Business Segments - Narrative (Details)	9 Months Ended	12 Months Ended
Sep. 30, 2020 facility segment	Dec. 31, 2019 segment
Segment Reporting [Abstract]
Number of reportable segments \| segment	1	3
Transitional and skilled service facilities	193
Transitional and skilled services and senior living campuses	24
Senior living facilities	9

Number of segments reported by the entity. A reportable segment is a component of an entity for which there is an accounting requirement to report separate financial information on that component in the entity's financial statements.

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 18
-URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8672-108599

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	duration