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Real Estate Investments - Lease (Details)
3 Months Ended 12 Months Ended
Mar. 31, 2019
USD ($)
item
Dec. 31, 2019
USD ($)
property
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Real estate investments        
Carrying value   $ 1,136,816,000 $ 1,106,581,000  
Income and Expenses, Lessor [Abstract]        
Base cash rental income   134,117,000    
Base cash rental income previous     127,477,000 $ 128,715,000
Variable cash rental income   16,462,000    
Variable cash rental income previous   464,000 470,000 457,000
Straight-Line Rent   4,487,000 9,550,000 10,694,000
Adjustment for collectability   (1,926,000)    
Amortization of Lease Incentives   (385,000) (2,092,000) (2,209,000)
Total Rental Income   152,755,000    
Total Rental Income previous     $ 135,405,000 $ 137,657,000
Reimbursement Of Real Estate Tax Expense   15,998,000    
Contingent rental income   464,000    
Number of operating seniors | item 2      
Rent receivable written off $ 1,926,000      
Purchase Option in Lease Arrangements        
Real estate investments        
Gross Investment   149,093,000    
Carrying value   $ 128,343,000    
ALF | Purchase Option in Lease Arrangements | California        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 28,926,000    
Carrying value   $ 16,056,000    
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    
Gross Investment   $ 14,201,000    
Carrying value   $ 12,757,000    
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 30,126,000    
Carrying value   $ 27,859,000    
MC | Purchase Option in Lease Arrangements | Texas        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 25,265,000    
Carrying value   $ 24,335,000    
ALF and MC | Purchase Option in Lease Arrangements | California        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 38,895,000    
Carrying value   $ 36,542,000    
ALF and MC | Purchase Option in Lease Arrangements | South Carolina        
Real estate investments        
Number of properties | property   1    
Gross Investment   $ 11,680,000    
Carrying value   $ 10,794,000