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Other Real Estate Investments - Narrative (Details)
1 Months Ended 3 Months Ended
Apr. 30, 2020
USD ($)
Jan. 31, 2020
USD ($)
Jul. 31, 2019
USD ($)
bed
Sep. 30, 2016
USD ($)
bed
Mar. 31, 2020
USD ($)
Mar. 31, 2019
USD ($)
Feb. 14, 2020
USD ($)
facility
Sep. 30, 2019
USD ($)
facility
Real Estate Properties [Line Items]                
Aggregate purchase price         $ 26,071,000      
Payment to acquire facility         25,905,000 $ 52,697,000    
Return of initial investment         2,327,000 0    
Mortgage loan         61,800,000      
Metron Skilled Nursing Facilities | Disposed of by sale                
Real Estate Properties [Line Items]                
Number of properties sold | facility             6  
Mortgage Loan Receivable                
Real Estate Properties [Line Items]                
Interest income related to mortgage loans         1,100,000 300,000    
Manteca                
Real Estate Properties [Line Items]                
Purchase and sale agreement amount     $ 16,400,000          
Number of days after termination of purchase and sale agreement for maturity     5 days          
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
Mortgage loan receivable interest rate (percent)               10.00%
Facilities utilized to secure mortgage loan | facility               3
Cascade Capital Group, LLC | Mortgage Loan Receivable                
Real Estate Properties [Line Items]                
Mortgage loan             $ 32,400,000  
Mortgage loan receivable interest rate (percent)             7.50%  
Cascade Capital Group, LLC | Mortgage Loan Receivable | Subsequent Event                
Real Estate Properties [Line Items]                
Mortgage loan $ 13,900,000              
Proceeds from settlement of loan $ 18,900,000              
Cascadia Development, Boise ID                
Real Estate Properties [Line Items]                
Preferred equity investment       $ 2,300,000 0      
Preferred equity investment minimum yield       12.00%        
Number of beds planned for construction | bed       99        
Initial lease yield (percent)       9.00%        
Return of initial investment   $ 2,300,000            
Cumulative contractual preferred return through acquisition date   1,400,000            
Interest income related to preferred equity investments           $ 100,000    
Cascadia Development, Boise ID | Prime Rate                
Real Estate Properties [Line Items]                
Basis spread of preferred equity investment yield       9.50%        
Skilled Nursing Properties                
Real Estate Properties [Line Items]                
Aggregate purchase price   18,700,000     $ 18,675,000      
Payment to acquire facility   $ 15,000,000.0