Acquisitions - Additional Information (Detail)
$ in Millions
9 Months Ended 12 Months Ended
Sep. 30, 2016
USD ($)
Community
Assisted_Living_Unit
Independent_Living_Unit
Sep. 27, 2016
USD ($)
Community
Assisted_Living_Unit
Feb. 16, 2016
USD ($)
Community
Assisted_Living_Unit
Jan. 26, 2016
USD ($)
Community
Assisted_Living_Unit
Oct. 30, 2015
USD ($)
Community
Assisted_Living_Unit
Sep. 30, 2016
USD ($)
Community
Dec. 31, 2015
USD ($)
Business Acquisition [Line Items]              
Acquisition cost         $ 38.0    
Number of acquisition closed | Community         1    
Number of assisted living units | Assisted_Living_Unit         111    
Long term finance         $ 28.0    
Long term fixed interest rate         4.25%    
Maximum period for expansion of permanent financing         10 years    
Additions to property and equipment           $ 100.6 $ 148.0
Finite lived intangible asset acquired in place leases during period           9.2  
Pensacola Florida [Member]              
Business Acquisition [Line Items]              
Acquisition cost     $ 48.0        
Number of acquisition closed | Community     2        
Number of assisted living units | Assisted_Living_Unit     179        
Transaction cost related to acquisition     $ 0.3        
Long term finance     $ 35.0        
Long term fixed interest rate     4.38%        
Maximum period for expansion of permanent financing     10 years        
Colby Park Falls [Member]              
Business Acquisition [Line Items]              
Acquisition cost       $ 16.8      
Number of acquisition closed | Community       3      
Number of assisted living units | Assisted_Living_Unit       138      
Transaction cost related to acquisition       $ 0.1      
Long term finance       $ 11.3      
Long term fixed interest rate       4.50%      
Maximum period for expansion of permanent financing       10 years      
Springfield Massachusetts [Member]              
Business Acquisition [Line Items]              
Acquisition cost $ 27.0         $ 27.0  
Number of acquisition closed | Community 1         1  
Number of independent living units | Independent_Living_Unit 97            
Number of assisted living units | Assisted_Living_Unit 90            
Transaction cost related to acquisition $ 0.3         $ 0.3  
Long term finance $ 20.3         $ 20.3  
Long term fixed interest rate 4.10%         4.10%  
Maximum period for expansion of permanent financing 10 years            
Kingwood Texas [Member]              
Business Acquisition [Line Items]              
Acquisition cost   $ 18.0          
Number of acquisition closed | Community   1          
Number of assisted living units | Assisted_Living_Unit   96          
Transaction cost related to acquisition   $ 0.2          
Long term finance   $ 13.0          
Long term fixed interest rate   4.13%          
Maximum period for expansion of permanent financing   15 years