Notes Payable and Other Debt - Details of Long-term Debt (Parenthetical) (Details) - Facility		6 Months Ended
	Dec. 30, 2022	Jun. 30, 2025
Coosa Valley Health Care
Debt Instrument [Line Items]
Prepayment penalties capped percentage		5.00%
Prepayment penalties percentage capped thereafter		1.00%
Default interest rate		5.00%
Prepayment penalties capped percentage in second year		4.00%
KeyBank
Debt Instrument [Line Items]
Debt instrument maturity date start range	Aug. 25, 2023
Debt instrument maturity date end range	Aug. 25, 2025
Senior debt - guaranteed by HUD
Debt Instrument [Line Items]
Number of skilled nursing facilities		7
Percentage of debt insured		100.00%
Senior debt - guaranteed by USDA
Debt Instrument [Line Items]
Number of skilled nursing facilities		2
Annual renewal fee for the USDA guarantee (as a percent)		0.25%
Debt Instrument Prepayment Penalties Percentage		1.00%
Prepayment penalties capped percentage		1.00%
Prepayment penalties percentage capped, period		10 years
Prepayment penalties percentage capped thereafter		0.00%
Senior debt - guaranteed by SBA
Debt Instrument [Line Items]
Number of skilled nursing facilities		1
Percentage of debt insured		75.00%
Senior debt Bonds, net of discount
Debt Instrument [Line Items]
Amortization of deferred financing costs (in percentage)		0.10%
Senior debt - other mortgage indebtedness
Debt Instrument [Line Items]
Amortization of deferred financing costs (in percentage)		0.34%
Minimum | Senior debt - guaranteed by USDA
Debt Instrument [Line Items]
Percentage of debt insured		70.00%
Maximum
Debt Instrument [Line Items]
Amortization of deferred financing costs (in percentage)		0.16%
Maximum | Senior debt - guaranteed by USDA
Debt Instrument [Line Items]
Percentage of debt insured		80.00%