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Real Estate Investments - Properties Sold (Details)		1 Months Ended	3 Months Ended			9 Months Ended
	Oct. 01, 2025 USD ($) property item	Oct. 31, 2025 USD ($) property item	Sep. 30, 2025 USD ($) item	Sep. 30, 2024 USD ($)	Mar. 31, 2024 USD ($)	Sep. 30, 2025 USD ($) item property	Sep. 30, 2024 USD ($) property item	Dec. 31, 2024 USD ($)
Disposals and other
Carrying value			$ 1,169,150,000			$ 1,169,150,000		$ 925,848,000
Net gain (loss)			(738,000)	$ 3,663,000		(235,000)	$ 6,882,000
Proceeds from sale of real estate, net						5,714,000	33,641,000
Gross Investment			$ 1,596,451,000			$ 1,596,451,000
Number of beds/units | item			213			213
Distributions paid to non-controlling interests related to property sale							$ (2,305,000)
Seniors housing operating portfolio segment
Disposals and other
Gross Investment			$ 446,527,000			$ 446,527,000
Number of beds/units | item			1,577			1,577
Ohio | Seniors housing operating portfolio segment
Disposals and other
Gross Investment			$ 15,021,000			$ 15,021,000
Number of beds/units | item			60			60
Kentucky | Seniors housing operating portfolio segment
Disposals and other
Gross Investment			$ 39,684,000			$ 39,684,000
Number of beds/units | item			158			158
California | Seniors housing operating portfolio segment
Disposals and other
Gross Investment			$ 48,695,000			$ 48,695,000
Number of beds/units | item			133			133
Wisconsin | Seniors housing operating portfolio segment
Disposals and other
Gross Investment			$ 217,165,000			$ 217,165,000
Number of beds/units | item			620			620
Colorado | Seniors housing operating portfolio segment
Disposals and other
Gross Investment			$ 41,744,000			$ 41,744,000
Number of beds/units | item			228			228
Kansas | Seniors housing operating portfolio segment
Disposals and other
Gross Investment			$ 26,220,000			$ 26,220,000
Number of beds/units | item			114			114
SH
Disposals and other
Gross Investment			$ 984,783,000			$ 984,783,000
SH | Seniors housing operating portfolio segment
Disposals and other
Gross Investment			$ 446,527,000			$ 446,527,000
Number of beds/units | item			745			745
SH | Kentucky | Seniors housing operating portfolio segment
Disposals and other
Number of beds/units | item			158			158
SH | California | Seniors housing operating portfolio segment
Disposals and other
Number of beds/units | item			67			67
SH | Wisconsin | Seniors housing operating portfolio segment
Disposals and other
Number of beds/units | item			520			520
SNF
Disposals and other
Gross Investment			$ 599,663,000			$ 599,663,000
SNF | Virginia and California | Subsequent Event
Disposals and other
Number of properties sold | property		5
Number of beds or units in property sold | item		656
Sales price		$ 79,950,000
Carrying value		42,458,000
Net gain (loss)		52,000,000
Proceeds from sale of real estate, net		78,900,000
Gross Investment		$ 71,742,000
SNF | Florida | Subsequent Event
Disposals and other
Number of properties sold | property		2
Number of beds or units in property sold | item		240
Sales price		$ 43,000,000
Net gain (loss)		26,000,000
Proceeds from sale of real estate, net		$ 41,900,000
SNF | California | Subsequent Event
Disposals and other
Number of properties sold | property		1
SNF | Virginia | Subsequent Event
Disposals and other
Number of properties sold | property		4
Properties sold
Disposals and other
Number of properties sold | property						3	10
Number of beds or units in property sold | item						68	458
Sales price						$ 6,350,000	$ 34,752,000
Carrying value			5,948,000	26,759,000		5,948,000	26,759,000
Net gain (loss)						(235,000)	6,882,000
Properties sold | Ohio | 2 Properties obtained from JV
Disposals and other
Sales price						1,800,000
Carrying value			1,342,000			1,342,000
Net gain (loss)						$ 340,000
Properties sold | Texas
Disposals and other
Number of properties sold | property						1
Sales price						$ 2,880,000
Carrying value			3,266,000			3,266,000
Net gain (loss)						$ (715,000)
Properties sold | Location Not Specified
Disposals and other
Net gain (loss)							$ (60,000)
Properties sold | SH | Ohio
Disposals and other
Number of properties sold | property						1
Number of beds or units in property sold | item						39
Sales price						$ 1,000,000
Carrying value			670,000			670,000
Net gain (loss)						$ 236,000
Properties sold | SH | Florida
Disposals and other
Number of properties sold | property							1
Number of beds or units in property sold | item							60
Sales price							$ 4,500,000
Carrying value				4,579,000			4,579,000
Net gain (loss)							$ (289,000)
Properties sold | SH | Oklahoma
Disposals and other
Number of properties sold | property						1
Number of beds or units in property sold | item						29
Sales price						$ 670,000
Carrying value			$ 670,000			670,000
Net gain (loss)						$ (96,000)
Properties sold | SH | 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 gain (loss)							$ (390,000)
Properties sold | SH | 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 | SH | Texas | 3 Properties 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 gain (loss)							$ 3,635,000
Properties sold | SH | 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 gain (loss)							$ 3,986,000
Properties sold | ALF | Wisconsin
Disposals and other
Distributions paid to non-controlling interests related to property sale					$ 2,305,000
Properties sold | SNF | Subsequent Event
Disposals and other
Number of properties sold | property	7	7
Carrying value	$ 42,458
Gross Investment	$ 71,742
Properties sold | SNF | Virginia and California | Subsequent Event
Disposals and other
Number of properties sold | property	5
Sales price	$ 79,950
Net gain (loss)	52,000
Proceeds from sale of real estate, net	$ 78,900
Number of beds/units | item	656
Properties sold | SNF | Florida | Subsequent Event
Disposals and other
Number of properties sold | property	2
Sales price	$ 43,000
Carrying value	16,000
Net gain (loss)	26,000
Proceeds from sale of real estate, net	41,900
Gross Investment	$ 23,900
Number of beds/units | item	240
Properties sold | SNF | California | Subsequent Event
Disposals and other
Number of properties sold | property	1
Properties sold | SNF | Virginia | Subsequent Event
Disposals and other
Number of properties sold | property	4

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Sales price of real estate or properties that were intended to be sold or held for capital appreciation or rental income.

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+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 230
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 28
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482740/230-10-45-28

Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 360
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 5
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482130/360-10-45-5

Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 360
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Subparagraph (c)
-Publisher FASB
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Cash received from the sale of real estate that is held for investment, that is, it is part of an investing activity during the period.

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Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 230
-SubTopic 10
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-Section 45
-Paragraph 12
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Amount of real estate investment property 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.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 944
-SubTopic 210
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-03(a)(1)(d))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147478777/944-210-S99-1

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 944
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-Name Accounting Standards Codification
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+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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-SubTopic 210
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-03(a)(1)(d))
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-URI https://asc.fasb.org/1943274/2147478777/944-210-S99-1

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