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Real Estate Investments - Lease (Details)
3 Months Ended 6 Months Ended
Jun. 30, 2019
USD ($)
property
Jun. 30, 2018
USD ($)
Jun. 30, 2019
USD ($)
property
item
Jun. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Real estate investments          
Carrying value $ 1,118,389,000   $ 1,118,389,000   $ 1,106,581,000
Income and Expenses, Lessor [Abstract]          
Base cash rental income 33,019,000   66,933,000    
Base cash rental income previous   $ 32,312,000   $ 63,767,000  
Variable cash rental income 4,077,000   8,562,000    
Variable cash rental income previous   169,000   319,000  
Straight-Line Rent 1,275,000 2,000,000 2,513,000 5,440,000  
Adjustment for collectability     (1,926,000)    
Amortization of Lease Incentives (94,000) (551,000) (181,000) (1,091,000)  
Total Rental Income 38,277,000   75,901,000    
Total Rental Income previous   $ 33,930,000   $ 68,435,000  
Reimbursement Of Real Estate Tax Expense 3,910,000   8,245,000    
Contingent rental income 167,000   $ 317,000    
Number of operating seniors | item     2    
Rent receivable written off     $ 1,926,000    
Purchase Option in Lease Arrangements          
Real estate investments          
Gross Investment 164,933,000   164,933,000    
Carrying value $ 145,687,000   $ 145,687,000    
ALF | Purchase Option in Lease Arrangements | California          
Real estate investments          
Number of properties | property 2   2    
Gross Investment $ 28,099,000   $ 28,099,000    
Carrying value $ 15,565,000   $ 15,565,000    
MC | Purchase Option in Lease Arrangements | Kansas          
Real estate investments          
Number of properties | property 2   2    
Gross Investment $ 25,692,000   $ 25,692,000    
Carrying value $ 23,549,000   $ 23,549,000    
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky          
Real estate investments          
Number of properties | property 2   2    
Gross Investment $ 30,087,000   $ 30,087,000    
Carrying value $ 28,192,000   $ 28,192,000    
MC | Purchase Option in Lease Arrangements | Texas          
Real estate investments          
Number of properties | property 2   2    
Gross Investment $ 25,265,000   $ 25,265,000    
Carrying value $ 24,645,000   $ 24,645,000    
ALF and MC | Purchase Option in Lease Arrangements | California          
Real estate investments          
Number of properties | property 2   2    
Gross Investment $ 38,895,000   $ 38,895,000    
Carrying value $ 37,013,000   $ 37,013,000    
ALF and MC | Purchase Option in Lease Arrangements | Virginia          
Real estate investments          
Number of properties | property 1   1    
Gross Investment $ 16,895,000   $ 16,895,000    
Carrying value $ 16,723,000   $ 16,723,000