National Health Investors (NHI) 10-K 19 Feb 19 2018 FY Annual report Financial data

Document And Entity Information

Document And Entity Information - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Feb. 15, 2019	Jun. 30, 2018
Document And Entity Information [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2018
Document Fiscal Year Focus	2,018
Document Fiscal Period Focus	FY
Entity Registrant Name	NATIONAL HEALTH INVESTORS INC
Entity Central Index Key	877,860
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding		42,735,034
Entity Current Reporting Status	Yes
Entity Public Float:			$ 2,986,872
Entity Voluntary Filers:	No
Entity Well-known Seasoned Issuer:	Yes
Entity Shell Company	false
Entity Small Business	false
Entity Emerging Growth Company	false

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Assets
Land	$ 202,196	$ 191,623
Buildings and improvements	2,599,526	2,471,602
Construction in progress	16,643	2,678
Real estate properties, gross	2,818,365	2,665,903
Less accumulated depreciation	(451,483)	(380,202)
Real estate properties, net	2,366,882	2,285,701
Mortgage and other notes receivable, net	246,111	141,486
Cash and cash equivalents	4,659	3,063
Straight-line rent receivable	105,620	97,359
Equity-method investment and other assets	27,298	18,212
Total Assets	2,750,570	2,545,821
Liabilities and Equity
Debt	1,281,675	1,145,497
Accounts payable and accrued expenses	19,890	16,302
Dividends Payable	42,700	39,456
Lease deposit liabilities	10,638	21,275
Deferred income	5,954	1,174
Total Liabilities	1,360,857	1,223,704
Commitments and Contingencies
National Health Investors Stockholders' Equity:
Common stock, $.01 par value; 40,000,000 shares authorized; 38,396,727and 37,485,902 shares issued and outstanding, respectively	427	415
Capital in excess of par value	1,369,919	1,289,919
Cumulative net income in excess of dividends	18,068	32,605
Accumulated other comprehensive income	1,299	(822)
Total Equity	1,389,713	1,322,117
Total Liabilities and Equity	$ 2,750,570	$ 2,545,821

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - $ / shares	Dec. 31, 2018	Dec. 31, 2017
Statement of Financial Position [Abstract]
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	60,000,000	60,000,000
Common stock, shares issued	42,700,411	41,532,154
Common stock, shares outstanding	42,700,411	41,532,154

Consolidated Statements Of Inco

Consolidated Statements Of Income - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Revenues:
Rental income	$ 280,813,000	$ 265,169,000	$ 232,353,000
Interest income from mortgage and other notes	13,799,000	13,490,000	16,107,000
Revenues	294,612,000	278,659,000	248,460,000
Expenses:
Depreciation	71,349,000	67,173,000	59,525,000
Interest expense	49,055,000	46,324,000	43,108,000
Legal expense	309,000	494,000	422,000
Franchise, excise and other taxes	1,166,000	960,000	1,009,000
General and administrative	12,547,000	12,217,000	9,773,000
Loan and realty losses (recoveries), net	(5,115,000)	0	(15,856,000)
Total operating expenses	139,541,000	127,168,000	129,693,000
Income before equity-method investee, tax benefit (expense), investment and other gains, discontinued operations and noncontrolling interest	155,071,000	151,491,000	118,767,000
Income from equity-method investee	0	0	1,214,000
Loss on convertible note retirement	(738,000)	(2,214,000)	0
Income tax benefit (expense) of taxable REIT subsidiary	0	0	(749,000)
Investment and other gains	0	10,088,000	35,912,000
Discontinued operations
Net income	154,333,000	159,365,000	152,716,000
Less: net income attributable to noncontrolling interest	0	0	(1,176,000)
Net income attributable to common stockholders	$ 154,333,000	$ 159,365,000	$ 151,540,000
Weighted average common shares outstanding:
Basic	41,943,873	40,894,219	39,013,412
Diluted	42,091,731	41,151,453	39,155,380
Basic:
Net income per common share attributable to common stockholders	$ 3.68	$ 3.90	$ 3.88
Diluted:
Net income per common share attributable to common stockholders	$ 3.67	$ 3.87	$ 3.87

Consolidated Statements of Comp

Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Statement of Comprehensive Income [Abstract]
Net income	$ 154,333	$ 159,365	$ 152,716
Other comprehensive income (loss):
Change in unrealized gains on securities	0	(26)	5,072
Less: reclassification adjustment for gains in net income	0	(10,038)	(29,673)
Increase (decrease) in fair value of cash flow hedge	1,722	884	(1,506)
Less: reclassification adjustment for amounts recognized in net income	164	2,627	3,928
Total other comprehensive income (loss)	1,886	(6,553)	(22,179)
Comprehensive income	156,219	152,812	130,537
Less: comprehensive income attributable to noncontrolling interest	0	0	(1,176)
Comprehensive income attributable to common stockholders	$ 156,219	$ 152,812	$ 129,361

Consolidated Statements Of Cash

Consolidated Statements Of Cash Flows - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Cash flows from operating activities:
Net income	$ 154,333,000	$ 159,365,000	$ 152,716,000
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	71,349,000	67,173,000	59,525,000
Amortization	4,437,000	5,790,000	3,563,000
Straight-line rental income	(22,787,000)	(26,090,000)	(22,198,000)
Non-cash interest income on construction loan	(1,680,000)	(792,000)	(1,021,000)
Loan and realty losses (recoveries), net	(5,115,000)	0	(15,856,000)
Gain on sale of real estate	0	(50,000)	(4,582,000)
Loss on extinguishment of debt	(738,000)	(2,214,000)	0
Gain on purchase liability settlement	0	0	1,657,000
Net realized gains on sales of marketable securities	0	(10,038,000)	(29,673,000)
Share-based compensation	2,490,000	2,612,000	1,732,000
Amortization of commitment fees and note receivable discounts	(662,000)	(517,000)	(693,000)
Payment of lease incentives	(5,280,000)	0	0
Amortization of Lease Incentives	387,000	119,000	40,000
Income from equity-method investee	0	0	1,214,000
Change in operating assets and liabilities:
Equity-method investment and other assets	(5,298,000)	(3,602,000)	437,000
Accounts payable and accrued expenses	4,587,000	1,607,000	2,764,000
Deferred income	140,000	304,000	(1,385,000)
Net cash provided by operating activities	207,869,000	198,095,000	176,638,000
Cash flows from investing activities:
Investment in mortgage and other notes receivable	(106,991,000)	(49,853,000)	(92,051,000)
Collection of mortgage and other notes receivable	4,346,000	43,168,000	84,228,000
Investment in real estate	(131,758,000)	(157,214,000)	(359,257,000)
Investment in real estate development	0	(10,691,000)	(32,102,000)
Investment in renovations of existing real estate	(15,887,000)	(7,888,000)	(3,378,000)
Payment allocated to cancellation of lease purchase option	0	0	6,400,000
Payment of real estate purchase liability	0	0	(8,208,000)
Proceeds from disposition of real estate properties	0	450,000	27,723,000
Proceeds from sales of marketable securities	0	18,182,000	59,607,000
Net cash used in investing activities	250,290,000	163,846,000	329,838,000
Cash flows from financing activities:
Payments on revolving credit facility	306,000,000	269,000,000	124,000,000
Payments on revolving credit facility	(443,000,000)	(206,000,000)	0
Borrowings on term loan	300,000,000	250,000,000	75,000,000
Payments of term loans	(1,144,000)	(250,822,000)	(767,000)
Debt issuance costs	(2,171,000)	(4,935,000)	(258,000)
Taxes remitted in relation to employee stock options exercised	(1,835,000)	(571,000)	(1,133,000)
Proceeds from equity offering, net	81,784,000	122,237,000	104,190,000
Convertible bond redemption	(29,985,000)	(60,921,000)	0
Proceeds from exercise of stock options	0	0	(1,000)
Distributions to noncontrolling interest	0	0	(1,565,000)
Distribution to acquire non-controlling interest	0	0	(17,000,000)
Dividends paid to stockholders	(165,391,000)	(153,040,000)	(138,303,000)
Net cash provided by (used in) financing activities	44,258,000	(35,052,000)	144,165,000
Increase (decrease) in cash and cash equivalents	1,837,000	(803,000)	(9,035,000)
Cash and cash equivalents and restricted cash, beginning of period	8,075,000	8,878,000	17,913,000
Cash and cash equivalents and restricted cash, end of period	9,912,000	8,075,000	8,878,000
Supplemental disclosure of cash flow information:
Interest Paid, Including Capitalized Interest, Operating and Investing Activities	45,882,000	43,191,000	39,539,000
Supplemental schedule of non-cash investing and financing activities:
Settlement of mortgage note by real estate acquisition	1,800,000	0	0
Tax deferred exchange funds applied to investment in real estate	0	0	(227,000)
Conditional consideration in asset acquisition	(750,000)	0	0
Settlement of contingent asset acquisition liability	818,000	0	0
Accounts payable increase due to investments in real estate	(1,689,000)	(1,855,000)	(430,000)
Tenant investment in leased asset	3,775,000	1,250,000	0
Reclass of note balance into real estate investment	0	0	9,753,000
Assumption of debt in real estate acquisition	0	18,311,000	0
Unsettled marketable securities sales transactions	0	0	6,464,000
Non-cash sale of equity-method investment	0	0	8,100,000
Tenant forfeiture of lease escrow deposit	$ 10,637,000	$ 0	$ 0

Consolidated Statement Of Equit

Consolidated Statement Of Equity - USD ($)	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	Cumulative Dividends In Excess Of Net Income [Member]	Accumulated Other Comprehensive Income (Loss) [Member]	Parent [Member]	Noncontrolling Interest [Member]
Balance, shares at Dec. 31, 2015		38,396,727
Balance, value at Dec. 31, 2015	$ 1,142,460,000	$ 384,000	$ 1,085,136,000	$ 19,862,000	$ 27,910,000	$ 1,133,292,000	$ 9,168,000
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income attributable to common stockholders	151,540,000			151,540,000	(22,179,000)	129,361,000	1,176,000
Comprehensive income	130,537,000
Distributions to noncontrolling interest	(1,565,000)						(1,565,000)
Noncontrolling Interest, Decrease from Redemptions or Purchase of Interests	(25,100,000)		(16,321,000)			(16,321,000)	(8,779,000)
Stock Issued During Period, Shares, New Issues		1,395,642
Stock Issued During Period, Value, New Issues	104,190,000	$ 14,000	104,176,000			104,190,000
Payments of Stock Issuance Costs	(1,133,000)		1,133,000			1,133,000
Shares issued on stock options exercised, shares		55,491
Shares issued on stock options exercised, value	(2,000)		(2,000)			(2,000)
Share-based Compensation			1,732,000
Share-based compensation	1,732,000					1,732,000
Dividends declared, $1.43 per share	(141,529,000)			(141,529,000)		(141,529,000)
Balance, shares at Dec. 31, 2016		39,847,860
Balance, value at Dec. 31, 2016	1,209,590,000	$ 398,000	1,173,588,000	29,873,000	5,731,000	1,209,590,000	0
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income attributable to common stockholders	159,365,000			159,365,000	(6,553,000)	152,812,000
Comprehensive income	152,812,000
Distributions to noncontrolling interest	(7,930,000)
Adjustments to Additional Paid in Capital, Equity Component of Convertible Debt, Subsequent Adjustments			(7,930,000)			(7,930,000)
Stock Issued During Period, Shares, New Issues		1,661,161
Stock Issued During Period, Value, New Issues	122,237,000	$ 17,000	122,220,000			122,237,000
Adjustments Related to Tax Withholding for Share-based Compensation	(571,000)		(571,000)			(571,000)
Shares issued on stock options exercised, shares		23,133
Share-based Compensation			2,612,000
Share-based compensation	2,612,000					2,612,000
Dividends declared, $1.43 per share	$ (156,633,000)			(156,633,000)		(156,633,000)
Balance, shares at Dec. 31, 2017	41,532,154	41,532,154
Balance, value at Dec. 31, 2017	$ 1,322,117,000	$ 415,000	1,289,919,000	32,605,000	(822,000)	1,322,117,000	0
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income attributable to common stockholders	154,333,000			154,333,000	1,886,000	156,219,000
Comprehensive income	156,219,000
Adjustments to Additional Paid in Capital, Equity Component of Convertible Debt, Subsequent Adjustments	(2,427,000)		(2,427,000)			(2,427,000)
Stock Issued During Period, Shares, New Issues		1,112,363
Stock Issued During Period, Value, New Issues	81,784,000	$ 12,000	81,772,000			81,784,000
Adjustments Related to Tax Withholding for Share-based Compensation			(1,835,000)
Equity Issuance Costs	(1,835,000)					(1,835,000)
Shares issued on stock options exercised, shares		55,894
Share-based Compensation			2,490,000
Share-based compensation	2,490,000					2,490,000
Dividends declared, $1.43 per share	$ (168,635,000)			(168,635,000)		(168,635,000)
Balance, shares at Dec. 31, 2018	42,700,411	42,700,411
Balance, value at Dec. 31, 2018	$ 1,389,713,000	$ 427,000	$ 1,369,919,000	$ 18,068,000	$ 1,299,000	$ 1,389,713,000	$ 0
New Accounting Pronouncement or Change in Accounting Principle, Cumulative Effect of Change on Equity or Net Assets	$ 235,000

Consolidated Statement Of Stock

Consolidated Statement Of Stockholders' Equity (Parenthetical) - $ / shares	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Statement of Stockholders' Equity [Abstract]
Common Stock, Dividends, Per Share, Declared	$ 4	$ 3.80	$ 3.60

Significant Accounting Policies

Significant Accounting Policies	12 Months Ended
	Dec. 31, 2018
Accounting Policies [Abstract]
Significant Accounting Policies	SIGNIFICANT ACCOUNTING POLICIES The Company - National Health Investors, Inc. (“NHI”), established in 1991 as a Maryland corporation, is a self-managed real estate investment trust (“REIT”) specializing in sale-leaseback, joint-venture, mortgage and mezzanine financing of need-driven and discretionary senior housing and medical investments. Our portfolio consists of lease, mortgage and other note investments in independent living facilities, assisted living facilities, entrance-fee communities, senior living campuses, skilled nursing facilities, specialty hospitals and medical office buildings. Other investments have included marketable securities and a joint venture structured to comply with the provisions of the REIT Investment Diversification Empowerment Act of 2007 (“RIDEA”) through which we invested in facility operations managed by independent third-parties. We fund our real estate investments primarily through: (1) operating cash flow, (2) debt offerings, including bank lines of credit and term debt, both unsecured and secured, and (3) the sale of equity securities. Units, beds and square footage disclosures in this annual report on Form 10-K are unaudited. Principles of Consolidation - The accompanying consolidated financial statements include our accounts and the accounts of our wholly-owned subsidiaries, joint ventures, partnerships and consolidated variable interest entities (“VIE”), if any. All intercompany transactions and balances have been eliminated in consolidation. Net income is reduced by the portion of net income attributable to noncontrolling interests. A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. We apply Financial Accounting Standards Board (“FASB”) guidance for our arrangements with VIEs which requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of the VIE. In accordance with FASB guidance, management must evaluate each of the Company’s contractual relationships which creates a variable interest in other entities. If the Company has a variable interest and the entity is a VIE, then management must determine whether the Company is the primary beneficiary of the VIE. If it is determined that the Company is the primary beneficiary, NHI consolidates the VIE. We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis. If, after consideration of the VIE accounting lit eratu re, the Company has determined that an entity is not a VIE, the Company assesses the need for consolidation under all other provi s ion s of ASC 810. These provisions provide for consolidation of majority-owned en titie s through a majority voti ng interest held by the Company providing control. At December 31, 2018 , we held an interest in six unconsolidated VIEs. Because we generally lack either directly or through related parties any material input in the activities that most significantly impact their economic performance, we have concluded that NHI is not the primary beneficiary. Accordingly, we account for our transactions with these entities and their subsidiaries at amortized cost. Our VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of our exposure to these VIEs, see the notes to our consolidated financial statements cross-referenced below. Date Name Source of Exposure Carrying Amount Maximum Exposure to Loss Note Reference 2012 Bickford Senior Living Various 1 $ 53,649,000 $ 77,878,000 Notes 2, 3 2014 Senior Living Communities Notes and straight-line receivable $ 44,376,000 $ 57,475,000 Notes 2, 3 2014 Life Care Services affiliate Notes receivable $ 57,939,000 $ 59,781,000 Note 3 2016 Senior Living Management Notes and straight-line receivable $ 26,584,000 $ 26,584,000 Note 3 2017 Evolve Senior Living Note receivable $ 9,928,000 $ 9,928,000 — 2018 Life Care Services affiliate Notes receivable $ 85,017,000 $ 178,200,000 Note 3 1 Notes, straight-line rent receivables & unamortized lease incentives We are not obligated to provide support beyond our stated commitments to these tenants and borrowers whom we classify as VIEs, and accordingly our maximum exposure to loss from these relationships is limited to the amount of our commitments, as shown above and discussed in the notes. When the above relationships involve leases, some additional exposure to economic loss is present. Generally, additional economic loss on a lease, if any, would be limited to that resulting from a short period of arrearage and non-payment of monthly rent before we are able to take effective remedial action, as well as costs incurred in transitioning the lease. The potential extent of such loss will be dependent upon individual facts and circumstances, cannot be quantified, and is therefore not included in the tabulation above. Typically, the only carrying amounts involving our leases are accumulated straight-line receivables. We apply FASB guidance related to investments in joint ventures based on the type of controlling rights held by the members’ interests in limited liability companies that may preclude consolidation by the majority equity owner in certain circumstances in which the majority equity owner would otherwise consolidate the joint venture. We have structured our joint ventures to be compliant with the provisions of RIDEA which permits NHI to receive rent payments through a triple-net lease between a property company and an operating company and allows NHI the opportunity to capture additional value on the improving performance of the operating company through distributions to a taxable REIT subsidiary (“TRS”). Accordingly, prior to the termination of our joint venture on September 30, 2016, our TRS held NHI’s equity interest in an unconsolidated operating company, which we did not control, thus providing an organizational structure that allowed the TRS to engage in a broad range of activities and share in revenues that were otherwise non-qualifying income under the REIT gross income tests. Noncontrolling Interest - We have excluded net income attributable to the noncontrolling interest from net income attributable to common shareholders in our Consolidated Statement of Income for the year ended December 31, 2016 . As of December 31, 2018 and during the years ended December 31, 2018 and December 31, 2017 , there were no noncontrolling interests. Equity-Method Investment - Through September 30, 2016, we reported our TRS investment in an unconsolidated entity, over whose operating and financial policies we had the ability to exercise significant influence but not control, under the equity method of accounting. Under this accounting method, our pro rata share of the entity’s earnings or losses was included in our Consolidated Statements of Income. Additionally, we adjusted our investment carrying amount to reflect our share of changes in the equity-method investee’s capital resulting from its capital transactions. On September 30, 2016, we unwound the joint venture underlying the TRS and ceased participation in the operations which comprised all its activity. Use of Estimates - The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Earnings Per Share - The weighted average number of common shares outstanding during the reporting period is used to calculate basic earnings per common share. Diluted earnings per common share assume the exercise of stock options using the treasury stock method, to the extent dilutive. Diluted earnings per share also incorporate the potential dilutive impact of our 3.25% convertible senior notes due 2021. We apply the treasury stock method to our convertible debt instruments, the effect of which is that conversion will not be assumed for purposes of computing diluted earnings per share unless the average share price of our common stock for the period exceeds the conversion price per share. Fair Value Measurements - Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants at the measurement date. A three-level fair value hierarchy is required to prioritize the inputs used to measure fair value. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows: Level 1 - Quoted prices in active markets for identical assets or liabilities. Level 2 - Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data. Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs. If the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is the lowest level input that is significant to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability. When an event or circumstance alters our assessment of the observability and thus the appropriate classification of an input to a fair value measurement which we deem to be significant to the fair value measurement as a whole, we will transfer that fair value measurement to the appropriate level within the fair value hierarchy. Real Estate Properties - Real estate properties are recorded at cost or, if acquired through business combination, at fair value, including the fair value of contingent consideration, if any. Cost or fair value at the time of acquisition is allocated among land, buildings, improvements, lease and other intangibles, and personal property. For properties acquired in transactions accounted for as asset purchases, the purchase price allocation is based on the relative fair values of the assets acquired. Cost includes the amount of contingent consideration, if any, deemed to be probable at the acquisition date. Contingent consideration is deemed to be probable to the extent that a significant reversal in amounts recognized is not likely to occur when the uncertainty associated with the contingent consideration is subsequently resolved. Cost also includes capitalized interest during construction periods. We use the straight-line method of depreciation for buildings over their estimated useful lives of 40 years, and improvements over their estimated useful lives ranging to 25 years. For contingent consideration arising from business combinations, the liability is adjusted to estimated fair value at each reporting date through earnings. For contingent consideration arising from asset acquisitions, the liability is adjusted to the amount considered probable each reporting period, with changes reflected as an adjustment to the basis of the related assets. We evaluate the recoverability of the carrying value of our real estate properties on a property-by-property basis. On a quarterly basis, we review our properties for recoverability when events or circumstances, including significant physical changes in the property, significant adverse changes in general economic conditions and significant deteriorations of the underlying cash flows of the property, indicate that the carrying amount of the property may not be recoverable. The need to recognize an impairment charge is based on estimated undiscounted future cash flows from a property compared to the carrying value of that property. If recognition of an impairment charge is necessary, it is measured as the amount by which the carrying amount of the property exceeds the fair value of the property. Mortgage and Other Notes Receivable - Each quarter, we evaluate the carrying values of our notes receivable on an instrument-by-instrument basis for recoverability when events or circumstances, including the non-receipt of contractual principal and interest payments, significant deteriorations of the financial condition of the borrower and significant adverse changes in general economic conditions, indicate that the carrying amount of the note receivable may not be recoverable. If a note receivable becomes more than 30 days delinquent as to contractual principal or interest payments, the loan is classified as non-performing, and thereafter we recognize all amounts due when received. If necessary, an impairment is measured as the amount by which the carrying amount exceeds the discounted cash flows expected to be received under the note receivable or, if foreclosure is probable, the fair value of the collateral securing the note receivable. Cash and Cash Equivalents and Restricted Cash - Cash equivalents consist of all highly liquid investments with an original maturity of three months or less. Restricted cash includes amounts required to be held on deposit in accordance with agency agreements governing our Fannie Mae and HUD mortgages. The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the Company’s Consolidated Balance Sheets with the same amounts shown on the Company’s Consolidated Statements of Cash Flows (in thousands) : As of December 31, 2018 2017 Cash and cash equivalents $ 4,659 $ 3,063 Restricted cash 5,253 5,012 $ 9,912 $ 8,075 Concentration of Credit Risks - Our credit risks primarily relate to cash and cash equivalents and investments in mortgage and other notes receivable. Cash and cash equivalents are primarily held in bank accounts and overnight investments. We maintain our bank deposit accounts with large financial institutions in amounts that often exceed federally-insured limits. We have not experienced any losses in such accounts. Our mortgages and other notes receivable consist primarily of secured loans on facilities. Our financial instruments, principally our investments in notes receivable, are subject to the possibility of loss of the carrying values as a result of the failure of other parties to perform according to their contractual obligations which may make the instruments less valuable. We obtain collateral in the form of mortgage liens and other protective rights for notes receivable and continually monitor these rights in order to reduce such possibilities of loss. We evaluate the need to provide for reserves for potential losses on our financial instruments based on management’s periodic review of our portfolio on an instrument-by-instrument basis. Deferred Loan Costs - Costs incurred to acquire debt are amortized by the effective interest method over the term of the related debt. Deferred Income - Deferred income primarily includes non-refundable lease commitment fees received by us, which are amortized into income over the expected period of the related loan or lease. In the event that our financing commitment to a potential borrower or lessee expires, the related commitment fees are recognized into income immediately. Commitment fees may be charged based on the terms of the lease agreements and the creditworthiness of the parties. Rental Income - Base rental income is recognized using the straight-line method over the term of the lease to the extent that lease payments are considered collectible. Under certain leases, we receive additional contingent rent, which is calculated on the increase in revenues of the lessee over a base year or base quarter. We recognize contingent rent annually or quarterly based on the actual revenues of the lessee once the target threshold has been achieved. Lease payments that depend on a factor directly related to future use of the property, such as an increase in annual revenues over a base year, are considered to be contingent rentals and are excluded from the schedule of minimum lease payments. If rental income calculated on a straight-line basis exceeds the cash rent due under a lease, the difference is recorded as an increase to straight-line rent receivable in the Consolidated Balance Sheets and an increase in rental income in the Consolidated Statements of Income. If rental income on a straight-line basis is calculated to be less than cash received, there is a decrease in the same accounts. Rental income is reduced for the non-cash amortization of payments made upon the eventual settlement of commitments and contingencies originally identified and recorded as lease inducements. We record contingent consideration arising from lease inducements to the extent that it is probable that a significant reversal of amounts recognized will not occur when the uncertainty associated with the contingent consideration is subsequently resolved. We identify a lease as non-performing if a required payment is not received within 30 days of the date it is due. Our policy related to rental income on non-performing leased real estate properties is to recognize rental income in the period when the related cash is received. Interest Income from Mortgage and Other Notes Receivable - Interest income is recognized based on the interest rates and principal amounts outstanding on the notes receivable. Under certain notes, we receive additional contingent interest, which is calculated on the increase in the current year revenues of a borrower over a base year. We identify a mortgage loan as non-performing if a required payment is not received within 30 days of the date it is due. Our policy related to mortgage interest income on non-performing mortgage loans is to recognize mortgage interest income in the period when the cash is received. As of December 31, 2018 , we had not identified any of our mortgages as non-performing. Derivatives - In the normal course of business, we are subject to risk from adverse fluctuations in interest rates. We have chosen to manage this risk through the use of derivative financial instruments, primarily interest rate swaps. Counterparties to these contracts are major financial institutions. We are exposed to credit loss in the event of nonperformance by these counterparties. We do not use derivative instruments for trading or speculative purposes. Our objective in managing exposure to market risk is to limit the impact on cash flows. To qualify for hedge accounting, our interest rate swaps must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions must be, and be expected to remain, probable of occurring in accordance with our related assertions. All of our hedges are cash flow hedges. We recognize all derivative instruments, including embedded derivatives required to be bifurcated, as assets or liabilities at their fair value in the Consolidated Balance Sheets. Changes in the fair value of derivative instruments that are not designated as hedges or that do not meet the criteria of hedge accounting are recognized in earnings. For derivatives designated in qualifying cash flow hedging relationships, the change in fair value of the effective portion of the derivatives is recognized in accumulated other comprehensive income (loss), whereas the change in fair value of the ineffective portion is recognized in earnings. Gains and losses are reclassified from accumulated other comprehensive income (loss) into earnings once the underlying hedged transaction is recognized in earnings. Federal Income Taxes - We intend at all times to qualify as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. Until 2016, we recorded income tax expense or benefit with respect to one of our subsidiaries which was taxed under provisions similar to those applicable to regular corporations. Aside from such income taxes which may be applicable to the taxable income in the TRS, we will not be subject to U.S. federal income tax, provided that we continue to qualify as a REIT and make distributions to stockholders at least equal to or in excess of 90% our taxable income. Accordingly, no provision for federal income taxes has been made in the consolidated financial statements, except for the provision on the taxable income of the TRS, which is included in our consolidated statements of income under the caption, “Income tax expense of taxable REIT subsidiary.” Our failure to continue to qualify under the applicable REIT qualification rules and regulations would have a material adverse impact on our financial position, results of operations and cash flows. Earnings and profits, which determine the taxability of dividends to stockholders, differ from net income reported for financial reporting purposes due primarily to differences in the basis of assets, estimated useful lives used to compute depreciation expense, gains on sales of real estate, non-cash compensation expense and recognition of commitment fees. Our tax returns filed for years beginning in 2015 are subject to examination by taxing authorities. We classify interest and penalties related to uncertain tax positions, if any, in our consolidated financial statements as a component of income tax expense. Segment Disclosures - We are in the business of owning and financing health care properties. We are managed as one segment, rather than multiple segments, for internal purposes and for internal decision making. Reclassifications - We have reclassified certain balances where necessary to conform the presentation of prior periods to the current period. These reclassifications had no effect on previously reported net income. New Accounting Pronouncements - For a review of recent accounting pronouncements pertinent to our operations and management’s judgment as to the impact that the eventual adoption of these pronouncements will have on our financial position and results of operation, see Note 14.

Real Estate

Real Estate	12 Months Ended
	Dec. 31, 2018
Real Estate [Abstract]
Real Estate Disclosure [Text Block]	REAL ESTATE As of December 31, 2018 , we owned 220 health care real estate properties located in 33 states and consisting of 143 senior housing communities, 72 skilled nursing facilities, 3 hospitals and 2 medical office buildings. Our senior housing properties include assisted living facilities, senior living campuses, independent living facilities, and entrance-fee communities. These investments (excluding our corporate office of $2,471,000 ) consisted of properties with an original cost of approximately $2,815,894,000 , rented under triple-net leases to 30 lessees. Acquisitions and New Leases of Real Estate During the year ended December 31, 2018 , we announced the following real estate investments and commitments as described below (dollars in thousands) : Operator Date Properties Asset Class Amount The Ensign Group January/May 2018 3 SNF $ 43,404 Bickford Senior Living April 2018 5 SHO 69,750 Comfort Care Senior Living May 2018 2 SHO 17,140 Ignite Medical Resorts December 2018 1 SNF 25,350 $ 155,644 Ensign On January 12, 2018, NHI acquired from a developer a skilled nursing facility in Waxahachie, Texas for a cash investment of $14,404,000 , and in May, we acquired from another developer two skilled nursing facilities in Garland and Fort Worth, Texas, for a cash investment totaling $29,000,000 . Additional consideration of $1,275,000 for the Waxahachie property and $1,250,000 for each of Garland and Ft. Worth were contributed by the lessee, The Ensign Group (“Ensign”). We have capitalized the tenant contributions as a component of the cost of the facilities and have recorded the contributions as deferred revenue, which we are amortizing to revenue over the term of the master lease to which these properties have now been added. The remaining term of the master lease extends through April 2031, plus renewal options. The blended initial lease rate is set at 8.1% , subject to annual escalators based on prevailing inflation rates. The acquisitions were accounted for as an asset purchase and fulfill our original commitment to acquire and lease to Ensign four skilled nursing facilities in New Braunfels, Waxahachie, Garland and Fort Worth, Texas. Comfort Care On May 31, 2018, NHI acquired two assisted living facilities in Bridgeport and Saginaw, Michigan for a cash investment of $17,140,000 , inclusive of $100,000 in closing costs. We leased the facilities to affiliates of Comfort Care Senior Living (“Comfort Care”) for a term of fifteen years at an initial lease rate of 7.25% with annual escalators adjusted for prevailing inflation rates, subject to a floor and ceiling of 2% and 3% , respectively. The lease provides for an initial six-month cash escrow. With the acquisition, NHI also obtained fair value-based purchase options for two newly constructed facilities operated by Comfort Care, with the purchase option windows to open upon stabilization. The acquisition was accounted for as an asset purchase. Ignite In December 2018, we reached an agreement with Ignite Team Partners, LLC, d/b/a Ignite Medical Resorts, to develop a $25,350,000 skilled nursing facility in suburban Milwaukee. The facility is currently under construction with an expected opening date in the fourth quarter of 2019. The facility will be leased to Ignite Healthcare, Inc. (“Ignite”) for a term of 12 years, with two ten -year renewal options, at an initial lease rate of 9.5% plus annual fixed escalators. Ignite will be eligible for an earn-out of up to $2,000,000 , to be funded beginning in 2026 upon the attainment of specified metrics. NHI will have a right of first offer on future Ignite projects. We accounted for the transaction as an asset purchase. At December 31, 2018 , we had funded $4,674,000 , including $2,000,000 for the purchase of land. Major Customers Bickford As of December 31, 2018 , our Bickford Senior Living (“Bickford”) portfolio consists of leases with primary lease expiration dates as follows (in thousands) : Lease Expiration June 2023 September 2024 September 2027 May 2031 April 2033 Total Number of Properties 13 10 4 20 5 52 2018 Annual Contractual Rent $ 11,133 $ 9,264 $ 1,515 $ 19,988 $ 3,165 $ 45,065 2018 Straight Line Rent Adjustment 588 (260 ) 221 3,865 614 5,028 Total Revenues $ 11,721 $ 9,004 $ 1,736 $ 23,853 $ 3,779 $ 50,093 On April 30, 2018, we acquired an assisted living/memory-care portfolio in Ohio and Pennsylvania comprising five facilities, one of which is subject to a ground lease with remaining term, including extensions, of 50 years. The purchase price was $69,750,000 , including $500,000 in closing costs and $1,750,000 in specified capital improvements, which will be added to the lease base upon funding. In addition to the cash consideration stated above, we recorded an intangible liability of $590,000 to recognize our above-market obligation for the ground lease. We included this portfolio in a separate master lease with Bickford which provides for a lease rate of 6.85% , with annual fixed escalators over a term of 15 years plus renewal options, subject to a fair market value rent reset feature available to NHI between years three and five . Of our total revenues, $50,093,000 ( 17% ), $41,606,000 ( 15% ) and $30,732,000 ( 12% ) were recognized as rental income from Bickford for the years ended December 31, 2018 , 2017 and 2016 , including $5,028,000 , $5,102,000 , and $858,000 in straight-line rent income, respectively. Senior Living Communities As of December 31, 2018 , we leased nine retirement communities to Senior Living Communities (“Senior Living”) under a 15 -year master lease which began in December 2014, contains two 5 -year renewal options and provides for an annual escalator of 4% in 2018 and 3% thereafter. Of our total revenue, $45,868,000 ( 16% ), $45,735,000 ( 16% ) and $40,332,000 ( 16% ) in lease revenues were derived from Senior Living for the years ended December 31, 2018 , 2017 and 2016 , respectively, including $5,436,000 , $6,984,000 and $7,369,000 in straight-line rent. Holiday As of December 31, 2018 , we leased 25 independent living facilities to an affiliate of Holiday Retirement (“Holiday”) at an original cost of $493,000,000 . The 17 -year master lease began in December 2013 and provides for a minimum annual escalator of 3.5% after 2017. Of our total revenues, $43,311,000 ( 15% ), $43,817,000 ( 16% ) and $43,817,000 ( 18% ) were derived from Holiday for the years ended December 31, 2018 , 2017 and 2016 , respectively, including $5,616,000 , $7,397,000 and $8,965,000 in straight-line rent, respectively. Our tenant operates the facilities pursuant to a management agreement with a Holiday-affiliated manager. In November 2018, we entered into a lease amendment and guaranty release (“the Agreement”) with Holiday. The Agreement extends the term of the lease, increases required minimum capital expenditure per unit and provides NHI with a stronger projected 2019 lease coverage ratio. Below is a summary of the provisions of the new agreement: • We are to receive consideration of approximately $65,762,000 consisting of a combination of cash and real estate equaling $55,125,000 and the forfeiture to us of $10,637,000 which is one-half of the original $21,275,000 security deposit. • The agreement provided that, in lieu of cash mentioned above, we could have sole discretion to acquire a Holiday property that will be leased back to Holiday at an agreed-upon rent and subject to the same terms and conditions of the amended master lease. On January 31, 2019, we acquired a senior housing facility in Vero Beach, Florida as discussed in Note 15. • The lease maturity is extended by five years to December 31, 2035, and will be secured by the remaining half of the NHI-held security deposit. Additionally, NHI is requiring $5,000,000 of equity to be contributed into the Holiday tenant entity (“the Credit Enhancement”). The use of the Credit Enhancement will be limited to payment of NHI rent and NHI-approved capital expenditures. Future return of the Credit Enhancement will further be limited by performance measures, including liquidity and lease service coverage ratio covenants. The Agreement also requires that $6,500,000 of equity be contributed to the Holiday management company. • Effective January 1, 2019, Holiday rent was reset to $31,500,000 for the existing 25 properties, as opposed to the $39,000,000 previously obligated, with escalators commencing annually November 1, 2020, equal to the greater of 2.0% or 45% of trailing 12 months year‐over‐year revenue growth of the NHI/Holiday portfolio, not to exceed 3.0% . • We have committed to invest up to $5,000,000 in capital expenditures into the communities at a 7.0% lease rate on funds drawn. In addition, Holiday has committed to a minimum of $1,500 per unit in annual capital expenditures. • NHI and Holiday are reviewing the portfolio to identify underperforming properties within the existing Holiday lease. A subsequent sale of properties, if any, would reduce the rent owed us by 7.0% of the net proceeds received by NHI. Stated levels of our security deposit and tenant Credit Enhancement will not be adjusted as a result of any future sale. NHC As of December 31, 2018 , we leased 42 facilities under two master leases to National HealthCare Corporation (“NHC”), a publicly-held company and the lessee of our legacy properties. The facilities leased to NHC consist of 3 independent living facilities and 39 skilled nursing facilities ( 4 of which are subleased to other parties for whom the lease payments are guaranteed to us by NHC). These facilities are leased to NHC under the terms of an amended master lease agreement originally dated October 17, 1991 (the “1991 lease”) which includes our 35 remaining legacy properties and a master lease agreement dated August 30, 2013 (the “2013 lease”) which includes 7 skilled nursing facilities acquired from a third party. The 1991 lease has been amended to extend the lease expiration to December 31, 2026. There are two additional 5 -year renewal options, each at fair rental value of such leased property as negotiated between the parties and determined without including the value attributable to any improvements to the leased property voluntarily made by NHC at its expense. Under the terms of the lease, the base annual rental is $30,750,000 and rent escalates by 4% of the increase, if any, in each facility’s revenue over a 2007 base year. The 2013 lease provides for a base annual rental of $3,450,000 and has a lease expiration of August 2028. Under the terms of the 2013 lease, rent escalates 4% of the increase, if any, in each facility’s revenue over a 2014 base year. For both the 1991 lease and the 2013 lease, we refer to this additional rent component as “percentage rent.” During the last three years of the 2013 lease, NHC will have the option to purchase the facilities for $49,000,000 . The following table summarizes the percentage rent income from NHC ( in thousands ): Year Ended December 31, 2018 2017 2016 Current year $ 3,411 $ 3,127 $ 2,932 Prior year final certification 1 285 194 547 Total percentage rent $ 3,696 $ 3,321 $ 3,479 1 For purposes of the percentage rent calculation described in the Master Lease Agreement, NHC’s annual revenue by facility for a given year is certified to NHI by March 31st of the following year. Of our total revenues, $37,843,000 ( 13% ), $37,467,000 ( 13% ) and $37,626,000 ( 15% ) in 2018 , 2017 and 2016 , respectively, were derived from NHC. The chairman of our board of directors is also a director on NHC’s board of directors. As of December 31, 2018 , NHC owned 1,630,462 shares of our common stock. Tenant Non-Compliance Affiliates of East Lake In documents we have previously filed with and furnished to the SEC, we have used the shorthand “East Lake” to refer to the East Lake Capital Management affiliated entities for whom we have acted or continue to act as landlord. These entities consist of EL FW Intermediary I, LLC (for the Freshwater/Watermark continuing care retirement communities) and SH Regency Leasing, LLC (for the three assisted living facilities in Tennessee, Indiana and North Carolina referred to as “Regency”). On June 15, 2018, East Lake Capital Management LLC and certain related entities, including Regency, filed suit against NHI and NHI-REIT of Axel, LLC, in the District Court of Dallas County, Texas; 95th Judicial District for injunctive and declaratory relief and unspecified monetary damages, including attorney’s fees. The suit sought, among other things, to enjoin NHI from making certain references to East Lake in NHI’s public filings. In response to this lawsuit, related litigation, and other circumstances, we entered motions calling for the immediate appointment of a receiver and for pre-judgment possession, hearing, and bond. Resulting from these claims and counterclaims, on December 6, 2018, the plaintiff parties entered into an agreement with NHI under Texas Rule of Civil Procedure 11, which rule ensures the enforceability of an agreement between lawyers in a case when the agreement is in writing and filed in the papers of the court. As a result of the agreement, Regency vacated our facilities in Indiana and North Carolina on December 7, 2018 and in Tennessee on December 14, 2018. Due to a decrease in occupancy and the deferral of needed maintenance and capital expenditures related to their operation, NHI made arrangements with operators to manage the three facilities. NHI will receive 95% of operating cash flow, if any, as generated by the facilities until such time as operations become stabilized or more formal agreements are entered into. The original libel action of the East Lake affiliated entities survives the Rule 11 agreement and is set to continue in February 2019. NHI is not precluded from further action in damages under terms of the lease. As of December 31, 2018, based on our assessment of likely undiscounted cash flows we determined no impairment charge was required on the land, building and improvements formerly leased to Regency. We wrote off straight-line receivables from the Regency properties totaling $1,820,000 during the fourth quarter of 2018. Of our total revenues, $5,103,000 ( 2% ), $5,466,000 ( 2% ), and $5,444,000 ( 2% ) in lease revenues were derived from Regency for the years ended December 31, 2018 , 2017 and 2016 , respectively. With Regency’s relinquishment of possession of the three NHI facilities as discussed above, our prospective entry into management agreements with operators willing to venture into speculative operations entails structuring the agreements so that NHI, who stands to gain the most from rehabilitation of the properties, will likely expect to absorb most of the losses, if any, that these operators will encounter during revitalization of operations at the three properties. As a result of finalizing these agreements, entity-level operations at each facility may be considered variable interests, the operators may be considered variable interest entities (“VIEs”), and NHI may potentially be considered the primary beneficiary of those entities. Consequently, NHI may be required to consolidate these operations in 2019. If so, we expect that our statements of income will reflect revenues and expenses from these foreclosed operations. During 2018, activities at these facilities were immaterial to the results of NHI’s operations. For operations which we place in our TRS, we have NOL carryforwards of $462,000 available to offset taxable income in the TRS. The carry-forwards expire beginning in 2028. Other In the second quarter of 2018, we identified a single-property lease with a tenant in Wisconsin as non-performing. Lease revenues from the tenant have comprised less than 1% of our rental income, and the tenant is two months , or $840,000 , in arrears on its rent payments to us as of December 31, 2018. In accordance with our revenue recognition policies, we will recognize future rental income from the lease in the period in which cash is received. Additionally, we may transition the lease to a new tenant. As a consequence of this course of action, the related straight-line receivable is considered uncollectible. Accordingly, in June 2018, we wrote off the balance of $1,436,000 pertaining to this tenant and included this amount in loan and realty losses in our consolidated statement of income. Personal guarantees totaling $3,000,000 remain in place. We have determined that another of our tenants, The LaSalle Group, with five buildings in Illinois and Texas, is in material non-compliance with provisions of our lease regarding mandated coverage ratios, working capital requirements and timeliness of rent payments. Lease revenues from the tenant have comprised less than 2% of our rental income, and the tenant is two months in arrears on its rent payments to us as of December 31, 2018. As of October 31, 2018, we wrote off the accumulated straight-line rent receivable of $1,496,000 , we ceased recording straight-line rent income, and we adopted the cash basis for recognition of revenues from this tenant. We have made no rent concessions to the tenant as of December 31, 2018. Based on our assessment of current operations and the availability of suitable operating partners, we are seeking new tenants or managers for the other properties mentioned above. If we enter into a management agreement rather than a lease as we seek to stabilize the operations of these facilities and if our resulting operating partner does not have adequate liquidity to accept the risks and rewards of ownership, NHI might be deemed the primary beneficiary of the operations and might be required to consolidate those statements of financial position and results of operations of the managers or operating partners into our consolidated financial statements. Of our total revenue, $5,540,000 ( 2% ), $6,141,000 ( 2% ), and $1,957,000 ( 1% ) in lease revenues were derived from the above other tenants for the years ended December 31, 2018 , 2017 and 2016 , respectively. In February 2019 we released a tenant from the provisions of a forbearance letter we originally issued in October 2017. Utilization of Tenant Escrow Deposits We have available to us a total of $3,485,000 in escrowed deposits for the above-mentioned non-compliant tenants. Through the end of 2018, we made no draws against these deposits. When tenants have been changed to cash basis and prior to adjudication of any amounts in controversy, we assess the probability of recovery, if any, through legal recourse against amounts on escrow. We consider available escrowed funds to the extent, under governing lease provisions, that specified costs incurred are to be borne by the tenant. Accordingly, we have recognized $2,534,000 as a receivable against these escrowed deposits to satisfy property tax liabilities and as reimbursement for expenses explicitly delineated under the leases. Other Lease Activity We have adjusted rental income for the amortization of lease inducement payments resulting from the settlement of contingencies identified in Note 6. Amortization of these payments against revenues was $387,000 , $119,000 and $40,000 for the years ended December 31, 2018, 2017 and 2016, respectively. Future Minimum Lease Payments At December 31, 2018 , the future minimum lease payments (excluding percentage rent) to be received by us under our operating leases with our tenants are as follows ( in thousands ): 2019 $ 304,887 2020 254,321 2021 255,806 2022 258,245 2023 252,602 Thereafter 1,705,141 $ 3,031,002

Mortgage And Other Notes Receiv

Mortgage And Other Notes Receivable	12 Months Ended
	Dec. 31, 2018
Financing Receivable, Net [Abstract]
Mortgage Notes Receivable	MORTGAGE AND OTHER NOTES RECEIVABLE At December 31, 2018 , we had investments in mortgage notes receivable with a carrying value of $202,877,000 secured by real estate and UCC liens on the personal property of 12 facilities and other notes receivable with a carrying value of $43,234,000 guaranteed by significant parties to the notes or by cross-collateralization of properties with the same owner. At December 31, 2017 , we had investments in mortgage notes receivable with a carrying value of $98,110,000 and other notes receivable with a carrying value of $43,376,000 . No allowance for doubtful accounts was considered necessary at December 31, 2018 or 2017 . Life Care Services - Sagewood On December 21, 2018 we entered into an agreement to lend LCS-Westminster Partnership IV LLP (“Life Care Services IV”), an affiliate of Life Care Services, the manager of the facility, up to $180,000,000 . The loan agreement conveys a mortgage interest and will facilitate the construction of Phase II of Sagewood, a Type-A Continuing Care Retirement Community in Scottsdale, AZ. The loan takes the form of two notes under a master credit agreement. The senior note (“Note A”) totals $118,800,000 at a 7.25% interest rate with 10 basis-point annual escalators after year three and has a term of 10 years. We have funded $76,653,000 of Note A as of December 31, 2018. Note A is interest-only and is locked to prepayment until January 2021. After 2020, the prepayment penalty starts at 2% and declines to 1% in 2022. The second note (“Note B”) is a construction loan for up to $61,200,000 at an annual interest rate of 8.5% and carries a five -year maturity. The total amount funded on Note B was $10,165,000 as of December 31, 2018. Life Care Services - Timber Ridge In February 2015, we entered into an agreement to lend up to $154,500,000 to LCS-Westminster Partnership III LLP (“LCS-WP”), an affiliate of Life Care Services (“LCS”). The loan agreement conveys a mortgage interest and facilitated the construction of Phase II of Timber Ridge at Talus (“Timber Ridge”), a Type-A continuing care retirement community in Issaquah, WA managed by LCS. Our loan to LCS-WP represents a variable interest. As an affiliate of a larger company, LCS-WP is structured to limit liability for potential damage claims, is capitalized to achieve that purpose and is considered a VIE within the definition set forth in Note 1. The loan took the form of two notes under a master credit agreement. The senior note (“Note A”) totals $60,000,000 at a 6.75% interest rate with 10 basis-point escalators after year three , and has a term of 10 years. We have funded $57,939,000 of Note A as of December 31, 2018 . Note A is interest-only and is locked to prepayment for three years. Beginning in February 2018, the prepayment penalty started at 5% and will decline 1% annually for five years. Note B was a construction loan for up to $94,500,000 at an annual interest rate of 8% and a five -year maturity and was fully drawn during 2016. Repayment began during the fourth quarter of 2016, and the balance remaining on Note B at December 31, 2017 , of $1,953,000 was repaid during the first quarter of 2018. We recognized $515,000 in interest income from unamortized commitment fees, on early retirement of the note. NHI has an option to purchase the entire Timber Ridge property for the greater of a mutually agreed-upon fair market value or $115,000,000 during a window of 120 days that is set to open in February 2019. Bickford At December 31, 2018 , our construction loans to Bickford are summarized as follows: Commencement Rate Maturity Commitment Drawn Location July 2016 9% 5 years $ 14,000,000 $ (13,047,000 ) Illinois January 2017 9% 5 years 14,000,000 (11,931,000 ) Michigan January 2018 9% 5 years 14,000,000 (4,515,000 ) Virginia July 2018 9% 5 years 14,700,000 (2,978,000 ) Michigan $ 56,700,000 $ (32,471,000 ) The construction loans are secured by first mortgage liens on substantially all real and personal property as well as a pledge of any and all leases or agreements which may grant a right of use to the subject property. Usual and customary covenants extend to the agreements, including the borrower’s obligation for payment of insurance and taxes. NHI has a purchase option on the properties at stabilization, whereby annual rent will be set with a floor of 9.55% , based on NHI’s total investment, plus fixed annual escalators. On these and future loan development projects, Bickford as the borrower is entitled to up to $2,000,000 per project in incentive loan draws based upon the achievement of predetermined operational milestones, the funding of which will increase the principal amount and NHI's future purchase price and eventual NHI lease payment. Our loans to Bickford represent a variable interest. Bickford is structured to limit liability for potential claims for damages, is capitalized to achieve that purpose and is considered a VIE. Senior Living Communities In connection with the acquisition in December 2014 of the properties leased to Senior Living, we provided a $15,000,000 revolving line of credit, the maturity of which mirrors the 15 -year term of the master lease. Borrowings are used to finance construction projects within the Senior Living portfolio, including building additional units. The facility, which may be used to meet general working capital needs, is subject to reduction to $5,000,000 in 2019 and up to the lease maturity in December 2029. Amounts outstanding under the facility, $1,900,000 at December 31, 2018 , bear interest at an annual rate equal to the prevailing 10 -year U.S. Treasury rate, 2.69% at December 31, 2018 , plus 6% . In March 2016, we extended two mezzanine loans of up to $12,000,000 and $2,000,000 , respectively, to affiliates of Senior Living, to partially fund construction of a 186 -unit senior living campus on Daniel Island in South Carolina. The loans bear interest payable monthly at a 10% annual rate and mature in March 2021. The loans were fully drawn at December 31, 2018 , and provide NHI with a purchase option on the development upon its meeting certain operational metrics. The option is to remain open during the term of the loans, plus any extensions. Our loans to Senior Living and its subsidiaries represent a variable interest. Senior Living is structured to limit liability for potential claims for damages, is appropriately capitalized for that purpose and is considered a VIE. Senior Living Management On August 3, 2016, we entered into an agreement to furnish to our current tenant, Senior Living Management, Inc. (“SLM”), through its affiliates, loans of up to $24,500,000 to facilitate SLM’s acquisition of five senior housing facilities that it currently operates. The loans consist of two notes under a master credit agreement, include both a mortgage and a corporate loan, and bear interest at 8.25% with terms of five years, plus optional one and two -year extensions. NHI has a right of first refusal if SLM elects to sell the facilities. The loans were fully funded as of December 31, 2018 . Our loans to SLM represent a variable interest. SLM is structured to limit liability for potential damage claims, is capitalized for that purpose and is considered a VIE. Evolve On August 7, 2017, we completed a first mortgage loan of $10,000,000 to Evolve for the purchase of a memory care facility in New Hampshire. The loan provides for annual interest of 8% and a maturity of five years plus renewal terms at the option of the borrower. Terms of the loan grant NHI a 10% participation in the property’s appreciation during the period the loan is outstanding, and NHI also has the option to purchase the facility at fair market value after the second year of the loan. Our loan to Evolve represents a variable interest. Evolve is structured to limit liability for potential claims for damages, is capitalized to achieve that purpose and is considered a VIE. Other Note Activity In June 2017 Traditions of Minnesota paid off the undiscounted balance of $4,256,000 on its mortgage note outstanding to NHI. With the early payoff, we recognized interest income of $922,000 related to a prepayment penalty and the retirement of the remaining unamortized discount.

Equity-Method Investment And Ot

Equity-Method Investment And Other Assets	12 Months Ended
	Dec. 31, 2018
Equity Method Investments And Other Assets [Abstract]
Equity Method Investments And Other Assets Disclosure [Text Block]	OTHER ASSETS Our other assets consist of the following ( in thousands ): As of December 31, 2018 2017 Accounts receivable and prepaid expenses $ 6,381 $ 2,429 Unamortized lease incentive payments 7,456 2,563 Regulatory escrows 8,208 8,208 Restricted cash 5,253 5,012 $ 27,298 $ 18,212 Regulatory escrows include mandated deposits in connection with our entrance fee communities in Connecticut. Restricted cash includes amounts required to be held on deposit in accordance with agency agreements governing our Fannie Mae and HUD mortgages.

Debt

Debt	12 Months Ended
	Dec. 31, 2018
Debt Instruments [Abstract]
Debt Disclosure	DEBT Debt consists of the following ( in thousands ): December 31, December 31, Revolving credit facility - unsecured $ 84,000 $ 221,000 Bank term loans - unsecured 550,000 250,000 Private placement term loans - unsecured 400,000 400,000 HUD mortgage loans (net of discount of $1,320 and $1,402) 42,906 43,645 Fannie Mae term loans - secured, non-recourse 96,044 96,367 Convertible senior notes - unsecured (net of discount of $1,391 and $2,637) 118,609 144,938 Unamortized loan costs (9,884 ) (10,453 ) $ 1,281,675 $ 1,145,497 Aggregate principal maturities of debt as of December 31, 2018 for each of the next five years and thereafter are as follows ( in thousands ): Twelve months ended December 31, 2019 $ 1,187 2020 1,230 2021 121,279 2022 335,328 2023 476,379 Thereafter 358,867 1,294,270 Less: discounts (2,711 ) Less: unamortized loan costs (9,884 ) $ 1,281,675 Revolving credit facility and bank term loans - unsecured On September 17, 2018, we executed a $300,000,000 expansion of our bank credit facility, discussed below, whereby our total unsecured credit facility consists of $250,000,000 and $300,000,000 term loans and a $550,000,000 revolving credit facility. The $250,000,000 term loan and $550,000,000 revolving facility mature in August 2022, and the $300,000,000 term loan matures in September 2023. The revolving facility fee is currently 20 basis points per annum, and based on our current leverage ratios, the facility presently provides for floating interest on the revolver and the term loans at 30-day LIBOR plus 115 and a blended 127 basis points, respectively. At December 31, 2018 and December 31, 2017 , 30-day LIBOR was 252 and 156 basis points, respectively. Within the facility, the employment of interest rate swaps for our fixed term debt leaves only our revolving credit facility and newly issued term loan of $300,000,000 exposed to interest rate risk through April 2019, when our $40,000,000 swap expires. Our swaps and the financial instruments to which they relate are described in the table below, under the caption “Interest Rate Swap Agreements.” At December 31, 2018 , we had $466,000,000 available to draw on the revolving portion of our credit facility, to which usual and customary covenants extend. Among other stipulations, the unsecured credit facility agreement requires that we maintain certain financial ratios within limits set by our creditors. These ratios, which are calculated quarterly, have been within the limits specified in the credit facility agreements. Pinnacle Bank is a participating member of our banking group. A member of NHI’s board of directors and chairman of our audit committee is also the chairman of Pinnacle Financial Partners, Inc., the holding company for Pinnacle Bank. NHI’s local banking transactions are conducted primarily through Pinnacle Bank. Private placement term loans - unsecured Our unsecured private placement term loans, payable interest-only, are summarized below ( in thousands ): Amount Inception Maturity Fixed Rate $ 125,000 January 2015 January 2023 3.99% 50,000 November 2015 November 2023 3.99% 75,000 September 2016 September 2024 3.93% 50,000 November 2015 November 2025 4.33% 100,000 January 2015 January 2027 4.51% $ 400,000 Except for specific debt-coverage ratios, covenants pertaining to the private placement term loans are generally conformed with those governing our credit facility. HUD mortgage loans Our HUD mortgage loans are secured by ten properties leased to Bickford and having a net book value of $50,867,000 at December 31, 2018 . Nine mortgage notes require monthly payments of principal and interest from 4.3% to 4.4% (inclusive of mortgage insurance premium) and mature in August and October 2049. One additional HUD mortgage loan assumed in 2014, at a discount, requires monthly payments of principal and interest of 2.9% (inclusive of mortgage insurance premium) and matures in October 2047. The loan has an outstanding principal balance of $8,705,000 and a carrying value of $7,385,000 , which approximates fair value. Fannie Mae term loans - secured, non-recourse In March 2015 we obtained $78,084,000 in Fannie Mae financing. The term debt financing consists of interest-only payments at an annual rate of 3.79% and a 10 -year maturity. The mortgages are non-recourse and secured by thirteen properties leased to Bickford. In a December 2017 acquisition, we assumed additional Fannie Mae debt that amortizes through 2025 when a balloon payment will be due, is subject to prepayment penalties until 2024, bears interest at a nominal rate of 4.6% , and has remaining balance of $17,960,000 at December 31, 2018. All together, these notes are secured by facilities having a net book value of $138,273,000 at December 31, 2018. Convertible senior notes - unsecured In March 2014 we issued $200,000,000 of 3.25% senior unsecured convertible notes due April 2021 (the “Notes”) with interest payable April 1st and October 1st of each year. The Notes were convertible at an initial rate of 13.93 shares of common stock per $1,000 principal amount, representing a conversion price of approximately $71.81 per share for a total of approximately 2,785,200 underlying shares. The conversion rate is subsequently adjusted upon each occurrence of certain events, as defined in the indenture governing the Notes, including the payment of dividends at a rate exceeding that prevailing in 2014. The conversion option was accounted for as an “optional net-share settlement conversion feature,” meaning that upon conversion, NHI’s conversion obligation may be satisfied, at our option, in cash, shares of common stock or a combination of cash and shares of common stock. Because we have the ability and intent to settle the convertible securities in cash upon exercise, we use the treasury stock method to account for potential dilution. During the years ended December 31, 2018 and 2017 , we undertook targeted open-market repurchases of certain of these convertible notes. Payments of cash negotiated in the transactions were dependent on prevailing market conditions, our liquidity requirements, contractual restrictions, individual circumstances of the selling parties and other factors. Settlement of the notes requires management to allocate the consideration we ultimately pay between the debt component and the equity conversion feature as though they were separate instruments. The allocation is effected by determining the fair value of the debt component first, with any remainder allocated to the conversion feature. Amounts expended to settle the notes are recognized first as a settlement of the notes at our carrying value and then are recognized in income to the extent the portion allocated to the debt instrument differs from carrying value. The remainder of the allocation, if any, is treated as settlement of equity and adjusted through our capital in excess of par account. A roll-forward of our convertible note balances, including the effect of year-to-date amortization, net of issuance costs, is presented below: December 31, Cash Paid Amortization December 31, Face Amount $ 147,575 $ (27,575 ) $ — $ 120,000 Discount (2,637 ) $ 458 $ 788 (1,391 ) Issuance Costs (1,752 ) $ 297 $ 545 (910 ) Carrying Value $ 143,186 $ 117,699 Total expenditures of $29,985,000 include paid amounts of $27,558,000 allocated to the note retirement with the remaining expenditure of $2,427,000 allocated to capital in excess of par. A loss of $738,000 for the year ended December 31, 2018 , resulted from the excess of cash expenditures over the book value of the notes retired, net of discount and issuance costs. As of December 31, 2018 , our senior unsecured convertible notes were convertible at a rate of 14.42 shares of common stock per $1,000 principal amount, representing a conversion price of approximately $69.36 per share for a total of 1,730,174 remaining underlying shares. For the year ended December 31, 2018 , dilution resulting from the conversion option within our convertible debt is 80,123 shares. If NHI’s current share price increases above the adjusted $69.36 conversion price, further dilution will be attributable to the conversion feature. On December 31, 2018 , the value of the convertible debt, computed as if the debt were immediately eligible for conversion, exceeded its face amount by $10,697,000 . Interest Rate Swap Agreements Our existing interest rate swap agreements will collectively continue through June 2020 to hedge against fluctuations in variable interest rates applicable to our $250,000,000 bank term loan. With the amendment to our credit facility in August 2017, the introduction to the bank term loan of a LIBOR floor not present in the hedges resulted in hedge inefficiency of $353,000 , which we credited to interest expense in 2017. On January 1, 2018, we adopted ASU 2017-12 Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities , as discussed in Note 14. Upon the adoption of the new standard, we reversed cumulative ineffectiveness, resulting in a retroactive net charge to retained earnings and a credit to accumulated other comprehensive income (loss) of $235,000 as of January 1, 2018 . During the next year, approximately $963,000 of gains, which are included in accumulated other comprehensive income (loss), are projected to be reclassified into earnings. As of December 31, 2018 , we employ the following interest rate swap contracts to mitigate our interest rate risk on the $250,000,000 term loan ( dollars in thousands ): Date Entered Maturity Date Fixed Rate Rate Index Notional Amount Fair Value May 2012 April 2019 2.84% 1-month LIBOR $ 40,000 $ 130 June 2013 June 2020 3.41% 1-month LIBOR $ 80,000 $ 480 March 2014 June 2020 3.46% 1-month LIBOR $ 130,000 $ 687 If the fair value of the hedge is an asset, we include it in our Consolidated Balance Sheets among other assets, and, if a liability, as a component of accrued expenses. See Note 11 for fair value disclosures about our interest rate swap agreements. Net asset (liability) balances for our hedges included as components of consolidated other comprehensive income on December 31, 2018 and 2017 were $1,297,000 and $(588,000) , respectively. The following table summarizes interest expense ( in thousands ): Year Ended December 31, 2018 2017 2016 Interest expense on debt at contractual rates $ 45,789 $ 40,385 $ 36,197 Losses reclassified from accumulated other comprehensive income (loss) into interest expense 164 2,627 3,928 Ineffective portion of cash flow hedges — (353 ) 18 Capitalized interest (212 ) (510 ) (549 ) Charges taken on amending bank credit facility — 583 — Amortization of debt issuance costs and debt discount 3,314 3,592 3,514 Total interest expense $ 49,055 $ 46,324 $ 43,108

Commitments And Contingencies

Commitments And Contingencies	12 Months Ended
	Dec. 31, 2018
Commitments and Contingencies Disclosure [Abstract]
Commitments And Contingencies	COMMITMENTS AND CONTINGENCIES In the normal course of business, we enter into a variety of commitments, typical of which are those for the funding of revolving credit arrangements, construction and mezzanine loans to our operators to conduct expansions and acquisitions for their own account, and commitments for the funding of construction for expansion or renovation to our existing properties under lease. In our leasing operations we offer to our tenants and to sellers of newly-acquired properties a variety of inducements which originate contractually as contingencies but which may become commitments upon the satisfaction of the contingent event. Contingent payments earned will be included in the respective lease bases when funded. The tables below summarize our existing, known commitments and contingencies according to the nature of their impact on our leasehold or loan portfolios. Asset Class Type Total Funded Remaining Loan Commitments: LCS Sagewood Note A SHO Construction $ 118,800,000 $ (76,653,000 ) $ 42,147,000 LCS Sagewood Note B SHO Construction 61,200,000 (10,165,000 ) 51,035,000 LCS Timber Ridge Note A SHO Construction 60,000,000 (58,158,000 ) 1,842,000 Bickford Senior Living SHO Construction 56,700,000 (32,471,000 ) 24,229,000 Senior Living Communities SHO Revolving Credit 15,000,000 (1,900,000 ) 13,100,000 $ 311,700,000 $ (179,347,000 ) $ 132,353,000 See Note 3 to our consolidated financial statements for full details of our loan commitments. As provided above, loans funded do not include the effects of discounts or commitment fees. Asset Class Type Total Funded Remaining Development Commitments: Ignite Medical Resorts SNF Construction 25,350,000 (4,674,000 ) 20,676,000 Woodland Village SHO Renovation 7,450,000 (6,867,000 ) 583,000 Senior Living Communities SHO Renovation 6,830,000 (4,772,000 ) 2,058,000 Bickford Senior Living SHO Renovation 1,750,000 (1,597,000 ) 153,000 Navion Senior Solutions SHO Construction 650,000 — 650,000 Discovery Senior Living SHO Renovation 500,000 (289,000 ) 211,000 $ 42,530,000 $ (18,199,000 ) $ 24,331,000 Asset Class Type Total Funded Remaining Contingencies: Bickford Senior Living SHO Lease Inducement $ 10,000,000 $ (7,500,000 ) $ 2,500,000 Bickford Senior Living SHO Incentive Loan Draws 8,000,000 (250,000 ) 7,750,000 Navion Senior Solutions SHO Lease Inducement 4,850,000 — 4,850,000 Ignite Medical Resorts SNF Lease Inducement 2,000,000 — 2,000,000 $ 24,850,000 $ (7,750,000 ) $ 17,100,000 Contingent lease inducement payments of $10,000,000 related to the five Bickford development properties constructed in 2016 and 2017 include a licensure incentive of $250,000 per property and a three-tiered operator incentive schedule paying up to an additional $1,750,000 , based on the attainment of certain performance metrics. Upon funding, these payments are added to the lease base and amortized against rental income. Litigation On June 15, 2018, East Lake Capital Management LLC and certain related entities, including Regency, filed suit against NHI and NHI-REIT of Axel, LLC, in the District Court of Dallas County, Texas; 95th Judicial District for injunctive and declaratory relief and unspecified monetary damages, including attorney’s fees. The suit sought, among other things, to enjoin NHI from making certain references to East Lake in NHI’s public filings. In response to this lawsuit, related litigation, and other circumstances, we entered motions calling for the immediate appointment of a receiver and for pre-judgment possession, hearing, and bond. Resulting from these claims and counterclaims, on December 6, 2018, the plaintiff parties entered into an agreement with NHI under Texas Rule of Civil Procedure 11, which rule ensures the enforceability of an agreement between lawyers in a case when the agreement is in writing and filed in the papers of the court. The agreement provided that Regency vacate our facilities in Indiana and North Carolina on December 7, 2018 and in Tennessee on December 14, 2018. Further, Regency agreed to provide minimal levels of cooperation in transitioning the facilities. The original libel action of the East Lake affiliated entities survives the Rule 11 agreement and is set to continue in January 2019. NHI is not precluded from further action in damages under terms of the lease. Our facilities are subject to claims and suits in the ordinary course of business. Our lessees and borrowers have indemnified, and are obligated to continue to indemnify us, against all liabilities arising from the operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. While there may be lawsuits pending against certain of the owners and/or lessees of the facilities, management believes that the ultimate resolution of all such pending proceedings will have no material effect on our financial statements.

Investment And Other Gains Inve

Investment And Other Gains Investment And Other Gains	12 Months Ended
	Dec. 31, 2018
Investment And Other Gains [Abstract]
Investment And Other Gains [Text Block]	INVESTMENT AND OTHER GAINS The following table summarizes our investment and other gains (in thousands) : Year Ended December 31, 2018 2017 2016 Gains on sales of marketable securities $ — $ 10,038 $ 29,673 Gain on sale of real estate — 50 4,582 Other gains — — 1,657 $ — $ 10,088 $ 35,912 During the years ended December 31, 2017 and 2016, we recognized gains on sales of marketable securities which were reclassified from accumulated other comprehensive income.

Share-Based Compensation

Share-Based Compensation	12 Months Ended
	Dec. 31, 2018
Deferred Compensation Arrangements [Abstract]
Share-Based Compensation	SHARE-BASED COMPENSATION We recognize share-based compensation for all stock options granted over the requisite service period using the fair value of these grants as estimated at the date of grant using the Black-Scholes pricing model over the requisite service period using the market value of our publicly-traded common stock on the date of grant. Share-Based Compensation Plans The Compensation Committee of the Board of Directors (the “Committee”) has the authority to select the participants to be granted options; to designate whether the option granted is an incentive stock option (“ISO”), a non-qualified option, or a stock appreciation right; to establish the number of shares of common stock that may be issued upon exercise of the option; to establish the vesting provision for any award; and to establish the term any award may be outstanding. The exercise price of any ISO’s granted will not be less than 100% of the fair market value of the shares of common stock on the date granted and the term of an ISO may not be more than ten years. The exercise price of any non-qualified options granted will not be less than 100% of the fair market value of the shares of common stock on the date granted unless so determined by the Committee. In May 2012, our stockholders approved the 2012 Stock Incentive Plan (the “2012 Plan”) pursuant to which 1,500,000 shares of our common stock were made available to grant as share-based payments to employees, officers, directors or consultants. Through a vote of our shareholders in May 2015, we increased the maximum number of shares under the plan from 1,500,000 shares to 3,000,000 shares; increased the automatic annual grant to non-employee directors from 15,000 shares to 20,000 shares; and limited the Company’s ability to re-issue shares under the Plan. Through a second amendment approved on May 4, 2018, our shareholders voted to increase the maximum number of shares under the plan to 3,500,000 and to increase the automatic annual grant to non-employee directors to 25,000 . The individual restricted stock and option grant awards may vest over periods up to five years. The term of the options under the 2012 Plan is up to ten years from the date of grant. As of December 31, 2018 , there were 921,669 shares available for future grants under the 2012 Plan. In May 2005, our stockholders approved the NHI 2005 Stock Option Plan (“the 2005 Plan”) pursuant to which 1,500,000 shares of our common stock were made available to grant as share-based payments to employees, officers, directors or consultants. The 2005 Plan has expired and no additional shares may be granted under the 2005 Plan. The individual restricted stock and option grant awards vest over periods up to ten years. The term of the options outstanding under the 2005 Plan is up to ten years from the date of grant. Compensation expense is recognized only for the awards that ultimately vest. Accordingly, forfeitures that were not expected may result in the reversal of previously recorded compensation expense. We consider the historical employee turnover rate in our estimate of the number of stock option forfeitures. Our compensation expense reported for the years ended December 31, 2018 , 2017 and 2016 was $2,490,000 , $2,612,000 and $1,732,000 , respectively, and is included in general and administrative expense in the Consolidated Statements of Income. Determining Fair Value of Option Awards The fair value of each option award was estimated on the grant date using the Black-Scholes option valuation model with the weighted average assumptions indicated in the following table. Each grant is valued as a single award with an expected term based upon expected employee and termination behavior. Compensation cost is recognized on the graded vesting method over the requisite service period for each separately vesting tranche of the award as though the award were, in substance, multiple awards. The expected volatility is derived using daily historical data for periods preceding the date of grant. The risk-free interest rate is the approximate yield on the United States Treasury Strips having a life equal to the expected option life on the date of grant. The expected life is an estimate of the number of years an option will be held before it is exercised. Stock Options The weighted average fair value per share of options granted was $4.49 , $5.76 and $3.65 for 2018 , 2017 and 2016 , respectively. The fair value of each stock option grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions: 2018 2017 2016 Dividend yield 6.5% 5.3% 6.2% Expected volatility 19.4% 19.8% 19.1% Expected lives 2.9 years 2.9 years 2.9 years Risk-free interest rate 2.39% 1.49% 0.91% Stock Option Activity The following tables summarize our outstanding stock options: Weighted Average Number Weighted Average Remaining Aggregate of Shares Exercise Price Contractual Life (Years) Intrinsic Value Outstanding December 31, 2015 741,676 $60.43 Options granted under 2012 Plan 470,000 $60.78 Options exercised under 2005 Plan (61,666 ) $52.36 Options exercised under 2012 Plan (608,331 ) $65.18 Outstanding December 31, 2016 541,679 $65.84 Options granted under 2012 Plan 495,000 $74.90 Options exercised under 2005 Plan (15,000 ) $47.52 Options exercised under 2012 Plan (155,829 ) $65.73 Options canceled under 2012 Plan (6,668 ) $60.52 Outstanding December 31, 2017 859,182 $70.11 Options granted under 2012 Plan 560,000 $64.33 Options exercised under 2005 Plan (6,668 ) $72.11 Options exercised under 2012 Plan (462,167 ) $65.03 Options canceled under 2012 Plan (30,001 ) $66.73 Outstanding December 31, 2018 920,346 $69.24 3.35 $ 5,798,000 Exercisable December 31, 2018 476,992 $70.93 2.88 $ 2,204,000 Remaining Grant Number Exercise Contractual Date of Shares Price Life in Years 2/25/2014 15,000 $ 61.31 0.15 2/20/2015 50,002 $ 72.11 1.14 2/22/2016 36,668 $ 60.52 2.15 3/8/2016 26,667 $ 63.63 2.19 2/22/2017 399,170 $ 74.78 3.15 9/1/2017 10,000 $ 80.55 3.68 2/20/2018 382,839 $ 64.33 4.14 Outstanding December 31, 2018 920,346 The weighted average remaining contractual life of all options outstanding at December 31, 2018 is 3.35 years . Including outstanding stock options, our stockholders have authorized an additional 1,842,015 shares of common stock that may be issued under the share-based payments plans. The following table summarizes our outstanding non-vested stock options: Number of Shares Weighted Average Grant Date Fair Value Non-vested December 31, 2017 400,019 $5.10 Options granted under 2012 Plan 560,000 $4.49 Options vested under 2012 Plan (494,996 ) $4.62 Options vested under 2005 Plan (6,668 ) $4.91 Non-vested options canceled under 2012 Plan (15,001 ) $4.99 Non-vested December 31, 2018 443,354 $4.87 At December 31, 2018 , we had, net of expected forfeitures, $586,000 of unrecognized compensation cost related to unvested stock options which is expected to be expensed over the following periods: 2019 - $528,000 and 2020 - $58,000 . Stock-based compensation is included in general and administrative expense in the Consolidated Statements of Income. The intrinsic value of the total options exercised for the years ended December 31, 2018 , 2017 and 2016 was $6,105,000 or $13.02 per share; $2,314,000 or $13.55 per share, and $4,730,000 or $7.06 per share, respectively.

Earnings and Dividends Per Shar

Earnings and Dividends Per Share	12 Months Ended
	Dec. 31, 2018
Earnings Per Share [Abstract]
Earnings Per Share	EARNINGS AND DIVIDENDS PER COMMON SHARE The weighted average number of common shares outstanding during the reporting period is used to calculate basic earnings per common share. Diluted earnings per common share assume the exercise of stock options and vesting of restricted shares using the treasury stock method, to the extent dilutive. Dilution resulting from the conversion option within our convertible debt is determined by computing an average of incremental shares included in each quarterly diluted EPS computation. If NHI’s current share price increases above the adjusted conversion price, further dilution will be attributable to the conversion feature. The following table summarizes the average number of common shares and the net income used in the calculation of basic and diluted earnings per common share (in thousands, except share and per share amounts): Year Ended December 31, 2018 2017 2016 Net income attributable to common stockholders $ 154,333 $ 159,365 $ 151,540 BASIC: Weighted average common shares outstanding 41,943,873 40,894,219 39,013,412 DILUTED: Weighted average common shares outstanding 41,943,873 40,894,219 39,013,412 Stock options and restricted shares 67,735 67,703 52,497 Convertible senior notes - unsecured 80,123 189,531 89,471 Average dilutive common shares outstanding 42,091,731 41,151,453 39,155,380 Net income per common share - basic $ 3.68 $ 3.90 $ 3.88 Net income per common share - diluted $ 3.67 $ 3.87 $ 3.87 Net share effect of anti-dilutive stock options 518 573 6,366 Regular dividends declared per common share $ 4.00 $ 3.80 $ 3.60

Income Taxes Income Taxes

Income Taxes Income Taxes	12 Months Ended
	Dec. 31, 2018
Income Taxes [Abstract]
Income Tax Disclosure [Text Block]	INCOME TAXES Beginning with our inception in 1991, we have elected to be taxed as a REIT under the Internal Revenue Code (the “Code”). We elected that our subsidiary established on September 30, 2012 in connection with the Bickford arrangement (which previously held our ownership interest in an operating company) be taxed as a TRS under provisions of the Code. The TRS was subject to federal and state income taxes like those applicable to regular corporations. As discussed in Note 2, we terminated our participation in the joint venture resident in our TRS on September 30, 2016. Aside from such income taxes which have been applicable to any taxable income in the TRS, we will not be subject to federal income tax provided that we continue to qualify as a REIT and make distributions to stockholders equal to or in excess of 90% of our taxable income. Per share dividend payments to common stockholders for the last three years are characterized for tax purposes as follows: (Unaudited) 2018 2017 2016 Ordinary income $ 3.33730 $ 2.93054 $ 2.67863 Capital gain — 0.20643 0.92137 Return of capital 0.66270 0.66303 — Dividends paid per common share $ 4.00 $ 3.80 $ 3.60 Our consolidated provision for state and federal income tax expense (benefit) for the years ended December 31, 2018 , 2017 , and 2016 was $138,000 , $124,000 , and $854,000 , respectively. In regard to our TRS, at the conclusion of 2016 we maintained a deferred tax asset of approximately $433,000 , all of which had been fully reserved through a valuation allowance. During 2017, as a result of the enactment of a new statutory federal income tax rate, that tax asset has been revalued at $334,000 , all of which is still fully reserved. We have recorded state income tax expense of $138,000 , $124,000 and $105,000 or the years ended December 31, 2018 , 2017 , and 2016 , respectively, related to a franchise tax levied by the state of Texas that has attributes of an income tax. Our state income taxes described above are combined in franchise, excise and other taxes in our Consolidated Statements of Income. Income taxes related to the equity interest in the unconsolidated operating company whose interest is owned by our TRS are included in our Consolidated Statements of Income under the caption Income tax expense of taxable REIT subsidiary. We made state income tax payments of $124,000 , $170,000 ,and $30,000 for the years ended December 31, 2018 , 2017 , and 2016 , respectively.

Fair Value Of Financial Instrum

Fair Value Of Financial Instruments	12 Months Ended
	Dec. 31, 2018
Fair Value Disclosures [Abstract]
Fair Value Of Financial Instruments	FAIR VALUE OF FINANCIAL INSTRUMENTS Our financial assets and liabilities measured at fair value (based on the hierarchy of the three levels of inputs described in Note 1 on a recurring basis have included marketable securities, derivative financial instruments and contingent consideration arrangements. Marketable securities have consisted of common stock of other healthcare REITs. Derivative financial instruments include our interest rate swap agreements. Contingent consideration arrangements relate to certain provisions of recent real estate purchase agreements involving business combinations. Derivative financial instruments . Derivative financial instruments are valued in the market using discounted cash flow techniques. These techniques incorporate primarily Level 2 inputs. The market inputs are utilized in the discounted cash flow calculation considering the instrument’s term, notional amount, discount rate and credit risk. Significant inputs to the derivative valuation model for interest rate swaps are observable in active markets and are classified as Level 2 in the hierarchy. Assets and liabilities measured at fair value on a recurring basis are as follows (in thousands) : Fair Value Measurement Balance Sheet Classification December 31, December 31, Level 2 Interest rate swap asset Other assets $ 1,297 $ 159 Interest rate swap liability Accounts payable and accrued expenses $ — $ 747 Carrying values and fair values of financial instruments that are not carried at fair value at December 31, 2018 and 2017 in the Consolidated Balance Sheets are as follows ( in thousands ): Carrying Amount Fair Value Measurement 2018 2017 2018 2017 Level 2 Variable rate debt $ 628,010 $ 465,642 $ 634,000 $ 471,000 Fixed rate debt $ 653,665 $ 679,855 $ 644,745 $ 679,385 Level 3 Mortgage and other notes receivable $ 246,111 $ 141,486 $ 244,206 $ 140,049 The fair value of mortgage and other notes receivable is based on credit risk and discount rates that are not observable in the marketplace and therefore represents a Level 3 measurement. Fixed rate debt is classified as Level 2 and its value is based on quoted prices for similar instruments or calculated utilizing model derived valuations in which significant inputs are observable in active markets. Carrying amounts of cash and cash equivalents, accounts receivable and accounts payable approximate fair value due to their short-term nature. The fair value of our borrowings under our credit facility are reasonably estimated at their contractual value at December 31, 2018 and 2017 , due to the predominance of floating interest rates, which generally reflect market conditions.

Limits On Common Stock Ownershi

Limits On Common Stock Ownership Limits On Common Stock Ownership	12 Months Ended
	Dec. 31, 2018
Limits On Common Stock Ownership [Abstract]
Limits On Common Stock Ownership [Text Block]	LIMITS ON COMMON STOCK OWNERSHIP The Company’s charter contains certain provisions which are designed to ensure that the Company’s status as a REIT is protected for federal income tax purposes. One of the provisions ensures that any transfer (of shares) which would cause NHI to be beneficially owned by fewer than 100 persons or would cause NHI to be “closely-held” under the Internal Revenue Code would be void which, subject to certain exceptions, result in no stockholder being allowed to own, either directly or indirectly pursuant to certain tax attribution rules, more than 9.9% of the Company’s common stock with the exception of prior agreements in 1991 which were confirmed in writing in 2008 with the Company’s founders Dr. Carl E. Adams and Jennie Mae Adams and their lineal descendants. Based on these agreement, the ownership limit for all other stockholders is approximately 7.5% . If a stockholder’s stock ownership exceeds the limit, then such shares over the limit become Excess Stock within the meaning in the Company’s charter whose rights to vote and receive dividends in certain situations. Our charter gives our Board of Directors broad powers to prohibit and rescind any attempted transfer in violation of the ownership limits. In addition, W. Andrew Adams’ Excess Holder Agreement also provides that he will not own shares of stock in any tenant of the Company if such ownership would cause the Company to constructively own more than a 9.9% interest in such tenant. The purpose of these provisions is to protect the Company’s status as a REIT for tax purposes.

Selected Quarterly Financial Da

Selected Quarterly Financial Data (Unaudited) Selected Quarterly Financial Data (Unaudited)	12 Months Ended
	Dec. 31, 2018
Selected Quarterly Financial Data [Abstract]
Quarterly Financial Information [Text Block]	SELECTED QUARTERLY FINANCIAL DATA (UNAUDITED) The following table sets forth selected quarterly financial data for the two most recent fiscal years ( in thousands, except share and per share amounts) . 2018 Quarter Ended March 31, June 30, September 30, December 31, Net revenues $ 72,746 $ 72,956 $ 74,915 $ 73,995 Net income attributable to common stockholders $ 38,432 $ 37,839 $ 40,979 $ 37,083 Weighted average common shares outstanding: Basic 41,532,154 41,704,819 42,187,077 42,351,443 Diluted 41,576,876 41,786,829 42,434,499 42,568,720 Earnings per common share: Net income attributable to common stockholders - basic $ .93 $ .91 $ .97 $ .88 Net income attributable to common stockholders - diluted $ .92 $ .91 $ .97 $ .87 2017 Quarter Ended March 31, June 30, September 30, December 31, Net revenues $ 66,388 $ 69,836 $ 71,352 $ 71,083 Investment and other gains 10,088 — — — Net income attributable to common stockholders $ 44,230 $ 38,245 $ 39,092 $ 37,798 Weighted average common shares outstanding: Basic 39,953,804 40,982,244 41,108,699 41,532,130 Diluted 40,108,762 41,245,173 41,448,263 41,803,615 Earnings per common share: Net income attributable to common stockholders - basic $ 1.11 $ .93 $ .95 $ .91 Net income attributable to common stockholders - diluted $ 1.10 $ .93 $ .94 $ .90

Recent Accounting Pronouncement

Recent Accounting Pronouncements Recent Accounting Pronouncements	12 Months Ended
	Dec. 31, 2018
Recent Accounting Pronouncements [Abstract]
New Accounting Pronouncements and Changes in Accounting Principles [Text Block]	RECENT ACCOUNTING PRONOUNCEMENTS In May 2014 the Financial Accounting Standards Board (“FASB”) issued ASU 2014-09, Revenue from Contracts with Customers . ASU 2014-09 provides a principles-based approach for a broad range of revenue generating transactions, including the sale of real estate, which will generally require more estimates, judgment and disclosures than under current guidance. The Company adopted this standard using the modified retrospective method on January 1, 2018. The ASU provides for revenues from leases to continue to follow the guidance in Topics 840 and 842 (when adopted) and provides for loans to follow established guidance in Topic 310. Because this ASU specifically excludes these areas of our operations from its scope, there was no impact to our accounting for lease revenue and interest income resulting from the ASU. Additionally, the other significant types of contracts in which we periodically engage, sales of real estate to customers, typically never remain executory across points in time, so that nuances related to the timing of revenue recognition as mandated under Topic 606 are not expected to impact our results of operations or financial position. Because all performance obligations from these contracts can therefore be expected to continue to fall within a single period, the timing of our revenue recognition from future sales of real estate is not expected to be affected by the ASU. A number of practical expedients are available in applying the recognition and measurement principles within the standard, including those permitting the aggregation of contract revenues and costs with components of interest income or amortization expense whose period of aggregation, within parameters, is not considered to be of significant duration for separate treatment. We realized no significant revenues in 2018 within the scope of ASU 2014-09, and, accordingly, adoption of the ASU did not have a material impact on the timing and measurement of the Company’s revenues. In February 2016 the FASB issued ASU 2016-02, Leases , which has been codified under ASC Topic 842. In July and December 2018 the FASB updated the pending Topic 842 with ASU 2018-11, Leases – Targeted Improvements, and ASU 2018-20, Narrow-Scope Improvements for Lessors, respectively. ASU 2018-11 provides a new transition method under which we will apply the new leases standard as of the application date and recognize a cumulative-effect adjustment, as appropriate, to the opening balance of retained earnings in the period of adoption. Consequently, our reporting for the comparative periods presented in the financial statements in which we adopt the new leases standard will continue to be in accordance with current GAAP (Topic 840, Leases). ASU 2018-20 was issued to address implementation issues related to Topic 842. We adopted Topic 842 on January 1, 2019 (the “application date”), and, effective with our adoption, we elected the package of practical expedients allowing, among other provisions, for transition with no reassessment of the lease classification for any expired or existing leases. No cumulative effect adjustment to retained earnings was necessary, based on our analysis. The Narrow-Scope Improvements for Lessors under ASU 2018-20 requires NHI to exclude from variable payments, and therefore revenue, our costs paid by our tenants directly to third parties. Some of our leases require property tax and insurance costs be covered by our tenants through escrow reimbursement. We serve as the administrative agent for these escrow transactions and ASU 2018-20 requires the implied revenue and expense impact of these transactions, $4,159,000 for the year ended December 31, 2018, be included in our consolidated financial statements. The principal difference between Topic 842 and previous guidance is that, for lessees, lease assets and lease liabilities arising from operating leases will be recognized in the balance sheet. While the accounting applied by a lessor is largely unchanged from that applied under previous GAAP, changes have been made to align i) certain lessor and lessee accounting guidance, and ii) key aspects of the lessor accounting model with the revenue recognition guidance in Topic 606, Revenue from Contracts with Customers, which we adopted January 1, 2018. Under Topic 842 and unlike prior GAAP, a buyer-lessor in a sale-leaseback transaction will be required to apply the sale and leaseback guidance to determine whether the transaction qualifies as a sale. Topic 842 includes provisions which generally conform with Topic 606, and the presence of a seller-lessee repurchase option on real estate in a sale and leaseback transaction will result in recording the transaction as a financing that would otherwise meet the lease accounting requirements for buyer-lessors under previous guidance. Going forward under Topic 842, for us as lessor, existing sale-leaseback or other leases that undergo modifications may trigger reconsideration of continued accounting for the lease. Because NHI has ceased inclusion of purchase options in new sale-leaseback transactions, we expect no material effects from the change in sale-leaseback guidance as it relates to repurchase options.. In April 2018, we entered into a ground lease as lessee in connection with our acquisition of certain real estate assets. In accordance with transition elections allowed under Topic 842, discussed above, we have continued to account for the lease as an operating lease. Upon adoption of the standard, as lessee we recognized a right-of-use asset and a lease liability at the application date. No cumulative effect adjustment to retained earnings was required to effect a net balance sheet adjustment resulting in an additional operating lease liability and right-of-use asset approximating $1,176,000, as a result of our adoption of Topic 842. Consistent with present standards, upon the adoption of Topic 842, NHI will continue to account for lease revenue on a straight-line basis for most leases. Under Topic 842 only initial direct costs that are incremental to the lessor are capitalized, a standard consistent with NHI’s current practice. Under provisions of ASU 2018-20, discussed above, we will continue to exclude from variable payments lessor costs paid by our lessees directly to third parties, as consistent with our current practice. In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses . ASU 2016-13 will require more timely recognition of credit losses associated with financial assets. While current GAAP includes multiple credit impairment objectives for instruments, the previous objectives generally delayed recognition of the full amount of credit losses until the loss was probable of occurring. The amendments in ASU 2016-13, whose scope is asset-based and not restricted to financial institutions, eliminate the probable initial recognition threshold in current GAAP and, instead, reflect an entity’s current estimate of all expected credit losses. Currently, when credit losses were measured under GAAP, we generally only considered past events and current conditions in measuring the incurred loss. The amendments in ASU 2016-13 broaden the information that we must consider in developing our expected credit loss estimate for assets measured either collectively or individually. The use of forecasted information incorporates more timely information in the estimate of expected credit loss that will be more useful to users of the financial statements. ASU 2016-13 is effective for public entities for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. ASU 2018-19, Codification Improvements to Topic 326, Financial Instruments-Credit Losses, aligns the transition requirements and clarifies that operating lease receivables are excluded from the scope of ASU 2016-13. Instead, impairment of operating lease receivables is to be accounted for under ASC 842. Because we are likely to continue to invest in loans and generate receivables, adoption of ASU 2016-13 and the clarifying ASU 2018-19 in 2020 will have some effect on our accounting for our loan investments, though the nature of those effects will depend on the composition of our loan portfolio at that time; accordingly, we are in the initial stages of evaluating the extent of the effects, if any, that adopting the provisions of ASU 2016-13 in 2020 will have on NHI. In November 2016, the FASB issued ASU 2016-18, Restricted Cash . ASU 2016-18 requires that a statement of cash flows explain the change during the period in the total of cash, cash equivalents, and amounts generally described as restricted cash or restricted cash equivalents, generally by requiring the inclusion of restricted cash and restricted cash equivalents with cash and cash equivalents when reconciling the beginning-of-period and end-of-period total amounts shown on the statement of cash flows. The amendments in this ASU do not provide a definition of restricted cash or restricted cash equivalents. ASU 2016-18 is effective for public entities for fiscal years beginning after December 15, 2017, including interim periods. ASU 2016-18 improves financial reporting by conforming diverse practice to a single standard. In the fourth quarter of 2018 we reclassified amounts previously included among other assets and described as “reserves for replacement, insurance and tax escrows” as “restricted cash.” The adoption of ASU 2016-18, effective January 1, 2018, had no effect on net income or retained earnings and had no effect on other line items in our consolidated balance sheets or statements of income. In August 2017 the FASB issued ASU 2017-12, Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities , which is available for early adoption in any interim period after issuance of the update, or alternatively requires adoption for fiscal years beginning after December 15, 2018. The purpose of this updated guidance is to better align a company’s financial reporting for hedging activities with the economic objectives of those activities. On January 1, 2018, we adopted ASU 2017-12, among whose provisions is a change in the timing and income statement line item for ineffectiveness related to cash flow hedges. The transition method is a modified retrospective approach that requires the Company to recognize the cumulative effect of initially applying the ASU as an adjustment to accumulated other comprehensive income (loss) with a corresponding adjustment to the opening balance of retained earnings as of the beginning of the fiscal year that we adopt the update. The primary provision in the ASU requiring an adjustment to our beginning consolidated retained earnings in 2018 is the change in timing and income statement line item for ineffectiveness related to cash flow hedges. In applying the transition guidance provided in the ASU, as of January 1, 2018, cumulative ineffectiveness of $235,000 as adjusted for any prior off-market cashflow hedges was reclassified out of beginning retained earnings and into accumulated other comprehensive income (loss).

Subsequent Events Subsequent Ev

Subsequent Events Subsequent Events	12 Months Ended
	Dec. 31, 2018
Subsequent Events [Abstract]
Subsequent Events [Text Block]	SUBSEQUENT EVENTS Wingate On January 15, 2019, we acquired a senior living campus in Massachusetts for a purchase price of $50,300,000 , including closing costs of $300,000 . The facility is leased to Wingate Healthcare, Inc. (“Wingate”) for a term of 10 years, with three five -year renewal options, at an initial lease rate of 7.5% plus annual fixed escalators. We have committed to the additional funding of up to $1,900,000 in capital improvements, and the lease provides for incentives of $5,000,000 to become available beginning in 2020 upon the attainment of certain operating metrics. NHI will have a right of first offer on two additional Wingate-operated facilities. We accounted for the transaction as an asset acquisition. Holiday On January 31, 2019, we acquired a senior housing facility in Vero Beach, Florida in exchange for $38,000,000 toward the receivable of $55,125,000 arising from the Holiday lease amendment, as discussed in Note 2. We added the property to our Holiday master lease at an initial lease rate of 6.71% . Upon our acquisition of the Vero Beach property, under provisions of ASC Topic 842, Leases , we reconsidered our accounting for the Holiday lease, with no changes considered necessary. Holiday settled the remaining payable to NHI with cash of $17,125,000 at closing.

Schedule II - Valuation and Qua

Schedule II - Valuation and Qualifying Accounts Schedule II - Valuation and Qualifying Accounts	12 Months Ended
	Dec. 31, 2018
Schedule II - Valuation and Qualifying Accounts [Abstract]
SEC Schedule, 12-09, Schedule of Valuation and Qualifying Accounts Disclosure [Text Block]	NATIONAL HEALTH INVESTORS, INC. SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS FOR THE YEARS ENDED DECEMBER 31, 2018 , 2017 , AND 2016 (in thousands) Balance Additions Beginning Charged to Costs Balance of Period and Expenses 1 Deductions End of Period For the year ended December 31, 2018 Loan loss allowance $ — $ — $ — $ — For the year ended December 31, 2017 Loan loss allowance $ — $ — $ — $ — For the year ended December 31, 2016 Loan loss allowance $ — $ — $ — $ — 1 In the Consolidated Statements of Income, we report the net amount of our provision for loan and realty losses and our recoveries of amounts previously written down.

Schedule III - Real Estate and

Schedule III - Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2018
Schedule III - Real Estate and Accumulated Depreciation [Abstract]
Schedule III - Real Estate and Accumulated Depreciation [Text Block]	NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2018 (in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances Land Improvements Acquisition Land Improvements Total Depreciation (B) Constructed Skilled Nursing Facilities Anniston, AL $ — $ 70 $ 4,477 $ — $ 70 $ 4,477 $ 4,547 $ 3,471 10/17/1991 Moulton, AL — 25 688 — 25 688 713 688 10/17/1991 Avondale, AZ — 453 6,678 — 453 6,678 7,131 3,875 8/13/1996 Brooksville, FL — 1,217 16,166 — 1,217 16,166 17,383 3,604 2/1/2010 Crystal River, FL — 912 12,117 — 912 12,117 13,029 2,701 2/1/2010 Dade City, FL — 605 8,042 — 605 8,042 8,647 1,793 2/1/2010 Hudson, FL (2 facilities) — 1,290 22,392 — 1,290 22,392 23,682 10,902 Various Merritt Island, FL — 701 8,869 — 701 8,869 9,570 7,245 10/17/1991 New Port Richey, FL — 228 3,023 — 228 3,023 3,251 674 2/1/2010 Plant City, FL — 405 8,777 — 405 8,777 9,182 7,112 10/17/1991 Stuart, FL — 787 9,048 — 787 9,048 9,835 7,522 10/17/1991 Trenton, FL — 851 11,312 — 851 11,312 12,163 2,521 2/1/2010 Glasgow, KY — 33 2,110 — 33 2,110 2,143 2,056 10/17/1991 Greenfield, MA — 370 4,341 — 370 4,341 4,711 610 8/30/2013 Holyoke, MA — 110 944 — 110 944 1,054 139 8/30/2013 Quincy, MA — 450 710 — 450 710 1,160 97 8/30/2013 Taunton, MA — 900 5,906 — 900 5,906 6,806 838 8/30/2013 Desloge, MO — 178 3,804 — 178 3,804 3,982 3,462 10/17/1991 Joplin, MO — 175 4,034 — 175 4,034 4,209 2,892 10/17/1991 Kennett, MO — 180 4,928 — 180 4,928 5,108 4,459 10/17/1991 Maryland Heights, MO — 482 5,512 — 482 5,512 5,994 5,512 10/17/1991 St. Charles, MO — 150 4,790 — 150 4,790 4,940 4,278 10/17/1991 Manchester, NH (2 facilities) — 790 20,077 — 790 20,077 20,867 2,774 8/30/2013 Epsom, NH — 630 2,191 — 630 2,191 2,821 322 8/30/2013 Albany, OR — 190 10,415 — 190 10,415 10,605 1,511 3/31/2014 Creswell, OR — 470 8,946 — 470 8,946 9,416 1,248 3/31/2014 Forest Grove, OR — 540 11,848 — 540 11,848 12,388 1,657 3/31/2014 Anderson, SC — 308 4,643 — 308 4,643 4,951 4,391 10/17/1991 Greenwood, SC — 222 3,457 — 222 3,457 3,679 3,176 10/17/1991 Laurens, SC — 42 3,426 — 42 3,426 3,468 2,973 10/17/1991 Orangeburg, SC — 300 3,714 — 300 3,714 4,014 1,017 9/25/2008 Athens, TN — 38 1,463 — 38 1,463 1,501 1,343 10/17/1991 Chattanooga, TN — 143 2,309 — 143 2,309 2,452 2,259 10/17/1991 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2018 (in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances Land Improvements Acquisition Land Improvements Total Depreciation (B) Constructed Dickson, TN — 90 3,541 — 90 3,541 3,631 3,046 10/17/1991 Franklin, TN — 47 1,130 — 47 1,130 1,177 1,079 10/17/1991 Hendersonville, TN — 363 3,837 — 363 3,837 4,200 3,043 10/17/1991 Johnson City, TN — 85 1,918 — 85 1,918 2,003 1,918 10/17/1991 Lewisburg, TN (2 facilities) — 46 994 — 46 994 1,040 985 10/17/1991 McMinnville, TN — 73 3,618 — 73 3,618 3,691 3,041 10/17/1991 Milan, TN — 41 1,826 — 41 1,826 1,867 1,654 10/17/1991 Pulaski, TN — 53 3,921 — 53 3,921 3,974 3,345 10/17/1991 Lawrenceburg, TN — 98 2,900 — 98 2,900 2,998 2,308 10/17/1991 Dunlap, TN — 35 3,679 — 35 3,679 3,714 3,005 10/17/1991 Smithville, TN — 35 3,816 — 35 3,816 3,851 3,224 10/18/1991 Somerville, TN — 26 677 — 26 677 703 678 10/19/1991 Sparta, TN — 80 1,602 — 80 1,602 1,682 1,475 10/20/1991 Austin, TX — 606 9,895 — 606 9,895 10,501 801 4/1/2016 Canton, TX — 420 12,330 — 420 12,330 12,750 2,319 4/18/2013 Corinth, TX — 1,075 13,935 — 1,075 13,935 15,010 2,818 4/18/2013 Ennis, TX — 986 9,025 — 986 9,025 10,011 2,277 10/31/2011 Euless, TX — 1,241 12,629 — 1,241 12,629 13,870 1,111 4/1/2016 Fort Worth, TX — 1,380 14,370 — 1,380 14,370 15,750 322 5/10/2018 Garland, TX — 1,440 14,310 — 1,440 14,310 15,750 320 5/10/2018 Gladewater, TX — 70 17,840 — 70 17,840 17,910 1,372 4/1/2016 Greenville, TX — 1,800 13,948 — 1,800 13,948 15,748 3,175 10/31/2011 Houston, TX (3 facilities) — 2,808 42,511 — 2,808 42,511 45,319 10,415 Various Katy, TX — 610 13,893 — 610 13,893 14,503 1,136 4/1/2016 Kyle, TX — 1,096 12,279 — 1,096 12,279 13,375 2,840 6/11/2012 Marble Falls, TX — 480 14,989 — 480 14,989 15,469 1,194 4/1/2016 McAllen, TX — 1,175 8,259 — 1,175 8,259 9,434 740 4/1/2016 New Braunfels, TX — 1,430 13,666 — 1,430 13,666 15,096 851 2/24/2017 San Antonio, TX (3 facilities) — 2,370 40,054 — 2,370 40,054 42,424 5,938 Various Waxahachie, TX — 1,330 14,349 — 1,330 14,349 15,679 480 1/17/2018 Bristol, VA — 176 2,511 — 176 2,511 2,687 2,251 10/17/1991 Milwaukee, WI — 2,000 3,629 — 2,000 3,629 5,629 — — 37,810 539,038 — 37,810 539,038 576,848 168,283 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2018 (in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances Land Improvements Acquisition Land Improvements Total Depreciation (B) Constructed Assisted Living Facilities Rainbow City, AL — 670 11,330 — 670 11,330 12,000 1,721 10/31/2013 Gilbert, AZ — 451 3,142 79 451 3,221 3,672 1,608 12/31/1998 Glendale, AZ — 387 3,823 58 387 3,881 4,268 1,944 12/31/1998 Tucson, AZ (2 facilities) — 919 6,656 190 919 6,846 7,765 3,416 12/31/1998 Sacramento, CA — 660 10,840 — 660 10,840 11,500 1,452 6/1/2014 Bartow, FL — 225 3,192 — 225 3,192 3,417 761 11/30/2010 Lakeland, FL — 250 3,167 — 250 3,167 3,417 758 11/30/2010 Maitland, FL — 1,687 5,428 — 1,687 5,428 7,115 3,379 8/6/1996 St. Cloud, FL — 307 3,117 — 307 3,117 3,424 746 11/30/2010 Greensboro, GA — 572 4,849 631 672 5,480 6,152 1,021 9/15/2011 Ames, IA 3,193 360 4,670 — 360 4,670 5,030 739 6/28/2013 Burlington, IA 3,901 200 8,374 — 200 8,374 8,574 1,328 6/28/2013 Cedar Falls, IA 3,821 260 4,700 30 260 4,730 4,990 767 6/28/2013 Clinton, IA 2,644 133 3,215 60 133 3,275 3,408 750 6/30/2010 Des Moines, IA — 600 17,406 — 600 17,406 18,006 1,204 6/1/2016 Ft. Dodge, IA 4,008 100 7,208 — 100 7,208 7,308 1,116 6/28/2013 Iowa City, IA 2,400 297 2,725 33 297 2,758 3,055 697 6/30/2010 Marshalltown, IA 5,714 240 6,208 — 240 6,208 6,448 977 6/28/2013 Muscatine, IA — 140 1,802 — 140 1,802 1,942 325 6/28/2013 Urbandale, IA 8,113 540 4,292 — 540 4,292 4,832 715 6/28/2013 Caldwell, ID — 320 9,353 — 320 9,353 9,673 1,284 3/31/2014 Weiser, ID — 20 2,433 — 20 2,433 2,453 383 12/21/2012 Aurora, IL — 1,195 11,713 — 1,195 11,713 12,908 711 5/9/2017 Bolingbrook, IL — 1,290 14,677 — 1,290 14,677 15,967 721 3/16/2017 Bourbonnais, IL 7,974 170 16,594 — 170 16,594 16,764 2,546 6/28/2013 Crystal Lake, IL (2 facilities) — 1,060 30,043 170 1,060 30,213 31,273 1,811 Various Moline, IL 3,896 250 5,630 — 250 5,630 5,880 898 6/28/2013 Oswego, IL — 390 20,957 212 390 21,169 21,559 1,444 6/1/2016 Peoria, IL 4,003 403 4,532 224 403 4,756 5,159 1,213 10/19/2009 Quincy, IL 6,055 360 12,403 — 360 12,403 12,763 1,905 6/28/2013 Rockford, IL 6,412 390 12,575 — 390 12,575 12,965 1,985 6/28/2013 South Barrington, IL — 1,610 13,456 — 1,610 13,456 — 15,066 675 3/16/2017 Springfield, IL 15,386 450 19,355 200 450 19,555 20,005 2,974 6/28/2013 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2018 (in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances Land Improvements Acquisition Land Improvements Total Depreciation (B) Constructed St. Charles, IL — 820 22,188 252 820 22,440 23,260 1,544 6/1/2016 Tinley Park, IL — 1,622 11,354 — 1,622 11,354 12,976 922 6/23/2016 Carmel, IN — 574 7,336 353 574 7,689 8,263 1,179 11/12/2014 Crawfordsville, IN 2,559 300 3,134 — 300 3,134 3,434 505 6/28/2013 Crown Point, IN — 791 7,020 227 791 7,247 8,038 1,351 10/30/2013 Greenwood, IN — 463 6,810 245 463 7,055 7,518 1,328 11/7/2013 Lafayette, IN — 546 4,583 — 546 4,583 5,129 1,025 6/30/2010 Wabash, IN — 320 2,241 — 320 2,241 2,561 406 6/28/2013 Mission, KS — 1,901 17,310 636 1,901 17,946 19,847 3,873 9/30/2012 Overland Park, KS — 2,199 20,026 — 2,199 20,026 22,225 4,403 9/30/2012 Bastrop, LA — 325 2,456 — 325 2,456 2,781 592 4/30/2011 Bossier City, LA — 500 3,344 — 500 3,344 3,844 843 4/30/2011 Minden, LA — 280 1,698 — 280 1,698 1,978 406 4/30/2011 West Monroe, LA — 770 5,627 — 770 5,627 6,397 1,281 4/30/2011 Baltimore, MD — 860 8,078 533 860 8,611 9,471 1,244 10/31/2013 Battle Creek, MI 2,919 398 3,093 197 398 3,290 3,688 856 10/19/2009 Bridgeport, MI — 220 7,849 — 220 7,849 — 8,069 109 6/20/2018 Lansing, MI (2 facilities) 6,332 1,360 17,766 174 1,360 17,940 19,300 2,502 10/19/2009 Midland, MI 5,516 504 6,612 162 504 6,774 7,278 1,650 10/19/2009 Saginaw, MI (2 facilities) 3,631 538 12,991 162 538 13,153 13,691 1,227 Various Champlin, MN — 980 4,430 — 980 4,430 5,410 1,124 3/10/2010 Hugo, MN — 400 3,800 — 400 3,800 4,200 948 3/10/2010 Maplewood, MN — 1,700 6,510 — 1,700 6,510 8,210 1,642 3/10/2010 North Branch, MN — 595 2,985 — 595 2,985 3,580 805 3/10/2010 Charlotte, NC — 650 17,663 — 650 17,663 18,313 1,693 7/1/2015 Durham, NC — 860 6,690 — 860 6,690 7,550 211 3/16/2017 Hendersonville, NC (2 facilities) — 3,120 12,980 — 3,120 12,980 16,100 714 3/16/2017 Grand Island, NE 4,255 370 5,029 197 370 5,226 5,596 886 6/28/2013 Lincoln, NE 8,418 380 10,904 — 380 10,904 11,284 1,658 6/28/2013 Omaha, NE (2 facilities) 2,455 1,110 15,437 851 1,110 16,288 17,398 1,669 Various Columbus, OH (2 facilities) — 1,100 26,120 — 1,100 26,120 27,220 470 4/30/2018 Lancaster, OH — 530 20,530 — 530 20,530 21,060 2,166 7/31/2015 Marysville, OH — 1,250 13,950 — 1,250 13,950 15,200 2,331 7/1/2013 Middletown, OH 8,704 940 15,548 — 940 15,548 16,488 1,887 10/31/2014 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2018 (in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances Land Improvements Acquisition Land Improvements Total Depreciation (B) Constructed Rocky River, OH — 650 7,212 — 650 7,212 7,862 131 4/30/2018 Worthington, OH — — 18,869 — — 18,869 — 18,869 433 4/30/2018 McMinnville, OR — 390 9,183 — 390 9,183 9,573 627 8/31/2016 Milwaukie, OR — 370 5,283 64 370 5,347 5,717 600 9/30/2014 Ontario, OR (2 facilities) — 428 6,128 — 428 6,128 6,556 969 12/21/2012 Portland, OR (2 facilities) — 1,430 31,542 — 1,430 31,542 32,972 1,817 8/31/2015 Erie, PA — 1,030 15,206 — 1,030 15,206 — 16,236 272 4/30/2018 Conway, SC — 344 2,877 94 344 2,971 3,315 1,485 12/31/1998 Gallatin, TN — 326 2,277 61 326 2,338 2,664 1,178 3/31/1999 Kingsport, TN — 354 2,568 66 354 2,634 2,988 1,317 12/31/1998 Tullahoma, TN — 191 2,216 57 191 2,273 2,464 1,113 3/31/1999 Arlington, TX — 450 4,555 — 450 4,555 5,005 259 3/16/2017 Rockwall, TX — 1,250 10,562 — 1,250 10,562 11,812 544 3/16/2017 Fredericksburg, VA — 1,615 9,271 — 1,615 9,271 10,886 680 9/20/2016 Midlothian, VA — 1,646 8,635 — 1,646 8,635 10,281 642 10/31/2016 Suffolk, VA — 1,022 9,320 — 1,022 9,320 10,342 456 Under Const. Beaver Dam, WI — 210 20,149 — 210 20,149 20,359 3,487 12/21/2012 122,309 57,888 789,810 6,218 57,988 796,028 854,016 105,434 Independent Living Facilities Rogers, AR — 1,470 25,282 — 1,470 25,282 26,752 3,449 12/23/2013 Fort Smith, AR — 590 22,447 — 590 22,447 23,037 3,061 12/23/2013 Pinole, CA — 1,020 18,066 — 1,020 18,066 19,086 2,461 12/23/2013 West Covina, CA — 940 20,280 — 940 20,280 21,220 2,725 12/23/2013 Hemet, CA — 1,250 12,645 — 1,250 12,645 13,895 1,794 12/23/2013 Fresno, CA — 420 10,899 — 420 10,899 11,319 1,564 12/23/2013 Merced, CA — 350 18,712 — 350 18,712 19,062 2,562 12/23/2013 Roseville, CA — 630 31,343 — 630 31,343 31,973 4,224 12/23/2013 Modesto, CA — 1,170 22,673 — 1,170 22,673 23,843 3,050 12/23/2013 Athens, GA — 910 31,940 — 910 31,940 32,850 4,302 12/23/2013 Columbus, GA — 570 8,639 — 570 8,639 9,209 1,258 12/23/2013 Savannah, GA — 1,200 15,851 — 1,200 15,851 17,051 2,197 12/23/2013 Boise, ID — 400 12,422 — 400 12,422 12,822 1,724 12/23/2013 Fort Wayne, IN — 310 12,864 — 310 12,864 13,174 1,835 12/23/2013 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2018 (in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances Land Improvements Acquisition Land Improvements Total Depreciation (B) Constructed Kenner, LA — 310 24,259 — 310 24,259 24,569 3,236 12/23/2013 St. Charles, MO — 344 3,181 — 344 3,181 3,525 2,503 10/17/1991 Voorhees, NJ — 670 23,710 — 670 23,710 24,380 3,179 12/23/2013 Gahanna, OH — 920 22,919 — 920 22,919 23,839 3,143 12/23/2013 Broken Arrow, OK — 2,660 18,477 — 2,660 18,477 21,137 2,566 12/23/2013 Tulsa, OK 17,960 1,980 32,620 289 1,980 32,909 34,889 993 12/1/2017 Newberg, OR — 1,080 19,187 — 1,080 19,187 20,267 2,648 12/23/2013 Myrtle Beach, SC — 1,310 26,229 — 1,310 26,229 27,539 3,525 12/23/2013 Greenville, SC — 560 16,547 — 560 16,547 17,107 2,301 12/23/2013 Johnson City, TN — 55 4,077 — 55 4,077 4,132 2,955 10/17/1991 Chattanooga, TN — 9 1,567 — 9 1,567 1,576 1,293 10/17/1991 Bellevue, WA — 780 18,692 — 780 18,692 19,472 2,536 12/23/2013 Chehalis, WA — 1,980 7,710 6,537 1,980 14,247 16,227 649 1/15/2016 Vancouver, WA (2 facilities) — 1,740 23,411 — 1,740 23,411 25,151 3,290 12/23/2013 Yakima, WA — 440 14,186 — 440 14,186 14,626 1,956 12/23/2013 17,960 26,068 520,835 6,826 26,068 527,661 553,729 72,979 Senior Living Campuses Loma Linda, CA — 1,200 10,800 7,326 1,200 18,126 19,326 2,647 9/28/2012 North Branford, CT — 7,724 62,568 1,438 7,724 64,006 71,730 3,882 6/1/2016 Maitland, FL — 2,317 9,161 491 2,317 9,652 11,969 6,192 8/6/1996 West Palm Beach, FL — 2,771 4,286 — 2,771 4,286 7,057 3,778 8/6/1996 Nampa, ID — 243 4,182 — 243 4,182 4,425 2,454 8/13/1996 Indianapolis, IN — 1,810 24,382 — 1,810 24,382 26,192 2,394 7/1/2015 Roscommon, MI — 44 6,005 — 44 6,005 6,049 619 8/31/2015 Mt. Airy, NC — 1,370 7,470 149 1,370 7,619 8,989 892 12/17/2014 McMinnville, OR — 410 26,667 — 410 26,667 27,077 1,716 8/31/2016 Madison, TN — 920 21,829 — 920 21,829 22,749 2,132 7/1/2015 Silverdale, WA — 1,750 23,860 2,167 1,750 26,027 27,777 4,667 8/16/2012 — 20,559 201,210 11,571 20,559 212,781 233,340 31,373 Entrance-Fee Communities Bridgeport, CT — 4,320 23,494 2,774 4,320 26,268 30,588 2,040 6/1/2016 Southbury, CT — 10,320 17,143 2,713 10,320 19,856 30,176 1,444 11/8/2016 NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2018 (in thousands) Costs Initial Cost to Company (C) Capitalized Date Buildings & Subsequent to Buildings & Accumulated Acquired/ Encumbrances Land Improvements Acquisition Land Improvements Total Depreciation (B) Constructed Fernandina Beach, FL — 1,430 63,420 1,001 1,430 64,421 65,851 7,061 12/17/2014 St. Simons Island, GA — 8,770 38,070 651 8,770 38,721 47,491 4,427 12/17/2014 Winston-Salem, NC — 8,700 73,920 71 8,700 73,991 82,691 8,273 12/17/2014 Greenville, SC — 5,850 90,760 — 5,850 90,760 96,610 10,021 12/17/2014 Myrtle Beach, SC — 3,910 82,140 478 3,910 82,618 86,528 9,292 12/17/2014 Pawleys Island, SC — 1,480 38,620 420 1,480 39,040 40,520 4,556 12/17/2014 Spartanburg, SC — 900 49,190 959 900 50,149 51,049 5,607 12/17/2014 — 45,680 476,757 9,067 45,680 485,824 531,504 52,721 Medical Office Buildings Crestview, FL — 165 3,349 — 165 3,349 3,514 2,443 6/30/1993 Pasadena, TX — 631 6,341 — 631 6,341 6,972 4,766 1/1/1995 — 796 9,690 — 796 9,690 10,486 7,209 Hospitals La Mesa, CA — 4,180 8,320 — 4,180 8,320 12,500 2,489 3/10/2010 Jackson, KY — 540 10,163 7,899 540 18,062 18,602 7,873 6/12/1992 Murfreesboro, TN — 7,284 17,585 — 7,284 17,585 24,869 2,750 10/1/2012 — 12,004 36,068 7,899 12,004 43,967 55,971 13,112 Total continuing operations properties 140,269 200,805 2,573,408 41,581 200,905 2,614,989 2,815,894 451,111 Corporate office — 1,291 677 503 1,291 1,180 2,471 372 $ 140,269 $ 202,096 $ 2,574,085 $ 42,084 $ 202,196 $ 2,616,169 $ 2,818,365 $ 451,483 NOTES TO SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION (A) See the notes to the consolidated financial statements. (B) Depreciation is calculated using estimated useful lives up to 40 years for all completed facilities. (C) Subsequent to NHC’s transfer of the original real estate properties in 1991 , we have purchased from NHC $33,909,000 of additions to those properties. As the additions were purchased from NHC rather than developed by us, the $33,909,000 has been included as Initial Cost to Company. (D) At December 31, 2018, the tax basis of the Company’s net real estate assets was $2,338,488,000 . NATIONAL HEALTH INVESTORS, INC. SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION FOR THE YEARS ENDED DECEMBER 31, 2018, 2017, AND 2016 (in thousands) December 31, 2018 2017 2016 Investment in Real Estate: Balance at beginning of period $ 2,665,903 $ 2,472,854 $ 2,095,866 Additions through cash expenditures 147,645 175,793 394,737 Change in property additions in accounts payable 1,689 (1,855 ) (430 ) Property additions acquired with lease payment receivable 171 — — Tenant investment in leased asset 3,775 1,250 — Contingent asset acquisition liability relieved (818 ) — — Additions through assumption of debt — 18,311 — Conversion of mortgage note receivable to real estate — — 9,753 Additions through reclassification of deposit — — 227 Sale of properties for cash — (450 ) (27,299 ) Balance at end of period $ 2,818,365 $ 2,665,903 $ 2,472,854 Accumulated Depreciation: Balance at beginning of period $ 380,202 $ 313,080 $ 259,059 Addition charged to costs and expenses 71,349 67,173 59,525 Sale of properties — (51 ) (5,504 ) Contingent asset acquisition liability relieved (68 ) — — Balance at end of period $ 451,483 $ 380,202 $ 313,080

Schedule IV - Mortgage Loans on

Schedule IV - Mortgage Loans on Real Estate Schedule IV - Mortgage Loans on Real Estate	12 Months Ended
	Dec. 31, 2018
Schedule IV - Mortgage Loans on Real Estate [Abstract]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Text Block]	NATIONAL HEALTH INVESTORS, INC. SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE December 31, 2018 Monthly Amount Subject To Interest Maturity Payment Prior Original Carrying Delinquent Principal Rate Date Terms Liens Face Amount Amount or Interest (in thousands) First Mortgages: Skilled nursing facilities: Virginia Beach, VA 8.0% 2031 $31,000 $ 3,814 $ 2,427 Lexington, VA 8.0% 2032 $21,000 $ 3,089 $ 1,758 Brookneal, VA 8.0% 2031 $21,000 $ 2,780 $ 1,716 Laurel Fork, VA 8.0% 2030 $20,000 $ 2,672 $ 1,620 Assisted living facilities: Oviedo, FL 8.25% 2021 Interest Only $ 10,000 $ 10,000 Rye, NH 8.0% 2022 Interest Only $ 10,000 $ 9,928 Construction Loan: Phoenix, AZ 7.25% 2028 Interest Only $ 76,653 $ 75,465 Phoenix, AZ 8.50% 2023 Interest Only $ 10,165 $ 9,553 Gurnee, IL 9.0% 2021 Interest Only $ 13,047 $ 13,047 Canton, MI 9.0% 2023 Interest Only $ 2,978 $ 2,978 Shelby Township, MI 9.0% 2022 Interest Only $ 11,931 $ 11,931 Virginia Beach, VA 9.0% 2023 Interest Only $ 4,515 $ 4,515 Issaquah, WA 6.75% 2025 Interest Only $ 57,939 $ 57,939 $ 202,877 $ — At December 31, 2018, the tax basis of our mortgage loans on real estate was $202,877,000. Balloon payments on our interest only mortgage receivables are equivalent to the carrying amounts listed above except for unamortized commitment fees of $72,000, $219,000, and $1,800,000 for Rye, NH, Issaquah, WA, and Phoenix, AZ, respectively. See the notes to our consolidated financial statements for more information on our mortgage loan receivables. NATIONAL HEALTH INVESTORS, INC. SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE FOR THE YEARS ENDED DECEMBER 31, 2018, 2017, AND 2016 (in thousands) December 31, 2018 2017 2016 Reconciliation of mortgage loans on real estate Balance at beginning of period $ 98,110 $ 99,179 $ 101,124 Additions: New mortgage loans 108,266 33,823 66,446 Amortization of loan discount and commitment fees 608 1,005 669 Total Additions 108,874 34,828 67,115 Deductions: Loan commitment fees received 1,800 — — Collection of principal, less recoveries of previous write-downs 2,307 35,897 69,060 Total Deductions 4,107 35,897 69,060 Balance at end of period $ 202,877 $ 98,110 $ 99,179

Significant Accounting Polici_2

Significant Accounting Policies (Policy)	12 Months Ended
	Dec. 31, 2018
Policy Text Block [Abstract]
Business Description and Basis of Presentation	The Company - National Health Investors, Inc. (“NHI”), established in 1991 as a Maryland corporation, is a self-managed real estate investment trust (“REIT”) specializing in sale-leaseback, joint-venture, mortgage and mezzanine financing of need-driven and discretionary senior housing and medical investments. Our portfolio consists of lease, mortgage and other note investments in independent living facilities, assisted living facilities, entrance-fee communities, senior living campuses, skilled nursing facilities, specialty hospitals and medical office buildings. Other investments have included marketable securities and a joint venture structured to comply with the provisions of the REIT Investment Diversification Empowerment Act of 2007 (“RIDEA”) through which we invested in facility operations managed by independent third-parties. We fund our real estate investments primarily through: (1) operating cash flow, (2) debt offerings, including bank lines of credit and term debt, both unsecured and secured, and (3) the sale of equity securities. Units, beds and square footage disclosures in this annual report on Form 10-K are unaudited.
Consolidation	Principles of Consolidation - The accompanying consolidated financial statements include our accounts and the accounts of our wholly-owned subsidiaries, joint ventures, partnerships and consolidated variable interest entities (“VIE”), if any. All intercompany transactions and balances have been eliminated in consolidation. Net income is reduced by the portion of net income attributable to noncontrolling interests. A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. We apply Financial Accounting Standards Board (“FASB”) guidance for our arrangements with VIEs which requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of the VIE. In accordance with FASB guidance, management must evaluate each of the Company’s contractual relationships which creates a variable interest in other entities. If the Company has a variable interest and the entity is a VIE, then management must determine whether the Company is the primary beneficiary of the VIE. If it is determined that the Company is the primary beneficiary, NHI consolidates the VIE. We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis. If, after consideration of the VIE accounting lit eratu re, the Company has determined that an entity is not a VIE, the Company assesses the need for consolidation under all other provi s ion s of ASC 810. These provisions provide for consolidation of majority-owned en titie s through a majority voti ng interest held by the Company providing control. At December 31, 2018 , we held an interest in six unconsolidated VIEs. Because we generally lack either directly or through related parties any material input in the activities that most significantly impact their economic performance, we have concluded that NHI is not the primary beneficiary. Accordingly, we account for our transactions with these entities and their subsidiaries at amortized cost. Our VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of our exposure to these VIEs, see the notes to our consolidated financial statements cross-referenced below. Date Name Source of Exposure Carrying Amount Maximum Exposure to Loss Note Reference 2012 Bickford Senior Living Various 1 $ 53,649,000 $ 77,878,000 Notes 2, 3 2014 Senior Living Communities Notes and straight-line receivable $ 44,376,000 $ 57,475,000 Notes 2, 3 2014 Life Care Services affiliate Notes receivable $ 57,939,000 $ 59,781,000 Note 3 2016 Senior Living Management Notes and straight-line receivable $ 26,584,000 $ 26,584,000 Note 3 2017 Evolve Senior Living Note receivable $ 9,928,000 $ 9,928,000 — 2018 Life Care Services affiliate Notes receivable $ 85,017,000 $ 178,200,000 Note 3 1 Notes, straight-line rent receivables & unamortized lease incentives We are not obligated to provide support beyond our stated commitments to these tenants and borrowers whom we classify as VIEs, and accordingly our maximum exposure to loss from these relationships is limited to the amount of our commitments, as shown above and discussed in the notes. When the above relationships involve leases, some additional exposure to economic loss is present. Generally, additional economic loss on a lease, if any, would be limited to that resulting from a short period of arrearage and non-payment of monthly rent before we are able to take effective remedial action, as well as costs incurred in transitioning the lease. The potential extent of such loss will be dependent upon individual facts and circumstances, cannot be quantified, and is therefore not included in the tabulation above. Typically, the only carrying amounts involving our leases are accumulated straight-line receivables. We apply FASB guidance related to investments in joint ventures based on the type of controlling rights held by the members’ interests in limited liability companies that may preclude consolidation by the majority equity owner in certain circumstances in which the majority equity owner would otherwise consolidate the joint venture. We have structured our joint ventures to be compliant with the provisions of RIDEA which permits NHI to receive rent payments through a triple-net lease between a property company and an operating company and allows NHI the opportunity to capture additional value on the improving performance of the operating company through distributions to a taxable REIT subsidiary (“TRS”). Accordingly, prior to the termination of our joint venture on September 30, 2016, our TRS held NHI’s equity interest in an unconsolidated operating company, which we did not control, thus providing an organizational structure that allowed the TRS to engage in a broad range of activities and share in revenues that were otherwise non-qualifying income under the REIT gross income tests. Noncontrolling Interest - We have excluded net income attributable to the noncontrolling interest from net income attributable to common shareholders in our Consolidated Statement of Income for the year ended December 31, 2016 . As of December 31, 2018 and during the years ended December 31, 2018 and December 31, 2017 , there were no noncontrolling interests.
Equity-Method Investment	Equity-Method Investment - Through September 30, 2016, we reported our TRS investment in an unconsolidated entity, over whose operating and financial policies we had the ability to exercise significant influence but not control, under the equity method of accounting. Under this accounting method, our pro rata share of the entity’s earnings or losses was included in our Consolidated Statements of Income. Additionally, we adjusted our investment carrying amount to reflect our share of changes in the equity-method investee’s capital resulting from its capital transactions. On September 30, 2016, we unwound the joint venture underlying the TRS and ceased participation in the operations which comprised all its activity.
Use of Estimates	Use of Estimates - The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
Earnings Per Share	Earnings Per Share - The weighted average number of common shares outstanding during the reporting period is used to calculate basic earnings per common share. Diluted earnings per common share assume the exercise of stock options using the treasury stock method, to the extent dilutive. Diluted earnings per share also incorporate the potential dilutive impact of our 3.25% convertible senior notes due 2021. We apply the treasury stock method to our convertible debt instruments, the effect of which is that conversion will not be assumed for purposes of computing diluted earnings per share unless the average share price of our common stock for the period exceeds the conversion price per share.
Fair Value Of Financial Instruments	Fair Value Measurements - Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants at the measurement date. A three-level fair value hierarchy is required to prioritize the inputs used to measure fair value. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows: Level 1 - Quoted prices in active markets for identical assets or liabilities. Level 2 - Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data. Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs. If the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is the lowest level input that is significant to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability. When an event or circumstance alters our assessment of the observability and thus the appropriate classification of an input to a fair value measurement which we deem to be significant to the fair value measurement as a whole, we will transfer that fair value measurement to the appropriate level within the fair value hierarchy.
Property, Plant and Equipment, Impairment	Real Estate Properties - Real estate properties are recorded at cost or, if acquired through business combination, at fair value, including the fair value of contingent consideration, if any. Cost or fair value at the time of acquisition is allocated among land, buildings, improvements, lease and other intangibles, and personal property. For properties acquired in transactions accounted for as asset purchases, the purchase price allocation is based on the relative fair values of the assets acquired. Cost includes the amount of contingent consideration, if any, deemed to be probable at the acquisition date. Contingent consideration is deemed to be probable to the extent that a significant reversal in amounts recognized is not likely to occur when the uncertainty associated with the contingent consideration is subsequently resolved. Cost also includes capitalized interest during construction periods. We use the straight-line method of depreciation for buildings over their estimated useful lives of 40 years, and improvements over their estimated useful lives ranging to 25 years. For contingent consideration arising from business combinations, the liability is adjusted to estimated fair value at each reporting date through earnings. For contingent consideration arising from asset acquisitions, the liability is adjusted to the amount considered probable each reporting period, with changes reflected as an adjustment to the basis of the related assets. We evaluate the recoverability of the carrying value of our real estate properties on a property-by-property basis. On a quarterly basis, we review our properties for recoverability when events or circumstances, including significant physical changes in the property, significant adverse changes in general economic conditions and significant deteriorations of the underlying cash flows of the property, indicate that the carrying amount of the property may not be recoverable. The need to recognize an impairment charge is based on estimated undiscounted future cash flows from a property compared to the carrying value of that property. If recognition of an impairment charge is necessary, it is measured as the amount by which the carrying amount of the property exceeds the fair value of the property.
Mortgage Notes Receivable	Mortgage and Other Notes Receivable - Each quarter, we evaluate the carrying values of our notes receivable on an instrument-by-instrument basis for recoverability when events or circumstances, including the non-receipt of contractual principal and interest payments, significant deteriorations of the financial condition of the borrower and significant adverse changes in general economic conditions, indicate that the carrying amount of the note receivable may not be recoverable. If a note receivable becomes more than 30 days delinquent as to contractual principal or interest payments, the loan is classified as non-performing, and thereafter we recognize all amounts due when received. If necessary, an impairment is measured as the amount by which the carrying amount exceeds the discounted cash flows expected to be received under the note receivable or, if foreclosure is probable, the fair value of the collateral securing the note receivable.
Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]	ash Equivalents and Restricted Cash - Cash equivalents consist of all highly liquid investments with an original maturity of three months or less.
Concentration Risk, Credit Risk	Concentration of Credit Risks - Our credit risks primarily relate to cash and cash equivalents and investments in mortgage and other notes receivable. Cash and cash equivalents are primarily held in bank accounts and overnight investments. We maintain our bank deposit accounts with large financial institutions in amounts that often exceed federally-insured limits. We have not experienced any losses in such accounts. Our mortgages and other notes receivable consist primarily of secured loans on facilities. Our financial instruments, principally our investments in notes receivable, are subject to the possibility of loss of the carrying values as a result of the failure of other parties to perform according to their contractual obligations which may make the instruments less valuable. We obtain collateral in the form of mortgage liens and other protective rights for notes receivable and continually monitor these rights in order to reduce such possibilities of loss. We evaluate the need to provide for reserves for potential losses on our financial instruments based on management’s periodic review of our portfolio on an instrument-by-instrument basis.
Deferred Charges	Deferred Loan Costs - Costs incurred to acquire debt are amortized by the effective interest method over the term of the related debt.
Revenue Recognition, Deferred Revenue	Deferred Income - Deferred income primarily includes non-refundable lease commitment fees received by us, which are amortized into income over the expected period of the related loan or lease. In the event that our financing commitment to a potential borrower or lessee expires, the related commitment fees are recognized into income immediately. Commitment fees may be charged based on the terms of the lease agreements and the creditworthiness of the parties.
Revenue Recognition	Rental Income - Base rental income is recognized using the straight-line method over the term of the lease to the extent that lease payments are considered collectible. Under certain leases, we receive additional contingent rent, which is calculated on the increase in revenues of the lessee over a base year or base quarter. We recognize contingent rent annually or quarterly based on the actual revenues of the lessee once the target threshold has been achieved. Lease payments that depend on a factor directly related to future use of the property, such as an increase in annual revenues over a base year, are considered to be contingent rentals and are excluded from the schedule of minimum lease payments. If rental income calculated on a straight-line basis exceeds the cash rent due under a lease, the difference is recorded as an increase to straight-line rent receivable in the Consolidated Balance Sheets and an increase in rental income in the Consolidated Statements of Income. If rental income on a straight-line basis is calculated to be less than cash received, there is a decrease in the same accounts. Rental income is reduced for the non-cash amortization of payments made upon the eventual settlement of commitments and contingencies originally identified and recorded as lease inducements. We record contingent consideration arising from lease inducements to the extent that it is probable that a significant reversal of amounts recognized will not occur when the uncertainty associated with the contingent consideration is subsequently resolved. We identify a lease as non-performing if a required payment is not received within 30 days of the date it is due. Our policy related to rental income on non-performing leased real estate properties is to recognize rental income in the period when the related cash is received. Interest Income from Mortgage and Other Notes Receivable - Interest income is recognized based on the interest rates and principal amounts outstanding on the notes receivable. Under certain notes, we receive additional contingent interest, which is calculated on the increase in the current year revenues of a borrower over a base year. We identify a mortgage loan as non-performing if a required payment is not received within 30 days of the date it is due. Our policy related to mortgage interest income on non-performing mortgage loans is to recognize mortgage interest income in the period when the cash is received. As of December 31, 2018 , we had not identified any of our mortgages as non-performing.
Derivatives	Derivatives - In the normal course of business, we are subject to risk from adverse fluctuations in interest rates. We have chosen to manage this risk through the use of derivative financial instruments, primarily interest rate swaps. Counterparties to these contracts are major financial institutions. We are exposed to credit loss in the event of nonperformance by these counterparties. We do not use derivative instruments for trading or speculative purposes. Our objective in managing exposure to market risk is to limit the impact on cash flows. To qualify for hedge accounting, our interest rate swaps must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions must be, and be expected to remain, probable of occurring in accordance with our related assertions. All of our hedges are cash flow hedges. We recognize all derivative instruments, including embedded derivatives required to be bifurcated, as assets or liabilities at their fair value in the Consolidated Balance Sheets. Changes in the fair value of derivative instruments that are not designated as hedges or that do not meet the criteria of hedge accounting are recognized in earnings. For derivatives designated in qualifying cash flow hedging relationships, the change in fair value of the effective portion of the derivatives is recognized in accumulated other comprehensive income (loss), whereas the change in fair value of the ineffective portion is recognized in earnings. Gains and losses are reclassified from accumulated other comprehensive income (loss) into earnings once the underlying hedged transaction is recognized in earnings.
Income Tax	Federal Income Taxes - We intend at all times to qualify as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. Until 2016, we recorded income tax expense or benefit with respect to one of our subsidiaries which was taxed under provisions similar to those applicable to regular corporations. Aside from such income taxes which may be applicable to the taxable income in the TRS, we will not be subject to U.S. federal income tax, provided that we continue to qualify as a REIT and make distributions to stockholders at least equal to or in excess of 90% our taxable income. Accordingly, no provision for federal income taxes has been made in the consolidated financial statements, except for the provision on the taxable income of the TRS, which is included in our consolidated statements of income under the caption, “Income tax expense of taxable REIT subsidiary.” Our failure to continue to qualify under the applicable REIT qualification rules and regulations would have a material adverse impact on our financial position, results of operations and cash flows. Earnings and profits, which determine the taxability of dividends to stockholders, differ from net income reported for financial reporting purposes due primarily to differences in the basis of assets, estimated useful lives used to compute depreciation expense, gains on sales of real estate, non-cash compensation expense and recognition of commitment fees. Our tax returns filed for years beginning in 2015 are subject to examination by taxing authorities. We classify interest and penalties related to uncertain tax positions, if any, in our consolidated financial statements as a component of income tax expense.
Segment Reporting	Segment Disclosures - We are in the business of owning and financing health care properties. We are managed as one segment, rather than multiple segments, for internal purposes and for internal decision making.
Reclassification, Policy [Policy Text Block]	Reclassifications - We have reclassified certain balances where necessary to conform the presentation of prior periods to the current period. These reclassifications had no effect on previously reported net income.
New Accounting Pronouncements	New Accounting Pronouncements - For a review of recent accounting pronouncements pertinent to our operations and management’s judgment as to the impact that the eventual adoption of these pronouncements will have on our financial position and results of operation, see Note 14.

Significant Accounting Polici_3

Significant Accounting Policies Significant Accounting Policies (Schedule of Variable Interest Entities) (Tables)	12 Months Ended
	Dec. 31, 2018
Schedule of Variable Interest Entities [Abstract]
Schedule of Variable Interest Entities [Table Text Block]	Our VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of our exposure to these VIEs, see the notes to our consolidated financial statements cross-referenced below. Date Name Source of Exposure Carrying Amount Maximum Exposure to Loss Note Reference 2012 Bickford Senior Living Various 1 $ 53,649,000 $ 77,878,000 Notes 2, 3 2014 Senior Living Communities Notes and straight-line receivable $ 44,376,000 $ 57,475,000 Notes 2, 3 2014 Life Care Services affiliate Notes receivable $ 57,939,000 $ 59,781,000 Note 3 2016 Senior Living Management Notes and straight-line receivable $ 26,584,000 $ 26,584,000 Note 3 2017 Evolve Senior Living Note receivable $ 9,928,000 $ 9,928,000 — 2018 Life Care Services affiliate Notes receivable $ 85,017,000 $ 178,200,000 Note 3 1 Notes, straight-line rent receivables & unamortized lease incentives

Significant Accounting Polici_4

Significant Accounting Policies Significant Accounting Policies (Schedule of Cash Equivalents and Restricted Cash) (Tables)	12 Months Ended
	Dec. 31, 2018
Schedule of Cash Equivalents and Restricted Cash [Abstract]
Schedule of Cash and Cash Equivalents [Table Text Block]	The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the Company’s Consolidated Balance Sheets with the same amounts shown on the Company’s Consolidated Statements of Cash Flows (in thousands) : As of December 31, 2018 2017 Cash and cash equivalents $ 4,659 $ 3,063 Restricted cash 5,253 5,012 $ 9,912 $ 8,075

Real Estate (Tables)

Real Estate (Tables)	12 Months Ended
	Dec. 31, 2018
Real Estate [Abstract]
Schedule of Bickford Leases [Table Text Block]	As of December 31, 2018 , our Bickford Senior Living (“Bickford”) portfolio consists of leases with primary lease expiration dates as follows (in thousands) : Lease Expiration June 2023 September 2024 September 2027 May 2031 April 2033 Total Number of Properties 13 10 4 20 5 52 2018 Annual Contractual Rent $ 11,133 $ 9,264 $ 1,515 $ 19,988 $ 3,165 $ 45,065 2018 Straight Line Rent Adjustment 588 (260 ) 221 3,865 614 5,028 Total Revenues $ 11,721 $ 9,004 $ 1,736 $ 23,853 $ 3,779 $ 50,093
New Real Estate Investments [Table Text Block]	During the year ended December 31, 2018 , we announced the following real estate investments and commitments as described below (dollars in thousands) : Operator Date Properties Asset Class Amount The Ensign Group January/May 2018 3 SNF $ 43,404 Bickford Senior Living April 2018 5 SHO 69,750 Comfort Care Senior Living May 2018 2 SHO 17,140 Ignite Medical Resorts December 2018 1 SNF 25,350 $ 155,644
Summary of NHC Percentage Rent [Table Text Block]	The following table summarizes the percentage rent income from NHC ( in thousands ): Year Ended December 31, 2018 2017 2016 Current year $ 3,411 $ 3,127 $ 2,932 Prior year final certification 1 285 194 547 Total percentage rent $ 3,696 $ 3,321 $ 3,479 1 For purposes of the percentage rent calculation described in the Master Lease Agreement, NHC’s annual revenue by facility for a given year is certified to NHI by March 31st of the following year.
Future Minimum Lease Payments [Table Text Block]	Future Minimum Lease Payments At December 31, 2018 , the future minimum lease payments (excluding percentage rent) to be received by us under our operating leases with our tenants are as follows ( in thousands ): 2019 $ 304,887 2020 254,321 2021 255,806 2022 258,245 2023 252,602 Thereafter 1,705,141 $ 3,031,002

Mortgage And Other Notes Rece_2

Mortgage And Other Notes Receivable Mortgage and Other Notes Receivable (Schedule of Bickford Construction Loans) (Tables)	12 Months Ended
	Dec. 31, 2018
Bickford Senior Living [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block]	At December 31, 2018 , our construction loans to Bickford are summarized as follows: Commencement Rate Maturity Commitment Drawn Location July 2016 9% 5 years $ 14,000,000 $ (13,047,000 ) Illinois January 2017 9% 5 years 14,000,000 (11,931,000 ) Michigan January 2018 9% 5 years 14,000,000 (4,515,000 ) Virginia July 2018 9% 5 years 14,700,000 (2,978,000 ) Michigan $ 56,700,000 $ (32,471,000 )

Equity-Method Investment And _2

Equity-Method Investment And Other Assets (Tables)	12 Months Ended
	Dec. 31, 2018
Equity Method Investments And Other Assets [Abstract]
Equity-Method Investment And Other Assets Disclosure [Table Text Block]	Our other assets consist of the following ( in thousands ): As of December 31, 2018 2017 Accounts receivable and prepaid expenses $ 6,381 $ 2,429 Unamortized lease incentive payments 7,456 2,563 Regulatory escrows 8,208 8,208 Restricted cash 5,253 5,012 $ 27,298 $ 18,212

Debt Debt (Tables)

Debt Debt (Tables)	12 Months Ended
	Dec. 31, 2018
Schedule of Debt [Abstract]
Convertible Debt [Table Text Block]	A roll-forward of our convertible note balances, including the effect of year-to-date amortization, net of issuance costs, is presented below: December 31, Cash Paid Amortization December 31, Face Amount $ 147,575 $ (27,575 ) $ — $ 120,000 Discount (2,637 ) $ 458 $ 788 (1,391 ) Issuance Costs (1,752 ) $ 297 $ 545 (910 ) Carrying Value $ 143,186 $ 117,699
Schedule of Long-term Debt Instruments [Table Text Block]	Debt consists of the following ( in thousands ): December 31, December 31, Revolving credit facility - unsecured $ 84,000 $ 221,000 Bank term loans - unsecured 550,000 250,000 Private placement term loans - unsecured 400,000 400,000 HUD mortgage loans (net of discount of $1,320 and $1,402) 42,906 43,645 Fannie Mae term loans - secured, non-recourse 96,044 96,367 Convertible senior notes - unsecured (net of discount of $1,391 and $2,637) 118,609 144,938 Unamortized loan costs (9,884 ) (10,453 ) $ 1,281,675 $ 1,145,497
Schedule of Maturities of Long-term Debt [Table Text Block]	Aggregate principal maturities of debt as of December 31, 2018 for each of the next five years and thereafter are as follows ( in thousands ): Twelve months ended December 31, 2019 $ 1,187 2020 1,230 2021 121,279 2022 335,328 2023 476,379 Thereafter 358,867 1,294,270 Less: discounts (2,711 ) Less: unamortized loan costs (9,884 ) $ 1,281,675
Schedule of Unsecured Term Loans [Table Text Block]	Our unsecured private placement term loans, payable interest-only, are summarized below ( in thousands ): Amount Inception Maturity Fixed Rate $ 125,000 January 2015 January 2023 3.99% 50,000 November 2015 November 2023 3.99% 75,000 September 2016 September 2024 3.93% 50,000 November 2015 November 2025 4.33% 100,000 January 2015 January 2027 4.51% $ 400,000
Schedule of Interest Expense [Table Text Block]	The following table summarizes interest expense ( in thousands ): Year Ended December 31, 2018 2017 2016 Interest expense on debt at contractual rates $ 45,789 $ 40,385 $ 36,197 Losses reclassified from accumulated other comprehensive income (loss) into interest expense 164 2,627 3,928 Ineffective portion of cash flow hedges — (353 ) 18 Capitalized interest (212 ) (510 ) (549 ) Charges taken on amending bank credit facility — 583 — Amortization of debt issuance costs and debt discount 3,314 3,592 3,514 Total interest expense $ 49,055 $ 46,324 $ 43,108
Schedule of Interest Rate Derivatives [Table Text Block]	As of December 31, 2018 , we employ the following interest rate swap contracts to mitigate our interest rate risk on the $250,000,000 term loan ( dollars in thousands ): Date Entered Maturity Date Fixed Rate Rate Index Notional Amount Fair Value May 2012 April 2019 2.84% 1-month LIBOR $ 40,000 $ 130 June 2013 June 2020 3.41% 1-month LIBOR $ 80,000 $ 480 March 2014 June 2020 3.46% 1-month LIBOR $ 130,000 $ 687

Commitments And Contingencies S

Commitments And Contingencies Schedule of Loan Commitments (Tables)	12 Months Ended
	Dec. 31, 2018
Schedule of Loan Commitments [Abstract]
Schedule of Loan Commitments [Table Text Block]	Asset Class Type Total Funded Remaining Loan Commitments: LCS Sagewood Note A SHO Construction $ 118,800,000 $ (76,653,000 ) $ 42,147,000 LCS Sagewood Note B SHO Construction 61,200,000 (10,165,000 ) 51,035,000 LCS Timber Ridge Note A SHO Construction 60,000,000 (58,158,000 ) 1,842,000 Bickford Senior Living SHO Construction 56,700,000 (32,471,000 ) 24,229,000 Senior Living Communities SHO Revolving Credit 15,000,000 (1,900,000 ) 13,100,000 $ 311,700,000 $ (179,347,000 ) $ 132,353,000

Commitments And Contingencies_2

Commitments And Contingencies Schedule of Development Commitments (Tables)	12 Months Ended
	Dec. 31, 2018
Schedule of Development Commitments [Abstract]
Schedule of Lease Commitments [Table Text Block]	Asset Class Type Total Funded Remaining Development Commitments: Ignite Medical Resorts SNF Construction 25,350,000 (4,674,000 ) 20,676,000 Woodland Village SHO Renovation 7,450,000 (6,867,000 ) 583,000 Senior Living Communities SHO Renovation 6,830,000 (4,772,000 ) 2,058,000 Bickford Senior Living SHO Renovation 1,750,000 (1,597,000 ) 153,000 Navion Senior Solutions SHO Construction 650,000 — 650,000 Discovery Senior Living SHO Renovation 500,000 (289,000 ) 211,000 $ 42,530,000 $ (18,199,000 ) $ 24,331,000

Commitments And Contingencies_3

Commitments And Contingencies Schedule of Contingencies (Tables)	12 Months Ended
	Dec. 31, 2018
Schedule of Contingencies [Abstract]
Schedule of Loss Contingencies by Contingency [Table Text Block]	Asset Class Type Total Funded Remaining Contingencies: Bickford Senior Living SHO Lease Inducement $ 10,000,000 $ (7,500,000 ) $ 2,500,000 Bickford Senior Living SHO Incentive Loan Draws 8,000,000 (250,000 ) 7,750,000 Navion Senior Solutions SHO Lease Inducement 4,850,000 — 4,850,000 Ignite Medical Resorts SNF Lease Inducement 2,000,000 — 2,000,000 $ 24,850,000 $ (7,750,000 ) $ 17,100,000

Investment And Other Gains In_2

Investment And Other Gains Investment And Other Gains (Tables)	12 Months Ended
	Dec. 31, 2018
Investment And Other Gains [Abstract]
Schedule of Investment And Other Gains [Table Text Block]	The following table summarizes our investment and other gains (in thousands) : Year Ended December 31, 2018 2017 2016 Gains on sales of marketable securities $ — $ 10,038 $ 29,673 Gain on sale of real estate — 50 4,582 Other gains — — 1,657 $ — $ 10,088 $ 35,912

Share-Based Compensation (Table

Share-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2018
Deferred Compensation Arrangements [Abstract]
Schedule of Stock Option Valuation Assumptions [Table Text Block]	The fair value of each stock option grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions: 2018 2017 2016 Dividend yield 6.5% 5.3% 6.2% Expected volatility 19.4% 19.8% 19.1% Expected lives 2.9 years 2.9 years 2.9 years Risk-free interest rate 2.39% 1.49% 0.91%
Schedule of Stock Option Activity [Table Text Block]	The following tables summarize our outstanding stock options: Weighted Average Number Weighted Average Remaining Aggregate of Shares Exercise Price Contractual Life (Years) Intrinsic Value Outstanding December 31, 2015 741,676 $60.43 Options granted under 2012 Plan 470,000 $60.78 Options exercised under 2005 Plan (61,666 ) $52.36 Options exercised under 2012 Plan (608,331 ) $65.18 Outstanding December 31, 2016 541,679 $65.84 Options granted under 2012 Plan 495,000 $74.90 Options exercised under 2005 Plan (15,000 ) $47.52 Options exercised under 2012 Plan (155,829 ) $65.73 Options canceled under 2012 Plan (6,668 ) $60.52 Outstanding December 31, 2017 859,182 $70.11 Options granted under 2012 Plan 560,000 $64.33 Options exercised under 2005 Plan (6,668 ) $72.11 Options exercised under 2012 Plan (462,167 ) $65.03 Options canceled under 2012 Plan (30,001 ) $66.73 Outstanding December 31, 2018 920,346 $69.24 3.35 $ 5,798,000 Exercisable December 31, 2018 476,992 $70.93 2.88 $ 2,204,000 Remaining Grant Number Exercise Contractual Date of Shares Price Life in Years 2/25/2014 15,000 $ 61.31 0.15 2/20/2015 50,002 $ 72.11 1.14 2/22/2016 36,668 $ 60.52 2.15 3/8/2016 26,667 $ 63.63 2.19 2/22/2017 399,170 $ 74.78 3.15 9/1/2017 10,000 $ 80.55 3.68 2/20/2018 382,839 $ 64.33 4.14 Outstanding December 31, 2018 920,346
Schedule of Nonvested Share Activity [Table Text Block]	The following table summarizes our outstanding non-vested stock options: Number of Shares Weighted Average Grant Date Fair Value Non-vested December 31, 2017 400,019 $5.10 Options granted under 2012 Plan 560,000 $4.49 Options vested under 2012 Plan (494,996 ) $4.62 Options vested under 2005 Plan (6,668 ) $4.91 Non-vested options canceled under 2012 Plan (15,001 ) $4.99 Non-vested December 31, 2018 443,354 $4.87

Earnings and Dividends Per Sh_2

Earnings and Dividends Per Share (Tables)	12 Months Ended
	Dec. 31, 2018
Earnings Per Share [Abstract]
Schedule of Earnings Per Share, Basic and Diluted	The following table summarizes the average number of common shares and the net income used in the calculation of basic and diluted earnings per common share (in thousands, except share and per share amounts): Year Ended December 31, 2018 2017 2016 Net income attributable to common stockholders $ 154,333 $ 159,365 $ 151,540 BASIC: Weighted average common shares outstanding 41,943,873 40,894,219 39,013,412 DILUTED: Weighted average common shares outstanding 41,943,873 40,894,219 39,013,412 Stock options and restricted shares 67,735 67,703 52,497 Convertible senior notes - unsecured 80,123 189,531 89,471 Average dilutive common shares outstanding 42,091,731 41,151,453 39,155,380 Net income per common share - basic $ 3.68 $ 3.90 $ 3.88 Net income per common share - diluted $ 3.67 $ 3.87 $ 3.87 Net share effect of anti-dilutive stock options 518 573 6,366 Regular dividends declared per common share $ 4.00 $ 3.80 $ 3.60

Income Taxes Income Taxes (Tabl

Income Taxes Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2018
Income Taxes [Abstract]
Schedule of Dividends Paid, Per Share [Table Text Block]	Per share dividend payments to common stockholders for the last three years are characterized for tax purposes as follows: (Unaudited) 2018 2017 2016 Ordinary income $ 3.33730 $ 2.93054 $ 2.67863 Capital gain — 0.20643 0.92137 Return of capital 0.66270 0.66303 — Dividends paid per common share $ 4.00 $ 3.80 $ 3.60

Fair Value of Financial instr_2

Fair Value of Financial instruments (Tables)	12 Months Ended
	Dec. 31, 2018
Fair Value, Assets Measured on Recurring Basis [Abstract]
Fair Value, Assets Measured on Recurring Basis	Fair Value Measurement Balance Sheet Classification December 31, December 31, Level 2 Interest rate swap asset Other assets $ 1,297 $ 159 Interest rate swap liability Accounts payable and accrued expenses $ — $ 747
Fair Value Measurements, Nonrecurring	Carrying values and fair values of financial instruments that are not carried at fair value at December 31, 2018 and 2017 in the Consolidated Balance Sheets are as follows ( in thousands ): Carrying Amount Fair Value Measurement 2018 2017 2018 2017 Level 2 Variable rate debt $ 628,010 $ 465,642 $ 634,000 $ 471,000 Fixed rate debt $ 653,665 $ 679,855 $ 644,745 $ 679,385 Level 3 Mortgage and other notes receivable $ 246,111 $ 141,486 $ 244,206 $ 140,049

Selected Quarterly Financial _2

Selected Quarterly Financial Data (Unaudited) Selected Quarterly Financial Data (Unaudited) (Tables)	12 Months Ended
	Dec. 31, 2018
Selected Quarterly Financial Data [Abstract]
Quarterly Financial Information 2015 & 2014	2017 Quarter Ended March 31, June 30, September 30, December 31, Net revenues $ 66,388 $ 69,836 $ 71,352 $ 71,083 Investment and other gains 10,088 — — — Net income attributable to common stockholders $ 44,230 $ 38,245 $ 39,092 $ 37,798 Weighted average common shares outstanding: Basic 39,953,804 40,982,244 41,108,699 41,532,130 Diluted 40,108,762 41,245,173 41,448,263 41,803,615 Earnings per common share: Net income attributable to common stockholders - basic $ 1.11 $ .93 $ .95 $ .91 Net income attributable to common stockholders - diluted $ 1.10 $ .93 $ .94 $ .90 2018 Quarter Ended March 31, June 30, September 30, December 31, Net revenues $ 72,746 $ 72,956 $ 74,915 $ 73,995 Net income attributable to common stockholders $ 38,432 $ 37,839 $ 40,979 $ 37,083 Weighted average common shares outstanding: Basic 41,532,154 41,704,819 42,187,077 42,351,443 Diluted 41,576,876 41,786,829 42,434,499 42,568,720 Earnings per common share: Net income attributable to common stockholders - basic $ .93 $ .91 $ .97 $ .88 Net income attributable to common stockholders - diluted $ .92 $ .91 $ .97 $ .87

Significant Accounting Polici_5

Significant Accounting Policies (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Loans and Leases Receivable, Net Amount	$ 246,111	$ 141,486
Property, Plant and Equipment, Useful Life	40 years

Significant Accounting Polici_6

Significant Accounting Policies Schedule of Variable Interest Entities (Details) $ in Thousands	Dec. 31, 2018USD ($)
Bickford Senior Living [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Nonconsolidated, Carrying Amount, Assets	$ 53,649
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	77,878
Senior Living Management [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Nonconsolidated, Carrying Amount, Assets	26,584
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	26,584
Evolve Senior Living [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Nonconsolidated, Carrying Amount, Assets	9,928
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	9,928
Senior Living Communities [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Nonconsolidated, Carrying Amount, Assets	44,376
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	57,475
LCS Timber Ridge [Member] | Life Care Services [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Nonconsolidated, Carrying Amount, Assets	57,939
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	59,781
LCS Sagewood [Member] | Life Care Services [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Nonconsolidated, Carrying Amount, Assets	85,017
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	$ 178,200

Significant Accounting Polici_7

Significant Accounting Policies Schedule of Cash Equivalents and Restricted Cash (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Schedule of Cash Equivalents and Restricted Cash [Abstract]
Cash and Cash Equivalents, at Carrying Value	$ 4,659	$ 3,063
Restricted Cash	5,253	5,012
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents	$ 9,912	$ 8,075	$ 8,878	$ 17,913

Real Estate (New Real Estate In

Real Estate (New Real Estate Investments) (Details)	12 Months Ended
	Dec. 31, 2018USD ($)properties	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)
Payments to Acquire Real Estate | $	$ 131,758,000	$ 157,214,000	$ 359,257,000
Real Estate Investments During The Period | $	$ 155,644,000
Ensign Group [Member]
Number Of Real Estate Properties Acquired | properties	3
Real Estate Investments During The Period | $	$ 43,404,000
Bickford Senior Living [Member]
Number Of Real Estate Properties Acquired | properties	5
Comfort Care Senior Living [Member]
Number Of Real Estate Properties Acquired | properties	2
Real Estate Investments During The Period | $	$ 17,140,000
Real Estate Properties, Number Acquired | properties	2
Ignite Medical Resorts [Member]
Number Of Real Estate Properties Acquired | properties	1
Real Estate Investments During The Period | $	$ 25,350,000

Real Estate (Summary of NHC Per

Real Estate (Summary of NHC Percentage Rent) (Details) - National Healthcare Corporation [Member] - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Total percentage rent	$ 3,696	$ 3,321	$ 3,479
Current year [Member]
Total percentage rent	3,411	3,127	2,932
Prior year final certification [Member]
Total percentage rent	$ 285	$ 194	$ 547

Real Estate Real Estate (Future

Real Estate Real Estate (Future Minimum Lease Payments) (Details) $ in Thousands	Dec. 31, 2018USD ($)
Future Minimum Lease Payments [Abstract]
Operating Leases, Future Minimum Payments Due, Next Twelve Months	$ 304,887
Operating Leases, Future Minimum Payments, Due in Two Years	254,321
Operating Leases, Future Minimum Payments, Due in Three Years	255,806
Operating Leases, Future Minimum Payments, Due in Four Years	258,245
Operating Leases, Future Minimum Payments, Due in Five Years	252,602
Operating Leases, Future Minimum Payments, Due Thereafter	1,705,141
Operating Leases, Future Minimum Payments Due	$ 3,031,002

Real Estate (Narrative) (Detail

Real Estate (Narrative) (Details)	9 Months Ended		12 Months Ended
	Sep. 30, 2018USD ($)	Sep. 30, 2017USD ($)	Dec. 31, 2018USD ($)propertiesMaster_LeasesrenewalOptionsshares	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)	Dec. 31, 2015USD ($)
Remaining Unfunded Development Commitment			$ 24,331,000
Number of Real Estate Properties | properties			220
Operating Loss Carryforwards			$ 462,000
Number of States in which Entity Operates			33
Payments to Acquire Real Estate			$ 131,758,000	$ 157,214,000	$ 359,257,000
Lessee Payment To Acquire Purchase Option			3,775,000	1,250,000	0
Real Estate Investments During The Period			155,644,000
Gains (Losses) on Sales of Investment Real Estate			0	50,000	4,582,000
Noncash or Part Noncash Acquisition, Value of Liabilities Assumed			1,689,000	1,855,000	430,000
Nonportfolio Assets, Original Cost			2,471,000
Real Estate Investment Property, Portfolio Assets			$ 2,815,894,000
Number of Lessees			30
Operating Leases, Income Statement, Lease Revenue			$ 280,813,000	265,169,000	232,353,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate			202,877,000	98,110,000	99,179,000	$ 101,124,000
Deferred Rent Receivables, Net			105,620,000	97,359,000
Amortization of Lease Incentives			387,000	119,000	40,000
Straight Line Rent			22,787,000	26,090,000	22,198,000
Escrow Deposit			8,208,000	8,208,000
Maximum Commitment For All Active Development Projects			42,530,000
Development in Process			18,199,000
Land			$ 202,196,000	191,623,000
Comfort Care Senior Living [Member]
Real Estate Properties, Number Acquired | properties			2
Number Of Real Estate Properties Acquired | properties			2
Real Estate Investments During The Period			$ 17,140,000
Asset Purchase Transaction Costs			$ 100,000
Number Of Purchase Option Properties			2
Ignite Medical Resorts [Member]
Number Of Real Estate Properties Acquired | properties			1
Real Estate Investments During The Period			$ 25,350,000
Lessee, Operating Lease, Term of Contract			12 years
Maximum Commitment For All Active Development Projects			$ 25,350,000
Initial lease rate			9.50%
Number of additional lease renewal options			2
Lessor, Operating Lease, Renewal Term			10 years
Contingent Incentive Payments			$ 2,000,000
Land			2,000,000
Evolve Senior Living [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate			$ 10,000,000
Note Receivable Interest Rate			8.00%
Loan Term			5 years
Ensign Group [Member]
Number Of Real Estate Properties Acquired | properties			3
Real Estate Investments During The Period			$ 43,404,000
The Lasalle Group [Member]
Percentage of Continuing Revenue			2.00%
Write Off Of Straight Line Rent Receivable			$ 1,496,000
Lessor, Operating Lease, Non-Performing Tenant, Rent Payment Concessions			$ 0
Senior Living Communities [Member]
Number of Real Estate Properties | properties			9
Lessor, Operating Lease, Term of Contract			15 years
Operating Leases, Income Statement, Lease Revenue	$ 45,868,000	$ 45,735,000				$ 40,332,000
Percentage of Continuing Revenue	16.00%	16.00%				16.00%
Straight Line Rent	$ 5,436,000	$ 6,984,000				$ 7,369,000
Number of Units in Real Estate Property			186
Number of additional lease renewal options			2
Lessor, Operating Lease, Renewal Term			5 years
Lease Escalator Rate Lease Year 2 to Lease Year 4			4.00%
Lease Escalator Rate after Lease Year 4			3.00%
Bickford Senior Living [Member]
Number of Real Estate Properties | properties			52
Number Of Real Estate Properties Acquired | properties			5
Minimum Annual Lease Income			$ 45,065,000
Operating Leases, Income Statement, Lease Revenue			$ 50,093,000	$ 41,606,000	$ 30,732,000
Percentage of Continuing Revenue			17.00%	15.00%	12.00%
Straight Line Rent			$ 5,028,000	$ 5,102,000	$ 858,000
Straight Line Rent Adjustments			5,028,000
Transition Tenant [Member]
Operating Leases, Income Statement, Lease Revenue			$ 5,540,000	$ 6,141,000	1,957,000
Percentage of Continuing Revenue			2.00%	2.00%
Escrow Deposit			$ 3,485,000
Withdrawals From Lease Escrow Deposits			0
Lessor, Operating Lease, Tenant Triple Net Costs, Receivable			$ 2,534,000
Holiday Acquisition Holdings [Member]
Number of Real Estate Properties | properties			25
Payments to Acquire Real Estate			$ 493,000,000
Lessor, Operating Lease, Term of Contract			17 years
Minimum Annual Lease Income			$ 39,000,000
Operating Leases, Income Statement, Lease Revenue			$ 43,311,000	$ 43,817,000	$ 43,817,000
Percentage of Continuing Revenue			15.00%	16.00%	18.00%
Straight Line Rent			$ 5,616,000	$ 7,397,000	$ 8,965,000
Lease Escalator Rate, After Lease Year 3			3.50%
National Healthcare Corporation [Member]
Number of Real Estate Properties | properties			42
Number of Master Leases | Master_Leases			2
Operating Leases, Income Statement, Lease Revenue			$ 37,843,000	$ 37,467,000	$ 37,626,000
Percentage of Continuing Revenue			13.00%	13.00%	15.00%
Lessor Equity Shares Owned, Significant Lessee | shares			1,630,462
Percentage rent			$ 3,696,000	$ 3,321,000	$ 3,479,000
Regency Leasing [Member]
Number of Real Estate Properties | properties			3
Operating Leases, Income Statement, Lease Revenue			$ 5,103,000	$ 5,466,000	$ 5,444,000
Percentage of Continuing Revenue			2.00%	2.00%	2.00%
Percent of Operating Cash Flow, Due To Lessor			95.00%
Write Off Of Straight Line Rent Receivable			$ 1,820,000
Wisconsin Non-performing Tenant [Member]
Percentage of Continuing Revenue			1.00%
Unpaid Lease Payment, Number Of Months			2 months
Unpaid Rent			$ 840,000
Write Off Of Straight Line Rent Receivable			1,436,000
Lessor, Operating Lease, Lease Payment Guarantee, Amount			$ 3,000,000
Real Estate Acquisition [Member] | Comfort Care Senior Living [Member]
Initial lease rate			7.25%
Lease Escalator Minimum			2.00%
Lease Escalator Maximum			3.00%
Real Estate Acquisition [Member] | Ensign Group [Member]
Initial lease rate			8.10%
April 2018 Acquisition [Member] | Bickford Senior Living [Member]
Real Estate Properties, Number Acquired | properties			5
Number of Properties Subject to Ground Leases | properties			1
Real Estate Investments During The Period			$ 69,750,000
Asset Purchase Transaction Costs			$ 500,000
Lessor, Operating Lease, Term of Contract			15 years
Fair Market Rent Reset, Option Period, First Lease Year			3 years
Fair Market Rent Reset, Option Period, Last Lease Year			5 years
Initial lease rate			6.85%
Capital Improvements Commitment			$ 1,750,000
Off-market Lease, Unfavorable			590,000
Holiday Lease Amendment [Member] | Holiday Acquisition Holdings [Member]
Minimum Annual Lease Income			31,500,000
Lease Amendment Consideration			65,762,000
Escrow Deposit			21,275,000
Required Equity Contribution, Lease Tenant Entity			5,000,000
Required Equity Contribution, Lease, Management Company			$ 6,500,000
Initial lease rate			7.00%
Capital Improvements Commitment			$ 5,000,000
Capital Improvement Commitment, Per Unit			$ 1,500
Lease Portfolio, Rent Adjustment Rate, Property Sale Proceeds			7.00%
Lease Escalator Minimum			2.00%
Lease Escalator, Percent, Revenue Growth			45.00%
Lease Escalator Maximum			3.00%
Ensign Purchase Commitment Properties [Member] | Ensign Group [Member]
Number Of Real Estate Properties Acquired | properties			4
NHC - 1991 Lease [Member] | National Healthcare Corporation [Member]
Number of Real Estate Properties | properties			35
Minimum Annual Lease Income			$ 30,750,000
Percentage Rent Rate			0.04
Number of additional lease renewal options | renewalOptions			2
Lessor, Operating Lease, Renewal Term			5 years
NHC - 2013 Lease [Member] | National Healthcare Corporation [Member]
Number Of Real Estate Properties Acquired | properties			7
Minimum Annual Lease Income			$ 3,450,000
Percentage Rent Rate			0.04
Purchase Option Amount			$ 49,000,000
Senior Housing Community [Member]
Number of Real Estate Properties | properties			143
Skilled Nursing Facility [Member]
Number of Real Estate Properties | properties			72
Skilled Nursing Facility [Member] | National Healthcare Corporation [Member]
Number of Real Estate Properties | properties			39
Skilled Nursing Facility [Member] | Subleased Facilities [Member] | National Healthcare Corporation [Member]
Number of Real Estate Properties | properties			4
Hospital [Member]
Number of Real Estate Properties | properties			3
Medical Office Building [Member]
Number of Real Estate Properties | properties			2
Independent Living Facility [Member] | National Healthcare Corporation [Member]
Number of Real Estate Properties | properties			3
Waxahatchie, TX [Member] | Ensign Group [Member]
Lessee Payment To Acquire Purchase Option			$ 1,275,000
Real Estate Investments During The Period			14,404,000
Garland and Ft Worth, TX [Member] | Ensign Group [Member]
Lessee Payment To Acquire Purchase Option			$ 1,250,000
Number Of Real Estate Properties Acquired | properties			2
Real Estate Investments During The Period			$ 29,000,000
Ground Lease [Member] | April 2018 Acquisition [Member] | Bickford Senior Living [Member]
Lessor, Operating Lease, Term of Contract			50 years
September 2027 [Member] | Bickford Senior Living [Member]
Number of Real Estate Properties | properties			4
Minimum Annual Lease Income			$ 1,515,000
Straight Line Rent Adjustments			$ 221,000

Real Estate Schedule of Bickfor

Real Estate Schedule of Bickford Leases (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018USD ($)properties
Number of Real Estate Properties | properties	220
Bickford Senior Living [Member]
Number of Real Estate Properties | properties	52
Minimum Annual Lease Income	$ 45,065
Straight Line Rent Adjustments	5,028
Operating Lease, Lease Income	$ 50,093
Bickford Senior Living [Member] | September 2027 [Member]
Number of Real Estate Properties | properties	4
Minimum Annual Lease Income	$ 1,515
Straight Line Rent Adjustments	221
Operating Lease, Lease Income	$ 1,736
Bickford Senior Living [Member] | June 2023 [Member]
Number of Real Estate Properties | properties	13
Minimum Annual Lease Income	$ 11,133
Straight Line Rent Adjustments	588
Operating Lease, Lease Income	$ 11,721
Bickford Senior Living [Member] | May 2031 [Member]
Number of Real Estate Properties | properties	20
Minimum Annual Lease Income	$ 19,988
Straight Line Rent Adjustments	3,865
Operating Lease, Lease Income	$ 23,853
Bickford Senior Living [Member] | September 2024 [Member]
Number of Real Estate Properties | properties	10
Minimum Annual Lease Income	$ 9,264
Straight Line Rent Adjustments	(260)
Operating Lease, Lease Income	$ 9,004
Bickford Senior Living [Member] | April 2033 [Member]
Number of Real Estate Properties | properties	5
Minimum Annual Lease Income	$ 3,165
Straight Line Rent Adjustments	614
Operating Lease, Lease Income	$ 3,779

Mortgage And Other Notes Rece_3

Mortgage And Other Notes Receivable (Details)	12 Months Ended
	Dec. 31, 2018USD ($)properties	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)	Dec. 31, 2015USD ($)
Mortgage and other notes receivable, net	$ 246,111,000	$ 141,486,000
Number of health care properties related to mortgage notes receivables | properties	12
Allowance for Doubtful Accounts Receivable	$ 0
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Collections of Principal	2,307,000	35,897,000	$ 69,060,000
Loans and Leases Receivable, Commitments, Fixed Rates	$ 311,700,000
Number of Real Estate Properties | properties	220
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 202,877,000	98,110,000	99,179,000	$ 101,124,000
Interest Income, Operating	13,799,000	13,490,000	$ 16,107,000
Senior Living Communities [Member]
Loans and Lease Receivable, Maximum Revolving Amount	$ 15,000,000
Lessor, Operating Lease, Term of Contract	15 years
Revolving Note Receivable, Amount Outstanding	$ 1,900,000
Loans Receivable, Description of Variable Rate Basis, Reference Rate Maturity	10 years
Loans Receivable, Description of Variable Rate Basis	0.0269
Loans Receivable, Basis Spread on Variable Rate	6.00%
Number of Term Loans	2
Number of Units in Real Estate Property	186
Number of Real Estate Properties | properties	9
Bickford Note Investment [Member]
Initial lease rate	9.55%
Contingent Incentive Payments	$ 2,000,000
Mortgage and other notes receivable, net	32,471,000
Loans and Leases Receivable, Commitments, Fixed Rates	$ 56,700,000
Evolve Senior Living [Member]
Loan Term	5 years
Mortgage Note, Property Appreciation, Lender Participation, Rate	10.00%
Note Receivable Interest Rate	8.00%
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 10,000,000
Senior Living Management [Member]
Notes Receivable, Number Of Loans, Master Credit Agreement	2
Notes Receivable, Interest Rate, Master Credit Agreement	8.25%
Notes Receivable, Maturity, Optional Extension, Years	1 year
Loan Term	5 years
Loans and Leases Receivable, Commitments, Fixed Rates	$ 24,500,000
Number of Real Estate Properties | properties	5
Note Receivable, Maturity, Second Optional Extension, Years	2 years
Secured By Real Estate [Member]
Mortgage and other notes receivable, net	$ 202,877,000	98,110,000
Not Secured By Real Estate [Member]
Mortgage and other notes receivable, net	43,234,000	$ 43,376,000
LCS Sagewood [Member] | Life Care Services [Member]
Notes Receivable, Total Borrowings, Master Credit Agreement	$ 180,000,000
LCS Timber Ridge [Member] | Life Care Services [Member]
Notes Receivable, Number Of Loans, Master Credit Agreement	2
Purchase Option, Amount, Minimum	$ 115,000,000
Purchase Option, Period, Months	120 days
Notes Receivable, Total Borrowings, Master Credit Agreement	$ 154,500,000
2019 Reduction [Member] | Senior Living Communities [Member]
Loans and Lease Receivable, Maximum Revolving Amount	5,000,000
Mortgage Notes Paid Off [Member] | Traditions of Owatonna [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	4,256,000
Interest Income, Operating	922,000
July 2016 [Member] | Bickford Note Investment [Member]
Mortgage and other notes receivable, net	$ 13,047,000
Loan Term	5 years
Note Receivable Interest Rate	9.00%
Loans and Leases Receivable, Commitments, Fixed Rates	$ 14,000,000
Note A [Member] | Senior Living Communities [Member]
Note Receivable Interest Rate	10.00%
Loans and Leases Receivable, Commitments, Fixed Rates	$ 12,000,000
Note A [Member] | LCS Sagewood [Member] | Life Care Services [Member]
Notes Receivable, Interest Rate, Master Credit Agreement	7.25%
Loans And Leases Receivable, Commitment, Fixed Rates, Escalator, Basis Points	10
Note Receivable, First Note Year For Rate Escalator	3 years
Loan Term	10 years
Note Receivable, Prepayment Penalty, Rate	2.00%
Note Receivable, Prepayment Penalty, Rate Decrease	1000.00%
Notes Receivable, Total Borrowings, Master Credit Agreement	$ 118,800,000
Note A [Member] | LCS Timber Ridge [Member] | Life Care Services [Member]
Mortgage and other notes receivable, net	$ 57,939,000
Notes Receivable, Interest Rate, Master Credit Agreement	6.75%
Loans And Leases Receivable, Commitment, Fixed Rates, Escalator, Basis Points	10
Note Receivable, First Note Year For Rate Escalator	3 years
Loan Term	10 years
Note Receivable, Prepayment, Disallowance Period	3 years
Note Receivable, Prepayment Penalty, Rate	5.00%
Note Receivable, Prepayment Penalty, Rate Decrease	1.00%
Notes Receivable, Total Borrowings, Master Credit Agreement	$ 60,000,000
Note B [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	$ 2,000,000
Note B [Member] | LCS Sagewood [Member] | Life Care Services [Member]
Notes Receivable, Interest Rate, Master Credit Agreement	8.50%
Loan Term	5 years
Notes Receivable, Total Borrowings, Master Credit Agreement	$ 61,200,000
Note B [Member] | LCS Timber Ridge [Member] | Life Care Services [Member]
Mortgage and other notes receivable, net	1,953,000
Unamortized Loan Commitment and Origination Fees and Unamortized Discounts or Premiums	$ 515,000
Notes Receivable, Interest Rate, Master Credit Agreement	8.00%
Loan Term	5 years
Notes Receivable, Total Borrowings, Master Credit Agreement	$ 94,500,000

Mortgage And Other Notes Rece_4

Mortgage And Other Notes Receivable Mortgage and Other Notes Receivable (Schedule of Bickford Construction Loans) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	$ 311,700,000
Loans and Leases Receivable, Net Amount	(246,111,000)	$ (141,486,000)
Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Loans and Leases Receivable, Commitments, Fixed Rates	56,700,000
Loans and Leases Receivable, Net Amount	$ (32,471,000)
July 2016 [Member] | Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Note Receivable Interest Rate	9.00%
Loan Term	5 years
Loans and Leases Receivable, Commitments, Fixed Rates	$ 14,000,000
Loans and Leases Receivable, Net Amount	$ (13,047,000)
January 2017 [Member] | Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Note Receivable Interest Rate	9.00%
Loan Term	5 years
Loans and Leases Receivable, Commitments, Fixed Rates	$ 14,000,000
Loans and Leases Receivable, Net Amount	$ (11,931,000)
January 2018 [Member] | Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Note Receivable Interest Rate	9.00%
Loan Term	5 years
Loans and Leases Receivable, Commitments, Fixed Rates	$ 14,000,000
Loans and Leases Receivable, Net Amount	$ (4,515,000)
July 2018 [Member] | Bickford Note Investment [Member]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Note Receivable Interest Rate	9.00%
Loan Term	5 years
Loans and Leases Receivable, Commitments, Fixed Rates	$ 14,700,000
Loans and Leases Receivable, Net Amount	$ (2,978,000)

Equity-Method Investment And _3

Equity-Method Investment And Other Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Equity Method Investments And Other Assets [Abstract]
Accounts receivable and others assets	$ 6,381	$ 2,429
Unamortized lease incentive payments	7,456	2,563
Replacement reserve and tax escrows - Fannie Mae	8,208	8,208
Restricted Cash	5,253	5,012
Equity-method investment and other assets	$ 27,298	$ 18,212

Equity-Method Investment And _4

Equity-Method Investment And Other Assets Equity-Method Investment And Other Assets (Narrative) (Details)	Dec. 31, 2018properties
Investment [Line Items]
Number of Real Estate Properties	220

Debt (Schedule of Debt) (Detail

Debt (Schedule of Debt) (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Debt Instrument, Unamortized Discount	$ 2,711
Convertible senior notes - unsecured (net of discount of $5,862)	118,609	$ 144,938
Revolving credit facility - unsecured	84,000	221,000
Bank term loans - unsecured	400,000
Debt, Long-term and Short-term, Combined Amount	1,281,675	1,145,497
Unamortized Debt Issuance Expense	9,884	10,453
Bank Term Loans [Member]
Bank term loans - unsecured	550,000	250,000
Private Placement [Member]
Bank term loans - unsecured	400,000	400,000
Debt Instrument, Name, HUD Mortgages [Member]
Fannie Mae term loans - secured (including discount of $1,573)	42,906	43,645
Debt Instrument, Name, Fannie Mae Term Loans [Member]
Fannie Mae term loans - secured (including discount of $1,573)	$ 96,044	$ 96,367

Debt Debt (Schedule of Long Ter

Debt Debt (Schedule of Long Term Debt Maturities) (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Unsecured Debt	$ 400,000
Long-term Debt, Maturities, Repayments of Principal in Next Rolling Twelve Months	1,187
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Two	1,230
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Three	121,279
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Four	335,328
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Five	476,379
Long-term Debt, Maturities, Repayments of Principal in Rolling after Year Five	358,867
Long-term Debt, Gross	1,294,270
Debt Instrument, Unamortized Discount	(2,711)
Less: unamortized loan costs	9,884	$ 10,453
Debt, Long-term and Short-term, Combined Amount	1,281,675	1,145,497
Private Placement [Member]
Unsecured Debt	400,000	$ 400,000
January 2023 [Member]
Unsecured Debt	$ 125,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
November 2023 [Member]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
September 2024 [Member]
Unsecured Debt	$ 75,000
Debt Instrument, Interest Rate, Stated Percentage	3.93%
November 2025 [Member]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	4.33%
January 2027 [Member]
Unsecured Debt	$ 100,000
Debt Instrument, Interest Rate, Stated Percentage	4.51%

Debt Debt (Schedule of Interest

Debt Debt (Schedule of Interest Expense) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Schedule of Interest Expense [Abstract]
Interest expense	$ 45,789	$ 40,385	$ 36,197
Derivative Instruments, Loss Reclassified from Accumulated OCI into Income, Effective Portion	164	2,627	3,928
Loss on Cash Flow Hedge Ineffectiveness	0	(353)	(18)
Capitalized interest	(212)	(510)	(549)
Charges taken on restructuring credit facility	0	583	0
Amortization of debt issuance costs and bond discount	3,314	3,592	3,514
Total interest expense	$ 49,055	$ 46,324	$ 43,108

Debt (Schedule of Interest Rate

Debt (Schedule of Interest Rate Derivatives) (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018USD ($)
Interest Rate Swap, Date Entered, May 2012 [Member]
Derivative [Line Items]
Derivative, Inception Date	May 31, 2012
Derivative, Fixed Interest Rate	2.84%
Debt Instrument, Description of Variable Rate Basis	1-month LIBOR
Derivative, Notional Amount	$ 40,000
Derivative, Maturity Date	Apr. 30, 2019
Derivative Asset, Fair Value, Gross Asset	$ 130
Interest Rate Swap, Date Entered, June 2013 [Member]
Derivative [Line Items]
Derivative, Inception Date	Jun. 30, 2013
Derivative, Fixed Interest Rate	3.41%
Debt Instrument, Description of Variable Rate Basis	1-month LIBOR
Derivative, Notional Amount	$ 80,000
Derivative, Maturity Date	Jun. 30, 2020
Derivative Asset, Fair Value, Gross Asset	$ 480
Interest Rate Swap, Date Entered, March 2014 [Member]
Derivative [Line Items]
Derivative, Inception Date	Mar. 31, 2014
Derivative, Fixed Interest Rate	3.46%
Debt Instrument, Description of Variable Rate Basis	1-month LIBOR
Derivative, Notional Amount	$ 130,000
Derivative, Maturity Date	Jun. 30, 2020
Derivative Asset, Fair Value, Gross Asset	$ 687

Debt Debt (Schedule of Unsecure

Debt Debt (Schedule of Unsecured Term Loans) (Details) $ in Thousands	Dec. 31, 2018USD ($)
Unsecured Debt	$ 400,000
January 2023 [Member]
Unsecured Debt	$ 125,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
November 2023 [Member]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
September 2024 [Member]
Unsecured Debt	$ 75,000
Debt Instrument, Interest Rate, Stated Percentage	3.93%
November 2025 [Member]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	4.33%
January 2027 [Member]
Unsecured Debt	$ 100,000
Debt Instrument, Interest Rate, Stated Percentage	4.51%

Debt Debt (Convertible Debt Rol

Debt Debt (Convertible Debt Roll Forward) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Unamortized Debt Issuance Expense, January 1	$ (10,453,000)
Convertible Debt, January 1	144,938,000
Repayments of Convertible Debt	(27,558,000)
Amortization of Debt Issuance Costs	4,437,000	$ 5,790,000	$ 3,563,000
Debt Instrument, Unamortized Discount, December 31	(2,711,000)
Unamortized Debt Issuance Expense, December 31	(9,884,000)	(10,453,000)
Convertible Debt, December 31	118,609,000	144,938,000
Convertible Debt [Member]
Debt Instrument, Face Amount, January 1	147,575,000
Debt Instrument, Unamortized Discount, January 1	(2,637,000)
Unamortized Debt Issuance Expense, January 1	(1,752,000)
Amortization of Debt Discount (Premium)	788,000
Amortization of Debt Issuance Costs	545,000
Debt Instrument, Face Amount, December 31	120,000,000	147,575,000
Debt Instrument, Unamortized Discount, December 31	(1,391,000)	(2,637,000)
Unamortized Debt Issuance Expense, December 31	(910,000)	(1,752,000)
Convertible Debt, Net of Debt Issuance Costs [Member]
Convertible Debt, January 1	143,186,000
Convertible Debt, December 31	117,699,000	$ 143,186,000
Allocated to Debt [Member]
Repayments of Convertible Debt	(27,575,000)
Unamortized Debt Discount, Debt Redemption, Allocation	458,000
Unamortized Debt Issuance Costs, Debt Redemption, Allocation	$ 297,000

Debt (Narrative) (Details)

Debt (Narrative) (Details)	12 Months Ended
	Dec. 31, 2018USD ($)propertiessharesnumber_of_loans$ / shares	Dec. 31, 2017USD ($)shares	Dec. 31, 2016USD ($)shares
Derivative, Fair Value, Net	$ 1,297,000	$ (588,000)
Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net	963,000
Loss on extinguishment of debt	(738,000)	(2,214,000)	$ 0
Debt Instrument, Unamortized Discount	2,711,000
Unsecured Debt	400,000,000
Credit Facility, Current Revolving Borrowing Capacity	550,000,000
Gains (Losses) on Restructuring of Debt	$ 0	$ (583,000)	0
Debt Instrument, Variable Rate Basis, Minimum	25198.80%	15642.50%
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage	2000.00%
Number of Real Estate Properties | properties	220
Debt Instrument, Convertible, Conversion Ratio	14.42
Debt Instrument, Convertible, Conversion Price | $ / shares	$ 69.36
Debt Instrument, Convertible, If-converted Value in Excess of Principal	$ 10,697,000
Loss on Cash Flow Hedge Ineffectiveness	0	$ (353,000)	$ (18,000)
New Accounting Pronouncement or Change in Accounting Principle, Cumulative Effect of Change on Equity or Net Assets	$ 235,000
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities | shares	80,123	189,531	89,471
Debt Instrument, Convertible, Number of Equity Instruments | shares	1,730,174
Payments for Repurchase of Redeemable Convertible Preferred Stock	$ 29,985,000	$ 60,921,000	$ 0
Repayments of Convertible Debt	27,558,000
Convertible Debt	118,609,000	144,938,000
Payments of Debt Issuance Costs	2,171,000	4,935,000	258,000
Unamortized Debt Issuance Expense	9,884,000	10,453,000
Noncash or Part Noncash Acquisition, Value of Liabilities Assumed	1,689,000	1,855,000	$ 430,000
$300M Term Loan [Member]
Term Loans, Outstanding Balance	300,000,000
Bank Term Loans [Member]
Unsecured Debt	$ 550,000,000	250,000,000
Debt Instrument, Basis Spread on Variable Rate	12700.00%
Term Loans, Outstanding Balance	$ 250,000,000
Private Placement [Member]
Unsecured Debt	$ 400,000,000	400,000,000
Debt Instrument, Name, Revolving Credit Facility [Member]
Debt Instrument, Basis Spread on Variable Rate	11500.00%
Unused balance of the unsecured revolving credit facility	$ 466,000,000
FNMA Berkadia Note [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Face Amount of Mortgages	$ 17,960,000
Debt Instrument, Interest Rate, Stated Percentage	4.60%
Debt Instrument, Name, Convertible Senior Notes [Member]
Loss on extinguishment of debt	$ 738,000
Adjustments to Additional Paid in Capital, Convertible Debt with Conversion Feature	2,427,000
Debt Instrument, Unamortized Discount	$ 1,391,000	2,637,000
Debt Instrument, Interest Rate, Stated Percentage	3.25%
Convertible Debt Instrument, Conversion Ratio, Principal Amount, Basis	$ 1,000
At Inception [Member]
Proceeds from Convertible Debt	$ 200,000,000
Debt Instrument, Convertible, Conversion Ratio	13.93
Debt Instrument, Convertible, Conversion Price | $ / shares	$ 71.81
Debt Instrument, Convertible, Number of Equity Instruments | shares	2,785,200
Debt Instrument, Name, HUD Mortgages [Member]
Number of Real Estate Properties | properties	10
Net Book Value of Real Estate Pledged Toward Mortgage	$ 50,867,000
Debt Instrument, HUD Mortgages, 2049 Maturity [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Number of Loans | number_of_loans	9
Debt Instrument, Name, Fannie Mae Term Loans [Member]
Debt Instrument, Term	10 years
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Face Amount of Mortgages	$ 78,084,000
Debt Instrument, Interest Rate, Stated Percentage	3.79%
Number of Real Estate Properties	13
Net Book Value of Real Estate Pledged Toward Mortgage	$ 138,273,000
Debt Instrument, Name, Q3 2014 HUD Mortgages [Member]
Debt Instrument, Unamortized Discount	$ 1,320,000	1,402,000
Debt Instrument, HUD Mortgages, 2047 Maturity [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Number of Loans | number_of_loans	1
Bickford Senior Living [Member]
Number of Real Estate Properties | properties	52
Middletown, OH [Member] | Bickford Senior Living [Member]
Noncash or Part Noncash Acquisition, Noncash Financial or Equity Instrument Consideration, Rate	2.90%
Noncash or Part Noncash Acquisition, Debt Assumed	$ 8,705,000
Noncash or Part Noncash Acquisition, Value of Liabilities Assumed	$ 7,385,000
Minimum [Member] | Debt Instrument, Name, HUD Mortgages [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	4.30%
Maximum [Member] | Debt Instrument, Name, HUD Mortgages [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	4.40%
Fair Value, Inputs, Level 2 [Member]
Cash Flow Hedge Derivative Instrument Liabilities at Fair Value	$ 0	$ 747,000
November 2025 [Member]
Unsecured Debt	$ 50,000,000
Debt Instrument, Interest Rate, Stated Percentage	4.33%

Commitments And Contingencies_4

Commitments And Contingencies Schedule of Loan Commitments (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Loans and Leases Receivable, Net Amount	$ (246,111,000)	$ (141,486,000)
Notes Receivable Funding Commitment	132,353,000
Loans and Leases Receivable, Commitments, Fixed Rates	311,700,000
LCS Timber Ridge [Member]
Loans and Leases Receivable, Net Amount	(58,158,000)
Notes Receivable Funding Commitment	1,842,000
Loans and Leases Receivable, Commitments, Fixed Rates	60,000,000
Bickford Senior Living [Member]
Loans and Leases Receivable, Net Amount	(32,471,000)
Notes Receivable Funding Commitment	24,229,000
Loans and Leases Receivable, Commitments, Fixed Rates	56,700,000
Note A [Member] | LCS Sagewood [Member]
Loans and Leases Receivable, Net Amount	(76,653,000)
Notes Receivable Funding Commitment	42,147,000
Loans and Leases Receivable, Commitments, Fixed Rates	118,800,000
Note A [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	12,000,000
Note B [Member] | LCS Sagewood [Member]
Loans and Leases Receivable, Net Amount	(10,165,000)
Notes Receivable Funding Commitment	51,035,000
Loans and Leases Receivable, Commitments, Fixed Rates	61,200,000
Note B [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	2,000,000
Revolving Credit Facility [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Net Amount	(1,900,000)
Notes Receivable Funding Commitment	13,100,000
Loans and Leases Receivable, Commitments, Fixed Rates	15,000,000
Notes Receivable Remain Unfunded [Member]
Loans and Leases Receivable, Net Amount	$ (179,347,000)

Commitments And Contingencies_5

Commitments And Contingencies Schedule of Development Commitments (Details)	Dec. 31, 2018USD ($)
Maximum Commitment For All Active Development Projects	$ 42,530,000
Development in Process	(18,199,000)
Remaining Unfunded Development Commitment	24,331,000
Ignite Medical Resorts [Member]
Maximum Commitment For All Active Development Projects	25,350,000
Ignite Medical Resorts [Member] | Development Commitment [Member]
Maximum Commitment For All Active Development Projects	25,350,000
Development in Process	(4,673,611)
Remaining Unfunded Development Commitment	20,676,000
Village Concepts [Member] | Capital Improvement Commitment [Member]
Maximum Commitment For All Active Development Projects	7,450,000
Development in Process	(6,866,550)
Remaining Unfunded Development Commitment	583,000
Senior Living Communities [Member] | Capital Improvement Commitment [Member]
Maximum Commitment For All Active Development Projects	6,830,000
Development in Process	(4,772,020)
Remaining Unfunded Development Commitment	2,058,000
Bickford Senior Living [Member] | Capital Improvement Commitment [Member]
Maximum Commitment For All Active Development Projects	1,750,000
Development in Process	(1,597,000)
Remaining Unfunded Development Commitment	153,000
Navion Senior Solutions [Member] | Development Commitment [Member]
Maximum Commitment For All Active Development Projects	650,000
Development in Process	0
Remaining Unfunded Development Commitment	650,000
Discovery Senior Living [Member] | Capital Improvement Commitment [Member]
Maximum Commitment For All Active Development Projects	500,000
Development in Process	(288,803)
Remaining Unfunded Development Commitment	$ 211,000

Commitments And Contingencies_6

Commitments And Contingencies Schedule of Contingencies (Details)	Dec. 31, 2018USD ($)
Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	$ 24,850,000
Contingent Funding Commitment, Amount Funded	(7,750,000)
Contingent Funding Commitment, Remaining Unfunded Amount	17,100,000
Bickford Senior Living [Member] | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	10,000,000
Contingent Funding Commitment, Amount Funded	(7,500,000)
Contingent Funding Commitment, Remaining Unfunded Amount	2,500,000
Bickford Senior Living [Member] | Incentive Loan Draws [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	8,000,000
Contingent Funding Commitment, Amount Funded	(250,000)
Contingent Funding Commitment, Remaining Unfunded Amount	7,750,000
Navion Senior Solutions [Member] | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	4,850,000
Contingent Funding Commitment, Amount Funded	0
Contingent Funding Commitment, Remaining Unfunded Amount	4,850,000
Ignite Medical Resorts [Member] | Lease Inducement [Member]
Loss Contingencies [Line Items]
Contingent Funding Commitment	2,000,000
Contingent Funding Commitment, Amount Funded	0
Contingent Funding Commitment, Remaining Unfunded Amount	$ 2,000,000

Commitments And Contingencies (

Commitments And Contingencies (Details)	12 Months Ended
	Dec. 31, 2018USD ($)properties	Dec. 31, 2017USD ($)
Incentive to Lessee	$ 7,456,000	$ 2,563,000
Number of Real Estate Properties | properties	220
Loans and Leases Receivable, Net Amount	$ 246,111,000	$ 141,486,000
Maximum Commitment For All Active Development Projects	$ 42,530,000
Bickford Development Properties [Member]
Number Of Development Projects Active | properties	5
Developer Incentive Payments	$ 250,000,000
Incentive to Lessee	$ 1,750,000,000
Ensign Group [Member]
Number Of Real Estate Properties Acquired | properties	3
Senior Living Communities [Member]
Number of Real Estate Properties | properties	9
Number of Units in Real Estate Property	186
Loans and Lease Receivable, Maximum Revolving Amount	$ 15,000,000
Lessor, Operating Lease, Term of Contract	15 years
Revolving Note Receivable, Amount Outstanding	$ 1,900,000
Loans Receivable, Description of Variable Rate Basis	0.0269
Loans Receivable, Basis Spread on Variable Rate	6.00%
Bickford Note Investment [Member]
Loans and Leases Receivable, Net Amount	$ 32,471,000
Initial lease rate	9.55%
Senior Living Management [Member]
Number of Real Estate Properties | properties	5
Capital Improvement Commitment [Member] | Senior Living Communities [Member]
Maximum Commitment For All Active Development Projects	$ 6,830,000
Revolving Credit Facility [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Net Amount	$ 1,900,000

Investment And Other Gains In_3

Investment And Other Gains Investment And Other Gains (Schedule of Investment And Other Gains) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Investment And Other Gains [Abstract]
Gains on sales of marketable securities	$ 0	$ 10,038	$ 29,673
Gain on sale of real estate	0	50	4,582
Other gains	0	0	1,657
Investment and other gains	$ 0	$ 10,088	$ 35,912

Share-Based Compensation Share-

Share-Based Compensation Share-Based Compensation (Schedule of Stock Option Valuation Assumptions) (Details)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Schedule of Stock Option Valuation Assumptions [Abstract]
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate	6.50%	5.30%	6.20%
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate	19.40%	19.80%	19.10%
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term	2 years 11 months 9 days	2 years 11 months 2 days	2 years 11 months 4 days
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate	2.39%	1.49%	0.91%

Share-Based Compensation (Sched

Share-Based Compensation (Schedule Of Stock Option Activity) (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Options outstanding, January 1	859,182	541,679	741,676
Options outstanding, December 31	920,346	859,182	541,679
Options exercisable, December 31	476,992
Weighted Average Exercise Price, Options outstanding, January 1	$ 70.11	$ 65.84	$ 60.43
Weighted Average Exercise Price, Options outstanding, December 31	69.24	$ 70.11	$ 65.84
Weighted Average Exercise Price, Options exercisable, December 31	$ 70.93
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	3 years 4 months 5 days
Weighted Average Remaining Contractual Life (Years), Options exercisable, December 31	2 years 10 months 18 days
Aggregate Intrinsic Value, Options outstanding, December 31	$ 5,798
Aggregate Intrinsic Value, Options exercisable, December 31	$ 2,204
2005 Plan [Member]
Options exercised	(6,668)	(15,000)	(61,666)
Weighted Average Exercise Price, Options exercised	$ 72.11	$ 47.52	$ 52.36
2012 Plan [Member]
Options granted	560,000	495,000	470,000
Options exercised	(462,167)	(155,829)	(608,331)
Options forfeited	(30,001)	(6,668)
Weighted Average Exercise Price, Options granted	$ 64.33	$ 74.90	$ 60.78
Weighted Average Exercise Price, Options exercised	65.03	65.73	$ 65.18
Weighted Average Exercise Price, Options forfeited	$ 66.73	$ 60.52
Grant Date 2-25-2014
Options outstanding, December 31	15,000
Weighted Average Exercise Price, Options outstanding, December 31	$ 61.31
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	1 month 26 days
Grant Date 2-20-2015
Options outstanding, December 31	50,002
Weighted Average Exercise Price, Options outstanding, December 31	$ 72.11
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	1 year 1 month 21 days
Grant Date 2-22-2016
Options outstanding, December 31	36,668
Weighted Average Exercise Price, Options outstanding, December 31	$ 60.52
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	2 years 1 month 24 days
Grant Date 3-8-2016
Options outstanding, December 31	26,667
Weighted Average Exercise Price, Options outstanding, December 31	$ 63.63
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	2 years 2 months 8 days
Grant Date 2-22-2017
Options outstanding, December 31	399,170
Weighted Average Exercise Price, Options outstanding, December 31	$ 74.78
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	3 years 1 month 24 days
Grant Date 9-1-2017
Options outstanding, December 31	10,000
Weighted Average Exercise Price, Options outstanding, December 31	$ 80.55
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	3 years 8 months 5 days
Grant Date 2-20-2018 [Member]
Options outstanding, December 31	382,839
Weighted Average Exercise Price, Options outstanding, December 31	$ 64.33
Weighted Average Remaining Contractual Life (Years), Options outstanding, December 31	4 years 1 month 22 days

Share-Based Compensation (Sch_2

Share-Based Compensation (Schedule of Non-Vested Share Activity) (Details) - $ / shares	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Non-vested stock options, January 1	400,019
Non-vested stock options, December 31	443,354	400,019
Weighted Average Grant Date Fair Value, Non-vested stock options, January 1	$ 5.10
Weighted Average Grant Date Fair Value Per Share, Options granted	4.49	$ 5.76	$ 3.65
Weighted Average Grant Date Fair Value, Non-vested stock options, December 31	$ 4.87	$ 5.10
2012 Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options granted	560,000	495,000	470,000
Options vested	(494,996)
Non-vested options canceled	(15,001)
Weighted Average Grant Date Fair Value Per Share, Options granted	$ 4.49
Weighted Average Grant Date Fair Value Per Share, Options vested	4.62
Weighted Average Grant Date Fair Value Per Share, Options canceled	$ 4.99
2005 Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options vested	(6,668)
Weighted Average Grant Date Fair Value Per Share, Options vested	4.91

Share-Based Compensation (Narra

Share-Based Compensation (Narrative) (Details) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2018USD ($)$ / sharesshares	Dec. 31, 2017USD ($)$ / shares	Dec. 31, 2016USD ($)$ / shares	May 03, 2018shares	May 07, 2015shares	May 31, 2012shares	May 31, 2005shares
Nonemployee director annual stock grants	25,000
Share-based compensation expense | $	$ 2,490	$ 2,612	$ 1,732
Weighted Average Fair Value Per Share, Options granted | $ / shares	$ 4.49	$ 5.76	$ 3.65
Weighted Average Remaining Contractual Life (Years), Options outstanding	3 years 4 months 5 days
Number of Shares Authorized, Available to Issue and Outstanding	1,842,015
Unrecognized compensation cost | $	$ 586
Aggregate Intrinsic Value, Options exercised | $	$ 6,105	$ 2,314	$ 4,730
Aggregate Intrinsic Value, Per Share, Options exercised | $ / shares	$ 13.02	$ 13.55	$ 7.06
2012 Plan [Member]
Shares available for grants	921,669			3,500,000	3,000,000	1,500,000
Stock Option Plan, Award Vesting Period	5 years
Common stock on date granted term period, years	10
Weighted Average Fair Value Per Share, Options granted | $ / shares	$ 4.49
2005 Plan [Member]
Shares available for grants	0						1,500,000
Stock Option Plan, Award Vesting Period	10 years
Common stock on date granted term period, years	10
Expected To Be Recognized in 2019 [Member]
Unrecognized compensation cost | $	$ 528
Prior To Shareholder Approval of Increase [Member]
Nonemployee director annual stock grants	15,000
Prior To Shareholder Approval of Second Amendment [Member]
Nonemployee director annual stock grants	20,000
Expected To Be Recognized in 2020 [Member]
Unrecognized compensation cost | $	$ 58

Earnings and Dividends Per Sh_3

Earnings and Dividends Per Share (Summary Of Calculation Of Basic And Diluted Earnings Per Share) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Earnings Per Share [Abstract]
Net income attributable to common stockholders	$ 37,083	$ 40,979	$ 37,839	$ 38,432	$ 37,798	$ 39,092	$ 38,245	$ 44,230	$ 154,333	$ 159,365	$ 151,540
BASIC:
Weighted Average Number of Shares Outstanding, Basic	42,351,443	42,187,077	41,704,819	41,532,154	41,532,130	41,108,699	40,982,244	39,953,804	41,943,873	40,894,219	39,013,412
Net income per common share attributable to common stockholders	$ 0.88	$ 0.97	$ 0.91	$ 0.93	$ 0.91	$ 0.95	$ 0.93	$ 1.11	$ 3.68	$ 3.90	$ 3.88
DILUTED:
Weighted average common shares outstanding, diluted									41,943,873	40,894,219	39,013,412
Stock options, diluted									67,735	67,703	52,497
Convertible subordinated debentures									80,123	189,531	89,471
Average dilutive common shares outstanding	42,568,720	42,434,499	41,786,829	41,576,876	41,803,615	41,448,263	41,245,173	40,108,762	42,091,731	41,151,453	39,155,380
Net income per common share attributable to common stockholders	$ 0.87	$ 0.97	$ 0.91	$ 0.92	$ 0.90	$ 0.94	$ 0.93	$ 1.10	$ 3.67	$ 3.87	$ 3.87
Incremental shares excluded since anti-dilutive:
Stock options with an exercise price in excess of the market price for our common shares									518	573	6,366
Common Stock, Dividends, Per Share, Declared, Regular									$ 4	$ 3.80	$ 3.60

Income Taxes Income Taxes (Sche

Income Taxes Income Taxes (Schedule of Dividends Paid, Per Share) (Details) - $ / shares	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Common Stock, Dividends, Per Share, Cash Paid	$ 4	$ 3.80	$ 3.60
Ordinary Income [Member]
Common Stock, Dividends, Per Share, Cash Paid	3.3373	2.93054	2.678634
Capital Gain [Member]
Common Stock, Dividends, Per Share, Cash Paid	0	0.20643	0.921366
Return of Capital [Member]
Common Stock, Dividends, Per Share, Cash Paid	$ 0.6627	$ 0.66303	$ 0

Income Taxes Income Taxes (Narr

Income Taxes Income Taxes (Narrative) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Taxes [Line Items]
Gains (Losses) on Sales of Investment Real Estate	$ 0	$ 50,000	$ 4,582,000
Income Tax Expense (Benefit)	138,000	124,000	854,000
Deferred Tax Assets, Gross		334,000	433,000
Income (Loss) from Subsidiaries, Tax Expense (Benefit)	0	0	749,000
Income Taxes Paid	124,000	170,000	30,000
Texas Franchise Tax [Member]
Income Taxes [Line Items]
Income Tax Expense (Benefit)	$ 138,000	$ 124,000	$ 105,000

Fair Value Of Financial Instr_3

Fair Value Of Financial Instruments (Assets Measured At Fair Value On A Recurring Basis) (Details) - Fair Value, Inputs, Level 2 [Member] - USD ($) $ in Thousands	Dec. 31, 2018	Sep. 30, 2018	Dec. 31, 2017
Cash Flow Hedge Derivative Instrument Liabilities at Fair Value	$ 0		$ 747
Interest Rate Cash Flow Hedge Liability at Fair Value			$ 159
Interest Rate Swap, Date Entered, May 2012 [Member]
Interest Rate Cash Flow Hedge Liability at Fair Value		$ 1,297

Fair Value of Financial Instr_4

Fair Value of Financial Instruments (Fair Value Measurements, Nonrecurring) (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Dec. 31, 2017
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Loans and Leases Receivable, Net Amount	$ 246,111			$ 141,486
Reported Value Measurement [Member] | Variable Interest Rate Debt [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure			$ 628,010	465,642
Reported Value Measurement [Member] | Fair Value, Inputs, Level 2 [Member] | Fixed Interest Rate Debt [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure		$ 653,665		679,855
Reported Value Measurement [Member] | Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Loans and Leases Receivable, Net Amount		246,111		141,486
Estimate of Fair Value Measurement [Member] | Fair Value, Inputs, Level 2 [Member] | Variable Interest Rate Debt [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure			$ 634,000	471,000
Estimate of Fair Value Measurement [Member] | Fair Value, Inputs, Level 2 [Member] | Fixed Interest Rate Debt [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure		644,745		679,385
Estimate of Fair Value Measurement [Member] | Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Loans and Leases Receivable, Net Amount		$ 244,206		$ 140,049

Limits On Common Stock Owners_2

Limits On Common Stock Ownership Limits On Common Stock Ownership (Narrative) (Details)	12 Months Ended
	Dec. 31, 2018
Limits On Common Stock Ownership [Abstract]
Maximum Number of Equity Owners, Closely Held Designation	100
Common Stock Ownership Limit	9.90%
Excepted Holder Agreement, Common Stock, Ownership Limit	7.50%

Selected Quarterly Financial _3

Selected Quarterly Financial Data (Unaudited) Selected Quarterly Financial Data (Unaudited) (Quarterly Financial information - 2015) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Selected Quarterly Financial Data [Abstract]
Net revenues	$ 73,995	$ 74,915	$ 72,956	$ 72,746	$ 71,083	$ 71,352	$ 69,836	$ 66,388	$ 294,612	$ 278,659	$ 248,460
Investment and other gains					0	0	0	10,088
Net income attributable to common stockholders	$ 37,083	$ 40,979	$ 37,839	$ 38,432	$ 37,798	$ 39,092	$ 38,245	$ 44,230	$ 154,333	$ 159,365	$ 151,540
Weighted average common shares outstanding:
Basic	42,351,443	42,187,077	41,704,819	41,532,154	41,532,130	41,108,699	40,982,244	39,953,804	41,943,873	40,894,219	39,013,412
Diluted	42,568,720	42,434,499	41,786,829	41,576,876	41,803,615	41,448,263	41,245,173	40,108,762	42,091,731	41,151,453	39,155,380
Basic:
Net income per common share attributable to common stockholders	$ 0.88	$ 0.97	$ 0.91	$ 0.93	$ 0.91	$ 0.95	$ 0.93	$ 1.11	$ 3.68	$ 3.90	$ 3.88
Diluted:
Net income per common share attributable to common stockholders	$ 0.87	$ 0.97	$ 0.91	$ 0.92	$ 0.90	$ 0.94	$ 0.93	$ 1.10	$ 3.67	$ 3.87	$ 3.87

Selected Quarterly Financial _4

Selected Quarterly Financial Data (Unaudited) Selected Quarterly Financial Data (Unaudited) (Quarterly Financial Information - 2014) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Selected Quarterly Financial Data [Abstract]
Net revenues	$ 73,995	$ 74,915	$ 72,956	$ 72,746	$ 71,083	$ 71,352	$ 69,836	$ 66,388	$ 294,612	$ 278,659	$ 248,460
Net income attributable to common stockholders	$ 37,083	$ 40,979	$ 37,839	$ 38,432	$ 37,798	$ 39,092	$ 38,245	$ 44,230	$ 154,333	$ 159,365	$ 151,540
Weighted average common shares outstanding:
Basic	42,351,443	42,187,077	41,704,819	41,532,154	41,532,130	41,108,699	40,982,244	39,953,804	41,943,873	40,894,219	39,013,412
Diluted	42,568,720	42,434,499	41,786,829	41,576,876	41,803,615	41,448,263	41,245,173	40,108,762	42,091,731	41,151,453	39,155,380
Basic:
Net income per common share attributable to common stockholders	$ 0.88	$ 0.97	$ 0.91	$ 0.93	$ 0.91	$ 0.95	$ 0.93	$ 1.11	$ 3.68	$ 3.90	$ 3.88
Diluted:
Net income per common share attributable to common stockholders	$ 0.87	$ 0.97	$ 0.91	$ 0.92	$ 0.90	$ 0.94	$ 0.93	$ 1.10	$ 3.67	$ 3.87	$ 3.87

Subsequent Events Subsequent _2

Subsequent Events Subsequent Events (Narrative) (Details)	Jan. 15, 2019USD ($)	Jan. 31, 2019USD ($)	Dec. 31, 2018USD ($)	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)	Jan. 30, 2019USD ($)	Jan. 14, 2019USD ($)renewalOptions
Subsequent Event [Line Items]
Real Estate Investments During The Period			$ 155,644,000
Lessee Payment To Acquire Purchase Option			3,775,000	$ 1,250,000	$ 0
Loans and Leases Receivable, Commitments, Fixed Rates			$ 311,700,000
Wingate Healthcare [Member] | Subsequent Event [Member]
Subsequent Event [Line Items]
Real Estate Investments During The Period	$ 50,300,000,000
Lessor, Operating Lease, Term of Contract							10 years
Initial lease rate							7.50%
Asset Purchase Transaction Costs	$ 300,000,000
Number of additional lease renewal options | renewalOptions							3
Lessor, Operating Lease, Renewal Term							5 years
Capital Improvements Commitment							$ 1,900,000,000
Contingent Incentive Payments							$ 5,000,000,000
Number Of Purchase Option Properties							2
Holiday Lease Amendment [Member] | Subsequent Event [Member]
Subsequent Event [Line Items]
Real Estate Investments During The Period		$ 38,000,000
Lease Amendment Consideration						$ 55,125,000
Initial lease rate						6.71%
Holiday Lease Amendment [Member] | Consideration Type, Cash [Member] | Subsequent Event [Member]
Subsequent Event [Line Items]
Lease Amendment Consideration						$ 17,125,000

Schedule II - Valuation and Q_2

Schedule II - Valuation and Qualifying Accounts Schedule II - Valuation and Qualifying Accounts (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Schedule II - Valuation and Qualifying Accounts [Abstract]
Loan and Lease Losses and Recoveries, Net	$ 5,115,000	$ 0	$ 15,856,000
Valuation Allowances and Reserves, Balance, January 1	0	0	0
SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge to Cost and Expense	0	0	0
SEC Schedule, 12-09, Valuation Allowances and Reserves, Deduction	0	0	0
Valuation Allowances and Reserves, Balance, December 31	$ 0	$ 0	$ 0

Schedule III - Real Estate an_2

Schedule III - Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 140,269,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	202,096,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,574,085,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	42,084,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	202,196,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,616,169,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,818,365,000	$ 2,665,903,000	$ 2,472,854,000	$ 2,095,866,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 451,483,000	$ 380,202,000	$ 313,080,000	$ 259,059,000
Property, Plant and Equipment, Useful Life	40 years
Entity Incorporate, Date of Incorporation, Year	1,991
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Federal Income Tax Basis	$ 2,338,488,000
Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	37,810,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	539,038,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	37,810,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	539,038,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	576,848,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	168,283,000
Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	122,309,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	57,888,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	789,810,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	6,218,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	57,988,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	796,028,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	854,016,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	105,434,000
Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	17,960,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	26,068,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	520,835,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	6,826,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	26,068,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	527,661,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	553,729,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	72,979,000
Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	20,559,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	201,210,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	11,571,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	20,559,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	212,781,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	233,340,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	31,373,000
Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	45,680,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	476,757,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	9,067,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	45,680,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	485,824,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	531,504,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	52,721,000
Medical Office Building [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	796,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,690,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	796,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,690,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,486,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	7,209,000
Hospital [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	12,004,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	36,068,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	7,899,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	12,004,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	43,967,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	55,971,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	13,112,000
Total Continuing Operations Properties [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	140,269,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	200,805,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,573,408,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	41,581,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	200,905,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,614,989,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,815,894,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	451,111,000
Corporate Office [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,291,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	503,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,291,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,180,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,471,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	372,000
Anniston, AL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	70,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,477,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	70,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,477,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,547,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,471,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Moulton, AL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	25,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	688,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	25,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	688,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	713,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 688,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Avondale, AZ [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	453,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,678,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	453,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,678,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,131,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,875,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 13, 1996
Brooksville, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,217,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	16,166,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,217,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	16,166,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,383,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,604,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Crystal River, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	912,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,117,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	912,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,117,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,029,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,701,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Dade City, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	605,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,042,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	605,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,042,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,647,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,793,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Hudson, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,392,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,392,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,682,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	10,902,000
Merritt Island, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	701,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	701,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,570,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,245,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
New Port Richey, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	228,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,023,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	228,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,023,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,251,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 674,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Plant City, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	405,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,777,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	405,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,777,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,182,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,112,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Stuart, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	787,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,048,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	787,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,048,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,835,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,522,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Trenton, FL [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,312,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,312,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,163,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,521,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 1, 2010
Glasgow, KY [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	33,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	33,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,143,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,056,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Greenfield, MA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,341,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,341,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,711,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Holyoke, MA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	944,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	944,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,054,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 139,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Quincy, MA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,160,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 97,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Taunton, MA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,906,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,906,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,806,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 838,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Desloge, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	178,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,804,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	178,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,804,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,982,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,462,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Joplin, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,034,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,034,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,209,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,892,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Kennett, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	180,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,928,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	180,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,928,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,108,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,459,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Maryland Heights, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	482,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,512,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	482,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,512,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,994,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 5,512,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
St. Charles, MO [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	150,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,790,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	150,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,790,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,278,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
St. Charles, MO [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,181,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,181,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,525,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,503,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Voorhees, NJ [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	23,710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	23,710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	24,380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,179,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Gahanna, OH [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	920,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,919,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	920,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,919,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,839,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,143,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Broken Arrow, OK [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,660,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	18,477,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,660,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,477,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	21,137,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,566,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Tulsa, OK [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 17,960,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	32,620,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	289,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	32,909,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	34,889,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 993,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 1, 2017
Albany, OR [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	190,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,415,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	190,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,415,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,605,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,511,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 2014
Creswell, OR [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,946,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,946,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,416,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,248,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 2014
Forest Grove, OR [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,848,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,848,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,388,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,657,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 2014
Newberg, OR [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,080,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	19,187,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,080,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	19,187,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	20,267,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,648,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Myrtle Beach, SC [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	26,229,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	26,229,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	27,539,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,525,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Myrtle Beach, SC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	3,910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	82,140,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	478,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	3,910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	82,618,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	86,528,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 9,292,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Greenville, SC [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	560,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	16,547,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	560,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	16,547,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,107,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,301,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Greenville, SC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	5,850,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	90,760,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	5,850,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	90,760,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	96,610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 10,021,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Manchester, NH [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	790,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	790,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	20,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	20,867,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,774,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Epsom, NH [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,191,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,191,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,821,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 322,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 30, 2013
Anderson, SC [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	308,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,643,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	308,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,643,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,951,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,391,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Greenwood, SC [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	222,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,457,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	222,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,457,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,679,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,176,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Laurens, SC [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	42,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,426,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	42,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,426,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,468,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,973,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Orangeburg, SC [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,014,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,017,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 25, 2008
Athens, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	38,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,463,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	38,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,463,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,501,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,343,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Chattanooga, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	143,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,309,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	143,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,309,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,452,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,259,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Chattanooga, TN [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	9,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,567,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	9,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,567,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,576,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,293,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Dickson, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	90,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,541,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	90,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,541,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,631,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,046,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Franklin, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	47,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,130,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	47,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,130,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,177,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,079,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Hendersonville, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	363,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,837,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	363,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,837,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,043,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Johnson City, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	85,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,918,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	85,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,918,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,003,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,918,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Johnson City, TN [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	55,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	55,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,132,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,955,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Lewisburg, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	46,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	994,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	46,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	994,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,040,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 985,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
McMinnville, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	73,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,618,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	73,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,618,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,691,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,041,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Milan, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	41,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,826,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	41,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,826,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,867,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,654,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Pulaski, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	53,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,921,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	53,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,921,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,974,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,345,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Lawrenburg, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	98,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	98,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,998,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,308,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Dunlap, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	35,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,679,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	35,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,679,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,005,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Smithville, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	35,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,816,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	35,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,816,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,224,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 18, 1991
Somerville, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	26,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	26,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	703,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 678,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 19, 1991
Sparta, TN [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	80,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,602,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	80,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,602,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,682,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,475,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 20, 1991
Austin, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	606,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,895,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	606,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,895,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,501,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 801,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
Canton, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,319,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 18, 2013
Corinth, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,075,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,935,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,075,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,935,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,010,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,818,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 18, 2013
Ennis, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	986,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,025,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	986,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,025,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,011,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,277,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2011
Euless, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,241,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,629,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,241,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,629,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,870,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,111,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
Fort Worth, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 322,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 10, 2018
Garland, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,440,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,440,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 10, 2018
Gladewater, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	70,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,840,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	70,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	17,840,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,372,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
Greenville, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,800,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,948,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,800,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,948,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,748,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2011
Houston, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,808,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	42,511,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,808,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	42,511,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	45,319,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	10,415,000
Katy, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,893,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,893,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	14,503,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,136,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
Kyle, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,096,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,279,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,096,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,279,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,375,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,840,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 11, 2012
Marble Falls, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,989,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,989,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,469,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,194,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
McAllen, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,259,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,175,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,259,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,434,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 740,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 1, 2016
New Braunfels, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,666,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,666,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,096,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Feb. 24, 2017
San Antonio, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	40,054,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	40,054,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	42,424,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	5,938,000
Waxahachie, TX [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,349,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,349,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,679,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jan. 17, 2018
Bristol, VA [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	176,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,511,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	176,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,511,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,687,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,251,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 17, 1991
Milwaukee, WI [Member] | Skilled Nursing Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,000,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,629,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,000,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,629,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,629,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	0
Rainbow City, AL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,330,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,000,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,721,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2013
Gilbert, AZ [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	451,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,142,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	79,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	451,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,221,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,672,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,608,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 31, 1998
Glendale, AZ [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	387,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,823,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	58,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	387,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,881,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,268,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,944,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 31, 1998
Tucson, AZ [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	919,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,656,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	190,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	919,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,846,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,765,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,416,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 31, 1998
Sacramento, CA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	660,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,840,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	660,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,840,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	11,500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,452,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2014
Bartow, FL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	225,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,192,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	225,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,192,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,417,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 761,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 30, 2010
Lakeland, FL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,167,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,167,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,417,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 758,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 30, 2010
Maitland, FL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,687,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,428,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,687,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,428,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,115,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,379,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 6, 1996
Maitland, FL [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,317,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,161,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	491,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,317,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,652,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	11,969,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 6,192,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 6, 1996
St. Cloud, FL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	307,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,117,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	307,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,117,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,424,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 746,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 30, 2010
Greensboro, GA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	572,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,849,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	631,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	672,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,152,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,021,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 15, 2011
Ames, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 3,193,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,670,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,030,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 739,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Burlington, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 3,901,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,374,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,374,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,574,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,328,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Cedar Falls, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 3,821,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	260,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	30,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	260,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,730,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,990,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 767,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Clinton, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 2,644,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	133,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,215,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	60,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	133,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,275,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,408,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 30, 2010
Des Moines, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	600,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,406,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	600,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	17,406,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	18,006,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,204,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2016
Ft. Dodge, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 4,008,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,208,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,208,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,308,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,116,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Iowa City, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 2,400,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	297,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,725,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	33,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	297,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,758,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,055,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 697,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 30, 2010
Marshalltown, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 5,714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	240,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,208,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	240,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,208,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,448,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 977,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Muscatine, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	140,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,802,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	140,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,802,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,942,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 325,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Urbandale, IA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 8,113,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,292,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,292,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,832,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 715,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Caldwell, ID [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,353,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,353,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,673,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,284,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 2014
Weiser, ID [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	20,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,433,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	20,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,433,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,453,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 383,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 21, 2012
Aurora, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,195,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,713,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,195,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,713,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,908,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 711,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	May 9, 2017
Bolingbrook, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,677,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,967,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 721,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 16, 2017
Bourbonnais, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 7,974,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	16,594,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	16,594,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	16,764,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,546,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Crystal Lake, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,060,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	30,043,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,060,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	30,213,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	31,273,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	1,811,000
Moline, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	3,896,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,880,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 898,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Oswego, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,957,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	212,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	21,169,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	21,559,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,444,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2016
Peoria, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 4,003,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	403,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,532,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	224,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	403,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,756,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,159,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,213,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 19, 2009
Quincy, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 6,055,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,403,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,403,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,763,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,905,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Rockford, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 6,412,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,575,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,575,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,965,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,985,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
South Barrington, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,456,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,610,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,456,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,066,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 675,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 16, 2017
Springfield, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 15,386,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	19,355,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	19,555,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	20,005,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,974,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Crawfordsville, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 2,559,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,134,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,134,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,434,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 505,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
St. Charles, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	820,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,188,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	252,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	820,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,440,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,260,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,544,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2016
Tinley Park, IL [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,622,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	11,354,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,622,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	11,354,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,976,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 922,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 23, 2016
Carmel, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	574,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,336,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	353,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	574,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,689,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,263,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,179,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 12, 2014
Crown Point, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	791,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,020,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	227,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	791,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,247,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,038,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,351,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 30, 2013
Greenwood, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	463,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,810,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	245,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	463,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,055,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,518,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,328,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 7, 2013
Lafayette, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	546,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,583,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	546,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,583,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,129,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,025,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 30, 2010
Wabash, IN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,241,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,241,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,561,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 406,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Overland Park, KS [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,199,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,026,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,199,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	20,026,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	22,225,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,403,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 30, 2012
Mission, KS [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,901,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	636,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,901,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	17,946,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	19,847,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,873,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 30, 2012
Bastrop, LA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	325,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,456,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	325,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,456,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,781,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 592,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2011
Bossier City, LA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,844,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 843,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2011
Minden, LA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	280,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	1,698,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	280,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	1,698,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	1,978,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 406,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2011
West Monroe, LA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	770,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,627,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	770,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,627,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,397,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,281,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2011
Baltimore, MD [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,078,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	533,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,611,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,471,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,244,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2013
Battle Creek, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 2,919,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	398,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,093,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	197,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	398,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,688,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 856,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 19, 2009
Bridgeport, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	220,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,849,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	220,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,849,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,069,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 109,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 20, 2018
Lansing, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 6,332,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,766,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	174,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,360,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	17,940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	19,300,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,502,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 19, 2009
Midland, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 5,516,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	504,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,612,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	162,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	504,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,774,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,278,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,650,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 19, 2009
Saginaw, MI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 3,631,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	538,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,991,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	162,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	538,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,153,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,691,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	1,227,000
Champlin, MN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,410,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,124,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 10, 2010
Hugo, MN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	400,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,800,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	400,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,800,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 948,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 10, 2010
Maplewood, MN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,510,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,510,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,210,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,642,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 10, 2010
North Branch, MN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	595,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,985,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	595,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,985,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,580,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 805,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 10, 2010
Charlotte, NC [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	650,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,663,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	650,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	17,663,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	18,313,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,693,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jul. 1, 2015
Durham, NC [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,690,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,690,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,550,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 211,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 16, 2017
Hendersonville, NC [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	3,120,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	3,120,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	16,100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 714,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 16, 2017
Grand Island, NE [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 4,255,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,029,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	197,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,226,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,596,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 886,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Lincoln, NE [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 8,418,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,904,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	380,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,904,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	11,284,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,658,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 28, 2013
Omaha, NE [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 2,455,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	15,437,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,110,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	16,288,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,398,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	1,669,000
Columbus, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	26,120,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,100,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	26,120,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	27,220,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2018
Lancaster, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	530,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,530,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	530,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	20,530,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	21,060,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,166,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jul. 31, 2015
Marysville, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	13,950,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	13,950,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	15,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,331,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jul. 1, 2013
Middletown, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 8,704,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	15,548,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	15,548,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	16,488,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,887,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2014
Rocky River, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	650,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,212,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	650,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,212,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,862,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 131,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2018
Worthington, OH [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	18,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	18,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 433,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2018
Milwaukie, OR [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	5,283,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	64,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	5,347,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,717,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 600,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 30, 2014
Ontario, OR [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	428,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,128,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	428,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,128,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,556,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 969,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 21, 2012
Portland, OR [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	31,542,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	31,542,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	32,972,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,817,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 31, 2015
Erie, PA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,030,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	15,206,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,030,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	15,206,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	16,236,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 272,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Apr. 30, 2018
Conway, SC [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,877,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	94,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	344,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,971,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,315,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,485,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 31, 1998
Gallatin, TN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	326,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,277,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	61,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	326,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,338,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,664,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,178,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 1999
Kingsport, TN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	354,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,568,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	66,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	354,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,634,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,988,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,317,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 31, 1998
Tullahoma, TN [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	191,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	2,216,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	57,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	191,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	2,273,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	2,464,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,113,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 31, 1999
Arlington, TX [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,555,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	450,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,555,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	5,005,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 259,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 16, 2017
Rockwall, TX [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,562,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,562,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	11,812,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 544,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 16, 2017
Fredericksburg, VA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,615,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,271,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,615,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,271,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,886,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 680,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 20, 2016
Midlothian, VA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,646,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,635,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,646,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,635,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,281,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 642,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 31, 2016
Suffolk, VA [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,022,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,022,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	10,342,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	456,000
Beaver Dam, WI [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	210,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,149,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	210,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	20,149,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	20,359,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,487,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 21, 2012
Rogers, AR [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	25,282,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	25,282,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	26,752,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,449,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Fort Smith, AR [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	590,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,447,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	590,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,447,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,037,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,061,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Pinole, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,020,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	18,066,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,020,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,066,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	19,086,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,461,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
West Covina, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	20,280,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	20,280,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	21,220,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,725,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Hemet, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,645,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,250,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,645,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,895,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,794,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Fresno, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,899,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	10,899,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	11,319,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,564,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Merced, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	350,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	18,712,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	350,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,712,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	19,062,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,562,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Roseville, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	31,343,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	630,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	31,343,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	31,973,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,224,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Modesto, CA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	22,673,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,170,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	22,673,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	23,843,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,050,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Athens, GA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	31,940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	910,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	31,940,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	32,850,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,302,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Columbus, GA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	570,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,639,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	570,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,639,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,209,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,258,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Savannah, GA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	15,851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	15,851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	17,051,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,197,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Boise, ID [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	400,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,422,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	400,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,422,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,822,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,724,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Fort Wayne, IN [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	12,864,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	12,864,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	13,174,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,835,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Kenner, LA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	24,259,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	310,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	24,259,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	24,569,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,236,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Bellevue, WA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	780,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	18,692,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	780,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,692,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	19,472,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,536,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Chehalis, WA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,710,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	6,537,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,980,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,247,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	16,227,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 649,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jan. 15, 2016
Vancouver, WA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,740,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	23,411,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,740,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	23,411,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	25,151,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,290,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Yakima, WA [Member] | Independent Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	440,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	14,186,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	440,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	14,186,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	14,626,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,956,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 23, 2013
Loma Linda, CA [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,800,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	7,326,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,200,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,126,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	19,326,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,647,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Sep. 28, 2012
North Branford, CT [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	7,724,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	62,568,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	1,438,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	7,724,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	64,006,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	71,730,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,882,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2016
Nampa, ID [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	243,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,182,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	243,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,182,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	4,425,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,454,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 13, 1996
Indianapolis, IN [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,810,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	24,382,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,810,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	24,382,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	26,192,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,394,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jul. 1, 2015
Roscommon, MI [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	44,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,005,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	44,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,005,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,049,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 619,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 31, 2015
Mt. Airy, NC [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	7,470,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	149,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,370,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	7,619,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	8,989,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 892,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
McMinnville, OR [Member] | Assisted Living Facility [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	9,183,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	390,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	9,183,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	9,573,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 627,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 31, 2016
McMinnville, OR [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	410,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	26,667,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	410,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	26,667,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	27,077,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,716,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 31, 2016
Madison, TN [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	920,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	21,829,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	920,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	21,829,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	22,749,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,132,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jul. 1, 2015
West Palm Beach, FL [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	2,771,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	4,286,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	2,771,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	4,286,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	7,057,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 3,778,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 6, 1996
Silverdale, WA [Member] | Senior Living Campus [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	23,860,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	2,167,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	26,027,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	27,777,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,667,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Aug. 16, 2012
Bridgeport, CT [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	4,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	23,494,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	2,774,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	4,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	26,268,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	30,588,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,040,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 1, 2016
Southbury, CT [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	10,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,143,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	2,713,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	10,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	19,856,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	30,176,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 1,444,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Nov. 8, 2016
Fernandina Beach, FL [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	63,420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	1,001,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,430,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	64,421,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	65,851,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,061,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
St. Simons Island, GA [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	8,770,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	38,070,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	651,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	8,770,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	38,721,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	47,491,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,427,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Winston-Salem, NC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	8,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	73,920,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	71,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	8,700,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	73,991,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	82,691,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 8,273,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Pawleys Island, SC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	1,480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	38,620,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	420,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	1,480,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	39,040,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	40,520,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,556,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Spartanburg, SC [Member] | Entrance-Fee Communities [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	49,190,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	959,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	900,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	50,149,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	51,049,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 5,607,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Dec. 17, 2014
Crestview, FL [Member] | Medical Office Building [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	165,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	3,349,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	165,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	3,349,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	3,514,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,443,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 30, 1993
Pasadena, TX [Member] | Medical Office Building [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	631,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	6,341,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	631,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	6,341,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	6,972,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 4,766,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jan. 1, 1995
La Mesa, CA [Member] | Hospital [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	4,180,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	8,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	4,180,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	8,320,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	12,500,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,489,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Mar. 10, 2010
Jackson, KY [Member] | Hospital [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	10,163,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	7,899,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	540,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	18,062,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	18,602,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 7,873,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Jun. 12, 1992
Murfreesboro, TN [Member] | Hospital [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances	$ 0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land	7,284,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	17,585,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Cost Capitalized Subsequent to Acquisition, Improvements	0
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Land, Amount	7,284,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount	17,585,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross	24,869,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation	$ 2,750,000
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Date Acquired	Oct. 1, 2012
Subsequent Property Additions Purchased From NHC [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements	$ 33,909,000

Schedule III - Real Estate an_3

Schedule III - Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation (Summary) (Details) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
SEC Schedule III, Real Estate, Gross, January 1	$ 2,665,903	$ 2,472,854	$ 2,095,866
Payments to Acquire Property, Plant, and Equipment	147,645	175,793	394,737
Change In Accounts Payable, Real Property Additions	1,689	(1,855)	(430)
Additions Through Contingent Liabilities	171	0	0
Additions Through Assumption Of Debt	0	18,311	0
Payments for Delayed Tax Exempt Exchange	3,775	1,250	0
Settlement of Contingent Asset Acquisition Liability	(818)	0	0
Settlement Of Mortgage Note By Real Estate Acquisition	1,800	0	0
Additions Through Settlement Of Mortgage Note	0	0	9,753
Additions Through Reclassification of Deposit	0	0	227
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Cost of Investment in Real Estate Sold	0	(450)	(27,299)
SEC Schedule III, Real Estate, Gross, December 31	2,818,365	2,665,903	2,472,854
SEC Schedule III, Real Estate Accumulated Depreciation, January 1	380,202	313,080	259,059
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Depreciation Expense	71,349	67,173	59,525
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Investment in Real Estate Sold	0	(51)	(5,504)
SEC Schedule III, Real Estate Accumulated Depreciation, December 31	451,483	380,202	313,080
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Other Addition	$ (68)	$ 0	$ 0

Schedule IV - Mortgage Loans _2

Schedule IV - Mortgage Loans on Real Estate Schedule IV - Mortgage Loans on Real Estate (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 202,877	$ 98,110	$ 99,179	$ 101,124
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Principal Amount of Delinquent Loans	$ 0
Construction Loans [Member] | Phoenix, AZ [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	7.30%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2028
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 76,653
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 75,465
Skilled Nursing Facility [Member] | First Mortgage [Member] | Virginia Beach, VA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.00%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2031
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	31,000
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 3,814
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 2,427
Skilled Nursing Facility [Member] | First Mortgage [Member] | Lexington, VA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.00%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2032
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	21,000
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 3,089
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 1,758
Skilled Nursing Facility [Member] | First Mortgage [Member] | Brookneal, VA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.00%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2031
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	21,000
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 2,780
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 1,716
Skilled Nursing Facility [Member] | First Mortgage [Member] | Laurel Fork, VA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.00%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2030
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	20,000
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 2,672
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 1,620
Assisted Living Facility [Member] | First Mortgage [Member] | Oviedo, FL [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.25%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2021
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 10,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 10,000
Assisted Living Facility [Member] | First Mortgage [Member] | Rye, NH [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.00%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2022
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 10,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 9,928
Assisted Living Facility [Member] | Construction Loans [Member] | Virginia Beach, VA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	9.00%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2023
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 4,515
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 4,515
Assisted Living Facility [Member] | Construction Loans [Member] | Phoenix, AZ [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	8.50%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2023
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 10,165
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 9,553
Assisted Living Facility [Member] | Construction Loans [Member] | Gurnee, IL [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	9.00%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2021
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 13,047
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 13,047
Assisted Living Facility [Member] | Construction Loans [Member] | Canton, MI [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	9.00%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2023
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 2,978
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 2,978
Assisted Living Facility [Member] | Construction Loans [Member] | Shelby Township, MI [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	9.00%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2022
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 11,931
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 11,931
Entrance-Fee Communities [Member] | First Mortgage [Member] | Issaquah, WA [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate	6.75%
Mortgage Loans on Real Estate, Final Maturity Date	Dec. 31, 2025
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Periodic Payment Terms, Description	Interest Only
Mortgage Loans on Real Estate, Carrying Amount of Mortgages	$ 57,939
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate	$ 57,939

Schedule IV - Mortgage Loans _3

Schedule IV - Mortgage Loans on Real Estate Schedule IV - Mortgage Loans on Real Estate (Roll-Forward) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Schedule IV - Mortgage Loans on Real Estate [Abstract]
Mortgage Loans on Real Estate, January 1	$ 98,110	$ 99,179	$ 101,124
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, New Mortgage Loan	108,266	33,823	66,446
Amortization of Deferred Charges	608	1,005	669
Mortgage Loans On Real Estate Total Additions	108,874	34,828	67,115
Settlement of mortgage note by real estate acquisition	1,800	0	0
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Collections of Principal	2,307	35,897	69,060
Mortgage Loans On Real Estate, Total Deductions	4,107	35,897	69,060
Mortgage Loans on Real Estate, December 31	$ 202,877	$ 98,110	$ 99,179

Uncategorized Items - nhi-20181

Label	Element	Value
AOCI Attributable to Parent [Member]
New Accounting Pronouncement or Change in Accounting Principle, Cumulative Effect of Change on Equity or Net Assets	us-gaap_NewAccountingPronouncementOrChangeInAccountingPrincipleCumulativeEffectOfChangeOnEquityOrNetAssets1	$ 235,000
Retained Earnings, Appropriated [Member]
New Accounting Pronouncement or Change in Accounting Principle, Cumulative Effect of Change on Equity or Net Assets	us-gaap_NewAccountingPronouncementOrChangeInAccountingPrincipleCumulativeEffectOfChangeOnEquityOrNetAssets1	$ (235,000)