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Real Estate Investments - Owned Properties (Details)
12 Months Ended
Dec. 31, 2015
USD ($)
state
loan
item
property
$ / item
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Real Estate Investments      
Number of Loans | loan 19    
Operating leases      
Contingent rent income | $ $ 134,000 $ 0 $ 0
Real Estate Investment      
Real Estate Investments      
Gross Investments | $ $ 1,198,686,000    
Percentage of Investments 100.00%    
Number of properties | property 175    
Number of states | state 28    
Number of operators 29    
Operating leases      
Number of ways to compute annual rent increases 4    
Real Estate Investment | Minimum      
Operating leases      
Initial term of operating lease 10 years    
Specified annual increase over the prior year's rent (as a percent) 2.00%    
Real Estate Investment | Maximum      
Operating leases      
Initial term of operating lease 15 years    
Specified annual increase over the prior year's rent (as a percent) 3.00%    
Mortgage Loans on Real Estate      
Real Estate Investments      
Gross Investments | $ $ 219,719,000    
Percentage of Investments 100.00%    
Number of Loans | loan 19    
Number of properties | property 38    
Number of states | state 8    
Number of operators 11    
SNF Beds      
Real Estate Investments      
Number of Beds/Units 3,932    
SNF Beds | Real Estate Investment      
Real Estate Investments      
Number of Beds/Units 9,407    
SNF Beds | Mortgage Loans on Real Estate      
Real Estate Investments      
Number of Beds/Units 3,894    
ALF Units      
Real Estate Investments      
Number of Beds/Units 3,546    
ALF Units | Real Estate Investment      
Real Estate Investments      
Number of Beds/Units 5,461    
ALF Units | Mortgage Loans on Real Estate      
Real Estate Investments      
Number of Beds/Units 270    
Assisted Living | Real Estate Investment      
Real Estate Investments      
Gross Investments | $ $ 571,562,000    
Percentage of Investments 47.70%    
Number of properties | property 96    
Average Investment per Bed/Unit | $ / item 110.19    
Assisted Living | Mortgage Loans on Real Estate      
Real Estate Investments      
Gross Investments | $ $ 13,768,000    
Percentage of Investments 6.30%    
Number of Loans | loan 3    
Number of properties | property 8    
Average Investment per Bed/Unit | $ / item 50.99    
Assisted Living | ALF Units | Real Estate Investment      
Real Estate Investments      
Number of Beds/Units 5,187    
Assisted Living | ALF Units | Mortgage Loans on Real Estate      
Real Estate Investments      
Number of Beds/Units 270    
Skilled Nursing | Real Estate Investment      
Real Estate Investments      
Gross Investments | $ $ 522,123,000    
Percentage of Investments 43.60%    
Number of properties | property 70    
Average Investment per Bed/Unit | $ / item 60.33    
Skilled Nursing | Mortgage Loans on Real Estate      
Real Estate Investments      
Gross Investments | $ $ 204,742,000    
Percentage of Investments 93.20%    
Number of Loans | loan 15    
Number of properties | property 30    
Average Investment per Bed/Unit | $ / item 52.58    
Skilled Nursing | SNF Beds | Real Estate Investment      
Real Estate Investments      
Number of Beds/Units 8,655    
Skilled Nursing | SNF Beds | Mortgage Loans on Real Estate      
Real Estate Investments      
Number of Beds/Units 3,894    
Range of Care | Real Estate Investment      
Real Estate Investments      
Gross Investments | $ $ 43,907,000    
Percentage of Investments 3.70%    
Number of properties | property 7    
Average Investment per Bed/Unit | $ / item 48.36    
Range of Care | Mortgage Loans on Real Estate      
Real Estate Investments      
Gross Investments | $ $ 1,209,000    
Percentage of Investments 0.50%    
Number of Loans | loan 1    
Range of Care | SNF Beds | Real Estate Investment      
Real Estate Investments      
Number of Beds/Units 634    
Range of Care | ALF Units | Real Estate Investment      
Real Estate Investments      
Number of Beds/Units 274    
Properties under Development | Real Estate Investment      
Real Estate Investments      
Gross Investments | $ $ 41,608,000    
Percentage of Investments 3.50%    
Other | Real Estate Investment      
Real Estate Investments      
Gross Investments | $ $ 19,486,000    
Percentage of Investments 1.50%    
Number of properties | property 2    
Other | SNF Beds | Real Estate Investment      
Real Estate Investments      
Number of Beds/Units 118    
Memory Care | Real Estate Investment      
Real Estate Investments      
Number of properties | property 5    
Number of Beds/Units 320    
Land | Real Estate Investment      
Real Estate Investments      
Number of properties 3    
Independent Living | Real Estate Investment      
Real Estate Investments      
Number of properties | property 1    
Number of Beds/Units 108    
ALF & MC | Real Estate Investment      
Real Estate Investments      
Number of Beds/Units 89    
Schools | Real Estate Investment      
Real Estate Investments      
Number of properties | property 1    
Hospital      
Real Estate Investments      
Average Investment per Bed/Unit | $ / item 78.39    
Hospital | SNF Beds      
Real Estate Investments      
Number of Beds/Units 2    
Hospital | Hospital Beds      
Real Estate Investments      
Number of Beds/Units 116