Concentration of Risk (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2020 facility unit_bed	Jun. 30, 2019	Jun. 30, 2020 facility state unit_bed	Jun. 30, 2019
Skilled Nursing, Assisted Living and Independent Living Facilities | Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of facilities	212		212
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%	34.00%	32.00%	37.00%
PMG | Customer Concentration Risk | Revenue, exclusive of operating expense reimbursements
Concentration Risk [Line Items]
Concentration risk (percent)	17.00%	15.00%	17.00%	12.00%
Ensign | Skilled Nursing, Assisted Living and Independent Living Facilities | Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of facilities	85		85
Number of beds and units in facilities | unit_bed	8,882		8,882
PMG | Skilled Nursing and Campus Facilities | Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of facilities	15		15
Number of beds and units in facilities | unit_bed	2,145		2,145