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Equity - Noncontrolling Interest (Details) $ in Thousands	6 Months Ended
Equity - Noncontrolling Interest (Details) $ in Thousands	Jun. 30, 2022 USD ($) item	Jul. 29, 2022 item	Dec. 31, 2021 USD ($)
Noncontrolling interest
Gross Consolidated Assets	$ 1,578,227		$ 1,504,825
Non-controlling interests	$ 7,522		8,413
Number of units \| item	217
Carrying value	$ 1,035,767		$ 1,033,951
SNF
Noncontrolling interest
Purchase Price	$ 51,534
ALF
Noncontrolling interest
Number of units \| item	74
Partnership
Noncontrolling interest
Gross Consolidated Assets	$ 66,604
Non-controlling interests	7,522
Oregon \| 2018 Acquisitions \| Partnership \| ALF & MC
Noncontrolling interest
Gross Consolidated Assets	18,447
Non-controlling interests	1,119
Oregon \| 2018 Acquisitions \| Partnership \| ILF
Noncontrolling interest
Gross Consolidated Assets	14,470
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 & MC
Noncontrolling interest
Gross Consolidated Assets	11,680
Non-controlling interests	$ 1,241
Subsequent Event \| ALF
Noncontrolling interest
Number of units \| item		625