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Real Estate Investments - Acquisitions (Details)	3 Months Ended	12 Months Ended
	Mar. 31, 2019 USD ($) item	Dec. 31, 2018 USD ($) item property	Dec. 31, 2017 USD ($) item property	Dec. 31, 2016 USD ($) item property
Real estate investments
Stockholders' Equity Attributable to Noncontrolling Interest		$ 7,481,000	$ 3,488,000
Investment Commitment		184,560,000
ALF and MC | 74-Unit ALF/MC
Real estate investments
Number of beds/units acquired | item	74
Real Estate Investment Economic Interest in Joint Venture Percentage	95.00%
2018 Acquisitions
Real estate investments
Purchase Price		40,295,000
Transaction Costs		113,000
Total Acquisition Costs		$ 40,408,000
Number of properties acquired | property		3
Number of beds/units acquired | item		177
Real Estate Investment Economic Interest in Joint Venture Percentage		88.00%
2018 Acquisitions | ALF
Real estate investments
Purchase Price		$ 39,600,000
Transaction Costs		65,000
Total Acquisition Costs		$ 39,665,000
Number of properties acquired | property		3
Number of beds/units acquired | item		177
2018 Acquisitions | ILF | 89-unit ILF
Real estate investments
Purchase Price		$ 14,400,000
Stockholders' Equity Attributable to Noncontrolling Interest		2,857,000
Investment Commitment		$ 11,543,000
Number of beds/units under development | item		89
2018 Acquisitions | MC | Texas
Real estate investments
Number of properties acquired | property		2
2018 Acquisitions | Land
Real estate investments
Purchase Price		$ 695,000
Transaction Costs		48,000
Total Acquisition Costs		743,000
2018 Acquisitions | ALF and MC
Real estate investments
Real Estate Investment Economic Interest in Joint Venture Percentage	95.00%
2018 Acquisitions | ALF and MC | 74-Unit ALF/MC
Real estate investments
Stockholders' Equity Attributable to Noncontrolling Interest	$ 919,000
Investment Commitment	15,950,000
2018 Acquisitions | ALF and MC | 78-unit ALF/MC
Real estate investments
Purchase Price		18,108,000
Stockholders' Equity Attributable to Noncontrolling Interest		$ 1,081,000
Number of beds/units acquired | item		78
Investment Commitment		$ 17,027,000
Number of beds/units under development | item		78
2017 Acquisitions
Real estate investments
Purchase Price			81,818,000
Transaction Costs			587,000
Total Acquisition Costs			$ 82,405,000
Number of properties acquired | property			5
Number of beds/units acquired | item			400
2017 Acquisitions | ALF
Real estate investments
Purchase Price			$ 81,018,000
Transaction Costs			569,000
Total Acquisition Costs			$ 81,587,000
Number of properties acquired | property			5
Number of beds/units acquired | item			400
2017 Acquisitions | Land
Real estate investments
Purchase Price			$ 800,000
Transaction Costs			18,000
Total Acquisition Costs			$ 818,000
2016 Acquisitions
Real estate investments
Purchase Price				$ 76,441,000
Transaction Costs				576,000
Total Acquisition Costs				$ 77,017,000
Number of properties acquired | property				5
Number of beds/units acquired | item				376
2016 Acquisitions | SNF
Real estate investments
Purchase Price				$ 16,000,000
Transaction Costs				45,000
Total Acquisition Costs				$ 16,045,000
Number of properties acquired | property				1
Number of beds/units acquired | item				126
2016 Acquisitions | ALF
Real estate investments
Purchase Price				$ 53,550,000
Transaction Costs				423,000
Total Acquisition Costs				$ 53,973,000
Number of properties acquired | property				4
Number of beds/units acquired | item				250
2016 Acquisitions | MC | Kansas
Real estate investments
Number of properties acquired | property				2
2016 Acquisitions | Land
Real estate investments
Purchase Price				$ 6,891,000
Transaction Costs				108,000
Total Acquisition Costs				$ 6,999,000
Subsequent Event | ALF and MC | 74-Unit ALF/MC
Real estate investments
Stockholders' Equity Attributable to Noncontrolling Interest	919,000
Investment Commitment	$ 15,950,000
Subsequent Event | 2018 Acquisitions | ALF and MC | 74-Unit ALF/MC
Real estate investments
Number of beds/units acquired | item	919
Real Estate Investment Economic Interest in Joint Venture Percentage	95.00%
Number of beds/units under development | item	74
Subsequent Event | 2018 Acquisitions | ALF and MC | 78-unit ALF/MC
Real estate investments
Contingent consideration	$ 15,950,000

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