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Real Estate Investments, Net - Narrative (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
USD ($)
facility
lease
Jun. 30, 2017
USD ($)
Jun. 30, 2018
USD ($)
facility
intangible_asset
property
unit
lease
Jun. 30, 2017
USD ($)
Investment [Line Items]        
Number of living facilities | facility 191   191  
Number of facilities not leased | facility 3   3  
Number of operating leases acquired | lease     3  
Remaining lease term     80 years  
Net proceeds from the sale of real estate     $ 13,004 $ 0
Gain on sale of real estate $ 0 $ 0 2,051 0
Impairment of real estate investment $ 0 $ 890 $ 0 $ 890
Off-Market Favorable Lease        
Investment [Line Items]        
Number of identified intangible assets | intangible_asset     2  
Ensign Master Leases        
Investment [Line Items]        
Facilities subject to operating lease | facility 92   92  
Number of master leases | lease 8   8  
Annualized revenues from master leases $ 59,100   $ 59,100  
Escalation factor for calculating revenues after year two 0.00%   0.00%  
Percentage change in the consumer price index 2.50%   2.50%  
Various Other Operators        
Investment [Line Items]        
Facilities subject to operating lease | facility 96   96  
Assisted Living Facilities | Idaho        
Investment [Line Items]        
Number of properties sold | property     3  
Number of units in properties sold | unit     102  
Aggregate carrying value of real estate sold     $ 10,900  
Net proceeds from the sale of real estate     $ 13,000