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Related Person Transactions - Five Star (Details)
$ in Thousands
1 Months Ended 12 Months Ended 55 Months Ended
Dec. 31, 2015
USD ($)
employee
community
property
trustee
agreement
shares
Aug. 31, 2015
USD ($)
item
Jul. 31, 2015
USD ($)
item
May. 31, 2015
USD ($)
community
item
Feb. 28, 2015
USD ($)
item
Dec. 31, 2014
USD ($)
community
Oct. 31, 2014
USD ($)
community
item
Jul. 31, 2014
community
Jun. 30, 2014
USD ($)
community
item
Jan. 31, 2014
USD ($)
item
Dec. 31, 2013
USD ($)
item
Nov. 30, 2013
community
Aug. 31, 2013
USD ($)
item
Oct. 31, 2012
community
Aug. 31, 2012
community
May. 31, 2011
community
Dec. 31, 2015
USD ($)
employee
community
property
period
trustee
agreement
item
shares
Dec. 31, 2014
USD ($)
community
Dec. 31, 2013
USD ($)
community
Dec. 31, 2015
USD ($)
employee
community
property
trustee
agreement
shares
Related person transactions                                        
Payment for land parcel adjacent to a senior living community leased to Five Star         $ 490                              
Management fees as a percentage of gross revenues 3.00%                               3.00%     3.00%
Incentive fee payable $ 0                               $ 0     $ 0
Number of employees | employee 0                               0     0
Number of agreements with RMR to provide management services | agreement                                 2      
Number of Managing Trustees also serving as officer of related party | trustee 1                               1     1
Number of entities to which RMR provides management services | item                                 3      
Senior Living Communities                                        
Related person transactions                                        
Number of communities | community       1                         19      
Number of communities excluded from pooling agreements | community       14                         1      
Number of properties acquired or agreed to be acquired | community       37                                
Number of pre-existing management agreements terminated | community       14                                
Number of living units | item       838                                
Senior Living Communities | Wisconsin                                        
Related person transactions                                        
Purchase price           $ 47,430                            
Number of properties acquired or agreed to be acquired | community           2                            
Senior Living Communities | New York                                        
Related person transactions                                        
Number of living units | community 310                               310     310
Senior Living Communities | TRS | Georgia                                        
Related person transactions                                        
Purchase price       $ 9,750                                
Number of properties acquired or agreed to be acquired | community       1                                
Number of private pay independent living units | item       40                                
Five Star                                        
Related person transactions                                        
Percentage of ownership in former subsidiary                                 100.00%      
Investment in common shares | shares 4,235,000                               4,235,000     4,235,000
Percentage of total shares outstanding 8.60%                               8.60%     8.60%
Maximum percentage of any class of equity shares that can be acquired without approval 9.80%                               9.80%     9.80%
Minimum percentage of ownership of lessee's voting stock above which the entity has the option to cancel all its rights 9.80%                               9.80%     9.80%
Number of real estate properties leased | community 177                               177     177
Minimum annual rent receivable from Five Star $ 191,927                               $ 191,927     $ 191,927
Total rental income recognized                                 196,919 $ 196,269 $ 203,724  
Rents receivable 17,466         $ 17,310                     17,466 17,310   17,466
Real estate improvements purchased                                 21,444 25,804 27,208  
Increase or decrease in annual lease rent payable $ 1,734       39 $ 2,066         $ 2,177           $ 1,734 2,066 2,177 $ 1,734
Number of communities sold | community                                 11      
Management fees as a percentage of gross revenues 3.00%                               3.00%     3.00%
Number of consecutive period during which the entity must not receive the minimum return for the property management agreement to be subject to the pooling agreement                                 3 years      
Property management agreement expense                                 $ 10,728 $ 9,765 $ 9,229  
Number of properties acquired, referred to as managed properties | community                                 60      
Five Star | Skilled Nursing Facilities | Missouri                                        
Related person transactions                                        
Increase or decrease in annual lease rent payable                         $ (255)              
Number of units within the community that was sold | item                         112              
Sale price of properties under agreement to be sold                         $ 2,550              
Five Star | Senior Living Communities                                        
Related person transactions                                        
Number of real estate properties leased | property 10                               10     10
Increase or decrease in annual lease rent payable $ (2)                               $ (2)     $ (2)
Sale price of properties under agreement to be sold $ 21                                      
Number of communities managed | community                                 60 46 44  
Management fees as a percentage of gross revenues 3.00%                               3.00%     3.00%
Incentive fee as percentage of the annual net operating income after the entity realizes an annual return equal to 8% of invested capital 35.00%                               35.00%     35.00%
Annual return as a percentage of invested surplus specified as a base for determining incentive fee 8.00%                               8.00%     8.00%
Number of consecutive renewal terms of agreement | period                                 2      
Renewal period                                 15 years      
Number of combination or pooling agreements | agreement 4                               4     4
Number of properties acquired or agreed to be acquired | property                                       55
Number of separate management agreements entered for communities acquired | agreement                                 14      
Number of properties acquired, referred to as managed properties | property                                 65      
Five Star | Senior Living Communities | Texas                                        
Related person transactions                                        
Increase or decrease in annual lease rent payable                   $ (210)                    
Number of units within the community that was sold | item                   36                    
Sale price of properties under agreement to be sold                   $ 2,400                    
Five Star | Senior Living Communities | Wisconsin                                        
Related person transactions                                        
Increase or decrease in annual lease rent payable   $ (85)             $ (452)                      
Number of communities sold | community                 2                      
Number of units within the community that was sold | item   63             156                      
Sale price of properties under agreement to be sold   $ 850             $ 4,500                      
Five Star | Senior Living Communities | Virginia                                        
Related person transactions                                        
Increase or decrease in annual lease rent payable             $ (285)                          
Number of units within the community that was sold | item             70                          
Sale price of properties under agreement to be sold             $ 2,850                          
Five Star | Senior Living Communities | Arizona                                        
Related person transactions                                        
Increase or decrease in annual lease rent payable             $ (590)                          
Number of communities sold | community             2                          
Number of units within the community that was sold | item             177                          
Sale price of properties under agreement to be sold             $ 5,900                          
Five Star | Senior Living Communities | Pennsylvania                                        
Related person transactions                                        
Increase or decrease in annual lease rent payable         $ (23)                              
Number of units within the community that was sold | item         120                              
Sale price of properties under agreement to be sold         $ 250                              
Five Star | Senior Living Communities | Iowa                                        
Related person transactions                                        
Increase or decrease in annual lease rent payable     $ (16)                                  
Number of units within the community that was sold | item     12                                  
Sale price of properties under agreement to be sold     $ 155                                  
Five Star | Senior Living Communities | New York                                        
Related person transactions                                        
Management fees as a percentage of gross revenues 5.00%                               5.00%     5.00%
Incentive fee payable $ 0                               $ 0     $ 0
Five Star | Rehabilitation Hospitals                                        
Related person transactions                                        
Increase or decrease in annual lease rent payable                     $ (9,500)               $ (9,500)  
Number of communities sold | item                     2                  
Sale price of properties under agreement to be sold                     $ 90,000                  
D&R Yonkers LLC | Senior Living Communities | New York                                        
Related person transactions                                        
Number of consecutive renewal terms of agreement | period                                 9      
Renewal period                                 5 years      
Minimum annual rent payable to entity                                 $ 3,098      
Sublease rent revenue                                 $ 3,038 $ 2,949 $ 2,863  
First AL Pooling Agreement | Five Star | Senior Living Communities                                        
Related person transactions                                        
Number of communities | community                               20        
Second AL Pooling Agreement | Five Star                                        
Related person transactions                                        
Number of communities | community               19                        
Second AL Pooling Agreement | Five Star | Senior Living Communities                                        
Related person transactions                                        
Number of communities | community                           19            
Third AL Pooling Agreement | Five Star | Senior Living Communities                                        
Related person transactions                                        
Number of communities | community                       3                
IL Pooling Agreement | Five Star | Senior Living Communities                                        
Related person transactions                                        
Number of communities | community                             2