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Real Estate Properties - Schedule of Senior Living Community Acquisitions (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Jun. 30, 2018
USD ($)
living_unit
property
Feb. 28, 2018
USD ($)
living_unit
property
Jan. 31, 2018
USD ($)
living_unit
property
Dec. 31, 2016
USD ($)
living_unit
community
property
Jun. 30, 2016
USD ($)
living_unit
property
May 31, 2016
USD ($)
living_unit
property
Dec. 31, 2018
USD ($)
living_unit
property
Dec. 31, 2017
USD ($)
living_unit
property
Dec. 31, 2016
USD ($)
living_unit
property
Real Estate [Line Items]                  
Real Estate Investment Property, Net             $ 6,341,908 $ 6,370,286  
Acquired Real Estate Leases             691,219 791,067  
Assumed Debt             $ (44,386) $ 0 $ 0
Senior Living Communities | 4 States                  
Real Estate [Line Items]                  
Number of Properties | property         7        
Senior Living Communities | Illinois                  
Real Estate [Line Items]                  
Number of Properties | community       2          
Acquisitions | Senior Living Communities                  
Real Estate [Line Items]                  
Number of Properties | property             4   10
Units | living_unit       709     366   709
Cash Paid plus Assumed Debt             $ 66,350   $ 139,494
Acquired Real Estate Leases       $ 3,723     11,489   3,723
Assumed Debt             (33,336)   0
Premium on Assumed Debt             (1,845)   $ 0
Acquisitions | Senior Living Communities | Tennessee | Managed                  
Real Estate [Line Items]                  
Number of Properties | property 2   1            
Units | living_unit 151   88            
Cash Paid plus Assumed Debt $ 23,860   $ 19,868            
Acquired Real Estate Leases 3,843   3,195            
Assumed Debt (16,588)   0            
Premium on Assumed Debt (486)   0            
Acquisitions | Senior Living Communities | Arizona | Managed                  
Real Estate [Line Items]                  
Number of Properties | property   1              
Units | living_unit   127              
Cash Paid plus Assumed Debt   $ 22,622              
Acquired Real Estate Leases   4,451              
Assumed Debt   (16,748)              
Premium on Assumed Debt   (1,359)              
Acquisitions | Senior Living Communities | 2 States | Managed                  
Real Estate [Line Items]                  
Number of Properties | property               2  
Units | living_unit               229  
Cash Paid plus Assumed Debt               $ 39,457  
Acquired Real Estate Leases               7,774  
Assumed Debt               0  
Premium on Assumed Debt               0  
Acquisitions | Senior Living Communities | Georgia | Managed                  
Real Estate [Line Items]                  
Number of Properties | property           1      
Units | living_unit           38      
Cash Paid plus Assumed Debt           $ 8,400      
Acquired Real Estate Leases           1,400      
Assumed Debt           0      
Premium on Assumed Debt           0      
Acquisitions | Senior Living Communities | 4 States | Leased                  
Real Estate [Line Items]                  
Number of Properties | property         7        
Units | living_unit         545        
Cash Paid plus Assumed Debt         $ 112,493        
Acquired Real Estate Leases         0        
Assumed Debt         0        
Premium on Assumed Debt         0        
Acquisitions | Senior Living Communities | Illinois | Leased                  
Real Estate [Line Items]                  
Number of Properties | property       2          
Units | living_unit       126         126
Cash Paid plus Assumed Debt       $ 18,601          
Acquired Real Estate Leases       2,323         $ 2,323
Assumed Debt       0          
Premium on Assumed Debt       0          
Land                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net             844,567 824,879  
Land | Acquisitions | Senior Living Communities                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net       13,226     3,562   13,226
Land | Acquisitions | Senior Living Communities | Tennessee | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net 965   580            
Land | Acquisitions | Senior Living Communities | Arizona | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net   2,017              
Land | Acquisitions | Senior Living Communities | 2 States | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net               4,055  
Land | Acquisitions | Senior Living Communities | Georgia | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net           327      
Land | Acquisitions | Senior Living Communities | 4 States | Leased                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net         11,085        
Land | Acquisitions | Senior Living Communities | Illinois | Leased                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net       1,814         1,814
Buildings and Improvements                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net             7,031,733 6,999,884  
Buildings and Improvements | Acquisitions | Senior Living Communities                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net       114,512     49,917   114,512
Buildings and Improvements | Acquisitions | Senior Living Communities | Tennessee | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net 17,910   14,884            
Buildings and Improvements | Acquisitions | Senior Living Communities | Arizona | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net   17,123              
Buildings and Improvements | Acquisitions | Senior Living Communities | 2 States | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net               26,424  
Buildings and Improvements | Acquisitions | Senior Living Communities | Georgia | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net           6,195      
Buildings and Improvements | Acquisitions | Senior Living Communities | 4 States | Leased                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net         94,940        
Buildings and Improvements | Acquisitions | Senior Living Communities | Illinois | Leased                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net       13,377         13,377
FF&E | Acquisitions | Senior Living Communities                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net       8,033     $ 3,227   8,033
FF&E | Acquisitions | Senior Living Communities | Tennessee | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net $ 1,628   $ 1,209            
FF&E | Acquisitions | Senior Living Communities | Arizona | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net   $ 390              
FF&E | Acquisitions | Senior Living Communities | 2 States | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net               $ 1,204  
FF&E | Acquisitions | Senior Living Communities | Georgia | Managed                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net           $ 478      
FF&E | Acquisitions | Senior Living Communities | 4 States | Leased                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net         $ 6,468        
FF&E | Acquisitions | Senior Living Communities | Illinois | Leased                  
Real Estate [Line Items]                  
Real Estate Investment Property, Net       $ 1,087         $ 1,087