Leases - Facilities Leased or Subleased by the Company - Additional Information (Details)						12 Months Ended			96 Months Ended
	Nov. 01, 2022 USD ($) Agreement	Jan. 01, 2021	Feb. 28, 2019 USD ($)	Dec. 01, 2018 Bed Facility	Nov. 30, 2018 Facility	Dec. 31, 2022 USD ($) Facility Bed Agreement	Dec. 31, 2021 USD ($) Facility	Dec. 31, 2020 USD ($)	Dec. 31, 2022 USD ($) Facility Bed Agreement	Dec. 31, 2019 USD ($)
Operating Leased Assets [Line Items]
Number of leased or subleased facilities | Facility						11	20
Number of skilled nursing facilities sub leased | Facility							8
Lessor operating lease existence of option to extend				true				true
Lessor, operating lease, number of optional extensions				Each sublease has an initial term of 10 years, with renewal options
Number of facilities | Facility						5			5
Gross receivables | $						$ 7,587,000	$ 2,322,000		$ 7,587,000
Number of SNFs under non-cancelable operating leases | Facility							9
Bad debt expense | $						$ 4,916,000	$ 182,000
Lease initial term				10 years
Number of managed SNFs | Facility						8
Weighted average remaining lease term, Facilities lessor						5 years 7 months 6 days
Facility rent expense | $						$ 4,876,000	$ 6,464,000
Minimum
Operating Leased Assets [Line Items]
Operating lease, escalation percentage						1.00%			1.00%
Maximum
Operating Leased Assets [Line Items]
Operating lease, escalation percentage						3.00%			3.00%
Aspire
Operating Leased Assets [Line Items]
Number of facilities | Facility					5
Number of subleased facilities | Facility					5
PS Sublease | Powder Springs
Operating Leased Assets [Line Items]
Lessor operating lease existence of option to extend		true
Covington Care Center
Operating Leased Assets [Line Items]
Lease, expiration date						Nov. 30, 2028
Number of beds in skilled nursing facility | Facility				94
Covington Care Center | Minimum
Operating Leased Assets [Line Items]
Straight-line rent receivable | $								$ 500,000		$ 400,000
Eaglewood ALF
Operating Leased Assets [Line Items]
Number of beds in skilled nursing facility | Facility				80
Eaglewood ALF | Minimum
Operating Leased Assets [Line Items]
Straight-line rent receivable | $								$ 600,000		500,000
Eaglewood Care Center
Operating Leased Assets [Line Items]
Lease, expiration date						Nov. 30, 2028
Number of beds in skilled nursing facility | Bed				99
Eaglewood Care Center | Minimum
Operating Leased Assets [Line Items]
Straight-line rent receivable | $										400,000
Hearth And Care Of Greenfield
Operating Leased Assets [Line Items]
Lease, expiration date						Nov. 30, 2023
Number of beds in skilled nursing facility | Bed				50
Lease initial term				5 years
Operating lease, minimum annual rent escalation percentage				1.00%
Hearth And Care Of Greenfield | Minimum
Operating Leased Assets [Line Items]
Straight-line rent receivable | $										200,000
The Pavilion Care Center
Operating Leased Assets [Line Items]
Lease, expiration date						Nov. 30, 2028
Number of beds in skilled nursing facility | Bed				50
The Pavilion Care Center | Minimum
Operating Leased Assets [Line Items]
Straight-line rent receivable | $										$ 200,000
Symmetry
Operating Leased Assets [Line Items]
Lease agreement expiration year						2030
Symmetry | Mountain Trace Facility
Operating Leased Assets [Line Items]
Number of beds in skilled nursing facility | Bed						106			106
Symmetry | Sumter Facility
Operating Leased Assets [Line Items]
Number of beds in skilled nursing facility | Bed						96			96
Symmetry | Georgetown Facility
Operating Leased Assets [Line Items]
Number of beds in skilled nursing facility | Bed						84			84
Vero Health Lease
Operating Leased Assets [Line Items]
Lease initial term			10 years
Lease start date			Mar. 01, 2019
Rent per year | $			$ 500,000
Operating lease, escalation percentage			2.50%
Oak Hollow Health Management, LLC
Operating Leased Assets [Line Items]
Lease initial term	10 years
Number of lease agreements | Agreement	2
Georgetown Health Rehab
Operating Leased Assets [Line Items]
Facility rent expense | $	$ 300,000
Sumter Valley Health Rehab
Operating Leased Assets [Line Items]
Facility rent expense | $	$ 400,000
Georgetown and Sumter
Operating Leased Assets [Line Items]
Operating lease, minimum annual rent escalation percentage	2.50%
CRM
Operating Leased Assets [Line Items]
Number of leased facilities | Facility									6
Number of Consent Agreements | Agreement						2			2
Third Party Operators
Operating Leased Assets [Line Items]
Number of sublease agreements executed, owned by company | Facility							12