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Acquisitions, Dispositions and Other Transactions - Additional Information (Details)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
Mar. 31, 2020
community
Jun. 30, 2020
USD ($)
community
Jun. 30, 2019
USD ($)
Jun. 30, 2020
USD ($)
community
Jun. 30, 2019
USD ($)
community
Dec. 31, 2019
USD ($)
community
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of communities acquired 26          
Number of communities disposed of         8  
Operating and financing leases, number of communities   305   305    
Assets held for sale | $   $ 37,397   $ 37,397   $ 42,671
Gain (loss) on sale of assets, net | $   $ (1,029) $ 2,846 $ 371,810 $ 2,144  
Communities Disposed of Through Sale            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of communities disposed of       15    
Communities Disposed of Through Lease Terminations            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of communities disposed of       12    
Sale of 8 communities            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Net cash proceeds | $           44,100
Mortgage notes payable            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Payment for debt extinguishment or debt prepayment cost | $           $ 5,100
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Communities Disposed of Through Sale            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of communities disposed of       1   14
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Two Communities Held For Sale            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of communities classified as held for sale   2        
Assets held for sale | $   $ 37,400   $ 37,400    
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Sale of 1 Community            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Net cash proceeds | $       5,500    
Gain (loss) on sale of assets, net | $       $ 200    
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Sale of 14 Communities            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Net cash proceeds | $           $ 85,400
Gain (loss) on sale of assets, net | $           $ 5,500
Current Property Ownership Status            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of communities owned   355   355    
Operating and financing leases, number of communities   305   305    
Number of communities managed by third party   77   77    
Communities Acquired Previously Leased Or Managed            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of communities acquired       26    
Healthpeak            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of communities acquired       8    
Purchase price | $       $ 39,300    
Healthpeak | Communities Acquired Previously Leased Or Managed            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Number of communities acquired       18