Goodwill and Other Indefinite-Lived Intangible Assets - Goodwill Rollforward (Details) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Goodwill [Roll Forward]
Balance at beginning of period	$ 54,469,000	$ 54,469,000	$ 49,585,000
Additions	6,000,000		5,382,000
Impairments	0	0	(498,000)
Balance at end of period	60,469,000	54,469,000	54,469,000
Operating Segments | Skilled Services
Goodwill [Roll Forward]
Balance at beginning of period	45,486,000	45,486,000	45,486,000
Additions			0
Impairments			0
Balance at end of period	51,486,000	45,486,000	45,486,000
All Other
Goodwill [Roll Forward]
Balance at beginning of period	8,983,000	8,983,000	4,099,000
Additions	6,000,000		5,382,000
Impairments			(498,000)
Balance at end of period	$ 8,983,000	$ 8,983,000	$ 8,983,000