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Real Estate Investments - Mortgage Loans (Details)
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Oct. 31, 2015
USD ($)
Sep. 30, 2015
USD ($)
state
property
item
$ / item
Sep. 30, 2015
USD ($)
state
loan
property
item
$ / item
Sep. 30, 2014
USD ($)
item
Dec. 31, 2013
USD ($)
property
item
Mortgage Loans          
Scheduled principal payments received     $ 4,281,000 $ 1,609,000  
Amount Funded     49,490,000    
Loan commitment   $ 2,650,000 2,650,000    
Remaining loan commitments   2,013,000 2,013,000    
Investment Commitment   173,550,000 173,550,000    
Remaining Commitment   118,496,000 118,496,000    
Commitments funded   55,054,000 55,054,000    
Real Estate Investment          
Mortgage Loans          
Gross Investments   $ 1,154,649,000 $ 1,154,649,000    
Percentage of Investments   100.00% 100.00%    
Number of Properties | property   173 173    
Number of states | state   27 27    
Number of operators | item   30 30    
Investment Commitment   $ 90,758,000 $ 90,758,000    
Remaining Commitment   64,276,000 64,276,000    
Commitments funded   26,482,000 26,482,000    
Real Estate Investment | Subsequent Event          
Mortgage Loans          
Term of mortgage loan receivable 30 years        
Mortgage Loans on Real Estate          
Mortgage Loans          
Gross Investments   $ 206,541,000 $ 206,541,000    
Percentage of Investments   100.00% 100.00%    
Number of Loans | loan     17    
Number of Properties | property   36 36    
Number of Beds/Units | item   2,315 2,315    
Number of states | state   7 7    
Number of operators | item   10 10    
Interest rate for mortgage loans, low end of range (as a percent)     7.30%    
Interest rate for mortgage loans, high end of range (as a percent)     13.80%    
Scheduled principal payments received     $ 1,794,000    
Amount Funded     3,927,000    
Remaining loan commitments   $ 26,725,000 26,725,000    
Investment Commitment   33,990,000 33,990,000    
Commitments funded   7,265,000 7,265,000    
Fair value of land conveyed   $ 670,000 $ 670,000    
Mortgage Loans on Real Estate | Subsequent Event          
Mortgage Loans          
Amount Funded $ 9,500,000        
Loan commitment 20,000,000        
Remaining loan commitments $ 10,500,000        
Term of mortgage loan receivable 30 years        
Mortgage Loans on Real Estate | Minimum          
Mortgage Loans          
General amortization schedule of mortgage loans     20 years    
Specified basis points for annual increase in interest rate (as a percent)     0.10%    
Mortgage Loans on Real Estate | Maximum          
Mortgage Loans          
General amortization schedule of mortgage loans     30 years    
Specified basis points for annual increase in interest rate (as a percent)     0.25%    
Mortgage Loans on Real Estate One          
Mortgage Loans          
Number of properties securing loan | property   2 2    
Number of parcels of land | item     2    
Remaining Commitment   $ 24,965,000 $ 24,965,000    
Mortgage Loans on Real Estate One | Michigan          
Mortgage Loans          
Loan commitment   $ 196,387,000 $ 196,387,000    
Mortgage and Construction Loans on Real Estate | Wisconsin          
Mortgage Loans          
Number of Beds/Units | item       106  
Scheduled principal payments received       $ 1,609,000  
Amount funded under loan       3,010,000  
Loan commitment       10,600,000  
SNF Beds | Real Estate Investment          
Mortgage Loans          
Number of Beds/Units | item   9,147 9,147    
SNF Beds | Mortgage Loans on Real Estate          
Mortgage Loans          
Number of Beds/Units | item   3,621 3,621    
ALF Units | Real Estate Investment          
Mortgage Loans          
Number of Beds/Units | item   5,461 5,461    
ALF Units | Mortgage Loans on Real Estate          
Mortgage Loans          
Number of Beds/Units | item   270 270    
Skilled Nursing          
Mortgage Loans          
Number of Beds/Units | item   3,405 3,405    
Skilled Nursing | Real Estate Investment          
Mortgage Loans          
Gross Investments   $ 500,161,000 $ 500,161,000    
Percentage of Investments   43.30% 43.30%    
Number of Properties | property   69 69    
Investment per Bed/Unit | $ / item   58.75 58.75    
Investment Commitment   $ 6,000,000 $ 6,000,000    
Remaining Commitment   5,983,000 5,983,000    
Commitments funded   17,000 17,000    
Skilled Nursing | Mortgage Loans on Real Estate          
Mortgage Loans          
Gross Investments   $ 192,810,000 $ 192,810,000    
Percentage of Investments   93.40% 93.40%    
Number of Loans | loan     14    
Number of Properties | property   28 28    
Number of Beds/Units | item   2,215 2,215    
Investment per Bed/Unit | $ / item   53.25 53.25    
Amount Funded     $ 3,697,000    
Remaining loan commitments   $ 26,465,000 26,465,000    
Investment Commitment   33,500,000 33,500,000    
Commitments funded   7,035,000 7,035,000    
Skilled Nursing | Mortgage Loans on Real Estate One          
Mortgage Loans          
Amount funded under loan         $ 124,387,000
Skilled Nursing | Mortgage Loans on Real Estate One | Michigan          
Mortgage Loans          
Amount Funded     40,000,000    
Loan commitment         $ 176,387,000
Number of properties securing loan | property         15
Number of beds or units securing loan | item         2,058
Additional commitments for capital improvements         $ 12,000,000
Additional loan proceeds committed         $ 40,000,000
Skilled Nursing | Mortgage Loans on Real Estate One | Capital Improvement Loan Investment          
Mortgage Loans          
Amended loan commitment for capital improvements   32,000,000 32,000,000    
Skilled Nursing | Mortgage Loans on Real Estate One | Capital Improvement Loan Investment | Michigan          
Mortgage Loans          
Amount Funded     3,697,000 $ 1,512,000  
Loan commitment   12,000,000 12,000,000    
Remaining loan commitments   4,965,000 $ 4,965,000    
Skilled Nursing | Mortgage Loans on Real Estate One | Capital Improvement Loan Investment | Maximum | Michigan          
Mortgage Loans          
Percentage of outstanding mortgage loan balance that may be prepaid without penalty     50.00%    
Additional loan proceeds available for expansion and renovation     $ 20,000,000    
Skilled Nursing | Mortgage Loans on Real Estate Two | Michigan          
Mortgage Loans          
Amount Funded     9,500,000    
Loan commitment   $ 11,000,000 $ 11,000,000    
Number of beds or units securing loan | item     157    
Interest rate for first five years     9.41%    
Period during which loan bears the initial specified interest rate     5 years    
Annual increase in interest rate (as percent)     2.25%    
Term of mortgage loan receivable     30 years    
Period of interest-only payments     3 years    
Skilled Nursing | SNF Beds | Real Estate Investment          
Mortgage Loans          
Number of Beds/Units | item   8,513 8,513    
Skilled Nursing | SNF Beds | Mortgage Loans on Real Estate          
Mortgage Loans          
Number of Beds/Units | item   3,621 3,621    
Assisted Living          
Mortgage Loans          
Number of Beds/Units | item   3,546 3,546    
Assisted Living | Real Estate Investment          
Mortgage Loans          
Gross Investments   $ 573,693,000 $ 573,693,000    
Percentage of Investments   49.70% 49.70%    
Number of Properties | property   96 96    
Investment per Bed/Unit | $ / item   110.60 110.60    
Investment Commitment   $ 84,758,000 $ 84,758,000    
Remaining Commitment   58,293,000 58,293,000    
Commitments funded   26,465,000 26,465,000    
Assisted Living | Mortgage Loans on Real Estate          
Mortgage Loans          
Gross Investments   $ 13,731,000 $ 13,731,000    
Percentage of Investments   6.60% 6.60%    
Number of Loans | loan     3    
Number of Properties | property   8 8    
Number of Beds/Units | item   100 100    
Investment per Bed/Unit | $ / item   50.86 50.86    
Amount Funded     $ 230,000    
Remaining loan commitments   $ 260,000 260,000    
Investment Commitment   490,000 490,000    
Commitments funded   $ 230,000 $ 230,000    
Assisted Living | ALF Units | Real Estate Investment          
Mortgage Loans          
Number of Beds/Units | item   5,187 5,187    
Assisted Living | ALF Units | Mortgage Loans on Real Estate          
Mortgage Loans          
Number of Beds/Units | item   270 270    
Range of Care | California          
Mortgage Loans          
Proceeds received from the payoff of a mortgage loan     $ 2,487,000    
Range of Care | California and Texas          
Mortgage Loans          
Number of Loans | loan     2    
Range of Care | Real Estate Investment          
Mortgage Loans          
Gross Investments   $ 43,907,000 $ 43,907,000    
Percentage of Investments   3.80% 3.80%    
Number of Properties | property   7 7    
Investment per Bed/Unit | $ / item   48.36 48.36    
Range of Care | SNF Beds | Real Estate Investment          
Mortgage Loans          
Number of Beds/Units | item   634 634    
Range of Care | ALF Units | Real Estate Investment          
Mortgage Loans          
Number of Beds/Units | item   274 274    
Independent Living | Mortgage Loans on Real Estate          
Mortgage Loans          
Funding   $ 230,000      
Independent Living | Mortgage Loans on Real Estate | Arizona          
Mortgage Loans          
Number of properties securing loan | item   100 100    
Remaining Commitment   $ 260,000 $ 260,000    
Independent Living | Mortgage Loans on Real Estate | Maximum | Arizona          
Mortgage Loans          
Additional Loan Commitment   $ 490,000 $ 490,000