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Concentration of Risk - Narrative (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2017
USD ($)
facility
bed
state
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Concentration Risk [Line Items]      
Number of living facilities 188    
Description of highest concentration of properties The four states in which Ensign leases the highest concentration of properties are California, Texas, Utah and Arizona.    
Rental income | $ $ 117,633 $ 93,126 $ 65,979
Assets Leased to Ensign | Skilled Nursing, Assisted Living and Independent Living Facilities      
Concentration Risk [Line Items]      
Number of living facilities 185    
Number of units available in living facilities | bed 18,064    
Ensign      
Concentration Risk [Line Items]      
Number of states where Ensign leases the highest concentration of properties | state 4    
Ensign | Assets Leased to Ensign | Skilled Nursing, Assisted Living and Independent Living Facilities      
Concentration Risk [Line Items]      
Number of living facilities 92    
Number of units available in living facilities | bed 9,698    
Customer Concentration Risk | Revenue, exclusive of tenant reimbursements      
Concentration Risk [Line Items]      
Concentration risk (percent) 44.00%    
Customer Concentration Risk | Revenue, exclusive of tenant reimbursements | Ensign      
Concentration Risk [Line Items]      
Rental income | $ $ 57,700