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Operation Expansions - Narrative (Details)
$ in Thousands
3 Months Ended
Apr. 01, 2021
operation
bed
Mar. 31, 2021
bed
facility
operation
Mar. 31, 2020
USD ($)
operation
facility
bed
Business Acquisition [Line Items]      
Operational skilled nursing beds | bed   23,600  
Operational senior living units | bed   2,200  
Payments to acquire business and asset acquisitions     $ 14,054
Number of real estate properties | facility   94  
8051 Services, Skilled Nursing Care Facilities | Subsequent Event      
Business Acquisition [Line Items]      
Number of businesses acquired | operation 3    
Operational skilled nursing beds | bed 322    
Asset Acquisition | Buildings and improvements      
Business Acquisition [Line Items]      
Property, plant and equipment     9,669
Asset Acquisition | Land      
Business Acquisition [Line Items]      
Property, plant and equipment     4,080
Asset Acquisition | Furniture and fixtures      
Business Acquisition [Line Items]      
Property, plant and equipment     236
Asset Acquisition | Assembled occupancy      
Business Acquisition [Line Items]      
Property, plant and equipment     $ 69
The Pennant Group, Inc. | Senior Living Facilities      
Business Acquisition [Line Items]      
Number of real estate properties | facility     2
Skilled Nursing Operations      
Business Acquisition [Line Items]      
Number of businesses acquired | operation   4 3
Operational skilled nursing beds | bed   447 247
Owned Properties      
Business Acquisition [Line Items]      
Number of businesses acquired | facility     2
Senior Living Facilities      
Business Acquisition [Line Items]      
Number of businesses acquired | operation     1
Operational senior living units | facility     162