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Real Estate Investments - Lease (Details)
3 Months Ended
Mar. 31, 2021
USD ($)
property
item
Mar. 31, 2020
USD ($)
Dec. 31, 2020
USD ($)
Real estate investments      
Number of operators | item 16    
Write-off of straight-line rent $ 758,000 $ 0  
Carrying value 1,090,927,000   $ 1,102,358,000
Income and Expenses, Lessor [Abstract]      
Base cash rental income 28,623,000 33,015,000  
Variable cash rental income 3,538,000 4,282,000  
Straight-Line Rent 682,000 839,000  
Adjustment for collectability of rental income and lease incentives (758,000)    
Amortization of Lease Incentives (112,000) (101,000)  
Total Rental Income 31,973,000 38,035,000  
Real estate taxes reimbursed $ 3,538,000 4,222,000  
Contingent rental income   $ 60,000  
Percentage of contractual amount due 50.00%    
Rent deferrals $ 1,144,000    
Rent abatements 600,000    
Rent abatements and deferrals $ 1,743,000    
Percentage of contractual rent 4.00%    
Percentage of reduction in rent and interest escalations 50.00%    
Decrease of revenue $ 292,000    
Decrease in retained earnings 1,200,000    
Purchase Option in Lease Arrangements      
Real estate investments      
Gross Investment 152,205,000    
Carrying value $ 126,218,000    
ALF | Purchase Option in Lease Arrangements | California      
Real estate investments      
Number of properties | property 2    
Gross Investment $ 31,037,000    
Carrying value $ 17,033,000    
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    
Gross Investment $ 14,986,000    
Carrying value $ 13,076,000    
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky      
Real estate investments      
Number of properties | property 2    
Gross Investment $ 30,342,000    
Carrying value $ 27,116,000    
MC | Purchase Option in Lease Arrangements | Texas      
Real estate investments      
Number of properties | property 2    
Gross Investment $ 25,265,000    
Carrying value $ 23,560,000    
ALF and MC | Purchase Option in Lease Arrangements | California      
Real estate investments      
Number of properties | property 2    
Gross Investment $ 38,895,000    
Carrying value $ 35,366,000    
ALF and MC | Purchase Option in Lease Arrangements | South Carolina      
Real estate investments      
Number of properties | property 1    
Gross Investment $ 11,680,000    
Carrying value $ 10,067,000    
Real Estate Investment      
Real estate investments      
Number of properties | property 158    
Gross Investment $ 1,449,062,000    
Real Estate Investment | ALF      
Real estate investments      
Number of properties | property 106    
Gross Investment $ 877,233,000