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Real Estate Investments, Net - Narrative (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2018
USD ($)
facility
intangible_asset
unit
lease
Dec. 31, 2017
USD ($)
facility
Dec. 31, 2016
USD ($)
Investment [Line Items]      
Number of living facilities | facility 197    
Number of facilities not leased | facility   3  
Number of operating leases acquired | lease 3    
Remaining lease term (in years) 80 years    
Real estate investments, net $ 1,216,237 $ 1,152,261  
Net proceeds from the sale of real estate 13,004 0 $ 2,855
Gain (loss) on sale of real estate 2,051 0 (265)
Impairment of real estate investment $ 0 $ 890 $ 0
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    
Annualized revenues from master leases $ 59,100    
Escalation factor for calculating revenues after year two 0.00%    
Percentage change in the consumer price index 2.50%    
Various Other Operators      
Investment [Line Items]      
Facilities subject to operating lease | facility 102    
Assisted Living Facility | Idaho      
Investment [Line Items]      
Number of properties sold | facility 3    
Number pf units in properties sold | unit 102    
Real estate investments, net $ 10,900    
Net proceeds from the sale of real estate $ 13,000