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Real Estate Investments - Lease (Details)
12 Months Ended
Jan. 01, 2022
USD ($)
property
Dec. 31, 2021
USD ($)
property
item
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Real estate investments        
Number of operators | item   19    
Rental income on cash basis   52.6    
Write-off of straight-line rent and lease incentives balances   $ 758,000 $ 23,214,000 $ 1,926,000
Carrying value   1,033,951,000 1,102,358,000  
Gain on sale of real estate, net   7,462,000 44,117,000 2,106,000
Income and Expenses, Lessor [Abstract]        
Base cash rental income   107,692,000 132,789,000 134,117,000
Variable cash rental income   14,332,000 15,167,000 16,462,000
Straight-Line Rent   467,000 1,778,000 4,487,000
Adjustment for collectibility of rental income and lease incentives   (758,000) (23,214,000) (1,926,000)
Amortization of Lease Incentives   (608,000) (426,000) (385,000)
Total Rental Income   121,125,000 126,094,000 152,755,000
Contingent rental income   0 $ 111,000 $ 464,000
Rent deferrals   4,639,000    
Rent abatements   3,359,000    
Rent abatements and deferrals   $ 7,998,000    
Percentage of contractual rent   5.10%    
Percentage of reduction in rent and interest escalations   50.00%    
Decrease of revenue   $ (528,000)    
Decrease in cash   (1,337,000)    
Purchase Option in Lease Arrangements        
Real estate investments        
Gross Investment   167,673,000    
Carrying value   $ 132,498,000    
ALF | Purchase Option in Lease Arrangements | California        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 31,814,000    
Carrying value   $ 17,034,000    
ALF | Purchase Option in Lease Arrangements | California | Subsequent Event        
Real estate investments        
Number of properties | property 232      
Gross Investment $ 31,800,000      
Carrying value 17,000,000      
Income and Expenses, Lessor [Abstract]        
Sales price $ 43,700,000      
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    
ALF | Purchase Option in Lease Arrangements | Colorado        
Real estate investments        
Number of properties | property   1    
Gross Investment   $ 6,764,000    
Carrying value   $ 5,338,000    
ALF | Purchase Option in Lease Arrangements | Nebraska        
Real estate investments        
Number of properties | property   3    
Gross Investment   $ 7,633,000    
Carrying value   $ 3,188,000    
MC | Purchase Option in Lease Arrangements | Florida        
Real estate investments        
Number of properties | property   1    
Gross Investment   $ 15,201,000    
Carrying value   $ 12,956,000    
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 30,421,000    
Carrying value   $ 26,595,000    
MC | Purchase Option in Lease Arrangements | Texas        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 25,265,000    
Carrying value   $ 23,095,000    
ALF & MC | Purchase Option in Lease Arrangements | California        
Real estate investments        
Number of properties | property   2    
Gross Investment   $ 38,895,000    
Carrying value   $ 34,660,000    
ALF & MC | Purchase Option in Lease Arrangements | South Carolina        
Real estate investments        
Number of properties | property   1    
Gross Investment   $ 11,680,000    
Carrying value   $ 9,632,000    
Real Estate Investment        
Real estate investments        
Number of properties | property   153    
Real Estate Investment | ALF        
Real estate investments        
Number of properties | property   102