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Other Real Estate Investments - Narrative (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Jul. 31, 2019
USD ($)
bed
Jun. 30, 2019
USD ($)
Feb. 28, 2019
USD ($)
extension_option
facility
Sep. 30, 2016
USD ($)
bed
Jul. 31, 2016
USD ($)
bed
Sep. 30, 2019
USD ($)
facility
Sep. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
facility
Sep. 30, 2018
USD ($)
Sep. 01, 2019
USD ($)
facility
Oct. 31, 2017
USD ($)
Real Estate Properties [Line Items]                      
Preferred equity investment           $ 3,100,000   $ 3,100,000      
Aggregate purchase price               303,871,000      
Payment to acquire facility               298,557,000 $ 75,621,000    
Return of initial investment               2,204,000 0    
Cumulative contractual preferred return through acquisition date           1,100,000          
Mortgage Loan Receivable                      
Real Estate Properties [Line Items]                      
Mortgage loan           41,700,000   41,700,000      
Providence | Mortgage Loan Receivable                      
Real Estate Properties [Line Items]                      
Interest income recognized           800,000 $ 300,000 1,800,000 900,000    
Mortgage loan                     $ 12,500,000
Mortgage loan receivable interest rate (percent)                     9.00%
Covenant Care | Mortgage Loan Receivable                      
Real Estate Properties [Line Items]                      
Mortgage loan     $ 11,400,000                
Mortgage loan receivable interest rate (percent)     9.00%                
Facilities utilized to secure mortgage loan | facility     5                
Number of extension options | extension_option     2                
Extension option term (in months)     6 months                
Manteca                      
Real Estate Properties [Line Items]                      
Purchase and sale agreement amount $ 16,400,000                    
Manteca | Mortgage Loan Receivable                      
Real Estate Properties [Line Items]                      
Number of beds in facility used to secure loan | bed 176                    
Mortgage loan $ 3,000,000.0                    
Mortgage loan receivable interest rate (percent) 8.00%                    
CommuniCare | Mortgage Loan Receivable                      
Real Estate Properties [Line Items]                      
Mortgage loan           $ 26,500,000   $ 26,500,000   $ 26,500,000  
Mortgage loan receivable interest rate (percent)           10.00%   10.00%      
Facilities utilized to secure mortgage loan | facility           3   3   3  
Cascadia Development, LLC                      
Real Estate Properties [Line Items]                      
Preferred equity investment       $ 2,300,000 $ 2,200,000            
Preferred equity investment minimum yield       12.00% 12.00%            
Number of beds planned for construction | bed       99 99            
Initial lease yield (percent)       9.00% 9.00%            
Return of initial investment   $ 2,200,000                  
Cascadia Development, LLC | Prime Rate                      
Real Estate Properties [Line Items]                      
Basis spread of preferred equity investment yield       9.50% 9.50%            
Preferred Equity Investment                      
Real Estate Properties [Line Items]                      
Interest income recognized           $ 0 $ 0 $ 600,000 $ 200,000    
Recognition of unrecognized preferred return from prior periods               400,000      
Skilled nursing                      
Real Estate Properties [Line Items]                      
Aggregate purchase price   16,200,000           $ 246,099,000      
Payment to acquire facility   $ 12,900,000