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Leases and Management Agreements with Five Star (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2018
USD ($)
lease_agreement
community
Mar. 31, 2017
USD ($)
community
Dec. 31, 2017
USD ($)
community
Senior Living Communities      
Number of communities leased by the Company | community     8
Five Star      
Number of communities leased by the Company | community 185 185  
Number of leases with related party | lease_agreement 5    
Total rental income recognized $ 51,759 $ 50,985  
Related party transaction, annual rents due 1,374 1,445  
Rents receivable 17,265   $ 18,539
Real estate improvements purchased   8,082  
Increase or decrease in annual lease rent payable   648  
Property management agreement expense $ 3,494 $ 3,299  
Five Star | Rents from significant lessee | Revenues      
% of Total (as a percent) 18.80%    
Five Star | Rents from significant lessee | Investment      
% of Total (as a percent) 27.00%    
Five Star | Senior Living Communities      
Number of communities managed by related party | community 72 68  
Rehabilitation Services | Five Star      
Expenses from transactions with related party $ 1,699 $ 1,982