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Real Estate Investments - Properties held-for-sale (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Oct. 31, 2018
USD ($)
item
Sep. 30, 2018
USD ($)
$ / item
property
Sep. 30, 2018
USD ($)
$ / item
property
Sep. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Real estate investments          
Accumulated depreciation   $ 304,337,000 $ 304,337,000   $ 304,117,000
Gain on sale of real estate, net   $ 14,353,000 $ 62,698,000 $ 5,054,000  
Properties held-for-sale          
Real estate investments          
Number of properties | property   2 2    
Gross Investment   $ 8,243,000 $ 8,243,000    
Accumulated depreciation   $ 2,887,000 $ 2,887,000    
Number of beds/units | $ / item   200 200    
SNF | Florida | Subsequent Event          
Real estate investments          
Number of beds or units in property sold | item 60        
Sales price $ 5,000,000        
Gain on sale of real estate, net $ 3,400,000        
SNF | Properties held-for-sale | Florida          
Real estate investments          
Number of properties | property   1 1    
Gross Investment   $ 2,497,000 $ 2,497,000    
Accumulated depreciation   $ 971,000 $ 971,000    
Number of beds/units | $ / item   60 60    
ILF | Properties held-for-sale | Texas          
Real estate investments          
Number of properties | property   1 1    
Gross Investment   $ 5,746,000 $ 5,746,000    
Accumulated depreciation   $ 1,916,000 $ 1,916,000    
Number of beds/units | $ / item   140 140