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Real Estate Investments - Owned Properties (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2019
USD ($)
property
item
state
$ / item
Real Estate Investments  
Number of operators 1
Real Estate Investment  
Real Estate Investments  
Gross Investment | $ $ 1,474,692
Percentage of Investment 100.00%
Number of properties | property 178
Number of states | state 28
Number of operators 30
Operating leases  
Number of ways to compute annual rent increases 4
Real Estate Investment | Minimum  
Operating leases  
Initial lease term 10 years
Specified annual increase over the prior year's rent (as a percent) 2.00%
Real Estate Investment | Maximum  
Operating leases  
Initial lease term 15 years
Specified annual increase over the prior year's rent (as a percent) 3.00%
Real Estate Investment | SNF Beds  
Real Estate Investments  
Number of beds/units 8,953
Real Estate Investment | ALF Units  
Real Estate Investments  
Number of beds/units 6,331
ALF | Real Estate Investment  
Real Estate Investments  
Gross Investment | $ $ 844,635
Percentage of Investment 57.30%
Number of properties | property 105
Investment per Bed/Unit | $ / item 139.15
ALF | Real Estate Investment | ALF Units  
Real Estate Investments  
Number of beds/units 6,070
SNF | Real Estate Investment  
Real Estate Investments  
Gross Investment | $ $ 605,763
Percentage of Investment 41.10%
Number of properties | property 72
Investment per Bed/Unit | $ / item 66.60
SNF | Real Estate Investment | SNF Beds  
Real Estate Investments  
Number of beds/units 8,835
SNF | Real Estate Investment | ALF Units  
Real Estate Investments  
Number of beds/units 261
Properties under Development | Real Estate Investment  
Real Estate Investments  
Gross Investment | $ $ 12,934
Percentage of Investment 0.90%
Properties under Development | Real Estate Investment | SNF Beds | Missouri | Developments  
Real Estate Investments  
Number of beds/units 90
Properties under Development | Real Estate Investment | Combination ALF and MC community | Oregon | Developments  
Real Estate Investments  
Number of beds/units under development 78
Other | Real Estate Investment  
Real Estate Investments  
Gross Investment | $ $ 11,360
Percentage of Investment 0.70%
Number of properties | property 1
Number of parcels of land 3
Other | Real Estate Investment | SNF Beds  
Real Estate Investments  
Number of beds/units 118
Hospital | Real Estate Investment  
Real Estate Investments  
Number of properties | property 1