Concentration of Risk - Narrative (Details)	3 Months Ended
	Mar. 31, 2020 bed state facility	Mar. 31, 2019
Skilled Nursing, Assisted Living and Independent Living Facilities | Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of facilities | facility	212
Number of operational beds and units in facilities | bed	21,652
Ensign | Customer Concentration Risk | Revenue, exclusive of operating expense reimbursements
Concentration Risk [Line Items]
Number of states where Ensign leases the highest concentration of properties | state	4
Concentration risk (percent)	32.00%	40.00%
PMG | Customer Concentration Risk | Revenue, exclusive of operating expense reimbursements
Concentration Risk [Line Items]
Concentration risk (percent)	16.00%	8.00%
Ensign | Skilled Nursing, Assisted Living and Independent Living Facilities | Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of facilities | facility	85
Number of operational beds and units in facilities | bed	8,874
PMG | Skilled Nursing, Assisted Living and Independent Living Facilities | Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of facilities | facility	15
Number of operational beds and units in facilities | bed	2,145