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Investment in Unconsolidated Joint Ventures - Investment (Details)
3 Months Ended 12 Months Ended
Dec. 31, 2019
USD ($)
item
Dec. 31, 2019
USD ($)
item
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Oct. 01, 2019
property
Investment in Unconsolidated Joint Ventures          
Carrying Value $ 19,003,000 $ 19,003,000 $ 30,615,000    
Cash Interest Received   2,991,000 2,371,000 $ 1,738,000  
Income Recognized   2,388,000 2,864,000 2,263,000  
Impairment loss from investments in unconsolidated joint ventures $ 5,500,000 $ 5,500,000      
Joint Venture          
Investment in Unconsolidated Joint Ventures          
Number of beds/units | item 585 585      
Carrying Value $ 19,003,000 $ 19,003,000      
Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Cash Interest Received   2,991,000 2,371,000 1,738,000  
Capital Contributions   472,000 670,000 3,848,000  
Income Recognized   $ 2,388,000 2,864,000 2,263,000  
Preferred Equity Investment          
Investment in Unconsolidated Joint Ventures          
Number of properties owned by joint venture | property         4
Combination ILF, ALF and MC community | Preferred Equity Investment | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage   15.00%      
Currently paid in cash as a percentage   8.00%      
Number of beds/units | item 585 585      
Carrying Value $ 19,003,000 $ 19,003,000      
Cash Interest Received   1,580,000 1,975,000 1,436,000  
Capital Contributions   472,000 670,000 1,101,000  
Income Recognized   $ 1,029,000 2,041,000 1,560,000  
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage   15.00%      
Number of beds/units | item 99 99      
Investment commitment   $ 2,900,000      
Cash Interest Received   979,000 396,000 302,000  
Income Recognized   955,000 511,000 511,000  
Combination UDP-ALF/MC | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Cash Interest Received   432,000      
Income Recognized   $ 404,000      
Combination UDP-ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage   15.00%      
Number of beds/units | item 127 127      
Investment commitment   $ 3,400,000      
Capital Contributions       2,747,000  
Income Recognized     $ 312,000 $ 192,000