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Equity - Noncontrolling Interest (Details)	1 Months Ended	12 Months Ended
Equity - Noncontrolling Interest (Details)	Jan. 31, 2023 USD ($) item lease	Dec. 31, 2022 USD ($) Center property lease item	Dec. 31, 2021 USD ($)
Noncontrolling interest
Gross Consolidated Assets		$ 1,656,103,000	$ 1,504,825,000
Non-controlling interests		21,940,000	$ 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
Lease renewal term	5 years	5 years
Number of operating lease renewals \| lease		2
JV Partner
Noncontrolling interest
Contribution to JV		$ 14,325,000
SNF
Noncontrolling interest
Contribution to JV		$ 61,661,000
Skilled nursing center purchased \| item		3
Real estate property acquired		$ 75,825,000
Lease term		10 years
Lease renewal term		5 years
Number of operating lease renewals \| lease		2
Purchase Price		$ 51,534,000
Number of properties acquired \| property		4
SNF \| JV Partner
Noncontrolling interest
Contribution to JV		$ 14,325,000
Partnership
Noncontrolling interest
Gross Consolidated Assets		143,556,000
Non-controlling interests		21,940,000
Virginia \| 2019 Acquisitions \| Partnership \| ALF & MC
Noncontrolling interest
Gross Consolidated Assets		76,767,000
Non-controlling interests		14,325,000
Oregon \| 2018 Acquisitions \| Partnership \| ALF & MC
Noncontrolling interest
Gross Consolidated Assets		18,452,000
Non-controlling interests		1,164,000
Oregon \| 2018 Acquisitions \| Partnership \| ILF
Noncontrolling interest
Gross Consolidated Assets		14,650,000
Non-controlling interests		2,906,000
Wisconsin \| 2017 Acquisitions \| Partnership \| ILF/ALF/MC
Noncontrolling interest
Gross Consolidated Assets		22,007,000
Non-controlling interests		2,305,000
South Carolina \| 2017 Acquisitions \| Partnership \| ALF
Noncontrolling interest
Gross Consolidated Assets		11,680,000
Non-controlling interests		$ 1,240,000
Subsequent Event
Noncontrolling interest
Contribution to JV	$ 117,900,000
Lease term	10 years
Lease renewal term	5 years
Number of operating lease renewals \| lease	2
Amount of joint venture investment	$ 121,321,000
Number of Assisted Living and Memory Care Communities \| item	11
Percentage of contractual initial cash yield	7.25%
Percentage of contractual initial cash yield in year three	7.50%
Percentage of floor on initial cash yield	2.00%
Percentage of ceiling on initial cash yield	4.00%
Maximum percentage of purchase option to buy properties	50.00%
Joint Venture Cash Return	9.00%