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Real Estate Investments - Properties Sales (Details)
 12 Months Ended
Dec. 31, 2022
USD ($)
property
item
Dec. 31, 2021
USD ($)
item
property
Dec. 31, 2020
USD ($)
item
property
Disposals and other      
Carrying value $ 1,019,218,000 $ 1,033,951,000  
Net Gain (loss) 37,830,000 $ 7,462,000 $ 44,117,000
Gain from property insurance proceeds     $ 373,000
Number of beds damaged | item     114
Kentucky      
Disposals and other      
Impairment loss from investments in unconsolidated joint ventures 1,286,000    
ALF | Virginia      
Disposals and other      
Lease termination fee payable 1,181,000    
ALF | Kentucky      
Disposals and other      
Impairment loss from investments in unconsolidated joint ventures $ 1,286,000    
Properties sold      
Disposals and other      
Number of properties sold | property 5 6 21
Number of beds or units in property sold | item 427 426 2,411
Sales price $ 74,345,000 $ 45,600,000 $ 74,800,000
Carrying value 35,924,000 36,513,000 29,084,000
Net Gain (loss) 37,830,000 7,462,000 44,117,000
Net Gain (loss) $ 214,000 $ 363,000 $ 129,000
Properties sold | ALF | California      
Disposals and other      
Number of properties sold | property 2    
Number of beds or units in property sold | item 232    
Sales price $ 43,715,000    
Carrying value 17,832,000    
Net Gain (loss) $ 25,867,000    
Properties sold | ALF | Florida      
Disposals and other      
Number of properties sold | property   1  
Sales price   $ 2,000,000  
Carrying value   2,626,000  
Net Gain (loss)   $ (858,000)  
Properties sold | ALF | Nebraska      
Disposals and other      
Number of properties sold | property   1  
Number of beds or units in property sold | item   40  
Sales price   $ 900,000  
Carrying value   1,079,000  
Net Gain (loss)   $ (200,000)  
Properties sold | ALF | Wisconsin      
Disposals and other      
Number of properties sold | property   3  
Number of beds or units in property sold | item   263  
Sales price   $ 35,000,000  
Carrying value   28,295,000  
Net Gain (loss)   $ 5,595,000  
Properties sold | ALF | Virginia      
Disposals and other      
Number of properties sold | property 1    
Number of beds or units in property sold | item 74    
Sales price $ 16,895,000    
Carrying value 15,549,000    
Net Gain (loss) $ 1,344,000    
Properties sold | SNF | California      
Disposals and other      
Number of properties sold | property 1    
Number of beds or units in property sold | item 121    
Sales price $ 13,250,000    
Carrying value 1,846,000    
Net Gain (loss) $ 10,846,000    
Properties sold | SNF | Washington      
Disposals and other      
Number of properties sold | property   1  
Number of beds or units in property sold | item   123  
Sales price   $ 7,700,000  
Carrying value   4,513,000  
Net Gain (loss)   $ 2,562,000  
Properties sold | SNF | Arizona      
Disposals and other      
Number of properties sold | property     1
Number of beds or units in property sold | item     194
Sales price     $ 12,550,000
Carrying value     2,229,000
Net Gain (loss)     $ 10,293,000
Properties sold | SNF | Colorado      
Disposals and other      
Number of properties sold | property     3
Number of beds or units in property sold | item     275
Sales price     $ 15,000,000
Carrying value     4,271,000
Net Gain (loss)     $ 10,364,000
Properties sold | SNF | Iowa      
Disposals and other      
Number of properties sold | property     7
Number of beds or units in property sold | item     544
Sales price     $ 14,500,000
Carrying value     4,886,000
Net Gain (loss)     $ 9,051,000
Properties sold | SNF | Kansas      
Disposals and other      
Number of properties sold | property     3
Number of beds or units in property sold | item     250
Sales price     $ 9,750,000
Carrying value     7,438,000
Net Gain (loss)     $ 1,993,000
Properties sold | SNF | Texas      
Disposals and other      
Number of properties sold | property 1   7
Number of beds or units in property sold | item     1,148
Sales price $ 485,000   $ 23,000,000
Carrying value 697,000   10,260,000
Net Gain (loss) $ (441,000)   $ 12,287,000