Concentration of Risk (Details)	3 Months Ended		9 Months Ended
	Sep. 30, 2022 facility bed unit_bed	Sep. 30, 2021 bed facility	Sep. 30, 2022 facility bed unit_bed	Sep. 30, 2021 bed facility
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	437		437
CA | Rental revenue | Geographic concentration risk
Concentration Risk [Line Items]
Percentage of Total Revenue	27.00%		27.00%
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%
Ensign | SNF
Concentration Risk [Line Items]
Number of Facilities	83	83	83	83
Number of Beds/Units | bed	8,741	8,756	8,741	8,756
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	661	395	661	395
Ensign | Rental revenue | Customer concentration risk
Concentration Risk [Line Items]
Percentage of Total Revenue	36.00%	33.00%	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%