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Real Estate Investments - Properties held-for-sale (Details)
$ in Thousands
Dec. 31, 2019
USD ($)
item
property
Dec. 31, 2018
USD ($)
item
property
Real estate investments    
Accumulated depreciation $ 312,642 $ 312,959
Properties held-for-sale    
Real estate investments    
Number of properties | property 20 1
Gross Investment $ 61,969 $ 5,746
Accumulated depreciation $ 35,113 $ 1,916
Number of beds/units | item 2,217 140
ILF | Properties held-for-sale | Texas    
Real estate investments    
Number of properties | property   1
Gross Investment   $ 5,746
Accumulated depreciation   $ 1,916
Number of beds/units | item   140
SNF | Properties held-for-sale | Colorado    
Real estate investments    
Number of properties | property 3  
Gross Investment $ 8,045  
Accumulated depreciation $ 3,774  
Number of beds/units | item 275  
SNF | Properties held-for-sale | IOWA    
Real estate investments    
Number of properties | property 7  
Gross Investment $ 14,610  
Accumulated depreciation $ 9,723  
Number of beds/units | item 544  
SNF | Properties held-for-sale | Kansas    
Real estate investments    
Number of properties | property 3  
Gross Investment $ 14,111  
Accumulated depreciation $ 6,674  
Number of beds/units | item 250  
SNF | Properties held-for-sale | Texas    
Real estate investments    
Number of properties | property 7  
Gross Investment $ 25,203  
Accumulated depreciation $ 14,942  
Number of beds/units | item 1,148