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Real Estate Investments - Acquisitions (Details)
1 Months Ended 12 Months Ended
Jan. 31, 2016
USD ($)
item
Aug. 31, 2014
USD ($)
Dec. 31, 2015
USD ($)
item
property
$ / shares
Dec. 31, 2014
USD ($)
item
$ / shares
Dec. 31, 2013
USD ($)
item
Real estate investments          
Purchase Price     $ 218,626,000 $ 11,650,000 $ 19,040,000
Transaction Costs     1,071,000 21,000 58,000
Total Acquisition Costs     $ 219,697,000 $ 11,671,000 $ 19,098,000
Number of properties acquired     15 1  
Number of beds/units acquired | item     1,429 48 130
Acquisition costs     $ 614,000 $ 152,000 $ 96,000
Investment Commitment     214,917,000    
Funding     71,977,000    
Pro forma revenue and net income          
Revenue     143,414,000 130,488,000  
Net income     $ 74,567,000 $ 76,060,000  
Basic earnings per common share | $ / shares     $ 2.01 $ 2.09  
Diluted earnings per common share | $ / shares     $ 1.98 $ 2.06  
Completed development and improvement projects          
Gain on sale of real estate, net         1,605,000
Other disclosures          
Sale of property     $ 1,537,000 $ 33,593,000 $ 11,001,000
Impairment charges     2,250,000    
Gain (loss) on sale of properties     586,000 4,959,000  
Florida          
Other disclosures          
Impairment charges     2,250,000    
Florida | Subsequent Event          
Other disclosures          
Number of beds or units in property sold | item 48        
Sales price $ 1,750,000        
Florida | Skilled Nursing Property Acquisition          
Real estate investments          
Initial cash yield (as a percent)         8.75%
Real Estate Investment          
Real estate investments          
Investment Commitment     110,650,000    
Real Estate Investment | 2015 Acquisitions          
Real estate investments          
Capitalization of transaction costs     161,000    
Transaction costs capiltalized as part of construction in progress     331,000    
Acquisition costs       35,000  
Real Estate Investment | Land Acquisition | 2015 Acquisitions          
Real estate investments          
Purchase Price     $ 70,298,000    
Number of land parcels acquired | item     5    
Real Estate Investment | Wisconsin | 2015 Acquisitions          
Real estate investments          
Loan commitment under which the purchase option was exercised     $ 10,600,000    
Payments to equip property     3,346,000    
Real Estate Investment | Wisconsin | Skilled Nursing Property Acquisition | 2015 Acquisitions          
Real estate investments          
Lease inducement fee payments     1,054,000    
Real Estate Investment | Texas | Skilled Nursing Property Acquisition | 2015 Acquisitions          
Real estate investments          
Purchase Price     $ 23,000,000    
Number of properties acquired | property     2    
Number of beds/units acquired | item     254    
Real Estate Investment | Oregon | Subsequent Event          
Other disclosures          
Number of beds or units in property sold | item 36        
Sales price $ 1,500,000        
Mortgage loan agreement amount 1,000,000        
Real Estate Investment | Oregon | Subsequent Event | Forecast          
Other disclosures          
Gain (loss) on sale of properties 120,000        
Additional Loan Commitments          
Real estate investments          
Investment Commitment     $ 52,490,000    
Funding     $ 6,925,000    
Real Estate Investment Completed Projects          
Completed development and improvement projects          
Number of Properties     5   3
Number of Beds/Units | item     518   257
Funding     $ 3,564,000 38,768,000 $ 17,462,000
Total Funding     $ 14,906,000 58,745,000 28,160,000
Maximum | Real Estate Investment          
Real estate investments          
Initial term of operating lease     15 years    
Skilled Nursing          
Real estate investments          
Purchase Price     $ 36,946,000   14,402,000
Transaction Costs     87,000   58,000
Total Acquisition Costs     $ 37,033,000   $ 14,460,000
Number of properties acquired | property     3    
Number of beds/units acquired | item     360   130
Skilled Nursing | Ohio          
Completed development and improvement projects          
Gain on sale of real estate, net         $ 2,619,000
Other disclosures          
Sale of property         11,000,000
Skilled Nursing | Texas | Subsequent Event          
Real estate investments          
Purchase Price $ 16,000,000        
Number of beds/units acquired | item 126        
Skilled Nursing | Real Estate Investment          
Real estate investments          
Investment Commitment     $ 6,500,000    
Skilled Nursing | Additional Loan Commitments          
Real estate investments          
Investment Commitment     52,000,000    
Funding     6,565,000    
Skilled Nursing Properties with 47 Units | Colorado          
Completed development and improvement projects          
Gain on sale of real estate, net         $ (1,014,000)
Other disclosures          
Number of beds or units in property sold | item         47
Sale of property         $ 1,000
ALF & MC | Real Estate Investment          
Real estate investments          
Investment Commitment     $ 16,535,000    
ALF & MC | Real Estate Investment | Land Acquisition | 2015 Acquisitions          
Real estate investments          
Number of beds/units under development | item     89    
Assisted Living          
Real estate investments          
Purchase Price     $ 156,097,000 9,800,000  
Transaction Costs     590,000 21,000  
Total Acquisition Costs     $ 156,687,000 $ 9,821,000  
Number of properties acquired     11 1  
Number of beds/units acquired | item     951 48  
Assisted Living | Colorado          
Real estate investments          
Initial cash yield (as a percent)       6.50%  
Assisted Living | Florida | Subsequent Event          
Other disclosures          
Number of beds or units in property sold | item 48        
Sales price $ 1,750,000        
Gain (loss) on sale of properties $ 120,000        
Assisted Living | Oregon          
Other disclosures          
Number of beds or units in property sold | item 36        
Sales price $ 1,500,000        
Assisted Living | Oregon | Subsequent Event          
Other disclosures          
Mortgage loan agreement amount 1,000,000        
Assisted Living | Real Estate Investment          
Real estate investments          
Investment Commitment     $ 101,150,000    
Assisted Living | Real Estate Investment | Florida and Georgia          
Other disclosures          
Number of beds or units in property sold | item       133  
Assisted Living | Additional Loan Commitments          
Real estate investments          
Investment Commitment     490,000    
Funding     360,000    
Assisted Living | Real Estate Investment Completed Projects | Kansas          
Pro forma revenue and net income          
Acquired land         730,000
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | Acquisition of 60-unit Memory Care Community | 2015 Acquisitions          
Real estate investments          
Purchase Price     14,250,000    
Total Acquisition Costs     $ 14,132,000    
Number of beds/units acquired | item     60    
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | Acquisition of 60-unit Memory Care Community | 2015 Acquisitions | Working capital reserve          
Real estate investments          
Contingent consideration     $ 2,000    
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | Acquisition of 60-unit Memory Care Community | 2015 Acquisitions | Rent coverage ratio stipulation          
Real estate investments          
Contingent consideration     300,000    
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | Acquisition of 60-unit Memory Care Community | 2015 Acquisitions | Fair Value | Working capital reserve          
Real estate investments          
Contingent consideration     1,847,000    
Memory Care | Real Estate Investment          
Real estate investments          
Investment Commitment     $ 65,034,000    
Memory Care | Real Estate Investment | 2015 Acquisitions          
Real estate investments          
Number of beds/units acquired | item     56    
Investment Commitment     $ 13,524,000    
Memory Care | Real Estate Investment | Land Acquisition | 2015 Acquisitions          
Real estate investments          
Number of development commitments | item     3    
Memory Care | Real Estate Investment Completed Projects | Colorado          
Pro forma revenue and net income          
Acquired land   $ 1,425,000     $ 1,882,000
Memory Care | Real Estate Development Commitments          
Real estate investments          
Number of development commitments | item         3
Memory Care | Real Estate Development Commitments | Maximum          
Real estate investments          
Investment Commitment         $ 30,256,000
Memory Care | Real Estate Development Commitments One          
Real estate investments          
Number of development commitments | item         2
Number of beds/units under development | item         60
Memory Care | Real Estate Development Commitments Two          
Real estate investments          
Number of beds/units under development | item         48
Other Properties          
Real estate investments          
Purchase Price     $ 9,250,000    
Transaction Costs     42,000    
Total Acquisition Costs     $ 9,292,000    
Number of properties acquired | property     1    
Number of beds/units acquired | item     118    
Other Properties | Real Estate Investment          
Real estate investments          
Investment Commitment     $ 3,000,000    
Land          
Real estate investments          
Purchase Price     16,333,000 $ 1,850,000 $ 4,638,000
Transaction Costs     352,000    
Total Acquisition Costs     $ 16,685,000 1,850,000 4,638,000
Land | Illinois          
Real estate investments          
Purchase Price       1,400,000  
Investment Commitment       $ 12,248,000  
Number of beds/units under development | item       66  
Land | Real Estate Investment | Colorado          
Real estate investments          
Purchase Price         $ 3,475,000
Number of development commitments | item         3
Land | Real Estate Investment | Michigan          
Real estate investments          
Purchase Price         $ 1,163,000
Land | Real Estate Development Commitments | Michigan          
Real estate investments          
Number of Parcels of Land | item         4
Independent Living | Real Estate Investment | Land Acquisition | 2015 Acquisitions          
Real estate investments          
Number of beds/units under development | item     108    
Independent, ALF, and MC properties | Real Estate Investment | Land Acquisition | 2015 Acquisitions          
Real estate investments          
Number of beds/units under development | item     198    
Independent, ALF, and MC properties | Real Estate Investment | Portfolio of 10 Properties | 2015 Acquisitions          
Real estate investments          
Purchase Price     $ 142,000,000    
Number of properties acquired | item     10    
Number of beds/units acquired | item     891    
Independent, ALF, and MC properties | Real Estate Investment | Portfolio of 10 Properties | 2015 Acquisitions | Rent coverage ratio stipulation          
Real estate investments          
Contingent consideration     $ 10,000,000    
Hospital | Real Estate Investment | Nevada | Acquisition of Behavioral Health Care Hospital | 2015 Acquisitions          
Real estate investments          
Purchase Price     9,300,000    
Investment Commitment     $ 3,000,000    
Hospital | Hospital Beds | Real Estate Investment | Nevada | Acquisition of Behavioral Health Care Hospital | 2015 Acquisitions          
Real estate investments          
Number of beds/units acquired | item     116    
Hospital | SNF Beds | Real Estate Investment | Nevada | Acquisition of Behavioral Health Care Hospital | 2015 Acquisitions          
Real estate investments          
Number of beds/units acquired | item     2    
Nursing Center [Member] | Real Estate Investment | Acquisition of 126-Bed Nursing Center | 2016 Acquisitions | Subsequent Event          
Real estate investments          
Purchase Price $ 16,000,000        
Number of beds/units acquired | item 126        
Nursing Center [Member] | Real Estate Investment | Texas          
Other disclosures          
Number of beds or units in property sold | item     112    
Sales price     $ 1,600,000    
Sale of property     1,537,000    
Gain (loss) on sale of properties     $ 586,000    
Assisted Living Properties, School and Skilled Nursing Property [Member] | Real Estate Investment | Florida, Georgia and Minnesota          
Other disclosures          
Sales price       $ 8,100,000  
Sale of property       7,891,000  
Gain (loss) on sale of properties       $ 1,140,000  
Extendicare Real Estate Investment Trust and Enlivant | Assisted Living | Real Estate Investment          
Other disclosures          
Number of beds or units in property sold | item       615  
Sales price       $ 26,465,000  
Sale of property       25,702,000  
Gain (loss) on sale of properties       3,819,000  
Development Project | Skillled Nursing Properties with 120 Units | Real Estate Investment Completed Projects | Texas          
Completed development and improvement projects          
Number of Properties | item         1
Number of Beds/Units | item         120
Funding         $ 5,065,000
Total Funding         $ 8,635,000
Development Project | Skilled Nursing Properties with 143 Units | Real Estate Investment Completed Projects | Kentucky          
Completed development and improvement projects          
Funding       10,579,000  
Total Funding       20,904,000  
Development Project | Assisted Living Properties with 60 Units | Real Estate Investment Completed Projects | Colorado          
Completed development and improvement projects          
Number of Properties     1   1
Number of Beds/Units | item     60   60
Funding     $ 1,522,000 6,351,000 $ 4,316,000
Total Funding     10,703,000 9,689,000 $ 9,850,000
Development Project | Assisted Living Properties with 77 Units [Member] | Real Estate Investment Completed Projects | Kansas          
Completed development and improvement projects          
Number of Properties | item         1
Number of Beds/Units | item         77
Funding         $ 8,081,000
Total Funding         $ 9,675,000
Development Project | Assisted Living Properties With 80 Units | Real Estate Investment Completed Projects | Texas          
Completed development and improvement projects          
Funding       2,300,000  
Total Funding       5,691,000  
Development Project | Assisted Living Properties with 48 Units | Real Estate Investment Completed Projects | Colorado          
Completed development and improvement projects          
Funding       7,257,000  
Total Funding       8,744,000  
Development Project | Independent Living          
Real estate investments          
Investment Commitment     14,500,000    
Renovation Project | Assisted Living | Real Estate Investment          
Real estate investments          
Investment Commitment     $ 5,080,000    
Expansion/Renovation Project | Assisted Living Properties with 123 Units | Real Estate Investment Completed Projects | Colorado          
Completed development and improvement projects          
Funding       5,091,000  
Total Funding       5,095,000  
Expansion/Renovation Project | Assisted Living Properties with 72 Units | Real Estate Investment Completed Projects | Colorado          
Completed development and improvement projects          
Funding       6,371,000  
Total Funding       6,376,000  
Improvements Project | Skilled Nursing Facility with 121 Units [Member] | Real Estate Investment Completed Projects | California          
Completed development and improvement projects          
Number of Properties | property     1    
Number of Beds/Units | item     121    
Funding     $ 1,481,000    
Total Funding     $ 1,481,000    
Improvements Project | Skilled Nursing Facility with 196 Units [Member] | Real Estate Investment Completed Projects | Texas          
Completed development and improvement projects          
Number of Properties | property     1    
Number of Beds/Units | item     196    
Funding     $ 522,000    
Total Funding     $ 522,000    
Improvements Project | Skilled Nursing Facility with 141 Units [Member] | Real Estate Investment Completed Projects | Tennessee          
Completed development and improvement projects          
Number of Properties | property     2    
Number of Beds/Units | item     141    
Funding     $ 39,000    
Total Funding     $ 2,200,000    
Improvements Project | Skilled Nursing Properties with 235 Units | Real Estate Investment Completed Projects | New Mexico          
Completed development and improvement projects          
Funding       319,000  
Total Funding       1,746,000  
Improvements Project | Skillled Nursing Properties with 120 Units | Real Estate Investment Completed Projects | Florida          
Completed development and improvement projects          
Funding       500,000  
Total Funding       $ 500,000