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Investment in Unconsolidated Joint Ventures - Investment (Details)	3 Months Ended
	Mar. 31, 2025 USD ($) item	Mar. 31, 2024 USD ($)	Dec. 31, 2024 USD ($)	Jun. 30, 2024 USD ($)
Investment in Unconsolidated Joint Ventures
Proceeds from divestment in joint venture	$ 13,000,000
Number of beds/units | item	213
Carrying Value	$ 17,602,000		$ 30,602,000
Gross Investment	$ 1,329,856,000
Percentage of Investment	100.00%
Non-cash Income Accrued		$ 52,000
Mortgage Loans
Investment in Unconsolidated Joint Ventures
Gross Investment	$ 317,527,000
Percentage of Investment	100.00%
Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized	$ 3,665,000	376,000
Cash Income Earned	3,611,000	112,000
Non-cash Income Accrued	54,000	264,000
ALF
Investment in Unconsolidated Joint Ventures
Gross Investment	$ 719,428,000
Percentage of Investment	54.10%
ALF/MC | Joint Venture | Washington
Investment in Unconsolidated Joint Ventures
Preferred return percentage	12.00%
Contractual cash portion	9.00%
Number of beds/units | item	109
Carrying Value	$ 6,340,000
ALF/MC | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized	145,000	112,000
Cash Income Earned	$ 145,000	112,000
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%
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%
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%
ALF/MC | Joint Venture | Not primary beneficiary | Washington
Investment in Unconsolidated Joint Ventures
Percentage of Investment	15.50%
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%
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%
ILF/ALF | Joint Venture | Washington
Investment in Unconsolidated Joint Ventures
Proceeds from divestment in joint venture	$ 15,962,000
Percentage of internal rate of return	13.00%
Number of beds/units | item	267
Income Recognized	$ 2,962,000
ILF/ALF | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized	3,226,000	264,000
Cash Income Earned	3,172,000
Non-cash Income Accrued	54,000	$ 264,000
ILF/ALF | Joint Venture | Not primary beneficiary | Washington
Investment in Unconsolidated Joint Ventures
Proceeds from divestment in joint venture	$ 15,962,000
Percentage of internal rate of return	13.00%
Number of beds/units | item	267
Income Recognized	$ 2,962,000
SNF
Investment in Unconsolidated Joint Ventures
Gross Investment	$ 598,423,000
Percentage of Investment	45.00%
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	$ 11,262,000
Amount With held in Reserve	750,000
Capital expenditure reserve	$ 786,000
SNF/ALF | Senior Loan | Texas | Mortgage Loans with Interest
Investment in Unconsolidated Joint Ventures
Loan Term	5 years
Interest rate (as a percent)	9.15%
SNF/ALF | Senior Loan | Texas | Mortgage Loans
Investment in Unconsolidated Joint Ventures
Gross Investment	$ 12,700,000			$ 11,164,000
SNF/ALF | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized	294,000
Cash Income Earned	$ 294,000

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