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Other Real Estate Investments, Net (Details)
1 Months Ended 12 Months Ended
Nov. 30, 2020
USD ($)
facility
Jul. 31, 2020
USD ($)
Apr. 30, 2020
USD ($)
extension_option
property
Jan. 31, 2020
USD ($)
Jul. 31, 2019
USD ($)
bed
Jun. 30, 2019
USD ($)
Feb. 28, 2019
USD ($)
extension_option
facility
Sep. 30, 2016
USD ($)
bed
Jul. 31, 2016
USD ($)
bed
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Feb. 29, 2020
USD ($)
facility
Sep. 30, 2019
USD ($)
facility
Sep. 01, 2019
USD ($)
property
Oct. 31, 2017
USD ($)
Real Estate Properties [Line Items]                                
Preferred equity investment                   $ 0            
Aggregate purchase price                   89,817,000 $ 326,700,000 $ 113,334,000        
Payment to acquire facility                   89,650,000 321,458,000 111,640,000        
Return of initial investment                   2,327,000 2,204,000 0        
Interest income related to preferred equity investments                   100,000 1,300,000 200,000        
Recognition of unrecognized preferred return from prior periods                   600,000            
Metron skilled nursing facilities | Disposed of by sale                                
Real Estate Properties [Line Items]                                
Number of properties sold | facility                         6      
Mortgage and mezzanine loans receivable                                
Real Estate Properties [Line Items]                                
Interest income related to mortgage loans                   2,300,000 2,800,000 1,200,000        
Mortgage loan receivable                                
Real Estate Properties [Line Items]                                
Loan receivable                   0            
Other loans receivable                                
Real Estate Properties [Line Items]                                
Interest income related to mortgage loans                   300,000 200,000 200,000        
Next VA Star Realty Holdings LLC | Mezzanine loan receivable                                
Real Estate Properties [Line Items]                                
Number of facilities in agreement secured by membership interests | facility 9                              
Loan receivable $ 15,000,000.0                              
Loan receivable interest rate (percent) 12.00%                              
Period of unpaid interest payments due upon prepayment 24 months                              
Next VA Star Realty Holdings LLC | Mezzanine loan receivable | Maximum                                
Real Estate Properties [Line Items]                                
Loans receivable exit fee (percent) 3.00%                              
Next VA Star Realty Holdings LLC | Mezzanine loan receivable | Minimum                                
Real Estate Properties [Line Items]                                
Loans receivable exit fee (percent) 1.00%                              
Providence | Mortgage loan receivable                                
Real Estate Properties [Line Items]                                
Loan receivable                               $ 12,500,000
Loan receivable interest rate (percent)                               9.00%
Covenant Care | Mortgage loan receivable                                
Real Estate Properties [Line Items]                                
Loan receivable             $ 11,400,000                  
Loan receivable interest rate (percent)             9.00%                  
Facilities utilized to secure mortgage loan | facility             5                  
Number of extension options | extension_option             2                  
Extension option term (in months)             6 months                  
MCRC, LLC                                
Real Estate Properties [Line Items]                                
Purchase and sale agreement amount         $ 16,400,000                      
MCRC, LLC | Mortgage loan receivable                                
Real Estate Properties [Line Items]                                
Loan receivable         $ 3,000,000.0                      
Loan receivable interest rate (percent)         8.00%                      
Number of beds in facility utilized to secure loan | bed         176                      
CommuniCare | Mortgage loan receivable                                
Real Estate Properties [Line Items]                                
Loan receivable                           $ 26,500,000 $ 26,500,000  
Loan receivable interest rate (percent)                           10.00%    
Facilities utilized to secure mortgage loan                           3 3  
Cascade Capital Group, LLC                                
Real Estate Properties [Line Items]                                
Combined principal amount of loan     $ 33,900,000                          
Cascade Capital Group, LLC | Mortgage loan receivable                                
Real Estate Properties [Line Items]                                
Loan receivable                         $ 32,400,000      
Loan receivable interest rate (percent)                         7.50%      
Facilities utilized to secure mortgage loan | property     6                          
Number of extension options | extension_option     2                          
Extension option term (in months)     6 months                          
Proceeds from settlement of loan   $ 13,900,000 $ 18,900,000                          
Loan receivable     $ 13,900,000                          
LIBOR floor for loan (percent)     1.75%                          
Cascade Capital Group, LLC | Mortgage loan receivable | LIBOR                                
Real Estate Properties [Line Items]                                
Basis spread on variable rate for loan (percent)     4.00%                          
Cascadia Development, Nampa ID                                
Real Estate Properties [Line Items]                                
Preferred equity investment                 $ 2,200,000              
Preferred equity instrument minimum yield                 12.00%              
Number of beds planned for construction | bed                 99              
Initial lease yield (percent)                 9.00%              
Return of initial investment           $ 2,200,000                    
Cumulative contractual preferred return through acquisition date           1,100,000                    
Cascadia Development, Nampa ID | Prime Rate                                
Real Estate Properties [Line Items]                                
Basis spread on preferred equity investment yield                 9.50%              
Cascadia Development, Boise ID                                
Real Estate Properties [Line Items]                                
Preferred equity investment               $ 2,300,000                
Preferred equity instrument 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                        
Cascadia Development, Boise ID | Prime Rate                                
Real Estate Properties [Line Items]                                
Basis spread on preferred equity investment yield               9.50%                
Skilled Nursing Properties                                
Real Estate Properties [Line Items]                                
Aggregate purchase price       18,700,000   16,200,000       $ 75,545,000 $ 254,760,000 $ 85,814,000        
Payment to acquire facility       $ 15,000,000.0   $ 12,900,000