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Real Estate Investments - Purchase options (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2023
USD ($)
item
Dec. 31, 2022
USD ($)
item
property
Dec. 31, 2023
USD ($)
property
item
community
Dec. 31, 2022
USD ($)
item
property
Dec. 31, 2021
USD ($)
Jan. 31, 2024
Jan. 01, 2024
item
Nov. 30, 2023
Jun. 30, 2023
item
Real estate investments                  
Gross Investment     $ 61,101            
Net book value   $ 1,019,218 987,965 $ 1,019,218          
Impairment loss     $ 15,775 3,422 $ 0        
Number of properties | property     134            
Purchase Option in Lease Arrangements                  
Real estate investments                  
Gross Investment     $ 396,347            
Net book value     $ 367,856            
Master lease agreement | Brookdale Senior Living                  
Real estate investments                  
Number of properties | property     35            
ALF                  
Real estate investments                  
Impairment loss     $ 15,775 $ 3,422          
Number of properties | property     83            
Number of properties acquired | property     1            
Number of units | item   74   74          
ALF | Florida                  
Real estate investments                  
Impairment loss $ 434 $ 1,222   $ 1,222          
ALF | North Carolina                  
Real estate investments                  
Number of properties | property   4   4          
Number of units | item   217   217          
ALF | Texas                  
Real estate investments                  
Impairment loss     $ 3,265            
ALF | Purchase Option in Lease Arrangements | Oklahoma                  
Real estate investments                  
Number of ALF transferred to existing operator | property     5            
Number of units | item     184            
Lease term, extension period     4 years            
ALF | New master lease agreement | Brookdale Senior Living                  
Real estate investments                  
Number of units | item     738            
ALF | New master lease agreement | Brookdale Senior Living | Subsequent Event                  
Real estate investments                  
Lease term           6 years      
ALF | New master lease agreement | North Carolina                  
Real estate investments                  
Number of units | item   210   210          
ALF | New master lease agreement | North Carolina | Subsequent Event                  
Real estate investments                  
Lease term           6 years      
ALF | New master lease agreement | Ohio | Brookdale Senior Living                  
Real estate investments                  
Number of properties | property     1            
ALF | New master lease agreement | Oklahoma                  
Real estate investments                  
Number of properties | community     5            
Number of units | item     184            
Lease term               3 years  
ALF | New master lease agreement | Texas | Brookdale Senior Living                  
Real estate investments                  
Number of properties | property     6            
MC | Purchase Option in Lease Arrangements | Florida                  
Real estate investments                  
Gross Investment     $ 7,680            
Net book value     4,611            
Impairment loss     $ 7,522            
Number of properties | property     1            
MC | Purchase Option in Lease Arrangements | Ohio                  
Real estate investments                  
Gross Investment     $ 16,161            
Net book value     $ 13,488            
Number of properties | property     1            
ALF & MC                  
Real estate investments                  
Lease term     10 years            
Maximum percentage of purchase option to buy properties     50.00%            
Percentage of cash return     9.00%            
ALF & MC | North Carolina                  
Real estate investments                  
Number of units | item 523                
Number of assisted living and memory care communities | item 11                
ALF & MC | Purchase Option in Lease Arrangements | California                  
Real estate investments                  
Gross Investment     $ 38,895            
Net book value     $ 32,778            
Number of properties | property     2            
ALF & MC | Purchase Option in Lease Arrangements | North Carolina                  
Real estate investments                  
Gross Investment     $ 121,321            
Net book value     $ 121,321            
Number of properties | property     11            
Number of units | item     523            
Lease term     10 years            
Number of assisted living and memory care communities | property     11            
Maximum percentage of purchase option to buy properties     50.00%            
Percentage of cash return     9.00%            
ALF & MC | Purchase Option in Lease Arrangements | Oklahoma                  
Real estate investments                  
Gross Investment     $ 11,202            
Net book value     $ 4,394            
Number of properties | property     5            
ALF & MC | Purchase Option in Lease Arrangements | South Carolina                  
Real estate investments                  
Gross Investment     $ 11,680            
Net book value     $ 8,475            
Number of properties | property     1            
SNF                  
Real estate investments                  
Number of properties | property     50            
Number of properties acquired | property       4          
Lease term     10 years            
SNF | Florida                  
Real estate investments                  
Number of units | item   299   299          
SNF | Texas                  
Real estate investments                  
Lease term     10 years            
SNF | Texas | Subsequent Event                  
Real estate investments                  
Number of units | item             1,444    
SNF | Purchase Option in Lease Arrangements | Florida                  
Real estate investments                  
Gross Investment     $ 76,690            
Net book value     $ 76,690            
Number of properties | property     3            
Number of properties acquired | item       3          
Number of units | item   299   299          
Lease term   10 years   10 years          
SNF | Purchase Option in Lease Arrangements | Tennessee                  
Real estate investments                  
Gross Investment     $ 5,275            
Net book value     $ 2,263            
Number of properties | property     2            
SNF | Purchase Option in Lease Arrangements | Texas                  
Real estate investments                  
Gross Investment     $ 52,726            
Net book value     $ 50,388            
Number of properties | property     4            
Number of properties acquired | item       4          
SNF | Master lease agreement | Florida                  
Real estate investments                  
Number of units | item     216            
SNF | Master lease agreement | Tennessee                  
Real estate investments                  
Number of properties | item     141            
SNF | Master lease agreement | Texas | Subsequent Event                  
Real estate investments                  
Number of units | item             1,444    
ILF/ALF/MC | Ohio                  
Real estate investments                  
Number of units | item                 242
ILF/ALF/MC | Ohio | Encore Senior Living                  
Real estate investments                  
Lease term     10 years            
ILF/ALF/MC | Purchase Option in Lease Arrangements | Ohio                  
Real estate investments                  
Gross Investment     $ 54,717            
Net book value     $ 53,448            
Number of properties | property     1