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Other Real Estate Investments, Net (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Nov. 30, 2020
USD ($)
facility
Jul. 31, 2020
USD ($)
Apr. 30, 2020
USD ($)
property
extension_option
Jan. 31, 2020
USD ($)
Jul. 31, 2019
USD ($)
bed
Sep. 30, 2016
USD ($)
bed
Sep. 30, 2021
USD ($)
Sep. 30, 2020
USD ($)
Sep. 30, 2021
USD ($)
Sep. 30, 2020
USD ($)
Feb. 29, 2020
USD ($)
facility
Feb. 14, 2020
USD ($)
facility
Sep. 30, 2019
USD ($)
facility
Real Estate Properties [Line Items]                          
Preferred equity investment             $ 0   $ 0        
Aggregate purchase price                 183,681,000        
Payment to acquire facility                 180,323,000 $ 42,075,000      
Return of initial investment                 0 2,327,000      
Metron skilled nursing facilities | Disposed of by sale                          
Real Estate Properties [Line Items]                          
Number of properties sold | facility                     6 6  
Mortgage loan receivable                          
Real Estate Properties [Line Items]                          
Loan receivable             0   0        
Interest income             0 $ 0 0 2,000,000      
Other loans receivable                          
Real Estate Properties [Line Items]                          
Interest income             100,000 $ 17,000 200,000 200,000      
Next VA Star Realty Holdings LLC | Mezzanine loan receivable                          
Real Estate Properties [Line Items]                          
Number of facilities in agreement secured by membership interests | facility 9                        
Loan receivable $ 15,000,000                        
Loan receivable interest rate (percent) 12.00%                        
Period of unpaid interest payments due upon prepayment 24 months                        
Interest income             $ 500,000   1,400,000        
Next VA Star Realty Holdings LLC | Mezzanine loan receivable | Minimum                          
Real Estate Properties [Line Items]                          
Loans receivable exit fee (percent) 1.00%                        
Next VA Star Realty Holdings LLC | Mezzanine loan receivable | Maximum                          
Real Estate Properties [Line Items]                          
Loans receivable exit fee (percent) 3.00%                        
MCRC, LLC                          
Real Estate Properties [Line Items]                          
Purchase and sale agreement amount         $ 16,400,000                
Number of days after termination of purchase and sale agreement for maturity         5 days                
MCRC, LLC | Mortgage loan receivable                          
Real Estate Properties [Line Items]                          
Loan receivable         $ 3,000,000.0                
Loan receivable interest rate (percent)         8.00%                
Number of beds in facility used to secure loan | bed         176                
CommuniCare | Mortgage loan receivable                          
Real Estate Properties [Line Items]                          
Loan receivable                         $ 26,500,000
Loan receivable interest rate (percent)                         10.00%
Facilities utilized to secure mortgage loan | facility                         3
Cascade Capital Group, LLC                          
Real Estate Properties [Line Items]                          
Combined principal amount of loan     $ 33,900,000                    
Cascade Capital Group, LLC | Mortgage loan receivable                          
Real Estate Properties [Line Items]                          
Loan receivable                     $ 32,400,000 $ 32,400,000  
Loan receivable interest rate (percent)                     7.50% 7.50%  
Facilities utilized to secure mortgage loan | property     6                    
Proceeds from settlement of loan   $ 13,900,000 $ 18,900,000                    
Loan receivable     $ 13,900,000                    
LIBOR floor for loan (percent)     1.75%                    
Number of extension options | extension_option     2                    
Extension option term (in months)     6 months                    
Cascade Capital Group, LLC | Mortgage loan receivable | LIBOR                          
Real Estate Properties [Line Items]                          
Basis spread on variable rate for loan (percent)     4.00%                    
Cascadia Development, Boise ID                          
Real Estate Properties [Line Items]                          
Preferred equity investment           $ 2,300,000              
Preferred equity investment minimum yield           12.00%              
Number of beds planned for construction | bed           99              
Initial lease yield (percent)           9.00%              
Return of initial investment       $ 2,300,000                  
Cumulative contractual preferred return through acquisition date       1,400,000                  
Interest income related to preferred equity investments                   $ 100,000      
Cascadia Development, Boise ID | Prime Rate                          
Real Estate Properties [Line Items]                          
Basis spread of preferred equity investment yield           9.50%              
Skilled nursing properties                          
Real Estate Properties [Line Items]                          
Aggregate purchase price       18,700,000         $ 57,973,000        
Payment to acquire facility       $ 15,000,000