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Investment in Unconsolidated Joint Ventures - Investment (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
USD ($)
item
Sep. 30, 2022
USD ($)
item
Sep. 30, 2023
USD ($)
item
Sep. 30, 2022
USD ($)
item
Dec. 31, 2022
USD ($)
Investment in Unconsolidated Joint Ventures          
Number of beds/units | item   217   217  
Carrying Value $ 19,340   $ 19,340   $ 19,340
Percentage of Investment 100.00%   100.00%    
Application of Interest Reserve     $ 1,788 $ 4,348  
Income from unconsolidated joint ventures $ 375 $ 376 $ 1,127 1,127  
Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Number of beds/units | item 95   95    
Carrying Value $ 19,340   $ 19,340    
Income Recognized     1,127 1,127  
Cash Interest Earned       351  
Application of Interest Reserve     1,127 776  
UDP | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Income Recognized     790 790  
Cash Interest Earned       351  
Application of Interest Reserve     $ 790 439  
UDP | Joint Venture | Not primary beneficiary | Washington          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage     14.00%    
Contractual cash portion     8.00%    
Number of beds/units | item 267   267    
Carrying Value $ 13,000   $ 13,000    
Percentage of Investment 11.00%   11.00%    
Percentage of cash return     8.00%    
Percentage of internal rate of return     14.00%    
Combination ALF/MC | Joint Venture | Not primary beneficiary          
Investment in Unconsolidated Joint Ventures          
Income Recognized     $ 337 337  
Application of Interest Reserve     $ 337 $ 337  
Combination ALF/MC | Joint Venture | Not primary beneficiary | Internal Rate of Return is Until Eight Percent          
Investment in Unconsolidated Joint Ventures          
Percentage of internal rate of return     8.00%    
Combination ALF/MC | Joint Venture | Not primary beneficiary | The Internal Rate of Return is Between Twelve and Fourteen Percent | Minimum          
Investment in Unconsolidated Joint Ventures          
Percentage of internal rate of return     12.00%    
Combination ALF/MC | Joint Venture | Not primary beneficiary | The Internal Rate of Return is Between Twelve and Fourteen Percent | Maximum          
Investment in Unconsolidated Joint Ventures          
Percentage of internal rate of return     14.00%    
Combination ALF/MC | Joint Venture | Not primary beneficiary | Washington          
Investment in Unconsolidated Joint Ventures          
Preferred return percentage     12.00%    
Contractual cash portion     7.00%    
Number of beds/units | item 95   95    
Carrying Value $ 6,340   $ 6,340    
Percentage of Investment 15.50%   15.50%    
Combination ALF/MC | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Minimum          
Investment in Unconsolidated Joint Ventures          
Percentage of cash return     7.00%    
Combination ALF/MC | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Maximum          
Investment in Unconsolidated Joint Ventures          
Percentage of cash return     9.00%