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Real Estate Investments - Lease (Details)
3 Months Ended 9 Months Ended
Sep. 30, 2019
USD ($)
property
Mar. 31, 2019
USD ($)
item
Sep. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
property
Sep. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Real estate investments            
Carrying value $ 1,132,271,000     $ 1,132,271,000   $ 1,106,581,000
Income and Expenses, Lessor [Abstract]            
Base cash rental income 33,754,000     100,687,000    
Base cash rental income previous     $ 31,506,000   $ 95,273,000  
Variable cash rental income 3,926,000     12,488,000    
Variable cash rental income previous     76,000   395,000  
Straight-Line Rent 1,085,000   3,189,000 3,598,000 8,629,000  
Adjustment for collectability       (1,926,000)    
Amortization of Lease Incentives (100,000)   (560,000) (281,000) (1,651,000)  
Total Rental Income 38,665,000     114,566,000    
Total Rental Income previous     $ 34,211,000   $ 102,646,000  
Reimbursement Of Real Estate Tax Expense 3,849,000     12,094,000    
Contingent rental income 77,000     394,000    
Number of operating seniors | item   2        
Rent receivable written off   $ 1,926,000        
Purchase Option in Lease Arrangements            
Real estate investments            
Gross Investment 148,374,000     148,374,000    
Carrying value $ 128,609,000     $ 128,609,000    
ALF | Purchase Option in Lease Arrangements | California            
Real estate investments            
Number of properties | property 2     2    
Gross Investment $ 28,246,000     $ 28,246,000    
Carrying value $ 15,551,000     $ 15,551,000    
ALF | Purchase Option in Lease Arrangements | California | Minimum            
Real estate investments            
Purchase option ending period       24 months    
ALF | Purchase Option in Lease Arrangements | California | Maximum            
Real estate investments            
Purchase option ending period       48 months    
MC | Purchase Option in Lease Arrangements | Florida            
Real estate investments            
Number of properties | property 1     1    
Gross Investment $ 14,201,000     $ 14,201,000    
Carrying value $ 12,845,000     $ 12,845,000    
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky            
Real estate investments            
Number of properties | property 2     2    
Gross Investment $ 30,087,000     $ 30,087,000    
Carrying value $ 28,007,000     $ 28,007,000    
MC | Purchase Option in Lease Arrangements | Texas            
Real estate investments            
Number of properties | property 2     2    
Gross Investment $ 25,265,000     $ 25,265,000    
Carrying value $ 24,490,000     $ 24,490,000    
ALF and MC | Purchase Option in Lease Arrangements | California            
Real estate investments            
Number of properties | property 2     2    
Gross Investment $ 38,895,000     $ 38,895,000    
Carrying value $ 36,777,000     $ 36,777,000    
ALF and MC | Purchase Option in Lease Arrangements | South Carolina            
Real estate investments            
Number of properties | property 1     1    
Gross Investment $ 11,680,000     $ 11,680,000    
Carrying value $ 10,939,000     $ 10,939,000