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Real Estate Investments - Lease (Details)
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2022
USD ($)
property
item
Jun. 30, 2022
item
Sep. 30, 2021
USD ($)
Sep. 30, 2022
USD ($)
property
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Sep. 30, 2021
USD ($)
Dec. 31, 2021
USD ($)
Real estate investments            
Write-off of straight-line rent and lease incentives balances       $ 256,000 $ 758,000  
Carrying value $ 1,026,182,000     1,026,182,000   $ 1,033,951,000
(Loss) gain on sale of real estate, net $ (387,000)   $ 2,702,000 $ 37,809,000 7,392,000  
Number of units | item 217     217    
Income and Expenses, Lessor [Abstract]            
Base cash rental income $ 28,180,000   25,934,000 $ 83,203,000 80,967,000  
Variable cash rental income 4,160,000   3,588,000 12,218,000 10,655,000  
Straight-Line Rent (436,000)   (44,000) (963,000) 619,000  
Adjustment for lease incentives and rental income (83,000)     (256,000) (758,000)  
Amortization of Lease Incentives (236,000)   (158,000) (665,000) (386,000)  
Total Rental Income 31,585,000   29,320,000 93,537,000 91,097,000  
Real estate taxes reimbursed $ 4,160,000   $ 3,588,000 $ 12,161,000 $ 10,655,000  
Lease term 10 years     10 years    
Percentage of reduction in rent and interest escalations           50.00%
Kentucky            
Real estate investments            
Other than temporary impairment loss       $ 1,286,000    
Purchase Option in Lease Arrangements            
Real estate investments            
Gross Investment $ 201,492,000     201,492,000    
Carrying value $ 186,197,000     $ 186,197,000    
ALF            
Real estate investments            
Number of properties | property 2     2    
Lease termination fee received       $ 1,181,000    
Number of units 74     74    
ALF | California            
Real estate investments            
Number of properties | property 4     4    
ALF | Purchase Option in Lease Arrangements | Nebraska            
Real estate investments            
Number of properties | property 3     3    
Gross Investment $ 7,633,000     $ 7,633,000    
Carrying value $ 3,008,000     $ 3,008,000    
MC | Purchase Option in Lease Arrangements            
Income and Expenses, Lessor [Abstract]            
Number of properties acquired | item       3    
MC | Purchase Option in Lease Arrangements | Florida            
Real estate investments            
Number of properties | property 1     1    
Gross Investment $ 15,201,000     $ 15,201,000    
Carrying value $ 12,614,000     $ 12,614,000    
ALF & 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 $ 33,954,000     $ 33,954,000    
ALF & 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 $ 9,197,000     $ 9,197,000    
SNF            
Income and Expenses, Lessor [Abstract]            
Number of properties acquired | property       4    
Acquisition Costs       $ 51,815,000    
Lease term 10 years     10 years    
SNF | Purchase Option in Lease Arrangements            
Income and Expenses, Lessor [Abstract]            
Number of properties acquired | item   4        
Lease term 10 years 10 years   10 years    
SNF | Purchase Option in Lease Arrangements | Florida            
Real estate investments            
Number of properties | property 3     3    
Gross Investment $ 76,267,000     $ 76,267,000    
Carrying value $ 76,267,000     $ 76,267,000    
SNF | Purchase Option in Lease Arrangements | Texas            
Real estate investments            
Number of properties | property 4     4    
Gross Investment $ 51,816,000     $ 51,816,000    
Carrying value $ 51,157,000     $ 51,157,000