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Investment in Unconsolidated Joint Ventures - Investment (Details)
3 Months Ended 12 Months Ended
Dec. 31, 2021
USD ($)
property
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Dec. 31, 2021
USD ($)
property
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Dec. 31, 2020
USD ($)
item
property
Dec. 31, 2019
USD ($)
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property
Sep. 30, 2020
USD ($)
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Investment in Unconsolidated Joint Ventures          
Carrying Value $ 19,340,000 $ 19,340,000 $ 11,340,000    
Income Recognized   $ 1,417,000 432,000 $ 2,388,000  
Cash Interest Received     432,000 2,991,000  
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          
Number of properties owned by joint venture for sale | property     4    
Liquidation proceeds     $ 17,848,000    
Additional proceeds     758,000    
Joint Venture | Preferred Equity Investment | Arizona          
Investment in Unconsolidated Joint Ventures          
Number of properties owned by joint venture | property 4 4      
Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Capital Contributions   $ 8,000,000 11,398,000 472,000  
Income Recognized   1,417,000 432,000 2,388,000  
Cash Interest Received   1,292,000 432,000 2,991,000  
Preferred Equity Investment | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Carrying Value $ 19,340,000 19,340,000      
Combination ALF, MC and ILF community | Joint Venture | Not primary beneficiary | Preferred Equity Investment          
Investment in Unconsolidated Joint Ventures          
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  
Income Recognized     231,000 1,029,000  
Cash Interest Received     231,000 $ 1,580,000  
Combination ALF, MC, ILF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Arizona          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage       15.00%  
Number of beds/units | item       4  
UDP | Joint Venture | Not primary beneficiary | Preferred Equity Investment | Washington          
Investment in Unconsolidated Joint Ventures          
Capital Contributions   8,000,000      
Income Recognized   967,000      
Cash Interest Received   $ 880,000      
UDP | 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 267 267      
Carrying Value $ 13,000,000 $ 13,000,000      
Percentage of Investment 11.60% 11.60%      
Percentage of cash return   8.00%      
Percentage of internal rate of return   12.00%      
Investment commitment   $ 13,000,000      
UDP | Mezzanine Loans | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Capital Contributions     5,000,000    
Income Recognized     32,000    
Cash Interest Received     $ 32,000    
Combination ALF, ILF, MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Number of properties owned by joint venture for sale | property       4  
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  
Combination ALF/MC | Joint Venture | Not primary beneficiary | Preferred Equity Investment          
Investment in Unconsolidated Joint Ventures          
Income Recognized   450,000      
Cash Interest Received   $ 412,000      
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Number of beds/units | item         95
Carrying Value         $ 6,340,000
Investment commitment withheld related to preferred equity investment. $ 1,425,000        
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington          
Investment in Unconsolidated Joint Ventures          
Contractual cash portion   7.00%      
Number of beds/units | item 95 95      
Carrying Value $ 6,340,000 $ 6,340,000      
Percentage of Investment 15.50% 15.50%      
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Minimum          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage   12.00%      
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Maximum          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage   14.00%      
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  
Capital Contributions     $ 6,340,000    
Income Recognized     169,000 404,000  
Cash Interest Received     $ 169,000 432,000  
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington          
Investment in Unconsolidated Joint Ventures          
Number of beds/units | item     267    
Amount of joint venture investment     $ 13,000,000    
Reserve for preferred equity investment     3,777,000    
Investment commitment withheld related to preferred equity investment.   $ 2,324,000 $ 1,453,000    
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Income Recognized       955,000  
Cash Interest Received       $ 979,000