Real Estate Investments, Net - Narrative (Details) $ in Millions	Sep. 30, 2019 USD ($) facility lease
Investment [Line Items]
Number of living facilities	214
Number of facilities not leased	3
Ensign Master Leases
Investment [Line Items]
Number of facilities leased	93
Number of master leases | lease	8
Annualized rental revenues from master leases | $	$ 61.0
Ensign Master Leases | Minimum
Investment [Line Items]
Percentage change in the consumer price index	0.00%
Ensign Master Leases | Maximum
Investment [Line Items]
Percentage change in the consumer price index	2.50%
Various Other Operators
Investment [Line Items]
Number of facilities leased	118