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Real Estate Investments - Acquisitions (Details)
12 Months Ended
Dec. 31, 2023
USD ($)
item
property
Dec. 31, 2022
USD ($)
item
property
Dec. 31, 2021
USD ($)
Real estate investments      
Non-Controlling Interest $ 12,965,000 $ 14,375,000 $ 9,000
Number of options available for renewal | item 2    
SNF      
Real estate investments      
Cash Paid at Acquisition   51,817,000  
Assets Acquired   $ 51,817,000  
Number of properties acquired | property   4  
Number of beds/units acquired | item   339  
Lease term 10 years    
Lease renewal term 5 years    
SNF | Texas      
Real estate investments      
Lease term 10 years    
Lease renewal term 5 years    
Cash yield percentage 8.25%    
Working capital loan term 10 years    
Interest rate of first year 8.00%    
Interest rate of second year 8.25%    
SNF | Texas | Minimum      
Real estate investments      
Annual increase in cash yield percentage 2.00%    
SNF | Texas | Maximum      
Real estate investments      
Annual increase in cash yield percentage 4.00%    
Working capital loan funded $ 2,000    
ALF      
Real estate investments      
Cash Paid at Acquisition 43,759,000    
Assumed Liabilities 9,767,000    
Non-Controlling Interest 9,133,000    
Transaction Costs 363,000    
Assets Acquired $ 63,022,000    
Number of properties acquired | property 1    
Number of beds/units acquired | item 242    
Amount of joint venture investment $ 54,134,000    
Amount committed to fund 2,100,000    
Amount funded under lease incentives 1,458,000    
Tax abatement intangible 8,309    
ILF/ALF/MC | Ohio | Encore Senior Living      
Real estate investments      
Amount of joint venture investment 54,134    
Contribution to JV $ 45,000    
Percentage of IRR 9.75%    
Lease term 10 years    
Percentage of contractual initial cash yield 8.25%    
Amount committed to fund $ 2,100    
Amount funded under lease incentives $ 1,458