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Real Estate Investments, Net - Impairment of Real Estate Investments, Asset Sales and Assets Held for Sale (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Sep. 30, 2019
USD ($)
facility
Dec. 31, 2019
USD ($)
unit
facility
Dec. 31, 2018
USD ($)
unit
facility
Dec. 31, 2017
USD ($)
Sep. 01, 2019
USD ($)
property
Jul. 15, 2019
property
Real Estate [Line Items]            
Real estate investments, net   $ 1,414,200 $ 1,216,237      
Net proceeds from sale   3,499 13,004 $ 0    
Gain on sale of real estate   1,777 $ 2,051 $ 0    
Skilled Nursing Properties | Ohio            
Real Estate [Line Items]            
Number of properties sold | property         3  
Trillium | Ohio            
Real Estate [Line Items]            
Properties in terminated master lease | property           7
Trillium | Skilled Nursing Properties | Ohio            
Real Estate [Line Items]            
Properties in terminated master lease | property           7
Trillium Skilled Nursing Facilities | Disposed of by sale            
Real Estate [Line Items]            
Number of properties sold | property         3  
Contract purchase price         $ 28,000  
Impairment expense to reduce carrying value to fair value less costs to sell $ 7,800          
Metron Skilled Nursing Facilities | Held for sale            
Real Estate [Line Items]            
Number of properties held for sale | facility 6          
Impairment expense to reduce carrying value to fair value less costs to sell $ 8,800          
Assets held for sale, net   $ 34,600        
Owned and Operated Living Facilities | Disposed of by sale            
Real Estate [Line Items]            
Number of properties sold | facility   1        
Number of units available in living facilities | unit   38        
Real estate investments, net   $ 1,700        
Net proceeds from sale   3,300        
Gain on sale of real estate   1,600        
Idaho Assisted Living Facilities | Disposed of by sale            
Real Estate [Line Items]            
Number of properties sold | facility     3      
Number of units available in living facilities | unit     102      
Real estate investments, net     $ 10,900      
Aggregate price of sale     13,000      
Gain on sale of real estate     $ 2,100      
Mortgage Loan Receivable            
Real Estate [Line Items]            
Mortgage loans   $ 29,500        
Mortgage Loan Receivable | CommuniCare            
Real Estate [Line Items]            
Facilities utilized to secure mortgage loan 3       3  
Mortgage loans $ 26,500       $ 26,500