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Real Estate Investments - Acquisitions and Developments (Details)	9 Months Ended
	Sep. 30, 2020 USD ($) item	Sep. 30, 2019 USD ($) item	Dec. 31, 2019 USD ($)
Real estate investments
Purchase Price		$ 38,951,000
Transaction Costs		302,000
Total Acquisition Costs		$ 39,253,000
Number of properties acquired		2
Number of beds/units acquired | item		164
Number of units under development | item		204
Investment Commitment	$ 79,767,000
Non-controlling interests	8,404,000		$ 8,483,000
SNF | Missouri
Real estate investments
Number of beds/units acquired | item		90
ALF and MC | 74-Unit ALF/MC
Real estate investments
Investment Commitment		$ 15,971,000
Non-controlling interests		$ 919,000
Land | Missouri
Real estate investments
Number of beds/units acquired | item		90
Properties under Development | Missouri
Real estate investments
Investment Commitment	17,400
2020 Acquisitions | SNF
Real estate investments
Purchase Price	13,500,000
Transaction Costs	81,000
Total Acquisition Costs	$ 13,581,000
Number of properties acquired	1
Number of beds/units acquired | item	140
2019 Acquisitions | SNF
Real estate investments
Purchase Price		$ 19,500,000
Transaction Costs		77,000
Total Acquisition Costs		$ 19,577,000
Number of properties acquired		1
Number of beds/units acquired | item		90
2019 Acquisitions | ALF
Real estate investments
Purchase Price		$ 16,719,000
Transaction Costs		176,000
Total Acquisition Costs		$ 16,895,000
Number of properties acquired		1
Number of beds/units acquired | item		74
2019 Acquisitions | ALF and MC | 74-Unit ALF/MC
Real estate investments
Number of units under development | item		74
Economic interest in joint venture		95.00%
2019 Acquisitions | Land
Real estate investments
Purchase Price		$ 2,732,000
Transaction Costs		49,000
Total Acquisition Costs		$ 2,781,000

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