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Real Estate Investments - Properties held-for-sale (Details)
$ in Thousands
Dec. 31, 2020
USD ($)
property
item
Dec. 31, 2019
USD ($)
item
property
Real estate investments    
Accumulated depreciation $ 349,643 $ 312,642
Properties held-for-sale    
Real estate investments    
Number of properties | property 20  
Gross Investment $ 61,969  
Accumulated depreciation $ 35,113  
Number of beds/units | item 2,217  
SNF | Properties held-for-sale | Colorado    
Real estate investments    
Number of properties | property   3
Gross Investment   $ 8,045
Accumulated depreciation   $ 3,774
Number of beds/units | item   275
SNF | Properties held-for-sale | Iowa    
Real estate investments    
Number of properties | property   7
Gross Investment   $ 14,610
Accumulated depreciation   $ 9,723
Number of beds/units | item   544
SNF | Properties held-for-sale | Kansas    
Real estate investments    
Number of properties | property   3
Gross Investment   $ 14,111
Accumulated depreciation   $ 6,674
Number of beds/units | item   250
SNF | Properties held-for-sale | Texas    
Real estate investments    
Number of properties | property   7
Gross Investment   $ 25,203
Accumulated depreciation   $ 14,942
Number of beds/units | item   1,148