Notes Payable - Narrative (Details) $ in Thousands					1 Months Ended				6 Months Ended
	Feb. 02, 2024 USD ($) property	Dec. 01, 2023 USD ($)	Jun. 29, 2023 USD ($) property	May 11, 2023 USD ($)	Jun. 30, 2024 USD ($) property seniorHousingCommunity	May 31, 2024 USD ($)	Apr. 30, 2024 USD ($)	Jul. 31, 2023 USD ($)	Jun. 30, 2024 USD ($) property seniorHousingCommunity	Jun. 30, 2023 USD ($)	May 22, 2024	May 09, 2024	Dec. 31, 2023 USD ($)	Jan. 31, 2023 property	Jul. 31, 2020 property
Debt Instrument [Line Items]
Property and equipment, net					$ 571,000				$ 571,000
Repayments of notes payable									48,475	$ 5,893
Gain on debt extinguishment									38,148	36,339
Payments of loan costs									633	327
Purchase of interest rate cap									$ 1,851	$ 0
Number of senior housing communities | seniorHousingCommunity					78				78
Notes payable, excluding deferred loan costs					$ 583,755				$ 583,755				$ 629,422
Notes payable					$ 587,798				$ 587,798				633,783
Fixed rate mortgage notes payable
Debt Instrument [Line Items]
Weighted average interest rate					4.60%				4.60%
Notes payable					$ 412,943				$ 412,943				492,998
Fixed rate mortgage notes payable | Minimum
Debt Instrument [Line Items]
Debt effective interest rate					3.60%				3.60%
Fixed rate mortgage notes payable | Maximum
Debt Instrument [Line Items]
Debt effective interest rate					6.30%				6.30%
Variable rate mortgages note payable
Debt Instrument [Line Items]
Debt instrument, variable rate at period end					5.30%				5.30%
Weighted average interest rate					6.30%				6.30%
Notes payable					$ 171,531				$ 171,531				137,320
Variable rate mortgages note payable | Minimum
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate									2.14%
Variable rate mortgages note payable | Maximum
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate									3.50%
Mortgage debt
Debt Instrument [Line Items]
Note principal amount						$ 9,400
Notes payable - insurance
Debt Instrument [Line Items]
Debt instrument, term									10 months
Notes payable, excluding deferred loan costs					$ 2,500				$ 2,500
Weighted average interest rate					6.77%				6.77%
Notes payable					$ 2,514				$ 2,514				1,846
Notes payable - insurance | Minimum
Debt Instrument [Line Items]
Stated interest rate					6.25%				6.25%
Notes payable - insurance | Maximum
Debt Instrument [Line Items]
Stated interest rate					6.85%				6.85%
Notes payable - other
Debt Instrument [Line Items]
Weighted average interest rate					8.50%				8.50%
Notes payable					$ 810				$ 810				1,619
Protective Life Insurance Company
Debt Instrument [Line Items]
Repayments of notes payable	$ 40,200
Debt instrument, repurchase amount	$ 74,400
Number of properties covered under loan | property	7
Reduction in notes payable	$ 49,600
Gain on debt extinguishment	$ 38,100
Ally Bank
Debt Instrument [Line Items]
Number of properties covered under loan | property	6
Increase in principal	$ 24,800
Debt issuance costs, net	500
Debt instrument, term loan of principle reserve increased by monthly average amount	36
Debt instrument, one-time payment to debt service reserve	400
Interest Rate Cap
Debt Instrument [Line Items]
Debt instrument, variable rate at period end		2.25%						2.25%
Derivative, basis spread on variable rate						6.00%	4.00%					6.00%
Purchase of interest rate cap	600	$ 2,400				$ 200	$ 1,100	$ 2,300
Derivative, notional amount	24,800	$ 88,100			171,600	$ 9,400	$ 49,200	$ 88,100	$ 171,600				138,400
Derivative term		12 months				24 months	24 months	1 year
Interest Rate Cap | Ally Bank
Debt Instrument [Line Items]
Payments of loan costs	$ 600
Macedonia New Loan
Debt Instrument [Line Items]
Debt instrument, term						60 months
Scheduled principal payment waive period									36 months
Macedonia New Loan | Mortgage debt
Debt Instrument [Line Items]
Note principal amount						$ 9,400
Derivative, basis spread on variable rate						2.00%
Forbearance Agreements
Debt Instrument [Line Items]
Debt instrument, weighted average rate									0.015
Fourth Ally Amendments | Ally Bank
Debt Instrument [Line Items]
Debt ownership percentage, lender											67.50%
Fourth Ally Amendments | Cross River Bank
Debt Instrument [Line Items]
Debt ownership percentage, lender											32.50%
Insurance Notes Payable, issued 2023 | Notes payable - insurance
Debt Instrument [Line Items]
Note principal amount													$ 3,300
Insurance Notes Payable, issued 2024 | Notes payable - insurance
Debt Instrument [Line Items]
Note principal amount					$ 2,400				$ 2,400
Stated interest rate					6.85%				6.85%
Fannie Mae Loan | Fannie Mae
Debt Instrument [Line Items]
Number of senior housing communities | property														2
Fannie Mae Loan | Forbearance Agreements
Debt Instrument [Line Items]
Debt instrument, term									12 months
Number of senior housing communities | property			37		37				37
Debt periodic principal payments					$ 5,000			$ 5,000
Effective date					1 year
Fannie Mae Loan | Forbearance Agreements | Fixed rate mortgage notes payable
Debt Instrument [Line Items]
Number of senior housing communities | property					18				18
Fannie Mae Loan | Forbearance Agreements | Master Credit Facility
Debt Instrument [Line Items]
Debt instrument, term									12 months
Number of senior housing communities | property					19				19
Debt instrument, effective date					36 months				36 months
Escrow percentage									0.50
Fannie Mae Loan | Forbearance Agreements
Debt Instrument [Line Items]
Number of senior housing communities | property															18
Fannie Mae Loan | Forbearance Agreements | Fixed rate mortgage notes payable
Debt Instrument [Line Items]
Number of senior housing communities | property														18
Ally Loan, Amendment | Forbearance Agreements
Debt Instrument [Line Items]
Debt instrument, covenant, liquidity, amount, minimum			$ 13,000
Debt instrument covenant term			12 months
Limited payment guaranty waiver threshold									$ 6,000
Waiver principal reserve									$ 117
Ally Loan, Amendment | Refinance Facility | Mortgage debt
Debt Instrument [Line Items]
Increase in principal				$ 1,000
Debt instrument, covenant, liquidity, amount, minimum				$ 7,000