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Acquisitions, Dispositions and Other Significant Transactions - Additional Information (Details)
$ in Thousands
 12 Months Ended 36 Months Ended
Dec. 31, 2020
USD ($)
community
Dec. 31, 2019
USD ($)
community
Dec. 31, 2018
USD ($)
community
Dec. 31, 2020
USD ($)
community
Dec. 31, 2019
USD ($)
community
Aug. 31, 2020
community
Jul. 26, 2020
community
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of communities owned           16  
Number of communities leased 301     301      
Assets held for sale | $ $ 16,061 $ 42,671   $ 16,061 $ 42,671    
Gain (loss) on sale of assets, net | $ $ 374,532 $ 7,245 $ 293,246        
Ventas, Inc              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of owned communities transferred             5
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     22 43      
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 5 10 89 104      
147 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         147    
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 33            
Current Property Ownership Status              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of communities owned 350     350      
Number of communities leased 301     301      
Number of communities managed by third party 75     75      
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 2 14          
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Three 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 3            
Assets held for sale | $ $ 16,100     $ 16,100      
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Sale of 2 Community              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Net cash proceeds | $ 38,100            
Gain (loss) on sale of assets, net | $ $ 2,700            
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          
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Sale of 22 communities              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Net cash proceeds | $     $ 380,700        
Gain (loss) on sale of assets, net | $     188,600        
Disposal Group, Held-for-sale, Not Discontinued Operations [Member] | Assisted Living and Memory Care              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of communities classified as held for sale 2            
Disposal Group, Held-for-sale, Not Discontinued Operations [Member] | CCRC Venture              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of communities classified as held for sale 1            
Mortgage notes payable              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Payment for extinguishment of debt and prepayment penalties | $   $ 5,100 $ 174,000