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Investment in Unconsolidated Joint Ventures - Investment (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2024
USD ($)
item
Jun. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
item
Sep. 30, 2023
USD ($)
Dec. 31, 2023
USD ($)
item
Investment in Unconsolidated Joint Ventures            
Number of beds/units | item 466     466    
Carrying Value $ 30,602     $ 30,602   $ 19,340
Percentage of Investment 100.00%     100.00%    
Non-cash Income Accrued       $ 233 $ 1,788  
Gross Investment $ 1,342,188     1,342,188    
Income from unconsolidated joint ventures $ 692   $ 375 $ 1,739 1,127  
Mortgage Loans            
Investment in Unconsolidated Joint Ventures            
Percentage of Investment 100.00%     100.00%    
Gross Investment $ 364,414     $ 364,414    
Joint Venture | Not primary beneficiary            
Investment in Unconsolidated Joint Ventures            
Income Recognized       1,739 1,127  
Cash Income Earned       948    
Non-cash Income Accrued       $ 791 1,127  
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 $ 11,262     $ 11,262    
Investment commitment   $ 11,164        
Amount With held in Reserve   750        
Capital expenditure reserve   $ 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     $ 12,700    
SNF/ALF | Joint Venture | Not primary beneficiary            
Investment in Unconsolidated Joint Ventures            
Income Recognized       589    
Cash Income Earned       $ 589    
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 54.50%     54.50%    
Gross Investment $ 732,120     $ 732,120    
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         790  
Non-cash Income Accrued         790  
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       $ 359 337  
Cash Income Earned       $ 359    
Non-cash Income Accrued         $ 337  
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       $ 791    
Non-cash Income Accrued       $ 791    
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