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Real Estate Investments - Lease (Details)
3 Months Ended
Apr. 23, 2020
USD ($)
Mar. 31, 2020
USD ($)
property
Mar. 31, 2019
USD ($)
item
Dec. 31, 2019
USD ($)
Real estate investments        
Carrying value   $ 1,117,845,000   $ 1,136,816,000
Income and Expenses, Lessor [Abstract]        
Base cash rental income   33,015,000 $ 33,914,000  
Variable cash rental income   4,282,000 4,485,000  
Straight-Line Rent   839,000 1,238,000  
Adjustment for collectability of rental income     (1,926,000)  
Amortization of Lease Incentives   (101,000) (87,000)  
Total Rental Income   38,035,000 37,624,000  
Reimbursement Of Real Estate Tax Expense   4,222,000 4,335,000  
Contingent rental income   60,000 $ 150,000  
Number of operating seniors | item     2  
Rent receivable written off     $ 1,926,000  
Rent deferral   $ 772,000    
Rent deferral, as a percent of contractual rent   7.00%    
Subsequent Event        
Income and Expenses, Lessor [Abstract]        
Deferred Rent Received $ 137,000      
Purchase Option in Lease Arrangements        
Real estate investments        
Gross Investment   $ 149,848,000    
Carrying value   $ 128,091,000    
ALF | Purchase Option in Lease Arrangements | California        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 29,655,000    
Carrying value   $ 16,588,000    
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   $ 12,670,000    
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 30,152,000    
Carrying value   $ 27,698,000    
MC | Purchase Option in Lease Arrangements | Texas        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 25,265,000    
Carrying value   $ 24,180,000    
ALF and MC | Purchase Option in Lease Arrangements | California        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 38,895,000    
Carrying value   $ 36,307,000    
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   $ 10,648,000    
Real Estate Investment        
Real estate investments        
Number of properties | property   158    
Gross Investment   $ 1,438,177,000    
Real Estate Investment | ALF        
Real estate investments        
Number of properties | property   107    
Gross Investment   $ 876,319,000