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Spin-Off of Subsidiaries - Narrative (Details)
$ in Thousands
12 Months Ended
Oct. 01, 2019
USD ($)
facility
business
Dec. 31, 2019
USD ($)
facility
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Restructuring Cost and Reserve [Line Items]        
Disposal Group Including Discontinued Operation Consideration, Increase (Decrease) To Retained Earnings $ 71,181      
Noncontrolling Interest, Decrease from Deconsolidation 13,252      
Health care facilities | facility   223    
Senior living facilities | facility   10    
Number of Real Estate Properties | facility   90    
Dividends received from Pennant   $ 11,600    
Net contribution 84,433 84,433 $ 0 $ 0
Less cash of discontinued operations at end of period $ 47 0 41 $ 36
Spinoff        
Restructuring Cost and Reserve [Line Items]        
Public companies created | business 2      
Senior living facilities | facility 23      
Annual rental income $ 12,164      
Expense related to spin-off transaction   9,119    
Restructuring Charges   $ 7,909 $ 746  
Spinoff | Common Stock        
Restructuring Cost and Reserve [Line Items]        
Stockholders' equity note, stock split, conversion ratio 0.5      
Spinoff | Minimum        
Restructuring Cost and Reserve [Line Items]        
Lessee, operating lease, term of contract 14 years      
Spinoff | Maximum        
Restructuring Cost and Reserve [Line Items]        
Lessee, operating lease, term of contract 16 years      
The Pennant Group, Inc. [Member] | Spinoff        
Restructuring Cost and Reserve [Line Items]        
Home health, hospice and home care operations | business 63      
Senior living facilities | facility 52      
The Pennant Group, Inc. [Member] | Senior Living Facilities | Spinoff        
Restructuring Cost and Reserve [Line Items]        
Number of Real Estate Properties | facility 29 29