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Real Estate Investments - Owned Properties (Details) - 3 months ended Mar. 31, 2016
$ in Thousands
item
property
$ / item
state
item
property
USD ($)
Total
Real Estate Investment            
Real Estate Investments            
Gross Investments | $         $ 1,229,756  
Percentage of Investments           100.00%
Number of properties | property       176    
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%          
SNF Beds | Real Estate Investment            
Real Estate Investments            
Number of Beds/Units     9,533      
ALF Units | Real Estate Investment            
Real Estate Investments            
Number of Beds/Units     5,479      
Assisted Living            
Real Estate Investments            
Number of Beds/Units     3,428      
Assisted Living | Real Estate Investment            
Real Estate Investments            
Gross Investments | $         540,240  
Percentage of Investments           43.90%
Number of properties | property       71    
Average Investment per Bed/Unit | $ / item 61.52          
Assisted Living | SNF Beds | Real Estate Investment            
Real Estate Investments            
Number of Beds/Units     8,781      
Skilled Nursing            
Real Estate Investments            
Number of properties | property       2    
Number of Beds/Units     4,050      
Skilled Nursing | Real Estate Investment            
Real Estate Investments            
Gross Investments | $         582,362  
Percentage of Investments           47.40%
Number of properties | property       96    
Average Investment per Bed/Unit | $ / item 111.89          
Skilled Nursing | ALF Units | Real Estate Investment            
Real Estate Investments            
Number of Beds/Units     5,205      
Range of Care | Real Estate Investment            
Real Estate Investments            
Gross Investments | $         43,907  
Percentage of Investments           3.60%
Number of properties | property       7    
Average Investment per Bed/Unit | $ / item 48.36          
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 | $         43,761  
Percentage of Investments           3.60%
Other            
Real Estate Investments            
Gross Investments | $         1,209  
Percentage of Investments           0.50%
Other | Real Estate Investment            
Real Estate Investments            
Gross Investments | $         $ 19,486  
Percentage of Investments           1.50%
Number of properties | property       2    
Average Investment per Bed/Unit | $ / item 78.39          
Number of parcels of land 3          
Other | SNF Beds | Real Estate Investment            
Real Estate Investments            
Number of Beds/Units     118 2    
Other | Hospital Beds | Real Estate Investment            
Real Estate Investments            
Number of Beds/Units | property       116    
Schools | Real Estate Investment            
Real Estate Investments            
Number of properties | property       1    
Hospital | Real Estate Investment            
Real Estate Investments            
Number of properties | property       1    
Development Project | Properties under Development            
Real Estate Investments            
Number of developments 6          
Development Project | Memory Care | Real Estate Investment            
Real Estate Investments            
Number of properties under development | property 4          
Number of beds/units under development 254          
Development Project | Independent Living            
Real Estate Investments            
Number of beds/units under development 108          
Development Project | ALF & MC | Real Estate Investment            
Real Estate Investments            
Number of beds/units under development 89