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Investment in Unconsolidated Joint Ventures - Investment (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2024 USD ($) item	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Investment in Unconsolidated Joint Ventures
Number of beds/units \| item	480
Carrying Value	$ 30,602	$ 19,340
Non-cash Income Accrued	233	1,939	$ 6,192
Gross Investment	47,717
Income from unconsolidated joint ventures	$ 2,442	1,504	1,504
Mortgage Loans
Investment in Unconsolidated Joint Ventures
Percentage of Investment	100.00%
Gross Investment	$ 315,734
Joint Venture \| Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized	2,442	1,504	1,504
Cash Income Earned	1,388	56	351
Non-cash Income Accrued	$ 1,054	1,448	1,153
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%
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
Carrying Value	$ 11,262
Investment commitment	11,164
Amount With held in Reserve	750
Capital expenditure reserve	$ 786
SNF/ALF \| Senior Loan \| Texas \| Mortgage Loans With Interes
Investment in Unconsolidated Joint Ventures
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	884
Cash Income Earned	$ 884
SNF \| Senior Loan \| Texas
Investment in Unconsolidated Joint Ventures
Number of beds/units \| item	70
ALF \| Senior Loan \| Texas
Investment in Unconsolidated Joint Ventures
Number of beds/units \| item	34
UDP \| Joint Venture \| Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized		1,054	450
Non-cash Income Accrued		1,054	450
UDP \| Joint Venture \| Not primary beneficiary \| Washington
Investment in Unconsolidated Joint Ventures
Percentage of Investment	11.00%
Percentage of cash return	8.00%
Percentage of internal rate of return	14.00%
UDP \| Joint Venture \| Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized			1,054
Cash Income Earned			351
Non-cash Income Accrued			$ 703
Combination ALF/MC \| Joint Venture \| Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized	$ 504	450
Cash Income Earned	$ 504	56
Non-cash Income Accrued		$ 394
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
Contractual cash portion	9.00%
Number of beds/units \| item	109
Carrying Value	$ 6,340
Percentage of Investment	15.50%
Combination ALF/MC \| Joint Venture \| Not primary beneficiary \| Washington \| Minimum
Investment in Unconsolidated Joint Ventures
Preferred return percentage	12.00%
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	$ 1,054
Non-cash Income Accrued	$ 1,054
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
Carrying Value	$ 13,000
Combination ALF/IL/MC \| Joint Venture \| Not primary beneficiary \| Washington
Investment in Unconsolidated Joint Ventures
Preferred return percentage	12.00%