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Investment in Unconsolidated Joint Ventures - Investment (Details)
3 Months Ended 12 Months Ended
Sep. 30, 2020
USD ($)
Dec. 31, 2020
USD ($)
property
item
Dec. 31, 2019
USD ($)
item
property
Dec. 31, 2018
USD ($)
Investment in Unconsolidated Joint Ventures        
Carrying Value   $ 11,340,000 $ 19,003,000  
Income Recognized   432,000 2,388,000 $ 2,864,000
Cash Interest Received   432,000 2,991,000 2,371,000
Impairment loss from investments in unconsolidated joint ventures     5,500,000  
Liquidation proceeds   17,848,000 6,601,000  
Joint Venture        
Investment in Unconsolidated Joint Ventures        
Liquidation proceeds   17,848,000    
Amount of gains (losses) on liquidation   $ (758,000)    
Joint Venture | Preferred Equity Investment | Arizona        
Investment in Unconsolidated Joint Ventures        
Number of properties owned by joint venture | property   4    
Joint Venture | Not primary beneficiary        
Investment in Unconsolidated Joint Ventures        
Capital Contributions   $ 11,398,000 472,000 670,000
Income Recognized   432,000 2,388,000 2,864,000
Cash Interest Received   431,000 $ 2,991,000 2,371,000
Preferred Equity Investment | Joint Venture | Not primary beneficiary        
Investment in Unconsolidated Joint Ventures        
Investment commitment   13,000,000    
Carrying Value   11,340,000    
Combination ILF, ALF and MC community | Preferred Equity Investment | Joint Venture | Not primary beneficiary        
Investment in Unconsolidated Joint Ventures        
Number of properties owned by joint venture for sale | property     4  
Impairment loss from investments in unconsolidated joint ventures     $ 5,500,000  
Combination ALF, MC, ILF | Preferred Equity Investment | Joint Venture | Not primary beneficiary        
Investment in Unconsolidated Joint Ventures        
Capital Contributions   58,000 472,000 670,000
Income Recognized   231,000 1,029,000 2,041,000
Cash Interest Received   $ 231,000 $ 1,580,000 1,975,000
Combination ALF, MC, ILF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Arizona        
Investment in Unconsolidated Joint Ventures        
Preferred return percentage   15.00%    
Combination ALF, ILF, MC | Mezzanine Loans | Joint Venture | Not primary beneficiary        
Investment in Unconsolidated Joint Ventures        
Preferred return percentage     15.00%  
Number of beds/units | item     99  
Investment commitment     $ 2,900,000  
Income Recognized     955,000  
Cash Interest Received     $ 979,000  
Combination ALF/MC | Joint Venture | Not primary beneficiary | Preferred Equity Investment        
Investment in Unconsolidated Joint Ventures        
Capital Contributions   $ 6,340,000    
Income Recognized   169,000    
Cash Interest Received   $ 168,000    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary        
Investment in Unconsolidated Joint Ventures        
Number of beds/units 95      
Capital Contributions $ 6,340,000      
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington        
Investment in Unconsolidated Joint Ventures        
Preferred return percentage   12.00%    
Contractual cash portion   7.00%    
Number of beds/units | item   95    
Carrying Value   $ 6,340,000    
Percentage of Investment   15.50%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent        
Investment in Unconsolidated Joint Ventures        
Percentage of cash return   8.00%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Minimum        
Investment in Unconsolidated Joint Ventures        
Percentage of cash return   7.00%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Maximum        
Investment in Unconsolidated Joint Ventures        
Percentage of cash return   9.00%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | The Internal Rate of Return is Between Twelve and Fourteen Percent | Minimum        
Investment in Unconsolidated Joint Ventures        
Percentage of cash return   12.00%    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | The Internal Rate of Return is Between Twelve and Fourteen Percent | Maximum        
Investment in Unconsolidated Joint Ventures        
Percentage of cash return   14.00%    
Combination ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary        
Investment in Unconsolidated Joint Ventures        
Preferred return percentage     15.00%  
Number of beds/units | item     127  
Investment commitment     $ 3,400,000  
Income Recognized     404,000  
Cash Interest Received     $ 432,000  
Combination ILF/ALF | Joint Venture | Not primary beneficiary | Preferred Equity Investment | Washington        
Investment in Unconsolidated Joint Ventures        
Capital Contributions   $ 5,000,000    
Income Recognized   32,000    
Cash Interest Received   $ 32,000    
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington        
Investment in Unconsolidated Joint Ventures        
Preferred return percentage   12.00%    
Contractual cash portion   8.00%    
Number of beds/units | item   267    
Investment commitment   $ 13,000,000    
Carrying Value   $ 5,000,000    
Percentage of Investment   11.60%    
Percentage of cash return   8.00%    
Percentage of internal rate of return   12.00%    
Amount of joint venture investment   $ 13,000,000    
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary        
Investment in Unconsolidated Joint Ventures        
Income Recognized       511,000
Cash Interest Received       396,000
Combination UDP-ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary        
Investment in Unconsolidated Joint Ventures        
Income Recognized       $ 312,000