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Real Estate Investments - Properties Sales (Details)
 3 Months Ended
Mar. 31, 2024
USD ($)
property
item
Mar. 31, 2023
USD ($)
item
property
Dec. 31, 2023
USD ($)
Disposals and other      
Carrying value $ 956,366,000   $ 987,965,000
Net gain (loss) 3,251,000 $ 15,373,000  
Distributions paid to non-controlling interests related to property sale $ 2,305,000    
Properties sold      
Disposals and other      
Number of properties sold | property 7 3  
Number of beds or units in property sold | item 378 295  
Sales price $ 26,293,000 $ 32,250,000  
Carrying value 22,056,000 16,089,000  
Net gain (loss) 3,251,000 $ 15,373,000  
Net (Loss) Gain $ (60,000)    
Properties sold | ALF | Florida      
Disposals and other      
Number of properties sold | property 1    
Number of beds or units in property sold | item 60    
Sales price $ 4,500,000    
Carrying value 4,579,000    
Net (Loss) Gain $ (319,000)    
Properties sold | ALF | Kentucky      
Disposals and other      
Number of properties sold | property 5 1  
Number of beds or units in property sold | item 208 60  
Sales price $ 1,600,000 $ 11,000,000  
Carrying value 1,282,000 10,710,000  
Net (Loss) Gain $ (356,000) $ 72,000  
Properties sold | ALF | Wisconsin      
Disposals and other      
Number of properties sold | property 1    
Number of beds or units in property sold | item 110    
Sales price $ 20,193,000    
Carrying value 16,195,000    
Net (Loss) Gain 3,986,000    
Distributions paid to non-controlling interests related to property sale $ 2,305,000    
Properties sold | SNF | New Mexico      
Disposals and other      
Number of properties sold | property   2  
Number of beds or units in property sold | item   235  
Sales price   $ 21,250,000  
Carrying value   5,379,000  
Net (Loss) Gain   $ 15,301,000