Concentration of Risk (Details)	3 Months Ended		9 Months Ended
	Sep. 30, 2020 facility unit_bed	Sep. 30, 2019	Sep. 30, 2020 facility state unit_bed	Sep. 30, 2019
Skilled Nursing, Assisted Living and Independent Living Facilities | Assets Leased to Independent Operators
Concentration Risk [Line Items]
Number of facilities	214		214
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)	30.00%	50.00%	31.00%	40.00%
PMG | Customer Concentration Risk | Revenue, exclusive of operating expense reimbursements
Concentration Risk [Line Items]
Concentration risk (percent)	16.00%	22.00%	16.00%	15.00%
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	8,883		8,883
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