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Investment in Unconsolidated Joint Ventures - Investment (Details) $ in Thousands		3 Months Ended		6 Months Ended
	Apr. 01, 2024 USD ($)	Jun. 30, 2024 USD ($) item	Jun. 30, 2023 USD ($)	Jun. 30, 2024 USD ($) item	Jun. 30, 2023 USD ($)	Dec. 31, 2023 USD ($) item
Investment in Unconsolidated Joint Ventures
Number of beds/units \| item		466		466
Carrying Value		$ 30,504		$ 30,504		$ 19,340
Percentage of Investment		100.00%		100.00%
Non-cash Income Accrued				$ 233	$ 1,609
Gross Investment		$ 1,342,069		1,342,069
Income from unconsolidated joint ventures		$ 671	$ 376	$ 1,047	752
Mortgage Loans
Investment in Unconsolidated Joint Ventures
Percentage of Investment		100.00%		100.00%
Gross Investment		$ 393,375		$ 393,375
Joint Venture \| Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized				1,047	752
Cash Income Earned				421
Non-cash Income Accrued				$ 527	752
SNF/ALF \| Senior Loan \| Texas
Investment in Unconsolidated Joint Ventures
Preferred return percentage				9.20%
Contractual cash portion				9.20%
Number of beds/units \| item		104		104
Carrying Value		$ 11,164		$ 11,164
Investment commitment		11,164
Amount With held in Reserve		750		750
Capital expenditure reserve		$ 786		786
SNF/ALF \| Senior Loan \| Texas \| Mortgage Loans With Interest 9.15
Investment in Unconsolidated Joint Ventures
Interest rate (as a percent)	9.15%
Loan Term	5 years
SNF/ALF \| Senior Loan \| Texas \| Mortgage Loans
Investment in Unconsolidated Joint Ventures
Gross Investment	$ 12,700
SNF/ALF \| Joint Venture \| Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized				295
Cash Income Earned				$ 196
SNF \| Senior Loan \| Texas
Investment in Unconsolidated Joint Ventures
Number of beds/units \| item		70		70
ALF
Investment in Unconsolidated Joint Ventures
Percentage of Investment		54.60%		54.60%
Gross Investment		$ 732,398		$ 732,398
ALF \| Senior Loan \| Texas
Investment in Unconsolidated Joint Ventures
Number of beds/units \| item		34		34
UDP \| Joint Venture \| Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized					527
Non-cash Income Accrued					527
UDP \| Joint Venture \| Not primary beneficiary \| Washington
Investment in Unconsolidated Joint Ventures
Percentage of Investment		11.60%		11.60%
Percentage of cash return				8.00%
Percentage of internal rate of return				14.00%
Combination ALF/MC \| Joint Venture \| Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized				$ 225	225
Cash Income Earned				$ 225
Non-cash Income Accrued					$ 225
Combination ALF/MC \| 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 \| 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 \| 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 \| Joint Venture \| Not primary beneficiary \| Washington
Investment in Unconsolidated Joint Ventures
Percentage of Investment		15.50%		15.50%
Combination ALF/MC \| 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 \| 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%
Combination ILF/ALF \| Joint Venture \| Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized				$ 527
Non-cash Income Accrued				$ 527
Combination ILF/ALF \| 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		267		267
Carrying Value		$ 13,000		$ 13,000
Combination ALF/IL/MC \| 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		95
Carrying Value		$ 6,340		$ 6,340