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Leases and Management Agreements with Five Star - Narrative (Details)
$ in Thousands
1 Months Ended 3 Months Ended
Apr. 09, 2021
USD ($)
unit
community
Jan. 31, 2021
USD ($)
Mar. 31, 2021
USD ($)
community
property
trustee
shares
Mar. 31, 2020
USD ($)
community
Dec. 31, 2020
shares
Dec. 31, 2019
shares
Common shares of beneficial interest, shares issued (in shares) | shares     238,268,478   238,268,478  
Gain on lease termination     $ 0 $ 22,896    
Number of properties (property) | property     396      
Rental income     $ 397 294    
Five Star            
Total rental income recognized       75,000    
Gain on lease termination       $ 22,896    
Five Star            
Payments made in exchange for customary release   $ 5,763        
Five Star | Senior Living Communities            
Number of properties (property) | community     235 244    
Number of real estate properties inadequate documentation | trustee     1      
Revenue reserve, management fees payable reduction     $ 115      
Five Star | Senior Living Communities | Closed            
Number of properties (property) | community     7      
Five Star            
Common shares of beneficial interest, shares issued (in shares) | shares           10,268,158
Aggregate Shares Issued | shares         16,118,849  
Five Star            
Investment owned, percentage of total shares outstanding     33.80%      
Property management agreement expense     $ 13,850 $ 17,050    
Related party transaction capitalized amount     834 462    
Five Star | Operating Expense            
Property management agreement expense     13,016 16,588    
Five Star | Senior Living Communities | Subsequent Event            
Number of properties (property) | community 120          
Number of property units (units) | unit 18,000          
Related party transactions, termination percentage 10.00%          
Percentage target EBITDA of new management agreement not earned 80.00%          
Five Star | Senior Living Communities | Subsequent Event | Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations            
Total rental income recognized $ 682,000          
Number of properties (property) | community 108          
Number of property units (units) | unit 7,500          
Five Star | Senior Living Communities | Subsequent Event | Closed            
Number of property units (units) | unit 1,500          
Five Star | Rehabilitation Services            
Expenses from transactions with related party     $ 5,441 $ 8,057