Concentration of Risk (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2022 bed facility unit_bed	Jun. 30, 2021 bed facility	Jun. 30, 2022 bed facility unit_bed	Jun. 30, 2021 bed facility
Ensign | SNF
Concentration Risk [Line Items]
Number of Facilities	83	81	83	81
Number of Beds/Units | bed	8,756	8,515	8,756	8,515
Ensign | Campus
Concentration Risk [Line Items]
Number of Facilities	8	8	8	8
Number of Beds/Units | bed	997	997	997	997
Ensign | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	7	4	7	4
Number of Beds/Units | bed	678	395	678	395
Ensign | Rental revenue | Customer concentration risk
Concentration Risk [Line Items]
Percentage of Total Revenue	35.00%	31.00%	35.00%	32.00%
Priority Management Group | SNF
Concentration Risk [Line Items]
Number of Facilities	13	13	13	13
Number of Beds/Units | bed	1,742	1,742	1,742	1,742
Priority Management Group | Campus
Concentration Risk [Line Items]
Number of Facilities	2	2	2	2
Number of Beds/Units | bed	402	402	402	402
Priority Management Group | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	0	0	0	0
Number of Beds/Units | bed	0	0	0	0
Priority Management Group | Rental revenue | Customer concentration risk
Concentration Risk [Line Items]
Percentage of Total Revenue	16.00%	15.00%	16.00%	15.00%
CA | SNF
Concentration Risk [Line Items]
Number of Facilities	27		27
Number of Beds/Units | unit_bed	3,048		3,048
CA | Campus
Concentration Risk [Line Items]
Number of Facilities	8		8
Number of Beds/Units | unit_bed	1,359		1,359
CA | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	5		5
Number of Beds/Units | unit_bed	449		449
CA | Rental revenue | Geographic concentration risk
Concentration Risk [Line Items]
Percentage of Total Revenue	27.00%		26.00%
TX | SNF
Concentration Risk [Line Items]
Number of Facilities	38		38
Number of Beds/Units | unit_bed	4,849		4,849
TX | Campus
Concentration Risk [Line Items]
Number of Facilities	3		3
Number of Beds/Units | unit_bed	536		536
TX | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	3		3
Number of Beds/Units | unit_bed	242		242
TX | Rental revenue | Geographic concentration risk
Concentration Risk [Line Items]
Percentage of Total Revenue	22.00%		22.00%