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Real Estate Investments - Lease (Details)
3 Months Ended 6 Months Ended
Jun. 30, 2021
USD ($)
property
Jun. 30, 2020
USD ($)
Jun. 30, 2021
USD ($)
property
item
Jun. 30, 2020
USD ($)
Dec. 31, 2020
USD ($)
Real estate investments          
Number of operators | item     18    
Rental income on cash basis 51        
Write-off of straight-line rent and lease incentives balances     $ 758,000 $ 17,742,000  
Carrying value $ 1,053,072,000   1,053,072,000   $ 1,102,358,000
Income and Expenses, Lessor [Abstract]          
Base cash rental income 26,410,000 $ 33,336,000 55,033,000 66,351,000  
Variable cash rental income 3,529,000 4,155,000 7,067,000 8,437,000  
Straight-Line Rent (19,000) 634,000 663,000 1,473,000  
Adjustment for collectability of rental income and lease incentives   (17,742,000) (758,000) (17,742,000)  
Amortization of Lease Incentives (116,000) (108,000) (228,000) (209,000)  
Total Rental Income 29,804,000 20,275,000 61,777,000 58,310,000  
Real estate taxes reimbursed 3,529,000 4,111,000 7,067,000 8,333,000  
Contingent rental income   $ 44,000   $ 104,000  
Rent deferrals 2,243,000   2,243,000    
Rent abatements     1,669,000    
Rent abatements and deferrals     $ 3,912,000    
Percentage of contractual rent     4.80%    
Percentage of reduction in rent and interest escalations     50.00%    
Decrease of revenue     $ (462,000)    
Decrease in cash     (1,337,000)    
Purchase Option in Lease Arrangements          
Real estate investments          
Gross Investment 159,696,000   159,696,000    
Carrying value $ 131,269,000   $ 131,269,000    
ALF | Purchase Option in Lease Arrangements | California          
Real estate investments          
Number of properties | property 2   2    
Gross Investment $ 31,577,000   $ 31,577,000    
Carrying value $ 17,323,000   $ 17,323,000    
ALF | Purchase Option in Lease Arrangements | California | Minimum          
Real estate investments          
Purchase option ending period     24 months    
ALF | Purchase Option in Lease Arrangements | California | Maximum          
Real estate investments          
Purchase option ending period     48 months    
ALF | Purchase Option in Lease Arrangements | Colorado          
Real estate investments          
Number of properties | property 1   1    
Gross Investment $ 6,764,000   $ 6,764,000    
Carrying value $ 5,418,000   $ 5,418,000    
MC | Purchase Option in Lease Arrangements | Florida          
Real estate investments          
Number of properties | property 1   1    
Gross Investment $ 15,173,000   $ 15,173,000    
Carrying value $ 13,153,000   $ 13,153,000    
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky          
Real estate investments          
Number of properties | property 2   2    
Gross Investment $ 30,342,000   $ 30,342,000    
Carrying value $ 26,918,000   $ 26,918,000    
MC | Purchase Option in Lease Arrangements | Texas          
Real estate investments          
Number of properties | property 2   2    
Gross Investment $ 25,265,000   $ 25,265,000    
Carrying value $ 23,405,000   $ 23,405,000    
ALF and MC | Purchase Option in Lease Arrangements | California          
Real estate investments          
Number of properties | property 2   2    
Gross Investment $ 38,895,000   $ 38,895,000    
Carrying value $ 35,130,000   $ 35,130,000    
ALF and MC | Purchase Option in Lease Arrangements | South Carolina          
Real estate investments          
Number of properties | property 1   1    
Gross Investment $ 11,680,000   $ 11,680,000    
Carrying value $ 9,922,000   $ 9,922,000    
Real Estate Investment          
Real estate investments          
Number of properties | property 154   154    
Gross Investment $ 1,412,329,000   $ 1,412,329,000    
Real Estate Investment | ALF          
Real estate investments          
Number of properties | property 102   102    
Gross Investment $ 840,502,000   $ 840,502,000