Equity - Noncontrolling Interest (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2019	Sep. 30, 2020	Dec. 31, 2019
Noncontrolling interest
Gross Consolidated Assets		$ 1,477,244	$ 1,514,209
Non-controlling interests		8,404	$ 8,483
Purchase Price	$ 38,951
Partnership
Noncontrolling interest
Gross Consolidated Assets		83,429
Non-controlling interests		8,404
2019 Acquisitions | SNF
Noncontrolling interest
Purchase Price	19,500
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 | ALF and MC
Noncontrolling interest
Gross Consolidated Assets		18,447
Non-controlling interests		1,081
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets		14,400
Non-controlling interests		2,858
Wisconsin | 2017 Acquisitions | Partnership | ILF/ALF/MC
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		$ 1,241