Real Estate Investments - Completed Projects (Details) - Real Estate Investment Completed Projects $ in Thousands	12 Months Ended
	Dec. 31, 2022 project	Dec. 31, 2021 project	Dec. 31, 2020 USD ($) property item
Completed development projects
Number of completed development projects | project	0	0
Real Estate Development Commitments
Completed development projects
Number of Properties | property			2
Number of Beds/Units | item			168
Total Investment | $			$ 35,034
ALF & MC | Real Estate Development Commitments | Oregon
Completed development projects
Number of Properties | property			1
Number of Beds/Units | item			78
Total Investment | $			$ 18,447
SNF | Real Estate Development Commitments | Missouri
Completed development projects
Number of Properties | property			1
Number of Beds/Units | item			90
Total Investment | $			$ 16,587