Equity - Noncontrolling Interest (Details)		12 Months Ended
	Jan. 01, 2024 USD ($) item	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($) item	Dec. 31, 2021 USD ($)	Jun. 30, 2023 item	Mar. 31, 2023 item
Noncontrolling interest
Gross Consolidated Assets		$ 1,855,098,000	$ 1,656,103,000
Non-controlling interests		34,988,000	21,940,000
Principal payments received on notes receivable		7,227,000	$ 6,843,000	$ 2,694,000
ALF
Noncontrolling interest
Number of units | item			74
Partnership
Noncontrolling interest
Gross Consolidated Assets		319,518,000
Non-controlling interests		34,988,000
Ohio | ILF/ALF/MC
Noncontrolling interest
Number of units | item					242
Ohio | 2023 Acquisitions | Partnership | ILF/ALF/MC
Noncontrolling interest
Gross Consolidated Assets		54,717,000
Non-controlling interests		9,134,000
North Carolina | ALF & MC
Noncontrolling interest
Number of Assisted Living and Memory Care Communities | item						11
Number of units | item						523
North Carolina | ALF
Noncontrolling interest
Number of units | item			217
North Carolina | 2023 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets		121,321,000
Non-controlling interests		3,831,000
Florida | SNF
Noncontrolling interest
Skilled nursing center purchased | item			3
Number of units | item			299
Florida | 2022 Acquisitions | Partnership | SNF
Noncontrolling interest
Gross Consolidated Assets		76,691,000
Non-controlling interests		14,325,000
Oregon | 2018 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets		18,452,000
Non-controlling interests		1,246,000
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets		14,650,000
Non-controlling interests		2,907,000
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 & MC
Noncontrolling interest
Gross Consolidated Assets		11,680,000
Non-controlling interests		$ 1,240,000
Subsequent Event | Joint venture
Noncontrolling interest
Proceeds from divestment in joint venture	$ 23,120,000
Proceeds from abated rent	1,814,000
Repayments received from deferred rent	563,000
Principal payments received on notes receivable	$ 550,000
Subsequent Event | Wisconsin
Noncontrolling interest
Number of units | item	110