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Real Estate Investments - Acquisitions (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2016 USD ($) item property	Dec. 31, 2015 USD ($) item property
Real estate investments
Investment Commitment	$ 176,521
2016 Acquisitions
Real estate investments
Purchase Price	76,441
Transaction Costs	576
Total Acquisition Costs	$ 77,017
Number of properties acquired | property	5
Number of beds/units acquired | item	376
2016 Acquisitions | SNF
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 | item	126
2016 Acquisitions | ALF
Real estate investments
Purchase Price	$ 53,550
Transaction Costs	423
Total Acquisition Costs	$ 53,973
Number of properties acquired | property	4
Number of beds/units acquired | item	250
2016 Acquisitions | MC | Kentucky
Real estate investments
Purchase Price	$ 14,250
2016 Acquisitions | MC | Kentucky | Holdback
Real estate investments
Contingent consideration	2,000
2016 Acquisitions | MC | Kansas
Real estate investments
Purchase Price	$ 25,000
Number of properties acquired | property	2
2016 Acquisitions | Land
Real estate investments
Purchase Price	$ 6,891
Transaction Costs	108
Total Acquisition Costs	6,999
2016 Acquisitions | Land | Real Estate Development Commitments | Illinois
Real estate investments
Investment Commitment	$ 14,500
2016 Acquisitions | Land | Real Estate Development Commitments | Real Estate Investment Development Redevelopment Renovation and Expansion Projects | Kentucky
Real estate investments
Number of beds/units under development | item	143
2016 Acquisitions | Land | Real Estate Development Commitments | Maximum | Kentucky
Real estate investments
Investment Commitment	$ 24,325
2016 Acquisitions | ALF & MC | Georgia
Real estate investments
Purchase Price	$ 14,300
2015 Acquisitions
Real estate investments
Purchase Price		$ 218,626
Transaction Costs		1,071
Total Acquisition Costs		$ 219,697
Number of properties acquired | property		15
Number of beds/units acquired | item		1,429
2015 Acquisitions | SNF
Real estate investments
Purchase Price		$ 36,946
Transaction Costs		87
Total Acquisition Costs		$ 37,033
Number of properties acquired | property		3
Number of beds/units acquired | item		360
2015 Acquisitions | SNF | Real Estate Investment | Texas
Real estate investments
Purchase Price		$ 23,000
Number of properties acquired | property		2
Number of beds/units acquired | item		254
2015 Acquisitions | SNF | Real Estate Investment | Wisconsin
Real estate investments
Loan commitment under which the purchase option was exercised		$ 10,600
Payments to acquire productive assets		3,346
2015 Acquisitions | ALF
Real estate investments
Purchase Price		156,097
Transaction Costs		590
Total Acquisition Costs		$ 156,687
Number of properties acquired | property		11
Number of beds/units acquired | item		951
2015 Acquisitions | ALF | Memory Care Property with 60 Units | Real Estate Investment
Real estate investments
Purchase Price		$ 14,250
Total Acquisition Costs		$ 14,132
Number of beds/units acquired | property		60
2015 Acquisitions | ALF | Memory Care Property with 60 Units | Real Estate Investment | Working capital reserve
Real estate investments
Contingent consideration		$ 2,000
2015 Acquisitions | ALF | Memory Care Property with 60 Units | Real Estate Investment | Working capital reserve | Fair Value
Real estate investments
Contingent consideration		$ 1,847
2015 Acquisitions | MC | Real Estate Development Commitments | Land Acquisition
Real estate investments
Number of land parcels acquired | property		5
2015 Acquisitions | MC | Real Estate Development Commitments One | Land Acquisition
Real estate investments
Number of properties acquired | property		3
Number of beds/units acquired | item		198
2015 Acquisitions | MC | Real Estate Development Commitments One | Illinois | Land Acquisition
Real estate investments
Number of beds/units acquired | item		108
2015 Acquisitions | MC | Real Estate Development Commitments One | Maximum
Real estate investments
Investment Commitment		$ 70,298
2015 Acquisitions | MC | Real Estate Development Commitments Two
Real estate investments
Investment Commitment		13,524
2015 Acquisitions | Other Properties
Real estate investments
Purchase Price		9,250
Transaction Costs		42
Total Acquisition Costs		$ 9,292
Number of properties acquired | property		1
Number of beds/units acquired | item		118
2015 Acquisitions | Other Properties | Hospital Beds | Real Estate Investment | Nevada | Acquisition of Behavioral Health Care Hospital
Real estate investments
Purchase Price		$ 9,300
Number of beds/units acquired | item		116
2015 Acquisitions | Other Properties | SNF Beds | Real Estate Investment | Nevada | Acquisition of Behavioral Health Care Hospital
Real estate investments
Number of beds/units acquired | item		2
2015 Acquisitions | Land
Real estate investments
Purchase Price		$ 16,333
Transaction Costs		352
Total Acquisition Costs		$ 16,685
2015 Acquisitions | Land | Real Estate Development Commitments Two
Real estate investments
Number of beds/units acquired | item		56
2015 Acquisitions | ALF & MC | Real Estate Development Commitments One | Land Acquisition
Real estate investments
Number of beds/units acquired | item		89
2015 Acquisitions | ALF/ILF/MC | Real Estate Investment
Real estate investments
Purchase Price		$ 142,000
Number of properties acquired | property		10

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