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Real Estate Investments - Acquisitions (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2016 USD ($) item property	Sep. 30, 2015 USD ($) contract item property	Oct. 31, 2016 USD ($)
Real estate investments
Investment Commitment	$ 169,641
Development Project | ALF & MC | Real Estate Investment
Real estate investments
Number of beds/units under development | item	143
Development Project | MC | Real Estate Investment
Real estate investments
Number of beds/units under development | item	66
Development Project | Independent Living | Real Estate Investment
Real estate investments
Number of beds/units under development | item	108
2016 Acquisitions | Real Estate Investment
Real estate investments
Purchase Price	$ 74,975
Transaction Costs	519
Total Acquisition Costs	$ 75,494
Number of properties acquired | property	5
Number of beds/units acquired | item	376
2016 Acquisitions | SNF | Real Estate Investment
Real estate investments
Purchase Price	$ 16,000
Transaction Costs	45
Total Acquisition Costs	$ 16,045
Number of properties acquired | property	1
Number of beds/units acquired | item	126
2016 Acquisitions | SNF | Real Estate Investment | Texas
Real estate investments
Number of beds/units acquired | property	126
2016 Acquisitions | ALF | Real Estate Investment
Real estate investments
Purchase Price	$ 53,550
Transaction Costs	411
Total Acquisition Costs	$ 53,961
Number of properties acquired | property	4
Number of beds/units acquired | item	250
2016 Acquisitions | MC | Real Estate Investment | Kentucky
Real estate investments
Purchase Price	$ 14,250
Contingent consideration	2,000
2016 Acquisitions | MC | Real Estate Investment | Georgia
Real estate investments
Purchase Price	14,300
2016 Acquisitions | MC | Real Estate Investment | Kansas
Real estate investments
Purchase Price	$ 25,000
Number of properties acquired | property	2
2016 Acquisitions | MC | Real Estate Development Commitments | Illinois | Subsequent Event
Real estate investments
Investment Commitment			$ 14,500
2016 Acquisitions | Land | Real Estate Investment
Real estate investments
Purchase Price	$ 5,425
Transaction Costs	63
Total Acquisition Costs	$ 5,488
2016 Acquisitions | Land | Real Estate Development Commitments | Real Estate Investment | Kentucky
Real estate investments
Number of beds/units under development | item	143
2016 Acquisitions | Land | Real Estate Development Commitments | Maximum | Real Estate Investment | Kentucky
Real estate investments
Investment Commitment	$ 24,325
2015 Acquisitions | Real Estate Investment
Real estate investments
Purchase Price		$ 183,576
Transaction Costs		422
Total Acquisition Costs		$ 183,998
Number of properties acquired | property		12
Number of beds/units acquired | item		1,057
2015 Acquisitions | SNF | Real Estate Investment
Real estate investments
Purchase Price		$ 13,946
Total Acquisition Costs		$ 13,946
Number of properties acquired | property		1
Number of beds/units acquired | item		106
2015 Acquisitions | SNF | Real Estate Investment | Wisconsin
Real estate investments
Purchase Price		$ 13,946
Number of beds/units acquired | property		106
2015 Acquisitions | SNF | Mortgage Loans on Real Estate
Real estate investments
Loan commitment under which the purchase option was exercised		$ 10,600
2015 Acquisitions | SNF | Mortgage Loans on Real Estate | Wisconsin
Real estate investments
Loan commitment under which the purchase option was exercised		10,600
2015 Acquisitions | ALF | Real Estate Investment
Real estate investments
Purchase Price		156,097
Transaction Costs		325
Total Acquisition Costs		$ 156,422
Number of properties acquired | property		11
Number of beds/units acquired | item		951
2015 Acquisitions | MC | Real Estate Investment
Real estate investments
Purchase Price		$ 14,250
Number of beds/units acquired | item		60
2015 Acquisitions | MC | Real Estate Investment | Working capital reserve
Real estate investments
Contingent consideration		$ 2,000
2015 Acquisitions | MC | Real Estate Development Commitments One | Real Estate Investment
Real estate investments
Number of development commitments | property		2
2015 Acquisitions | Land | Real Estate Investment
Real estate investments
Purchase Price		$ 13,533
Transaction Costs		97
Total Acquisition Costs		$ 13,630
2015 Acquisitions | Land | Real Estate Development Commitments One | Real Estate Investment
Real estate investments
Number of development commitments | contract		4
2015 Acquisitions | Land | Real Estate Development Commitments One | Maximum | Real Estate Investment
Real estate investments
Investment Commitment		$ 55,529
2015 Acquisitions | Land | Real Estate Development Commitments Two | Maximum | Real Estate Investment
Real estate investments
Investment Commitment		12,182
2015 Acquisitions | Independent, ALF, and MC properties | Real Estate Investment
Real estate investments
Purchase Price		$ 142,000
Number of beds/units acquired | item		10

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