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Real Estate Investments - Properties Sales (Details)		3 Months Ended			12 Months Ended
	Jan. 01, 2025 USD ($) item	Dec. 31, 2023 USD ($)	Jun. 30, 2023 USD ($)	Mar. 31, 2023 USD ($)	Dec. 31, 2024 USD ($) property item	Dec. 31, 2023 USD ($) item property	Dec. 31, 2022 USD ($) property item
Disposals and other
Carrying value		$ 987,965,000			$ 925,848,000	$ 987,965,000
Net gain (loss)					7,979,000	37,296,000	$ 37,830,000
Distributions paid to non-controlling interests related to property sale					2,305,000
Rental income					$ 132,278,000	127,350,000	$ 128,244,000
Number of units | item					480
ALF | Florida
Disposals and other
Sales price			$ 4,850,000
Net gain (loss)			$ 64,000
ALF | Kentucky
Disposals and other
Sales price				$ 11,000,000
Net gain (loss)				$ 57,000
ALF | Mississippi
Disposals and other
Sales price		1,650,000
Net gain (loss)		(219,000)
ALF | Virginia
Disposals and other
Lease termination fee payable		1,181,000				$ 1,181,000
Properties sold
Disposals and other
Number of properties sold | property					11	19	5
Number of beds or units in property sold | item					458	1,059	427
Sales price					$ 40,002,000	$ 82,821,000	$ 74,345,000
Carrying value		42,729,000			30,817,000	42,729,000	35,924,000
Net gain (loss)					7,979,000	$ 37,296,000	37,830,000
Net (Loss) Gain					(60,000)		$ 214,000
Properties sold | ALF | 1 Property obtained from JV
Disposals and other
Rental income					$ 441,000
Properties sold | ALF | Florida
Disposals and other
Number of properties sold | property					1	5
Number of beds or units in property sold | item					60	246
Sales price					$ 4,500,000	$ 23,600,000
Carrying value		9,084,000			4,579,000	9,084,000
Net (Loss) Gain					$ (289,000)	$ 13,327,000
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 | Mississippi
Disposals and other
Number of properties sold | property						1
Number of beds or units in property sold | item						67
Sales price						$ 1,650,000
Carrying value		1,639,000				1,639,000
Net (Loss) Gain						$ (220,000)
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 | Oklahoma
Disposals and other
Number of properties sold | property						1
Number of beds or units in property sold | item						37
Sales price						$ 800,000
Carrying value		777,000				777,000
Net (Loss) Gain						$ 11,000
Properties sold | ALF | Oklahoma | Subsequent Event
Disposals and other
Proceeds from Sale of Real Estate	$ 670,000
Number of units | item	29
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						$ 4,860,000
Properties sold | ALF | South Carolina
Disposals and other
Number of properties sold | property						3
Number of beds or units in property sold | item						128
Sales price						$ 8,409,000
Carrying value		4,446,000				4,446,000
Net (Loss) Gain						$ 3,708,000
Properties sold | ALF | California
Disposals and other
Number of properties sold | property							2
Number of beds or units in property sold | item							232
Sales price							$ 43,715,000
Carrying value							17,832,000
Net (Loss) Gain							$ 25,867,000
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
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
Net (Loss) Gain					$ 3,635,000
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
Properties sold | ALF | Virginia
Disposals and other
Number of properties sold | property							1
Number of beds or units in property sold | item							74
Sales price							$ 16,895,000
Carrying value							15,549,000
Net (Loss) Gain							$ 1,344,000
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 | ALF | Colorado
Disposals and other
Number of properties sold | property					1
Sales price					$ 5,250,000
Carrying value					4,058,000
Net (Loss) Gain					$ 1,097,000
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
Properties sold | SNF | California
Disposals and other
Number of properties sold | property							1
Number of beds or units in property sold | item							121
Sales price							$ 13,250,000
Carrying value							1,846,000
Net (Loss) Gain							$ 10,846,000
Properties sold | SNF | Texas
Disposals and other
Number of properties sold | property							1
Sales price							$ 485,000
Carrying value							697,000
Net (Loss) Gain							$ (441,000)

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Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 230
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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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