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Real Estate Investments - Lease (Details)	3 Months Ended	9 Months Ended	12 Months Ended
	Mar. 31, 2019 USD ($) item	Dec. 31, 2020 USD ($) property	Dec. 31, 2020 USD ($) property	Dec. 31, 2019 USD ($)	Dec. 31, 2018 USD ($)
Real estate investments
Carrying value		$ 1,102,358,000	$ 1,102,358,000	$ 1,136,816,000
Income and Expenses, Lessor [Abstract]
Base cash rental income			132,789,000
Base cash rental income previous				134,117,000	$ 127,477,000
Variable cash rental income			15,167,000	16,462,000	470,000
Variable cash rental income previous			111,000	464,000	470,000
Straight-Line Rent			1,778,000	4,487,000	9,550,000
Change in straight-line rent receivable and lease incentives due to collectibility			(23,214,000)	(1,926,000)
Amortization of Lease Incentives			(426,000)	(385,000)	(2,092,000)
Total Rental Income			126,094,000	152,755,000	135,405,000
Total Rental Income previous				152,755,000	$ 135,405,000
Real estate taxes reimbursed			111,000	$ 464,000
Number of operating seniors | item	2
Rent receivable written off	$ 1,926,000
Purchase Option in Lease Arrangements
Real estate investments
Gross Investment		151,866,000	151,866,000
Carrying value		126,967,000	$ 126,967,000
Senior Lifestyle Corporation
Income and Expenses, Lessor [Abstract]
Total Rental Income		$ 9,200,000
ALF | Purchase Option in Lease Arrangements | California
Real estate investments
Number of properties | property		2	2
Gross Investment		$ 30,849,000	$ 30,849,000
Carrying value		$ 17,092,000	$ 17,092,000
ALF | Purchase Option in Lease Arrangements | California | Minimum
Real estate investments
Purchase option ending period			24 months
ALF | Purchase Option in Lease Arrangements | California | Maximum
Real estate investments
Purchase option ending period			48 months
MC | Purchase Option in Lease Arrangements | Florida
Real estate investments
Number of properties | property		1	1
Gross Investment		$ 14,835,000	$ 14,835,000
Carrying value		$ 13,031,000	$ 13,031,000
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky
Real estate investments
Number of properties | property		2	2
Gross Investment		$ 30,342,000	$ 30,342,000
Carrying value		$ 27,315,000	$ 27,315,000
MC | Purchase Option in Lease Arrangements | Texas
Real estate investments
Number of properties | property		2	2
Gross Investment		$ 25,265,000	$ 25,265,000
Carrying value		$ 23,715,000	$ 23,715,000
ALF and MC | Purchase Option in Lease Arrangements | California
Real estate investments
Number of properties | property		2	2
Gross Investment		$ 38,895,000	$ 38,895,000
Carrying value		$ 35,601,000	$ 35,601,000
ALF and MC | Purchase Option in Lease Arrangements | South Carolina
Real estate investments
Number of properties | property		1	1
Gross Investment		$ 11,680,000	$ 11,680,000
Carrying value		$ 10,213,000	$ 10,213,000
Real Estate Investment
Real estate investments
Number of properties | property		159	159
Real Estate Investment | ALF
Real estate investments
Number of properties | property		107	107

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Amount of amortization of lease incentive costs incurred by the lessor for the benefit of the lessee.

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Amount of operating lease income from lease payments and variable lease payments paid and payable to lessor. Includes, but is not limited to, variable lease payments not included in measurement of lease receivable.

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