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Investment Activity (2023 Asset Acquisition and Dispositions) (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Feb. 21, 2023
USD ($)
bedOrUnitInTheProperty
community
Nov. 30, 2022
USD ($)
bedOrUnitInTheProperty
Jun. 30, 2021
USD ($)
Dec. 31, 2022
USD ($)
boardMember
bedOrUnitInTheProperty
shares
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Real Estate [Line Items]            
Lease Income       $ (217,700) $ (271,049) $ (307,208)
Silverado Senior Living | Subsequent Event            
Real Estate [Line Items]            
Number of units in real estate property | community 2          
Cash consideration $ 37,500          
Term of master lease 20 years          
Initial lease rate 7.50%          
Annual lease escalator 2.00%          
NEVADA | Silverado Senior Living | Subsequent Event            
Real Estate [Line Items]            
Number of units in real estate property | bedOrUnitInTheProperty 60          
MARYLAND | Silverado Senior Living | Subsequent Event            
Real Estate [Line Items]            
Number of units in real estate property | bedOrUnitInTheProperty 60          
VIRGINIA | Silverado Senior Living | Subsequent Event            
Real Estate [Line Items]            
Number of units in real estate property | bedOrUnitInTheProperty 60          
Senior Living Communities            
Real Estate [Line Items]            
Number of units in real estate property | bedOrUnitInTheProperty       2,200    
Lease Income       $ (51,183) (50,726) (50,734)
National HealthCare Corporation            
Real Estate [Line Items]            
Lease Income       $ (36,893) (37,735) (37,820)
Number of board members | boardMember       2    
Lessor equity shares owned, significant lessee (in shares) | shares       1,630,642    
Bickford Senior Living            
Real Estate [Line Items]            
Proceeds from sale of real estate     $ 39,900      
Lease Income       $ (27,600) (34,599) (49,451)
Bickford Senior Living | Bickford Senior Living            
Real Estate [Line Items]            
Number of units in real estate property | bedOrUnitInTheProperty   60        
Term of master lease   10 years 6 months        
Initial lease rate   8.00%        
Cancellation of outstanding construction note receivable   $ 14,000        
Asset acquisition, rent deferral deduction   $ 3,000        
Bickford Senior Living | Bickford Senior Living | Subsequent Event            
Real Estate [Line Items]            
Cash consideration $ 17,300          
Initial lease rate 8.00%          
Asset acquisition, transaction cost $ 100          
Cancellation of outstanding construction note receivable 14,200          
Capital expenditures 500          
Asset acquisition, rent deferral deduction $ 2,500          
Bickford Senior Living | Disposal Group, Disposed of by Sale, Not Discontinued Operations            
Real Estate [Line Items]            
Proceeds from sale of real estate     $ 52,900 $ 52,900    
Lease Income         $ (1,600) $ (5,600)