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Pro Forma Information (Details)
$ / shares in Units, $ in Thousands
 1 Months Ended 3 Months Ended 4 Months Ended 9 Months Ended 12 Months Ended
Sep. 28, 2015
Sep. 30, 2015
USD ($)
property
community
May. 31, 2015
property
May. 31, 2015
community
May. 31, 2015
USD ($)
Feb. 28, 2015
USD ($)
shares
Jan. 31, 2015
USD ($)
property
building
May. 31, 2014
USD ($)
Apr. 30, 2014
USD ($)
shares
Sep. 30, 2015
USD ($)
Sep. 30, 2014
USD ($)
Sep. 30, 2014
Sep. 30, 2015
USD ($)
property
community
$ / shares
Sep. 30, 2014
USD ($)
$ / shares
Dec. 31, 2014
USD ($)
property
community
building
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Interest rate (as a percent)   1.60%               1.60%     1.60%    
Mortgage debt assumed                         $ 181,432 $ 15,630  
Residents fees and services                   $ 96,412 $ 79,259   271,061 237,740  
Common shares issued in public offering | shares           31,050,000     15,525,000            
Net proceeds from issuance of common shares issued in public offering           $ 659,496     $ 322,807       659,496 322,962  
Net proceeds after underwriting discounts from sale of senior unsecured notes                         644,889    
Pro Forma                              
Pro forma results of operations                              
Total revenues                         765,933 758,825  
Net income                         $ 113,588 $ 94,888  
Net income per share (in dollars per share) | $ / shares                         $ 0.48 $ 0.40  
Senior living communities                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of communities | community                         19    
Property operating expenses                         $ 15,714    
Residents fees and services                         22,235    
Principal amount of debt   $ 200,000               200,000     $ 200,000    
Interest rate, description                         LIBOR    
Interest rate added to the base rate (as a percent)                         1.80%    
Triple Net Leased Net Senior Living Communities                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of communities | community       20                      
Total rental income recognized                         $ 14,264    
Acquisition                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties acquired or agreed to be acquired | property                         23    
Aggregate purchase price properties, excluding closing costs             $ 539,000                
Mortgage debt assumed             $ 29,955                
Weighted average interest rate on debt (as a percent)             4.73%                
Property operating expenses                         $ 4,250    
Total rental income recognized                         $ 27,412    
Acquisition | Senior living communities                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties acquired or agreed to be acquired   39 1 39                     2
Number of communities | community   1   37                      
Aggregate purchase price properties, excluding closing costs         $ 818,000                    
Mortgage debt assumed   $ (151,477)     $ 151,477                    
Weighted average interest rate on debt (as a percent)     4.57% 4.57% 4.57%                    
Acquisition | MOBs                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties acquired or agreed to be acquired | property             23           23   2
Number of buildings acquired | building             23               3
Aggregate purchase price properties, excluding closing costs                             $ 1,204,393
Mortgage debt assumed             $ (29,955)           $ (29,955)   $ 15,630
Weighted average interest rate on debt (as a percent)                             6.28%
Acquisition | Triple Net Leased Net Senior Living Communities                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties acquired or agreed to be acquired | property                         1    
Number of communities | community                             19
Senior unsecured notes 3.25%                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Interest rate (as a percent)                 3.25%            
Principal amount of debt                 $ 400,000            
Senior unsecured notes 4.75%                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Interest rate (as a percent)                 4.75%            
Principal amount of debt                 $ 250,000            
Unsecured Debt                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Weighted average interest rate on debt (as a percent) 1.99%                            
Principal amount of debt   $ 350,000           $ 350,000   $ 350,000     $ 350,000    
Interest rate, description               LIBOR       LIBOR      
Interest rate added to the base rate (as a percent) 1.80%             1.40%             1.40%