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Real Estate Investments - Acquisitions (Details)
$ in Thousands
1 Months Ended 9 Months Ended
Oct. 31, 2017
USD ($)
item
Sep. 30, 2017
USD ($)
item
property
Sep. 30, 2016
USD ($)
item
property
Real estate investments      
Investment Commitment   $ 158,537  
SNF | Kentucky | Development      
Real estate investments      
Number of units under development | item     143
Investment Commitment     $ 24,325
Land      
Real estate investments      
Purchase Price     5,425
Transaction Costs     63
Total Acquisition Costs     5,488
2017 Acquisitions | ALF      
Real estate investments      
Purchase Price   54,463  
Transaction Costs   341  
Total Acquisition Costs   $ 54,804  
Number of properties acquired | property   3  
Number of beds/units acquired | item   240  
2017 Acquisitions | ALF | ALF Units      
Real estate investments      
Number of beds/units acquired | item   107  
2017 Acquisitions | MC | Memory Care Property with 73 Units      
Real estate investments      
Number of beds/units acquired | item   73  
2017 Acquisitions | MC | Memory Care Property with 60 Units      
Real estate investments      
Purchase Price   $ 15,650  
Number of beds/units acquired | item   60  
2017 Acquisitions | ALF & MC      
Real estate investments      
Purchase Price   $ 38,813  
2017 Acquisitions | ALF & MC | Missouri | Subsequent Event      
Real estate investments      
Purchase Price $ 16,555    
Number of beds/units acquired | item 73    
Cash yield percentage 7.00%    
2016 Acquisitions      
Real estate investments      
Purchase Price     74,975
Transaction Costs     519
Total Acquisition Costs     $ 75,494
Number of properties acquired | property     5
Number of beds/units acquired | item     376
2016 Acquisitions | SNF      
Real estate investments      
Purchase Price     $ 16,000
Transaction Costs     45
Total Acquisition Costs     $ 16,045
Number of properties acquired | property     1
Number of beds/units acquired | item     126
2016 Acquisitions | SNF | Texas      
Real estate investments      
Number of beds/units acquired | item     126
2016 Acquisitions | ALF      
Real estate investments      
Purchase Price     $ 53,550
Transaction Costs     411
Total Acquisition Costs     $ 53,961
Number of properties acquired | property     4
Number of beds/units acquired | item     250
2016 Acquisitions | ALF | Kentucky      
Real estate investments      
Purchase Price     $ 14,250
2016 Acquisitions | ALF | Kentucky | Holdback      
Real estate investments      
Contingent consideration     2,000
2016 Acquisitions | ALF | Kansas      
Real estate investments      
Purchase Price     $ 25,000
Number of properties acquired | item     2
2016 Acquisitions | ALF & MC | Georgia      
Real estate investments      
Purchase Price     $ 14,300