Equity - Noncontrolling Interest (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2019 USD ($) item	Jun. 30, 2020 USD ($)	Dec. 31, 2019 USD ($)
Noncontrolling interest
Gross Consolidated Assets		$ 1,510,172	$ 1,514,209
Non-controlling interests		8,411	$ 8,483
Purchase Price	$ 16,829
Investment Commitment		62,117
Number of beds/units under development | item	204
Partnership
Noncontrolling interest
Gross Consolidated Assets		83,425
Non-controlling interests		8,411
2019 Acquisitions | ALF
Noncontrolling interest
Purchase Price	$ 16,719
Virginia | 2019 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets		16,895
Non-controlling interests		919
Oregon | 2018 Acquisitions | Partnership | Properties under Development
Noncontrolling interest
Gross Consolidated Assets		18,443
Non-controlling interests		1,081
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets		14,400
Non-controlling interests		2,857
Wisconsin | 2017 Acquisitions | Partnership | Properties under Development
Noncontrolling interest
Gross Consolidated Assets		22,007
Non-controlling interests		2,305
South Carolina | 2017 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets		11,680
Non-controlling interests		$ 1,249