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Investment Activity - Additional Information (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Jul. 31, 2017
Facility
Nov. 30, 2018
USD ($)
Lease
Facility
Sep. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Property
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Oct. 06, 2018
USD ($)
Aug. 09, 2017
Investment Activity [Line Items]                
Percentage of annual escalators               8.75%
Percentage of total real estate property investments       100.00% 100.00%      
Rental income       $ 52,701 $ 58,913 $ 48,330    
Rent reserved for non-cash straight-line rent outstanding       936 5,919 (3,447)    
Property-related expenses       2,797 $ 1,482 $ 1,303    
Fundamental Healthcare                
Investment Activity [Line Items]                
Total base rent       $ 8,800        
Number of properties to lease | Property       4        
Deferred rent       $ 1,700        
Interest rate on deferred rent amount outstanding       9.00%        
Mountains Edge Hospital | Fundamental Healthcare                
Investment Activity [Line Items]                
Deferred rent             $ 2,400  
Texas                
Investment Activity [Line Items]                
Percentage of total real estate property investments       50.20% 53.30%      
Real Estate Investment                
Investment Activity [Line Items]                
Initial term of lease 15 years              
Number of skilled nursing facilities | Facility 2              
Percentage of annual escalators 9.00%              
Real Estate Investment | Texas                
Investment Activity [Line Items]                
Monthly base rent due under the master lease       $ 1,100 $ 1,100      
Total base rent       12,900        
Rental income       6,900        
Rent reserved for non-cash straight-line rent outstanding     $ 4,800          
Property-related expenses       $ 1,500        
Creative Solutions | Real Estate Investment | Texas                
Investment Activity [Line Items]                
Initial term of lease   15 years   15 years        
Number of skilled nursing facilities | Facility   10            
Annual base rent   $ 7,700   $ 7,700        
Percentage of annual escalators   2.00%            
Number of lease renewal options | Lease   2            
Lease renewal term   5 years            
Percentage of total real estate property investments       24.20%        
Prior Texas Ten Tenant | Real Estate Investment | Texas                
Investment Activity [Line Items]                
Lease termination date       Dec. 31, 2018