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Related Person Transactions (Details)
$ / shares in Units, $ in Thousands
12 Months Ended
Dec. 31, 2022
USD ($)
agreement
shares
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Feb. 28, 2023
$ / shares
Related Party Transaction        
Revenue $ 1,283,566 $ 1,383,212 $ 1,632,026  
Subsequent Event | AlerisLife Inc        
Related Party Transaction        
Investment in equity securities acquisition, share price (in dollars per share) | $ / shares       $ 1.31
Common stock proposed acquisition percentage       31.90%
Rental income        
Related Party Transaction        
Revenue $ 260,740 408,589 427,215  
AlerisLife Inc        
Related Party Transaction        
Investment in common shares (in shares) | shares 10,691,658      
Ownership interest by parent 31.90%      
Affiliated Entity        
Related Party Transaction        
Minimum percentage of ownership of lessee's voting stock above which the entity has the option to cancel all its rights 9.80%      
Reit Management And Research        
Related Party Transaction        
Related party transaction, closing cost $ 8,715      
AlerisLife Inc        
Related Party Transaction        
Maximum percentage of any class of equity shares that can be acquired without approval 9.80%      
RMR        
Related Party Transaction        
Number of management agreements with related party | agreement 2      
RMR | Rental income        
Related Party Transaction        
Revenue $ 303 $ 190 $ 163  
ABP Acquisition LLC | AlerisLife Inc        
Related Party Transaction        
Ownership interest by noncontrolling owners 6.10%      
RMR | Year one        
Related Party Transaction        
Award vesting rights, percentage 20.00%      
RMR | Year two        
Related Party Transaction        
Award vesting rights, percentage 20.00%      
RMR | Year three        
Related Party Transaction        
Award vesting rights, percentage 20.00%      
RMR | Year four        
Related Party Transaction        
Award vesting rights, percentage 20.00%      
RMR | Year five        
Related Party Transaction        
Award vesting rights, percentage 20.00%