Equity - Noncontrolling Interest (Details)	3 Months Ended	9 Months Ended
	Sep. 30, 2022 USD ($) lease property item Center	Sep. 30, 2022 USD ($) item	Dec. 31, 2021 USD ($)
Noncontrolling interest
Gross Consolidated Assets	$ 1,651,965,000	$ 1,651,965,000	$ 1,504,825,000
Non-controlling interests	21,919,000	$ 21,919,000	8,413,000
Contribution to JV	$ 61,661,000
Skilled nursing center purchased | Center	3
Real estate property acquired	$ 75,825,000
Lease term	10 years	10 years
Lease renewal term	5 years	5 years
Number of operating lease renewals | lease	2
Number of units | item	217	217
Carrying value	$ 1,026,182,000	$ 1,026,182,000	$ 1,033,951,000
JV Partner
Noncontrolling interest
Contribution to JV	14,325,000
SNF
Noncontrolling interest
Contribution to JV	$ 61,661,000
Skilled nursing center purchased | property	3
Transaction costs	$ 161,000
Real estate property acquired	$ 75,825,000
Lease term	10 years	10 years
Lease renewal term	5 years	5 years
Number of operating lease renewals | item	2
Purchase Price		$ 51,534,000
SNF | JV Partner
Noncontrolling interest
Contribution to JV	$ 14,325,000
ALF
Noncontrolling interest
Number of units	74	74
Partnership
Noncontrolling interest
Gross Consolidated Assets	$ 143,056,000	$ 143,056,000
Non-controlling interests	21,919,000	21,919,000
Florida | 2022 Acquisitions | Partnership | SNF
Noncontrolling interest
Gross Consolidated Assets	76,267,000	76,267,000
Non-controlling interests	14,325,000	14,325,000
Oregon | 2018 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets	18,452,000	18,452,000
Non-controlling interests	1,142,000	1,142,000
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets	14,650,000	14,650,000
Non-controlling interests	2,906,000	2,906,000
Wisconsin | 2017 Acquisitions | Partnership | ALF/ILF/MC
Noncontrolling interest
Gross Consolidated Assets	22,007,000	22,007,000
Non-controlling interests	2,305,000	2,305,000
South Carolina | 2017 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets	11,680,000	11,680,000
Non-controlling interests	$ 1,241,000	$ 1,241,000