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Investment in Unconsolidated Joint Ventures - Investment (Details)
3 Months Ended 9 Months Ended 12 Months Ended
Dec. 31, 2020
USD ($)
item
property
Sep. 30, 2021
USD ($)
property
item
Sep. 30, 2020
USD ($)
Dec. 31, 2020
USD ($)
item
property
Oct. 29, 2021
property
Investment in Unconsolidated Joint Ventures          
Carrying Value $ 11,340,000 $ 19,340,000   $ 11,340,000  
Income Recognized   $ 1,041,000 $ 287,000    
Cash Interest Received     249,000    
Liquidation proceeds     17,758,000    
Subsequent Event          
Investment in Unconsolidated Joint Ventures          
Number of beds/units | property         11
Joint Venture          
Investment in Unconsolidated Joint Ventures          
Number of properties owned by joint venture for sale | property 4     4  
Liquidation proceeds       $ 17,848,000  
Amount of gains (losses) on liquidation $ 138,000   (620,000)    
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   $ 8,000,000 6,398,000    
Income Recognized   1,041,000 287,000    
Cash Interest Received   916,000 249,000    
Preferred Equity Investment | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Carrying Value   19,340,000      
Combination ALF, MC, ILF | Preferred Equity Investment | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Capital Contributions     58,000    
Income Recognized     231,000    
Cash Interest Received     231,000    
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Number of beds/units | item 95     95  
Capital Contributions     6,340,000 $ 6,340,000  
Income Recognized   337,000 56,000    
Cash Interest Received   $ 300,000 $ 18,000    
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      
Reserve withheld   $ 1,425,000      
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 ILF/ALF | Joint Venture | Not primary beneficiary | Preferred Equity Investment | Washington          
Investment in Unconsolidated Joint Ventures          
Reserve withheld   $ 2,324      
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Capital Contributions   8,000,000      
Income Recognized   704,000      
Cash Interest Received   $ 616,000      
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      
Carrying Value   $ 13,000,000      
Reserve withheld   $ 3,777,000      
Percentage of Investment   11.60%      
Additional preferred capital contributions in joint venture committed   $ 8,000,000      
Amount of joint venture investment   13,000,000      
Reserve for preferred equity investment   $ 3,777      
Combination ILF/ALF | 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 ILF/ALF | 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 Investment   12.00%      
Combination ILF/ALF | 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 Investment   14.00%      
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Preferred Equity Investment | Washington          
Investment in Unconsolidated Joint Ventures          
Additional preferred capital contributions in joint venture committed   $ 8,000