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Equity - Noncontrolling Interest (Details)	3 Months Ended
	Mar. 31, 2019 USD ($) item	Sep. 30, 2018 USD ($) item	Jun. 30, 2018 USD ($) item	Dec. 31, 2018 USD ($)
Noncontrolling interest
Non-controlling interests	$ 8,392,000			$ 7,481,000
Investment Commitment	177,032,000
Partnership
Noncontrolling interest
Gross Consolidated Assets	68,693,000
Non-controlling interests	$ 8,392,000
2018 Acquisitions
Noncontrolling interest
Economic interest in joint venture	88.00%
2019 Acquisitions | ALF
Noncontrolling interest
Purchase Price	$ 16,719,000
Virginia | 2019 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets	16,890,000
Non-controlling interests	919,000
Oregon | 2018 Acquisitions | Partnership | Properties under Development
Noncontrolling interest
Gross Consolidated Assets	6,193,000
Non-controlling interests	1,081,000
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets	14,400,000
Non-controlling interests	2,857,000
Wisconsin | 2017 Acquisitions | Partnership | Properties under Development
Noncontrolling interest
Gross Consolidated Assets	19,759,000
Non-controlling interests	2,272,000
South Carolina | 2017 Acquisitions | Partnership | ALF
Noncontrolling interest
Gross Consolidated Assets	11,451,000
Non-controlling interests	1,263,000
110-unit ILF/ALF/MC | Wisconsin | 2017 Acquisitions | ALF/ILF/MC
Noncontrolling interest
Investment Commitment	$ 22,471
Number of beds/units under development | item	110
89-unit ILF | 2018 Acquisitions | ILF
Noncontrolling interest
Non-controlling interests		$ 2,857,000
Purchase Price		14,400,000
Investment Commitment		$ 11,543,000
Number of beds/units under development | item		89
78-unit ALF/MC | 2018 Acquisitions | ALF and MC
Noncontrolling interest
Non-controlling interests			$ 1,081,000
Purchase Price			18,108,000
Investment Commitment			$ 17,027,000
Number of beds/units under development | item			78

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