Equity - Noncontrolling Interest (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2021	Dec. 31, 2020
Noncontrolling interest
Gross Consolidated Assets		$ 1,504,825	$ 1,459,486
Non-controlling interests		8,413	$ 8,404
Partnership
Noncontrolling interest
Gross Consolidated Assets		83,429
Non-controlling interests		8,413
2019 Acquisitions
Noncontrolling interest
Purchase Price	$ 57,951
2019 Acquisitions | SNF
Noncontrolling interest
Purchase Price	19,500
2019 Acquisitions | ALF
Noncontrolling interest
Purchase Price	$ 35,719
Virginia | 2019 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets		16,895
Non-controlling interests		919
Oregon | 2018 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets		18,447
Non-controlling interests		1,091
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets		14,400
Non-controlling interests		2,857
Wisconsin | 2017 Acquisitions | Partnership | ALF/ILF/MC
Noncontrolling interest
Gross Consolidated Assets		22,007
Non-controlling interests		2,305
South Carolina | 2017 Acquisitions | Partnership | ALF
Noncontrolling interest
Gross Consolidated Assets		11,680
Non-controlling interests		$ 1,241