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Real Estate Investments - Lease (Details)	1 Months Ended	3 Months Ended		4 Months Ended	6 Months Ended	9 Months Ended
	Oct. 31, 2020 USD ($)	Sep. 30, 2020 USD ($) property	Sep. 30, 2019 USD ($)	Oct. 31, 2020 USD ($)	Sep. 30, 2020 USD ($) property	Sep. 30, 2020 USD ($) property	Sep. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Real estate investments
Carrying value		$ 1,108,931,000			$ 1,108,931,000	$ 1,108,931,000		$ 1,136,816,000
Income and Expenses, Lessor [Abstract]
Base cash rental income		32,006,000	$ 33,754,000			98,357,000	$ 100,687,000
Variable cash rental income		3,356,000	3,926,000			11,793,000	12,488,000
Straight-Line Rent		228,000	1,085,000			1,701,000	3,598,000
Change in straight-line rent receivable and lease incentives due to collectibility		(5,472,000)				(23,214,000)	(1,926,000)
Amortization of Lease Incentives		(108,000)	(100,000)			(317,000)	(281,000)
Total Rental Income		30,010,000	38,665,000			88,320,000	114,566,000
Reimbursement Of Real Estate Tax Expense		3,352,000	3,849,000			11,685,000	12,094,000
Contingent rental income		4,000	$ 77,000			108,000	394,000
Non-contingent lease incentives, Write off						185,000	$ (12,093,000)
Rent deferral	$ 566,000	$ 1,176,000		$ 566,000	$ 1,176,000	$ 1,176,000
Rent deferral, as a percent of contractual rent		1.50%			1.50%	1.50%
Deferred rent received				553,000
Remaining balance of deferred rent	1,189,000			$ 1,189,000
Purchase Option in Lease Arrangements
Real estate investments
Gross Investment		$ 150,941,000			$ 150,941,000	$ 150,941,000
Carrying value		$ 127,103,000			127,103,000	$ 127,103,000
Senior Lifestyle Corporation
Income and Expenses, Lessor [Abstract]
Total Rental Income	$ 1,341,000				$ 5,325,000
ALF | Purchase Option in Lease Arrangements | California
Real estate investments
Number of properties | property		2			2	2
Gross Investment		$ 30,609,000			$ 30,609,000	$ 30,609,000
Carrying value		$ 17,088,000			$ 17,088,000	$ 17,088,000
ALF | Purchase Option in Lease Arrangements | California | Minimum
Real estate investments
Purchase option ending period						24 months
ALF | Purchase Option in Lease Arrangements | California | Maximum
Real estate investments
Purchase option ending period						48 months
MC | Purchase Option in Lease Arrangements | Florida
Real estate investments
Number of properties | property		1			1	1
Gross Investment		$ 14,340,000			$ 14,340,000	$ 14,340,000
Carrying value		$ 12,631,000			$ 12,631,000	$ 12,631,000
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky
Real estate investments
Number of properties | property		2			2	2
Gross Investment		$ 30,152,000			$ 30,152,000	$ 30,152,000
Carrying value		$ 27,320,000			$ 27,320,000	$ 27,320,000
MC | Purchase Option in Lease Arrangements | Texas
Real estate investments
Number of properties | property		2			2	2
Gross Investment		$ 25,265,000			$ 25,265,000	$ 25,265,000
Carrying value		$ 23,870,000			$ 23,870,000	$ 23,870,000
ALF and MC | Purchase Option in Lease Arrangements | California
Real estate investments
Number of properties | property		2			2	2
Gross Investment		$ 38,895,000			$ 38,895,000	$ 38,895,000
Carrying value		$ 35,836,000			$ 35,836,000	$ 35,836,000
ALF and MC | Purchase Option in Lease Arrangements | South Carolina
Real estate investments
Number of properties | property		1			1	1
Gross Investment		$ 11,680,000			$ 11,680,000	$ 11,680,000
Carrying value		$ 10,358,000			$ 10,358,000	$ 10,358,000
Real Estate Investment
Real estate investments
Number of properties | property		159			159	159
Gross Investment		$ 1,448,764,000			$ 1,448,764,000	$ 1,448,764,000
Real Estate Investment | ALF
Real estate investments
Number of properties | property		107			107	107
Gross Investment		$ 880,307,000			$ 880,307,000	$ 880,307,000

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