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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023 USD ($) community	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($) community	Sep. 30, 2022 USD ($)	Dec. 31, 2022 USD ($)
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	$ 8,339,706		$ 8,339,706		$ 8,589,429
Accumulated depreciation and amortization	(3,967,634)		(3,967,634)		(4,053,727)
Property, plant and equipment and leasehold intangibles, net	4,372,072		4,372,072		4,535,702
Finance lease, right-of-use asset	29,900		29,900		98,400
Depreciation and amortization expense	$ 85,900	$ 86,900	$ 255,300	$ 259,200
Number Of underperforming communities | community	5		5
Nonrecurring
Property, Plant and Equipment [Line Items]
Non-cash impairment charges	$ 5,300	$ 3,800	$ 5,800	$ 5,900
Land
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	502,084		502,084		506,968
Buildings and improvements
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	5,331,202		5,331,202		5,323,736
Furniture and equipment
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	1,098,183		1,098,183		1,055,304
Resident and leasehold operating intangibles
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	283,711		283,711		286,122
Construction in progress
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	40,812		40,812		41,778
Assets under financing leases and leasehold improvements
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	$ 1,083,714		$ 1,083,714		$ 1,375,521

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