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Acquisitions, Dispositions and Other Significant Transactions - Formation of Venture with Blackstone(Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 29, 2017
USD ($)
community
Dec. 31, 2017
USD ($)
community
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Sep. 30, 2016
USD ($)
Jun. 30, 2016
USD ($)
Mar. 31, 2016
USD ($)
Dec. 31, 2017
USD ($)
community
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Business Acquisition [Line Items]                        
Payments to acquire joint venture                   $ 199,017 $ 13,377 $ 69,297
Goodwill and asset impairment   $ 18,966 $ 368,551 $ 1,559 $ 20,706 $ 221,877 $ 19,111 $ 4,152 $ 3,375 409,782 $ 248,515 $ 57,941
Change in valuation allowance                   $ 71,782    
Blackstone Venture                        
Business Acquisition [Line Items]                        
Ownership Percentage   15.00%               15.00%    
HCP, Inc.                        
Business Acquisition [Line Items]                        
Term of lease 12 years                      
Formation of the Blackstone Venture                        
Business Acquisition [Line Items]                        
Change in valuation allowance         85,000              
Joint Venture | Blackstone Venture                        
Business Acquisition [Line Items]                        
Number of community leasehold interests contributed | community 62                      
Payments to acquire joint venture $ 179,200                      
Ownership Percentage 15.00%                      
Investments in unconsolidated ventures $ 66,800                      
Fair value of investment $ 47,100                      
Goodwill and asset impairment         $ 19,700              
Joint Venture | Blackstone Venture | Assisted Living                        
Business Acquisition [Line Items]                        
Number of community leases terminated | community 47                      
Joint Venture | Blackstone Venture | Retirement Centers                        
Business Acquisition [Line Items]                        
Number of community leases terminated | community 8                      
Joint Venture | Blackstone Venture | CCRCs-Rental                        
Business Acquisition [Line Items]                        
Number of community leases terminated | community 7                      
Joint Venture | Blackstone Venture | Senior Housing Communities                        
Business Acquisition [Line Items]                        
Number of communities acquired | community 64                      
Purchase price $ 1,100,000                      
Number of communities managed by third party | community 2                      
Blackstone Venture                        
Business Acquisition [Line Items]                        
Ownership Percentage   15.00%               15.00%    
Number of communities leased | community 2 2               2    
Number of communities managed | community 60