Concentration of Risk (Details)	12 Months Ended
	Dec. 31, 2021 facility beds	Dec. 31, 2020 facility beds	Dec. 31, 2019 beds facility
Ensign | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	83	77	75
Number of Beds/Units | beds	8,756	8,129	7,945
Ensign | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	8	8	6
Number of Beds/Units | beds	997	1,027	573
Ensign | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	4	4	4
Number of Beds/Units | beds	395	390	390
Ensign | Rental revenue | Customer concentration risk
Concentration Risk [Line Items]
Concentration risk (percent)	32.00%	32.00%	38.00%
PMG | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	13	13	13
Number of Beds/Units | beds	1,742	1,742	1,742
PMG | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	2	2	2
Number of Beds/Units | beds	402	403	403
PMG | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	0	0	0
Number of Beds/Units | beds	0	0	0
PMG | Rental revenue | Customer concentration risk
Concentration Risk [Line Items]
Concentration risk (percent)	15.00%	16.00%	15.00%
CA | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	27
Number of Beds/Units | beds	3,048
CA | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	8
Number of Beds/Units | beds	1,359
CA | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	5
Number of Beds/Units | beds	449
CA | Rental revenue | Geographic concentration risk
Concentration Risk [Line Items]
Concentration risk (percent)	25.00%
TX | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	37
Number of Beds/Units | beds	4,694
TX | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	3
Number of Beds/Units | beds	536
TX | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	3
Number of Beds/Units | beds	242
TX | Rental revenue | Geographic concentration risk
Concentration Risk [Line Items]
Concentration risk (percent)	20.00%