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Investment in Unconsolidated Joint Ventures - Investment (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2023
USD ($)
item
Mar. 31, 2022
USD ($)
Dec. 31, 2022
USD ($)
Investment in Unconsolidated Joint Ventures      
Carrying Value $ 19,340   $ 19,340
Income from unconsolidated joint ventures (376) $ (375)  
Application of Interest Reserve 1,149 1,221  
Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Income Recognized 376 375  
Application of Interest Reserve $ 376 375  
Preferred Equity Investment | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Number of beds/units | item 95    
Carrying Value $ 19,340    
UDP | Preferred Equity Investment | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Income Recognized 264 263  
Application of Interest Reserve $ 264 263  
UDP | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington      
Investment in Unconsolidated Joint Ventures      
Preferred return percentage 14.00%    
Contractual cash portion 8.00%    
Number of beds/units | item 267    
Carrying Value $ 13,000    
Percentage of Investment 11.00%    
Percentage of cash return 8.00%    
Percentage of internal rate of return 14.00%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Income Recognized $ 112 112  
Application of Interest Reserve $ 112 $ 112  
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Internal Rate of Return is Until Eight Percent      
Investment in Unconsolidated Joint Ventures      
Percentage of internal rate of return 8.00%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | The Internal Rate of Return is Between Twelve and Fourteen Percent | Minimum      
Investment in Unconsolidated Joint Ventures      
Percentage of internal rate of return 12.00%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | The Internal Rate of Return is Between Twelve and Fourteen Percent | Maximum      
Investment in Unconsolidated Joint Ventures      
Percentage of internal rate of return 14.00%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington      
Investment in Unconsolidated Joint Ventures      
Preferred return percentage 12.00%    
Contractual cash portion 7.00%    
Number of beds/units | item 95    
Carrying Value $ 6,340    
Percentage of Investment 15.50%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Minimum      
Investment in Unconsolidated Joint Ventures      
Percentage of cash return 7.00%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Maximum      
Investment in Unconsolidated Joint Ventures      
Percentage of cash return 9.00%