
ALF \| Properties held-for-sale \| Ohio
Real estate investments
Number of properties \| property	5
Gross Investments	$ 29,332
Accumulated depreciation	$ 17,574
Number of beds/units \| $ / item	251
ALF \| Properties held-for-sale \| Pennsylvania
Real estate investments
Number of properties \| property	1
Gross Investments	$ 8,327
Accumulated depreciation	$ 3,733
Number of beds/units \| $ / item	69
ALF \| Properties held-for-sale \| Texas
Real estate investments
Number of properties \| property	1
Gross Investments	$ 5,746
Accumulated depreciation	$ 1,916
Number of beds/units \| $ / item	140

The number of real estate properties owned as of the balance sheet date.

No definition available.

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

- Definition

The number of units in a real estate property owned as of the balance sheet date.

+ References

No definition available.

+ Details

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

- Definition

The cumulative amount of depreciation for real estate property held for investment purposes.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 210
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-03.1(3))
-URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910

+ Details

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

- Definition

Amount of real estate investment property which may include the following: (1) land available-for-sale; (2) land available-for-development; (3) investments in building and building improvements; (4) tenant allowances; (5) developments in-process; (6) rental properties; and (7) other real estate investments.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 210
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-03.1(d))
-URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910

+ Details

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	instant

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

No definition available.

+ Details

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- Details

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- Details

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- Details

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- Details

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- Details

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