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Senior Living Community Leases and Management Agreements - Narrative (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Jun. 09, 2021
USD ($)
community
unit
Apr. 01, 2019
USD ($)
Jan. 31, 2021
USD ($)
Dec. 31, 2021
USD ($)
trustee
option
community
property
lease
unit
shares
Dec. 31, 2020
USD ($)
property
community
shares
Dec. 31, 2019
USD ($)
community
property
Jan. 01, 2020
shares
Feb. 01, 2019
USD ($)
Concentration Risk                
Common shares, shares issued (in shares) | shares       238,994,894 238,268,478      
Gain on lease termination       $ 0 $ 22,896 $ 0    
Number of properties owned (property) | property       390        
Acquisition and certain other transaction related costs       $ 17,506 $ 814 $ 13,102    
ALR                
Concentration Risk                
Common shares, shares issued (in shares) | shares             10,268,158  
Aggregate shares issued (shares) | shares             16,118,849  
Senior Living Communities                
Concentration Risk                
Number of properties owned (property) | property         28 25    
Number of units in real estate property | unit       27,672        
Five Star | Minimum                
Concentration Risk                
Management fees as a percentage of gross revenues       5.00%        
Construction supervision fee       3.00%        
Property management agreement, management fees       70.00%        
Five Star | Maximum                
Concentration Risk                
Management fees as a percentage of gross revenues       6.00%        
Construction supervision fee       5.00%        
Property management agreement, management fees       80.00%        
Five Star | Investor | Minimum                
Concentration Risk                
Percentage of annual incentive fee       15.00%        
Five Star | Investor | Maximum                
Concentration Risk                
Percentage of annual incentive fee       25.00%        
Affiliated Entity | ALR                
Concentration Risk                
Number of communities managed | community           78    
Affiliated Entity | Five Star                
Concentration Risk                
Number of communities leased by the company | community           166    
Amounts of transaction         $ 75,000 $ 137,898    
Gain on lease termination         22,896      
Monthly minimum rent payable               $ 11,000
Payments to acquire property, plant, and equipment           49,155    
Management fees as a percentage of gross revenues       5.00%        
Percentage of annual incentive fee       15.00%        
Consumer price index annual estimated increase       2.00%        
Trigger basis for capital investment ratio (percent)       6.00%        
Business and property management agreement, number of agreements | option       2        
Renewal term (years)       5 years        
Number of leases with related party | lease       5        
Amount of improvements to communities           111,603    
Expenses from property management agreement transactions with related party       $ 47,479 62,880 $ 15,327    
Related party transaction capitalized amount       3,615 2,467      
Payments made in exchange for customary release     $ 5,763          
Refunded management fees     $ 115          
Lease income       1,591 1,561      
Affiliated Entity | Five Star | Property Operating Expense                
Concentration Risk                
Expenses from property management agreement transactions with related party       $ 43,864 $ 60,413      
Affiliated Entity | Five Star | Senior Living Communities                
Concentration Risk                
Number of communities managed | community       120 235 78    
Expenses from transactions with related party       $ 11,233 $ 25,687 $ 5,920    
Number of real estate properties inadequate documentation | trustee       1        
Five Star | Senior Living Communities                
Concentration Risk                
Number of properties owned (property) | community 120              
Related party transactions, termination percentage 10.00%              
Percentage of EBITDA threshold for contract termination 80.00%              
Five Star | Five Star                
Concentration Risk                
Payments to acquire property, plant, and equipment           49,155    
Amount of improvements to communities           111,603    
Five Star | Affiliated Entity | Five Star                
Concentration Risk                
Annual rent as a percentage of gross revenues, percent       4.00%        
Annual rent as a percentage of gross revenues, amount           $ 538    
Disposal Group, Held-for-sale, Not Discontinued Operations | Senior Living Communities                
Concentration Risk                
Number of properties owned (property) | property         10 2    
Number of units in real estate property | property         820      
Disposal Group, Held-for-sale, Not Discontinued Operations | Five Star | Senior Living Communities                
Concentration Risk                
Amounts of transaction $ 682,000              
Number of properties owned (property) | community 108     108        
Number of units in real estate property | unit 1,500              
Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations | Five Star | Senior Living Communities                
Concentration Risk                
Amounts of transaction       $ 17,363        
Number of units in real estate property | unit       7,340        
Acquisition and certain other transaction related costs       $ 13,311        
Number of properties transitioned | community       107        
Five Star | Senior Living Communities                
Concentration Risk                
Payments to acquire property, plant, and equipment   $ 49,155            
Scenario, Adjustment | Senior Living Communities                
Concentration Risk                
Number of properties owned (property) | property       10        
Scenario, Adjustment | Disposal Group, Held-for-sale, Not Discontinued Operations | Five Star | Senior Living Communities                
Concentration Risk                
Number of units in real estate property | unit 7,500              
Residents fees and services | SHOP | Affiliated Entity | Five Star                
Concentration Risk                
Revenue reserve for inadequate documentation         $ 3,842      
Penalties for inadequate documentation         $ 1,921