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Discontinued Operations - Narrative (Details)
$ in Thousands
12 Months Ended
Dec. 01, 2018
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Sep. 30, 2020
nursing_center
Aug. 30, 2019
facility
Aug. 30, 2019
nursing_center
May 22, 2019
nursing_center
nursing_bed
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of nursing center facilities terminated | nursing_center       10      
Discontinued operation, revenue     $ 46,019        
Income (Loss) from discontinued operations, net of tax, including portion attributable to noncontrolling interest   $ (1,371) $ (8,589)        
Kentucky Properties | Discontinued Operations              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of nursing center facilities terminated | nursing_center             10
Number of skilled nursing beds terminated | nursing_bed             885
Pretax gain on transaction   $ 733          
Kentucky Properties              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Proceeds from sale of assets $ 18,700            
Carrying value of centers 13,331            
Gain on disposition of assets $ 4,825            
Kentucky Properties | Discontinued Operations              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of nursing center facilities terminated         10 10