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Real Estate Investments - Properties Sold (Details)		1 Months Ended	3 Months Ended				9 Months Ended		12 Months Ended
	Oct. 01, 2024 USD ($)	Oct. 31, 2024 USD ($)	Sep. 30, 2024 USD ($)	Dec. 31, 2023 USD ($)	Sep. 30, 2023 USD ($)	Jun. 30, 2023 USD ($)	Sep. 30, 2024 USD ($) property item	Sep. 30, 2023 USD ($)	Dec. 31, 2023 USD ($) property item
Disposals and other
Carrying value			$ 942,314,000	$ 987,965,000			$ 942,314,000		$ 987,965,000
Net gain (loss)			3,663,000		$ 4,870,000		6,882,000	$ 20,545,000
Distributions paid to non-controlling interests related to property sale							2,305,000
Rental income			32,258,000		31,589,000		$ 97,464,000	94,861,000
ALF | Florida
Disposals and other
Sales price						$ 4,850,000
Net gain (loss)						$ 64,000
ALF | Mississippi
Disposals and other
Sales price				1,650,000
Net gain (loss)				219,000
Properties sold
Disposals and other
Number of properties sold | property							10		10
Number of beds or units in property sold | item							458		651
Sales price							$ 34,752,000		$ 53,212,000
Carrying value			26,759,000	30,865,000			26,759,000		30,865,000
Net gain (loss)			3,663,000		$ 4,870,000		6,882,000	$ 20,545,000
Net (Loss) Gain							(60,000)		$ 20,545,000
Properties sold | Subsequent Event
Disposals and other
Sales price	$ 5,250,000
Carrying value	$ 5,852,000
Net gain (loss)		$ 4,058,000
Properties sold | ALF
Disposals and other
Carrying value			4,058,000				$ 4,058,000
Properties sold | ALF | Florida
Disposals and other
Number of properties sold | property							1		1
Number of beds or units in property sold | item							60		70
Sales price							$ 4,500,000		$ 4,850,000
Carrying value			4,579,000	4,082,000			4,579,000		4,082,000
Net (Loss) Gain							$ (289,000)		$ 65,000
Properties sold | ALF | Kentucky
Disposals and other
Number of properties sold | property									1
Number of beds or units in property sold | item									60
Sales price									$ 11,000,000
Carrying value				10,720,000					10,720,000
Net (Loss) Gain									$ 57,000
Properties sold | ALF | New Jersey
Disposals and other
Number of properties sold | property									1
Number of beds or units in property sold | item									39
Sales price									$ 2,000,000
Carrying value				1,552,000					1,552,000
Net (Loss) Gain									$ 266,000
Properties sold | ALF | Nebraska
Disposals and other
Number of properties sold | property									3
Number of beds or units in property sold | item									117
Sales price									$ 2,984,000
Carrying value				2,934,000					$ 2,934,000
Properties sold | ALF | Pennsylvania
Disposals and other
Number of properties sold | property									2
Number of beds or units in property sold | item									130
Sales price									$ 11,128,000
Carrying value				6,054,000					6,054,000
Net (Loss) Gain									$ 4,870,000
Properties sold | ALF | Texas
Disposals and other
Number of properties sold | property							5
Number of beds or units in property sold | item							208
Sales price							$ 1,600,000
Carrying value			1,282,000				1,282,000
Net (Loss) Gain							$ (390,000)
Properties sold | ALF | Texas | 1 Property obtained from JV
Disposals and other
Number of properties sold | property							1
Number of beds or units in property sold | item							80
Sales price							$ 7,959,000
Carrying value			4,314,000				4,314,000
Net (Loss) Gain							3,635,000
Rental income							$ 441,000
Properties sold | ALF | Texas | 2 Properties obtained from JV
Disposals and other
Number of properties sold | property							2
Sales price							$ 500,000
Carrying value			389,000				$ 389,000
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				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				$ 5,523,000					5,523,000
Net (Loss) Gain									$ 15,287,000

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The amount of gain (loss) on prior period sale of properties of which holdback payments and other accounting adjustments are received during the period.

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Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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Amount of operating lease income from lease payments and variable lease payments paid and payable to lessor. Includes, but is not limited to, variable lease payments not included in measurement of lease receivable.

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Amount of real estate investment property, net of accumulated depreciation, which may include the following: (1) land available-for-sale; (2) land available-for-development; (3) investments in building and building improvements; (4) tenant allowances; (5) developments in-process; (6) rental properties; and (7) other real estate investments.

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