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Real Estate Investments - Acquisitions (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Jan. 31, 2020
USD ($)
item
Dec. 31, 2019
USD ($)
item
property
Dec. 31, 2018
USD ($)
item
property
Dec. 31, 2017
USD ($)
item
property
Real estate investments        
Stockholders' Equity Attributable to Noncontrolling Interest   $ 8,483 $ 7,481  
Investment Commitment   79,716    
Properties under Development | Missouri        
Real estate investments        
Investment Commitment   $ 17,400    
SNF Beds | Missouri        
Real estate investments        
Number of beds/units under development | item   90    
SNF | Missouri | Developments        
Real estate investments        
Number of beds/units under development | item   90    
2019 Acquisitions        
Real estate investments        
Purchase Price   $ 57,951    
Transaction Costs   463    
Total Acquisition Costs   $ 58,414    
Number of properties acquired | property   4    
Number of beds/units acquired | item   320    
2019 Acquisitions | Michigan        
Real estate investments        
Purchase Price   $ 19,000    
2019 Acquisitions | SNF        
Real estate investments        
Purchase Price   19,500    
Transaction Costs   97    
Total Acquisition Costs   $ 19,597    
Number of properties acquired | property   1    
Number of beds/units acquired | item   90    
2019 Acquisitions | ALF        
Real estate investments        
Purchase Price   $ 35,719    
Transaction Costs   315    
Total Acquisition Costs   $ 36,034    
Number of properties acquired | property   3    
Number of beds/units acquired | item   230    
2019 Acquisitions | MC | Michigan        
Real estate investments        
Number of beds/units acquired | item   80    
2019 Acquisitions | Land        
Real estate investments        
Purchase Price   $ 2,732    
Transaction Costs   51    
Total Acquisition Costs   $ 2,783    
2019 Acquisitions | ALF and MC | Michigan        
Real estate investments        
Number of beds/units acquired | item   76    
2019 Acquisitions | ALF and MC | 74-Unit ALF/MC        
Real estate investments        
Stockholders' Equity Attributable to Noncontrolling Interest   $ 919    
Real Estate Investment Economic Interest in Joint Venture Percentage   95.00%    
Investment Commitment   $ 15,976    
Number of beds/units under development | item   74    
2018 Acquisitions        
Real estate investments        
Purchase Price     40,295  
Transaction Costs     113  
Total Acquisition Costs     $ 40,408  
Number of properties acquired | property     3  
Number of beds/units acquired | item     177  
Real Estate Investment Economic Interest in Joint Venture Percentage     88.00%  
2018 Acquisitions | ALF        
Real estate investments        
Purchase Price     $ 39,600  
Transaction Costs     65  
Total Acquisition Costs     $ 39,665  
Number of properties acquired | property     3  
Number of beds/units acquired | item     177  
2018 Acquisitions | ILF | 89-unit ILF        
Real estate investments        
Purchase Price     $ 14,400  
Stockholders' Equity Attributable to Noncontrolling Interest     2,857  
Investment Commitment     $ 11,543  
Number of beds/units under development | item     89  
2018 Acquisitions | MC | Texas        
Real estate investments        
Number of properties acquired | property     2  
2018 Acquisitions | Land        
Real estate investments        
Purchase Price     $ 695  
Transaction Costs     48  
Total Acquisition Costs     743  
2018 Acquisitions | ALF and MC | 78-unit ALF/MC        
Real estate investments        
Purchase Price     18,108  
Stockholders' Equity Attributable to Noncontrolling Interest     $ 1,081  
Number of beds/units acquired | item     78  
Investment Commitment     $ 17,027  
Number of beds/units under development | item     78  
2018 Acquisitions | ALF and MC | 78-unit ALF/MC | Oregon        
Real estate investments        
Purchase Price     $ 18,108  
Number of beds/units under development | item     78  
2017 Acquisitions        
Real estate investments        
Purchase Price       $ 81,818
Transaction Costs       587
Total Acquisition Costs       $ 82,405
Number of properties acquired | property       5
Number of beds/units acquired | item       400
2017 Acquisitions | ALF        
Real estate investments        
Purchase Price       $ 81,018
Transaction Costs       569
Total Acquisition Costs       $ 81,587
Number of properties acquired | property       5
Number of beds/units acquired | item       400
2017 Acquisitions | Land        
Real estate investments        
Purchase Price       $ 800
Transaction Costs       18
Total Acquisition Costs       $ 818
Subsequent Event | 2020 Acquisitions | SNF | Texas        
Real estate investments        
Purchase Price $ 13,500,000      
Number of beds/units acquired | item 140      
Initial lease term 10 years      
Initial cash yield 8.50%      
Percentage of annual escalation 2.00%      
Number of times option to renewal the lease | item 2      
Lease renewal term 5 years