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Investment in Unconsolidated Joint Ventures - Investment (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2023
USD ($)
item
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Investment in Unconsolidated Joint Ventures      
Carrying Value $ 19,340 $ 19,340  
Non-cash Income Accrued 1,939 6,192 $ 150
Income from unconsolidated joint ventures $ 1,504 1,504 1,417
Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Number of beds/units | item 362    
Carrying Value $ 19,340    
Capital Contributions     8,000
Income Recognized 1,504 1,504 1,417
Cash Income Earned 56 351  
Non-cash Income Accrued 1,448 1,153 1,292
UDP | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Income Recognized   1,054 450
Cash Income Earned   351  
Non-cash Income Accrued   703 412
UDP | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Capital Contributions     8,000
Income Recognized     967
Non-cash Income Accrued     $ 880
Combination ALF/MC | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Income Recognized 450 450  
Cash Income Earned 56    
Non-cash Income Accrued $ 394 $ 450  
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    
Carrying Value $ 6,340    
Percentage of Investment 15.50%    
Combination ALF/MC | Joint Venture | Not primary beneficiary | Washington | Minimum      
Investment in Unconsolidated Joint Ventures      
Preferred return percentage 12.00%    
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%    
Combination ILF/ALF | Joint Venture | Not primary beneficiary      
Investment in Unconsolidated Joint Ventures      
Income Recognized $ 1,054    
Non-cash Income Accrued $ 1,054    
Combination ILF/ALF | 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    
Carrying Value $ 13,000    
Percentage of Investment 11.60%    
Percentage of cash return 8.00%    
Percentage of internal rate of return 14.00%