Liquidity - Additional Information (Details)							3 Months Ended																					9 Months Ended	12 Months Ended
	Oct. 21, 2022 USD ($) Facility	Oct. 01, 2021	Sep. 30, 2021 USD ($)	Aug. 17, 2021	Aug. 16, 2021 USD ($)	Oct. 01, 2018 $ / shares	Dec. 31, 2022 USD ($) Agreement Facility	Sep. 30, 2022 USD ($)	Jun. 30, 2022 USD ($)	Mar. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)	Sep. 30, 2021 USD ($)	Jun. 30, 2021 USD ($)	Mar. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)	Sep. 30, 2020 USD ($)	Jun. 30, 2020 USD ($)	Mar. 31, 2020 USD ($)	Dec. 31, 2019 USD ($)	Sep. 30, 2019 USD ($)	Jun. 30, 2019 USD ($)	Mar. 31, 2019 USD ($)	Dec. 31, 2018 USD ($)	Sep. 30, 2018 USD ($)	Jun. 30, 2018 USD ($)	Mar. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Sep. 30, 2021 USD ($) Facility	Dec. 31, 2022 USD ($) Facility Agreement	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)
Management's plan for increasing liquidity
Unrestricted cash							$ 800,000																						$ 800,000
Undeclared preferred stock dividends arrears							2,249,000	$ 2,249,000	$ 2,249,000	$ 2,250,000	$ 2,249,000	$ 2,249,000	$ 2,249,000	$ 2,250,000	$ 2,249,000	$ 2,249,000	$ 2,249,000	$ 2,250,000	$ 2,249,000	$ 2,249,000	$ 2,249,000	$ 2,250,000	$ 2,249,000	$ 1,912,000	$ 1,912,000	$ 1,912,000	$ 1,912,000		8,997,000	$ 8,997,000	$ 8,997,000	$ 7,985,000	$ 1,912,000
Total indebtedness							52,178,000																						52,178,000
Deferred financing fees							1,005,000																						1,005,000
Net of deferred financing and unamortized discounts, in indebtedness							1,100,000																						1,100,000
Debt repayments of principal in next 12 months, amortization							$ 1,800,000																						1,800,000
(Gain) Loss on extinguishment of debt																													$ 452,000	(146,000)
Number of facilities | Facility							5																						5
Variable rent recognized and collected																													$ 900,000
Prior leases contracted cash rent																														2,000,000.0
Accounts receivable							$ 1,099,000				362,000																		1,099,000	362,000
Prepayment penalty																													0	21,000
Receivables, estimated allowance for uncollectible accounts							1,298,000				177,000																		1,298,000	177,000
Gross receivables							7,587,000				2,322,000																		7,587,000	2,322,000
Number of skilled nursing facilities | Facility	3
Healthcare Services [Member]
Management's plan for increasing liquidity
Receivables, estimated allowance for uncollectible accounts							960,000				142,000																		960,000	142,000
Gross receivables							6,493,000				880,000																		6,493,000	880,000
Mediacaid Overpayment [Member]
Management's plan for increasing liquidity
Unrestricted cash			$ 200,000								200,000	200,000																$ 200,000		200,000
Powder Springs
Management's plan for increasing liquidity
Variable rent recognized and collected																														1,400,000
Wellington Lease Termination
Management's plan for increasing liquidity
Receivables, estimated allowance for uncollectible accounts							$ 1,300,000				200,000																		$ 1,300,000	200,000
CRM
Management's plan for increasing liquidity
Number of Consent Agreements | Agreement							2																						2
Coosa Credit Facility
Management's plan for increasing liquidity
Deferred financing fees			100,000									100,000																$ 100,000
Coosa Credit Facility | Coosa Facility | Coosa Nursing ADK, LLC
Management's plan for increasing liquidity
Number of licensed beds | Facility																												124
Coosa Credit Facility | Meadowood Facility | Meadowood Property Holdings, LLC
Management's plan for increasing liquidity
Number of licensed beds | Facility																												161
Coosa MCB Loan
Management's plan for increasing liquidity
Deferred financing fees			100,000								100,000	100,000																$ 100,000		100,000
(Gain) Loss on extinguishment of debt																														(100,000)
FountainHead Commercial Capital - PPP Loan
Management's plan for increasing liquidity
Debt Instrument, forgiven																														200,000
Coosa Facility Refinance
Management's plan for increasing liquidity
Debt instrument			3,500,000									3,500,000																$ 3,500,000
Maturity date		Oct. 01, 2026																										May 01, 2022
KeyBank Exit Notes
Management's plan for increasing liquidity
Debt instrument					$ 500,000
Maturity date				Aug. 25, 2023	Aug. 25, 2021
Other Non-routine Debt
Management's plan for increasing liquidity
Debt repayments of principal in next 12 months, amortization							$ 100,000																						$ 100,000
Routine debt
Management's plan for increasing liquidity
Debt repayments of principal in next 12 months, amortization							1.7																						1.7
Bond Debt
Management's plan for increasing liquidity
Debt repayments of principal in next 12 months, amortization							0.1																						0.1
Promissory Note | Coosa Credit Facility
Management's plan for increasing liquidity
Debt instrument			$ 5,100,000									$ 5,100,000																$ 5,100,000
Interest rate			3.95%									3.95%																3.95%
Maturity date			Oct. 10, 2026
Refinanced | Metro City Bank
Management's plan for increasing liquidity
Debt instrument			$ 5,100,000									$ 5,100,000																$ 5,100,000
Maturity date																												Jan. 31, 2036
Refinanced | Metro City Bank | Prime Rate
Management's plan for increasing liquidity
Basis spread																												1.50%
HUD Notes
Management's plan for increasing liquidity
Deferred financing fees							200,000																						200,000
Debt instrument	$ 7,800,000
Interest rate	3.97%
(Gain) Loss on extinguishment of debt																													(400,000)
Prepayment penalty																													200,000
HUD Notes | Northwood H U D Note
Management's plan for increasing liquidity
Debt instrument	$ 5,000,000.0
Maturity date	Nov. 01, 2052
HUD Notes | Greenfield HUD Note
Management's plan for increasing liquidity
Debt instrument	$ 2,000,000.0
Maturity date	Nov. 01, 2050
HUD Notes | Pavilion HUD Note
Management's plan for increasing liquidity
Debt instrument	$ 800,000
Maturity date	Dec. 01, 2039
Retire or Refinance of Series A Preferred Stock
Management's plan for increasing liquidity
Cost associated with retire or refinance of outstanding shares																													1,300,000	1,200,000
10.875% Series A Cumulative Redeemable Preferred Stock
Management's plan for increasing liquidity
Undeclared preferred stock dividends arrears																													$ 45,900,000
Increase of preferred stock dividend rate						12.875%																							12.875%
Dividends payable, preferred stock | $ / shares						$ 3.20
Accounts receivable							7,600,000																						$ 7,600,000
Healthcare Services Segment
Management's plan for increasing liquidity
Bed taxes							1,300,000																						1,300,000
Receivables, estimated allowance for uncollectible accounts							500,000				1,800,000																		500,000	1,800,000
Gross receivables							$ 6,500,000				$ 900,000																		$ 6,500,000	$ 900,000
Number of facilities operated | Facility																													2