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Real Estate Investments - Mortgage Loans Activity (Details)
1 Months Ended 12 Months Ended
Jan. 31, 2023
USD ($)
item
Dec. 31, 2022
USD ($)
a
property
loan
item
Dec. 31, 2021
USD ($)
item
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Mortgage Loans          
Originations and funding under mortgage loans receivable   $ 40,732,000 $ 88,955,000 $ 4,253,000  
Application of interest reserve   6,192,000 298,000    
Scheduled principal payments received   (1,175,000) (1,175,000) (1,065,000)  
Mortgage loan premium amortization   (6,000) (6,000) (4,000)  
Provision (recovery) for loan loss reserve   (457,000) (881,000) (32,000)  
Net increase (decrease) in mortgage loans receivable   $ 45,286,000 87,191,000 3,152,000  
Number of senior mortgage loans | loan   2      
Area of land | a   7.6      
Loan Term   4 years      
Interest rate (as a percent)   7.25%      
Internal Rate of Return   8.00%      
Gross Investment   $ 58,972,000      
Number of beds/units | item   217      
Extension term number of options   2      
Extension term   1 year      
Carrying Amount of Mortgages   $ 389,728,000 344,442,000 257,251,000 $ 254,099,000
Additions to mortgage loans     $ 9,900,000    
Minimum          
Mortgage Loans          
Interest rate (as a percent)     4.00%    
Maximum          
Mortgage Loans          
Loan Term   4 years      
Interest rate (as a percent)     8.00%    
Mortgage Loans          
Mortgage Loans          
Gross Investment   $ 393,658,000      
Number of properties | property   41      
Percentage of Investment   100.00%      
Additions to mortgage loans   $ 2,000,000 $ 540,000    
Mezzanine loan          
Mortgage Loans          
Loan Term   5 years      
Interest rate (as a percent)   8.00%      
Number of beds/units | property   621      
Mezzanine loan | Subsequent Event          
Mortgage Loans          
Number of beds/units | item 136        
Mortgages With 8.89 Percent Interest With Escalation [Member] | Mortgage Loans          
Mortgage Loans          
Additions to mortgage loans       $ 2,000,000  
SNF | Mortgage Loans          
Mortgage Loans          
Interest rate (as a percent)   2.25%      
SNF | Mortgage loans with 7.5% Interest Maturing 2022 | Mortgage Loans          
Mortgage Loans          
Number of beds/units | item   91      
ALF          
Mortgage Loans          
Number of beds/units | item   74      
Missouri | SNF | Mortgage loans with 7.5% Interest Maturing 2022 | Mortgage Loans          
Mortgage Loans          
Loan Term     1 year    
Interest rate (as a percent)     7.50%    
Gross Investment     $ 1,638,000    
Number of beds/units | item     91    
Amount With held in Reserve     $ 142,000    
Louisiana | SNF | Mortgage loans with 7.5% Interest Maturing 2022 | Mortgage Loans          
Mortgage Loans          
Loan Term     3 years    
Interest rate (as a percent)     7.50%    
Gross Investment     $ 27,047,000    
Number of beds/units | item     189    
Extension term number of options | item     1    
Extension term     12 months    
Florida | ALF | Mortgages With 7.75% Interest | Mortgage Loans          
Mortgage Loans          
Loan Term     4 years    
Interest rate (as a percent)     7.75%    
Gross Investment     $ 11,724,000    
Number of beds/units | item     68    
Amount With held in Reserve     $ 806,000    
Origination/Funding     4,177,000    
Application of mortgage premium     $ 156,000    
California | Mortgage Loans          
Mortgage Loans          
Loan Term     4 years    
Amount With held in Reserve     $ 4,496,000    
Number of real estate properties acquired | item     13    
Carrying Amount of Mortgages     $ 48,006,000    
Funded commitment     6,097,000    
Commitment for working capital     $ 650,000    
California | ALF | Mortgages With 7.75% Interest | Mortgage Loans          
Mortgage Loans          
Interest rate (as a percent)     7.25%    
North Carolina | Subsequent Event          
Mortgage Loans          
Payments to Acquire Real Estate $ 10,750,000        
Loan Term 2 years        
Interest rate (as a percent) 7.25%        
Internal Rate of Return 9.00%        
North Carolina | Mortgage Loans          
Mortgage Loans          
Interest rate (as a percent)   7.30%      
Carrying Amount of Mortgages   $ 788,000      
North Carolina | ALF          
Mortgage Loans          
Number of properties | property   4      
SNF Beds | Mortgage Loans          
Mortgage Loans          
Number of beds/units | item   2,891