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Real Estate Properties - Impairment and Dispositions - (Details)
$ in Thousands
1 Months Ended 3 Months Ended 5 Months Ended 12 Months Ended
Dec. 31, 2017
USD ($)
living_unit
property
Dec. 31, 2016
USD ($)
property
Sep. 30, 2016
USD ($)
Jul. 31, 2016
USD ($)
building
property
Jun. 30, 2016
USD ($)
Mar. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
living_unit
Aug. 31, 2015
USD ($)
living_unit
Jul. 31, 2015
USD ($)
living_unit
Apr. 30, 2015
USD ($)
building
property
Feb. 28, 2015
USD ($)
living_unit
Mar. 31, 2018
USD ($)
community
Mar. 31, 2016
community
Sep. 30, 2015
community
Dec. 31, 2017
USD ($)
living_unit
community
property
Dec. 31, 2016
USD ($)
living_unit
property
Dec. 31, 2016
USD ($)
building
property
Dec. 31, 2016
USD ($)
property
Dec. 31, 2016
USD ($)
community
property
Dec. 31, 2016
USD ($)
property
operator
Dec. 31, 2015
USD ($)
living_unit
community
Dec. 31, 2015
building
Real Estate Properties [Line Items]                                            
Impairment of assets                             $ 5,082     $ 18,674     $ 194  
Number of communities | community                             305              
Gain on sale of properties                             $ 46,055     4,061     0  
Increase (decrease) in annual lease rent payable                             $ 4,870     $ 2,393        
Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Impairment of assets                                         $ 796  
Discontinued operations, held for sale                                            
Real Estate Properties [Line Items]                                            
Number of real estate properties held for sale | property 4 0                         4 0 0 0 0 0    
Number of units | living_unit 1,295                           1,295              
Real estate held for sale $ 53,338 $ 55,681                         $ 53,338 $ 55,681 $ 55,681 $ 55,681 $ 55,681 $ 55,681    
Senior Living Communities                                            
Real Estate Properties [Line Items]                                            
Number of communities | community                           19                
Senior Living Communities | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Impairment of assets                             0     11,488        
Number of communities sold | community                                     2      
Number of communities | community                                         3  
Number of properties sold | property 1                                          
Sale price of property sold and agreed to be sold $ 55,000                                          
Gain on sale of properties 45,901                                          
Triple Net Leased Senior Living Communities | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Impairment of assets                                   4,391        
Number of communities | community                                     2      
Number of Tenants | operator                                       2    
Triple Net Leased Senior Living Communities | Discontinued operations, held for sale                                            
Real Estate Properties [Line Items]                                            
Number of communities | community                         2                  
MOBs | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Number of real estate properties sold                               2 5          
Number of real estate properties held for sale             1                           1 4
Number of properties sold | property       4           1                        
Sale price of property sold and agreed to be sold       $ 20,150           $ 1,500                        
Number of buildings sold | building       4           4                        
Land Parcel | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Number of real estate properties sold | living_unit                               1            
Sale price of property sold and agreed to be sold           $ 700                                
Land Parcel | Eminent domain                                            
Real Estate Properties [Line Items]                                            
Gain on sale of properties $ 154                                          
Skilled Nursing Facility | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Sale price of property sold and agreed to be sold     $ 248   $ 9,100                                  
Gain on sale of properties         $ 4,061                                  
Pennsylvania | MOBs | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Number of properties sold | property   1                                        
Sale price of property sold and agreed to be sold   $ 2,800                                        
Florida | MOBs | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Sale price of property sold and agreed to be sold   $ 2,100                                        
Five Star                                            
Real Estate Properties [Line Items]                                            
Increase (decrease) in annual lease rent payable                     $ 39       $ 3,193     $ 1,719     $ 1,734  
Five Star | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Increase (decrease) in annual lease rent payable     25                                      
Five Star | Senior Living Communities | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Sale price of property sold and agreed to be sold             $ 21                              
Increase (decrease) in annual lease rent payable             $ (2)                              
Number of units within a community sold | living_unit             117                              
Five Star | Pennsylvania | Senior Living Communities | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Sale price of property sold and agreed to be sold                     250                      
Increase (decrease) in annual lease rent payable                     $ (23)                      
Number of units within a community sold | living_unit                     120                      
Five Star | Florida | Senior Living Communities                                            
Real Estate Properties [Line Items]                                            
Increase (decrease) in annual lease rent payable     $ 10                                      
Five Star | Iowa | Senior Living Communities | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Sale price of property sold and agreed to be sold                 $ 155                          
Increase (decrease) in annual lease rent payable                 $ (16)                          
Number of units within a community sold | living_unit                 12                          
Five Star | Wisconsin | Senior Living Communities | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Sale price of property sold and agreed to be sold               $ 850                            
Increase (decrease) in annual lease rent payable               $ (85)                            
Number of units within a community sold | living_unit               63                            
Forecast | Senior Living Communities | Discontinued operations, disposed of by sale                                            
Real Estate Properties [Line Items]                                            
Number of properties sold | community                       3                    
Sale price of property sold and agreed to be sold                       $ 313,000