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Real Estate Properties - Discontinued Operations and Properties Held for Sale (Details)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended
Jul. 31, 2016
USD ($)
building
Jun. 30, 2016
USD ($)
building
Apr. 30, 2016
USD ($)
item
Mar. 31, 2016
USD ($)
property
Jun. 30, 2016
USD ($)
building
Mar. 31, 2016
USD ($)
community
item
property
Jun. 30, 2016
USD ($)
building
Jun. 30, 2016
property
Real estate properties                
Impairment of assets         $ 4,961   $ 12,351  
Number of tenants | item     1          
Gain on sale of properties         4,061   $ 4,061  
Five Star | TRS                
Real estate properties                
Proceeds from settlement agreement     $ 2,365          
Triple Net Leased Senior Living Communities                
Real estate properties                
Impairment of assets           $ 4,391    
Number of communities | community           2    
Number of tenants | item           2    
MOBs                
Real estate properties                
Impairment of assets         $ 4,961      
Number of Buildings Held For Sale   5     5   5 5
Number of buildings sold | building 4              
MOBs | Discontinued Operations, Held-for-sale or Disposed of by Sale                
Real estate properties                
Number of properties sold | building 4              
Sale price of property sold and agreed to be sold $ 20,150              
MOB and land parcel                
Real estate properties                
Impairment of assets           $ 2,999    
Land parcel                
Real estate properties                
Number of properties classified as held for sale | property       1   1    
Land parcel | Discontinued Operations, Disposed of by Sale                
Real estate properties                
Sale price of property sold and agreed to be sold       $ 700        
Skilled Nursing Facilities | Discontinued Operations, Held-for-sale or Disposed of by Sale                
Real estate properties                
Number of properties sold | building   1            
Sale price of property sold and agreed to be sold   $ 9,100            
Gain on sale of properties   $ 4,061