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Schedule III - Real Estate Assets and Accumulated Depreciation
12 Months Ended
Dec. 31, 2022
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract]  
Schedule III - Real Estate Assets and Accumulated Depreciation
Initial Cost to CompanyCosts Capitalized Since AcquisitionGross Carrying Value
DescriptionFacilityLocationEncum.LandBuilding
Improvs.
Improvs.LandBuilding
Improvs.
Total (1)Accum. Depr.Const./Ren. DateAcq.
Date
Skilled Nursing Properties:
Ensign Highland LLCHighland ManorPhoenix, AZ$— $257 $976 $926 $257 $1,902 $2,159 $(1,479)20132000
Meadowbrook Health Associates LLCSabino CanyonTucson, AZ— 425 3,716 1,940 425 5,656 6,081 (3,505)20122000
Terrace Holdings AZ LLCDesert TerracePhoenix, AZ— 113 504 971 113 1,475 1,588 (1,026)20042002
Rillito Holdings LLCCatalinaTucson, AZ— 471 2,041 3,055 471 5,096 5,567 (3,562)20132003
Valley Health Holdings LLCNorth MountainPhoenix, AZ— 629 5,154 1,519 629 6,673 7,302 (4,357)20092004
Cedar Avenue Holdings LLCUplandUpland, CA— 2,812 3,919 1,994 2,812 5,913 8,725 (3,865)20112005
Granada Investments LLCCamarilloCamarillo, CA— 3,526 2,827 1,522 3,526 4,349 7,875 (2,965)20102005
Plaza Health Holdings LLCPark ManorWalla Walla, WA— 450 5,566 1,055 450 6,621 7,071 (4,407)20092006
Mountainview Communitycare LLCPark View GardensSanta Rosa, CA— 931 2,612 653 931 3,265 4,196 (2,317)19632006
CM Health Holdings LLCCarmel MountainSan Diego, CA— 3,028 3,119 2,071 3,028 5,190 8,218 (3,381)20122006
Polk Health Holdings LLCTimberwoodLivingston, TX— 60 4,391 1,167 60 5,558 5,618 (3,522)20092006
Snohomish Health Holdings LLCEmerald HillsLynnwood, WA— 741 1,663 1,998 741 3,661 4,402 (2,854)20092006
Cherry Health Holdings LLCPacific CareHoquiam, WA— 171 1,828 2,038 171 3,866 4,037 (2,951)20102006
Golfview Holdings LLCCambridge SNFRichmond, TX— 1,105 3,110 1,067 1,105 4,177 5,282 (2,554)20072006
Tenth East Holdings LLCArlington HillsSalt Lake City, UT— 332 2,426 2,507 332 4,933 5,265 (3,618)20132006
Trinity Mill Holdings LLCCarrolltonCarrollton, TX— 664 2,294 902 664 3,196 3,860 (2,551)20072006
Cottonwood Health Holdings LLCHolladaySalt Lake City, UT— 965 2,070 958 965 3,028 3,993 (2,578)20082007
Verde Villa Holdings LLCLake VillageLewisville, TX— 600 1,890 470 600 2,360 2,960 (1,645)20112007
Mesquite Health Holdings LLCWillow BendMesquite, TX— 470 1,715 8,632 441 10,376 10,817 (8,270)20122007
Arrow Tree Health Holdings LLCArbor GlenGlendora, CA— 2,165 1,105 324 2,165 1,429 3,594 (1,149)19652007
Fort Street Health Holdings LLCDraperDraper, UT— 443 2,394 759 443 3,153 3,596 (1,839)20082007
Trousdale Health Holdings LLCBrookfieldDowney, CA— 1,415 1,841 1,861 1,415 3,702 5,117 (2,393)20132007
Ensign Bellflower LLCRose VillaBellflower, CA— 937 1,168 357 937 1,525 2,462 (1,039)20092007
RB Heights Health Holdings LLCOsbornScottsdale, AZ— 2,007 2,793 1,762 2,007 4,555 6,562 (2,885)20092008
San Corrine Health Holdings LLCSalado CreekSan Antonio, TX— 310 2,090 719 310 2,809 3,119 (1,587)20052008
Temple Health Holdings LLCWellingtonTemple, TX— 529 2,207 1,163 529 3,370 3,899 (2,058)20082008
Anson Health Holdings LLCNorthern OaksAbilene, TX— 369 3,220 1,725 369 4,945 5,314 (2,925)20122008
Willits Health Holdings LLCNorthbrookWillits, CA— 490 1,231 500 490 1,731 2,221 (1,018)20112008
Lufkin Health Holdings LLCSouthlandLufkin, TX— 467 4,644 782 467 5,426 5,893 (1,926)19882009
Lowell Health Holdings LLCLittletonLittleton, CO— 217 856 1,735 217 2,591 2,808 (1,694)20122009
Jefferson Ralston Holdings LLCArvadaArvada, CO— 280 1,230 834 280 2,064 2,344 (1,082)20122009
Lafayette Health Holdings LLCJulia TempleEnglewood, CO— 1,607 4,222 6,195 1,607 10,417 12,024 (6,030)20122009
Hillendahl Health Holdings LLCGolden AcresDallas, TX— 2,133 11,977 1,421 2,133 13,398 15,531 (6,543)19842009
Price Health Holdings LLCPinnaclePrice, UT— 193 2,209 849 193 3,058 3,251 (1,316)20122009
Silver Lake Health Holdings LLCProvoProvo, UT— 2,051 8,362 2,011 2,051 10,373 12,424 (3,766)20112009
Jordan Health Properties LLCCopper RidgeWest Jordan, UT— 2,671 4,244 1,507 2,671 5,751 8,422 (2,186)20132009
Regal Road Health Holdings LLCSunviewYoungstown, AZ— 767 4,648 155 193 5,377 5,570 (2,423)20122009
Paredes Health Holdings LLCAlta VistaBrownsville, TX— 373 1,354 190 373 1,544 1,917 (548)19692009
Expressway Health Holdings LLCVerandaHarlingen, TX— 90 675 430 90 1,105 1,195 (548)20112009
Rio Grande Health Holdings LLCGrand TerraceMcAllen, TX— 642 1,085 870 642 1,955 2,597 (1,139)20122009
Fifth East Holdings LLCParamountSalt Lake City, UT— 345 2,464 1,065 345 3,529 3,874 (1,600)20112009
Emmett Healthcare Holdings LLCRiver's EdgeEmmet, ID— 591 2,383 69 591 2,452 3,043 (948)19722010
Burley Healthcare Holdings LLCParke ViewBurley, ID— 250 4,004 424 250 4,428 4,678 (1,855)20112010
Josey Ranch Healthcare Holdings LLCHeritage GardensCarrollton, TX— 1,382 2,293 478 1,382 2,771 4,153 (1,117)19962010
Everglades Health Holdings LLCVictoria VenturaVentura, CA— 1,847 5,377 682 1,847 6,059 7,906 (1,916)19902011
Irving Health Holdings LLCBeatrice ManorBeatrice, NE— 60 2,931 245 60 3,176 3,236 (1,277)20112011
Falls City Health Holdings LLCCareage Estates of Falls CityFalls City, NE— 170 2,141 82 170 2,223 2,393 (822)19722011
Gillette Park Health Holdings LLCCareage of CherokeeCherokee, IA— 163 1,491 12 163 1,503 1,666 (697)19672011
Gazebo Park Health Holdings LLCCareage of ClarionClarion, IA— 80 2,541 97 80 2,638 2,718 (1,264)19782011
Oleson Park Health Holdings LLCCareage of Ft. DodgeFt. Dodge, IA— 90 2,341 759 90 3,100 3,190 (1,862)20122011
Arapahoe Health Holdings LLCOceanviewTexas City, TX— 158 4,810 759 128 5,599 5,727 (2,459)20122011
Dixie Health Holdings LLCHurricaneHurricane, UT— 487 1,978 98 487 2,076 2,563 (639)19782011
Memorial Health Holdings LLCPocatelloPocatello, ID— 537 2,138 698 537 2,836 3,373 (1,292)20072011
Bogardus Health Holdings LLCWhittier EastWhittier, CA— 1,425 5,307 1,079 1,425 6,386 7,811 (2,674)20112011
South Dora Health Holdings LLCUkiahUkiah, CA— 297 2,087 1,621 297 3,708 4,005 (2,261)20132011
Silverada Health Holdings LLCRosewoodReno, NV— 1,012 3,282 103 1,012 3,385 4,397 (981)19702011
Orem Health Holdings LLCOremOrem, UT— 1,689 3,896 3,235 1,689 7,131 8,820 (3,509)20112011
Wisteria Health HoldingsWisteriaAbilene, TX746 9,903 290 746 10,193 10,939 (2,641)
Renee Avenue Health Holdings LLCMonte VistaPocatello, ID— 180 2,481 966 180 3,447 3,627 (1,516)20132012
Stillhouse Health Holdings LLCStillhouseParis, TX— 129 7,139 129 7,145 7,274 (1,331)20092012
Fig Street Health Holdings LLCPalomar VistaEscondido, CA— 329 2,653 1,094 329 3,747 4,076 (1,820)20072012
Lowell Lake Health Holdings LLCOwyheeOwyhee, ID— 49 1,554 29 49 1,583 1,632 (387)19902012
Queensway Health Holdings LLCAtlantic MemorialLong Beach, CA— 999 4,237 2,331 999 6,568 7,567 (3,106)20082012
Long Beach Health Associates LLCShorelineLong Beach, CA— 1,285 2,343 2,172 1,285 4,515 5,800 (2,258)20132012
Kings Court Health Holdings LLCRichland HillsFt. Worth, TX— 193 2,311 318 193 2,629 2,822 (789)19652012
51st Avenue Health Holdings LLCLegacyAmarillo, TX— 340 3,925 32 340 3,957 4,297 (1,124)19702013
Ives Health Holdings LLCSan MarcosSan Marcos, TX— 371 2,951 274 371 3,225 3,596 (882)19722013
Guadalupe Health Holdings LLCThe Courtyard (Victoria East)Victoria, TX— 80 2,391 15 80 2,406 2,486 (532)20132013
49th Street Health Holdings LLCOmahaOmaha, NE— 129 2,418 24 129 2,442 2,571 (793)19602013
Willows Health Holdings LLCCascade VistaRedmond, WA— 1,388 2,982 202 1,388 3,184 4,572 (1,134)19702013
Tulalip Bay Health Holdings LLCMountain ViewMarysville, WA— 1,722 2,642 (980)742 2,642 3,384 (837)19662013
Sky Holdings AZ LLCBella Vita Health and Rehabilitation CenterGlendale, AZ— 228 1,124 1,380 228 2,504 2,731 (1,927)20042002
Lemon River Holdings LLCPlymouth TowerRiverside, CA— 152 357 1,493 152 1,850 2,002 (1,403)20122009
CTR Partnership, L.P.Bethany Rehabilitation CenterLakewood, CO— 1,668 15,375 56 1,668 15,431 17,099 (3,058)19892015
CTR Partnership, L.P.Mira Vista Care CenterMount Vernon, WA— 1,601 7,425 — 1,601 7,425 9,026 (1,439)19892015
CTR Partnership, L.P.Shoreline Health and Rehabilitation CenterShoreline, WA— 1,462 5,034 — 1,462 5,034 6,496 (954)19872015
CTR Partnership, L.P.Shamrock Nursing and Rehabilitation CenterDublin, GA— 251 7,855 — 251 7,855 8,106 (1,473)20102015
CTR Partnership, L.P.Premier Estates of Cincinnati-RiverviewCincinnati, OH— 833 18,086 792 833 18,878 19,711 (3,408)19922015
CTR Partnership, L.P.West Cove Care & Rehabilitation CenterToledo, OH— 93 10,365 88 93 10,453 10,546 (1,879)20072015
CTR Partnership, L.P.Casa de PazSioux City, IA— 119 7,727 — 119 7,727 7,846 (1,336)19742016
CTR Partnership, L.P.Denison Care CenterDenison, IA— 96 2,784 — 96 2,784 2,880 (481)20152016
CTR Partnership, L.P.Garden View Care CenterShenandoah, IA— 105 3,179 — 105 3,179 3,284 (550)20132016
CTR Partnership, L.P.Grandview Health Care CenterDayton, IA— 39 1,167 — 39 1,167 1,206 (202)20142016
CTR Partnership, L.P.Grundy Care CenterGrundy Center, IA— 65 1,935 — 65 1,935 2,000 (335)20112016
CTR Partnership, L.P.Iowa City Rehab and Health Care CenterIowa City, IA— 522 5,690 — 522 5,690 6,212 (984)20142016
CTR Partnership, L.P.Lenox Care CenterLenox, IA— 31 1,915 — 31 1,915 1,946 (331)20122016
CTR Partnership, L.P.OsageOsage, IA— 126 2,255 — 126 2,255 2,381 (390)20142016
CTR Partnership, L.P.Pleasant Acres Care CenterHull, IA— 189 2,544 — 189 2,544 2,733 (440)20142016
CTR Partnership, L.P.Cedar Falls Health Care CenterCedar Falls, IA— 324 4,366 — 324 4,366 4,690 (737)20152016
CTR Partnership, L.P.Premier Estates of HighlandsNorwood, OH— 364 2,199 623 143 943 1,086 (22)20122016
CTR Partnership, L.P.Shaw Mountain at CascadiaBoise, ID— 1,801 6,572 395 1,801 6,967 8,768 (1,316)19892016
CTR Partnership, L.P.The OaksPetaluma, CA— 3,646 2,873 110 3,646 2,983 6,629 (519)20152016
CTR Partnership, L.P.Arbor Nursing CenterLodi, CA— 768 10,712 — 768 10,712 11,480 (1,718)19822016
CTR Partnership, L.P.Broadmoor Medical LodgeRockwall, TX— 1,232 22,152 — 1,232 22,152 23,384 (3,370)19842016
CTR Partnership, L.P.Decatur Medical LodgeDecatur, TX— 990 24,909 — 990 24,909 25,899 (3,788)20132016
CTR Partnership, L.P.Royse City Medical LodgeRoyse City, TX— 606 14,660 — 606 14,660 15,266 (2,230)20092016
CTR Partnership, L.P.Saline Care Nursing & Rehabilitation CenterHarrisburg, IL— 1,022 5,713 — 1,022 5,713 6,735 (833)20092017
CTR Partnership, L.P.Carrier Mills Nursing & Rehabilitation CenterCarrier Mills, IL— 775 8,377 — 775 8,377 9,152 (1,222)19682017
CTR Partnership, L.P.StoneBridge Nursing & Rehabilitation CenterBenton, IL— 439 3,475 — 439 3,475 3,914 (507)20142017
CTR Partnership, L.P.DuQuoin Nursing & Rehabilitation CenterDuQuoin, IL— 511 3,662 — 511 3,662 4,173 (534)20142017
CTR Partnership, L.P.Pinckneyville Nursing & Rehabilitation CenterPinckneyville, IL— 406 3,411 — 406 3,411 3,817 (497)20142017
CTR Partnership, L.P.Wellspring Health and Rehabilitation of CascadiaNampa, ID— 775 5,044 121 775 5,165 5,940 (715)20112017
CTR Partnership, L.P.The Rio at Fox HollowBrownsville, TX— 1,178 12,059 — 1,178 12,059 13,237 (1,683)20162017
CTR Partnership, L.P.The Rio at CabezonAlbuquerque, NM— 2,055 9,749 — 2,055 9,749 11,804 (1,361)20162017
CTR Partnership, L.P.Eldorado Rehab & HealthcareEldorado, IL— 940 2,093 — 940 2,093 3,033 (288)19932017
CTR Partnership, L.P.Secora Health and Rehabilitation of CascadiaPortland, OR— 1,481 2,216 110 1,481 2,326 3,807 (305)20122017
CTR Partnership, L.P.Mountain ValleyKellogg, ID— 916 7,874 — 916 7,874 8,790 (1,050)19712017
CTR Partnership, L.P.Caldwell CareCaldwell, ID— 906 7,020 516 906 7,536 8,442 (936)19472017
CTR Partnership, L.P.Canyon WestCaldwell, ID— 312 10,410 461 312 10,871 11,183 (1,388)19692017
CTR Partnership, L.P.Lewiston Health and RehabilitationLewiston, ID— 625 12,087 200 625 12,287 12,912 (1,586)19642017
CTR Partnership, L.P.The OrchardsNampa, ID— 785 8,923 116 785 9,039 9,824 (1,171)19582017
CTR Partnership, L.P.Weiser CareWeiser, ID— 80 4,419 30 80 4,449 4,529 (580)19642017
CTR Partnership, L.P.Aspen ParkMoscow, ID— 698 5,092 274 698 5,366 6,064 (729)19652017
CTR Partnership, L.P.Ridgmar Medical LodgeFort Worth, TX— 681 6,587 1,256 681 7,843 8,524 (1,198)20062017
CTR Partnership, L.P.Mansfield Medical LodgeMansfield, TX— 607 4,801 1,073 607 5,874 6,481 (889)20062017
CTR Partnership, L.P.Grapevine Medical LodgeGrapevine, TX— 1,602 4,536 891 1,602 5,427 7,029 (832)20062017
CTR Partnership, L.P.The Oaks at LakewoodTacoma, WA— 1,001 1,779 — 1,001 1,779 2,780 (233)19892017
CTR Partnership, L.P.The Oaks at TimberlineVancouver, WA— 446 869 — 446 869 1,315 (114)19722017
CTR Partnership, L.P.Providence Waterman Nursing CenterSan Bernardino, CA— 3,831 19,791 — 3,831 19,791 23,622 (2,598)19672017
CTR Partnership, L.P.Providence Orange TreeRiverside, CA— 2,897 14,700 345 2,897 15,045 17,942 (1,975)19692017
CTR Partnership, L.P.Providence OntarioOntario, CA— 4,204 21,880 — 4,204 21,880 26,084 (2,872)19802017
CTR Partnership, L.P.Greenville Nursing & Rehabilitation CenterGreenville, IL— 188 3,972 — 188 3,972 4,160 (603)19732017
CTR Partnership, L.P.Copper Ridge Health and Rehabilitation CenterButte, MT— 220 4,974 39 220 5,013 5,233 (675)20102018
CTR Partnership, L.P.Prairie Heights Healthcare CenterAberdeen, SD— 1,372 7,491 — 1,372 7,491 8,863 (925)19652018
CTR Partnership, L.P.The Meadows on UniversityFargo, ND— 989 3,275 — 989 3,275 4,264 (378)19662018
CTR Partnership, L.P.The Suites - ParkerParker, CO— 1,178 17,857 — 1,178 17,857 19,035 (1,865)20122018
CTR Partnership, L.P.Huntington Park Nursing CenterHuntington Park, CA— 3,131 8,876 299 3,131 9,175 12,306 (976)19552019
CTR Partnership, L.P.Shoreline Care CenterOxnard, CA— 1,699 9,004 — 1,699 9,004 10,703 (905)19622019
CTR Partnership, L.P.Downey Care CenterDowney, CA— 2,502 6,141 — 2,502 6,141 8,643 (619)19672019
CTR Partnership, L.P.Courtyard Healthcare CenterDavis, CA— 2,351 9,256 — 2,351 9,256 11,607 (949)19692019
Gulf Coast Buyer 1 LLCAlpine Skilled Nursing and RehabilitationRuston, LA— 2,688 23,825 — 2,688 23,825 26,513 (2,357)20142019
Gulf Coast Buyer 1 LLCThe Bradford Skilled Nursing and RehabilitationShreveport, LA— 3,758 21,325 17 3,758 21,342 25,100 (2,127)19802019
Gulf Coast Buyer 1 LLCColonial Oaks Skilled Nursing and RehabilitationBossier City, LA— 1,635 21,180 — 1,635 21,180 22,815 (2,045)20132019
Gulf Coast Buyer 1 LLCThe Guest House Skilled Nursing and RehabilitationShreveport, LA— 3,437 20,889 2,845 3,437 23,734 27,171 (2,160)20062019
Gulf Coast Buyer 1 LLCPilgrim Manor Skilled Nursing and RehabilitationBossier City, LA— 2,979 24,617 2,100 2,979 26,717 29,696 (2,407)20082019
Gulf Coast Buyer 1 LLCShreveport Manor Skilled Nursing and RehabilitationShreveport, LA— 676 10,238 361 676 10,599 11,275 (1,058)20082019
Gulf Coast Buyer 1 LLCBooker T. Washington Skilled Nursing and RehabilitationShreveport, LA— 2,452 9,148 113 2,452 9,261 11,713 (963)20132019
Gulf Coast Buyer 1 LLCLegacy West Rehabilitation and HealthcareCorsicana, TX— 120 6,682 436 120 7,118 7,238 (782)20022019
Gulf Coast Buyer 1 LLCLegacy at JacksonvilleJacksonville, TX— 173 7,481 127 173 7,608 7,781 (806)20062019
Gulf Coast Buyer 1 LLCPecan Tree Rehabilitation and HealthcareGainesville, TX— 219 10,097 255 219 10,352 10,571 (1,064)19902019
Lakewest SNF Realty, LLCLakewest Rehabilitation and Skilled CareDallas, TX— — 6,905 — — 6,905 6,905 (708)20112019
CTR Partnership, L.P.Cascadia of NampaNampa, ID— 880 14,117 — 880 14,117 14,997 (1,344)20172019
CTR Partnership, L.P.Valley Skilled NursingModesto, CA— 798 7,671 — 798 7,671 8,469 (647)20162019
CTR Partnership, L.P.Cascadia of BoiseBoise, ID— 1,597 15,692 — 1,597 15,692 17,289 (1,235)20182020
CTR Partnership, L.P.Cooney Healthcare and RehabilitationHelena, MT— 867 7,431 20 867 7,451 8,318 (458)19842020
CTR Partnership, L.P.Elkhorn Healthcare and RehabilitationClancy, MT— 183 7,380 430 183 7,810 7,993 (465)19602020
CTR Partnership, L.P.Beacon Harbor Healthcare and RehabilitationRockwall, TX— 1,295 17,069 — 1,295 17,069 18,364 (989)19962020
CTR Partnership, L.P.Pleasant Manor Healthcare and RehabilitationWaxahachie, TX— 629 7,433 — 629 7,433 8,062 (434)19722020
CTR Partnership, L.P.Rowlett Health and Rehabilitation CenterRowlett, TX— 1,036 10,516 — 1,036 10,516 11,552 (606)19902020
160 North Patterson Avenue, LLCBuena Vista Care CenterGoleta, CA— 7,987 7,237 — 7,987 7,237 15,224 (351)19672021
CTR Partnership, L.P.El Centro Post-Acute CareEl Centro, CA— 1,283 8,133 135 1,283 8,268 9,551 (367)19622021
CTR Partnership, L.P.Sedona Trace Health and WellnessAustin, TX— 3,282 12,763 — 3,282 12,763 16,045 (507)20172021
CTR Partnership, L.P.Cedar Pointe Health and Wellness SuitesCedar Park, TX— 3,325 11,738 — 3,325 11,738 15,063 (461)20172021
CTR Partnership, L.P.Ennis Care CenterEnnis,TX— 568 8,055 — 568 8,055 8,623 (201)19822022
— 157,842 947,010 97,380 156,008 1,044,124 1,200,131 (246,446)
Multi-Service Campus Properties:
Ensign Southland LLCSouthland CareNorwalk, CA— 966 5,082 2,213 966 7,295 8,261 (5,864)20111999
Mission CCRC LLCSt. Joseph's VillaSalt Lake City, UT— 1,962 11,035 464 1,962 11,499 13,461 (3,932)19942011
Wayne Health Holdings LLCCareage of WayneWayne, NE— 130 3,061 122 130 3,183 3,313 (1,202)19782011
4th Street Holdings LLCWest Bend Care CenterWest Bend, IA— 180 3,352 — 180 3,352 3,532 (1,199)20062011
Big Sioux River Health Holdings LLCHillcrest HealthHawarden, IA— 110 3,522 75 110 3,597 3,707 (1,211)19742011
Prairie Health Holdings LLCColonial Manor of RandolphRandolph, NE— 130 1,571 22 130 1,593 1,723 (918)20112011
Salmon River Health Holdings LLCDiscovery Care CenterSalmon, ID— 168 2,496 — 168 2,496 2,664 (650)20122012
CTR Partnership, L.P.Liberty Nursing Center of WillardWillard, OH— 144 11,097 50 144 11,147 11,291 (2,042)19852015
CTR Partnership, L.P.Premier Estates of Middletown/Premier Retirement Estates of MiddletownMiddletown, OH— 990 7,484 380 990 7,864 8,854 (1,451)19852015
CTR Partnership, L.P.Premier Estates of Norwood Towers/Premier Retirement Estates of Norwood TowersNorwood, OH— 1,316 10,071 1,021 1,316 11,092 12,408 (1,875)19912016
CTR Partnership, L.P.Turlock Nursing and Rehabilitation CenterTurlock, CA— 1,258 16,526 — 1,258 16,526 17,784 (2,651)19862016
CTR Partnership, L.P.Bridgeport Medical LodgeBridgeport, TX— 980 27,917 — 980 27,917 28,897 (4,246)20142016
CTR Partnership, L.P.The Villas at SaratogaSaratoga, CA— 8,709 9,736 1,397 8,709 11,133 19,842 (1,399)20042018
CTR Partnership, L.P.Madison Park HealthcareHuntington, WV— 601 6,385 — 601 6,385 6,986 (691)19242018
CTR Partnership, L.P.Oakview Heights Nursing & Rehabilitation CenterMt. Carmel, IL— 298 8,393 — 298 8,393 8,691 (930)20042019
Gulf Coast Buyer 1 LLCSpring Lake Skilled Nursing and RehabilitationShreveport, LA— 3,217 21,195 2,729 3,217 23,924 27,141 (2,490)20082019
Gulf Coast Buyer 1 LLCThe Village at Heritage OaksCorsicana, TX— 143 11,429 482 143 11,911 12,054 (1,266)20072019
CTR Partnership, L.P.City Creek Post-Acute and Assisted LivingSacramento, CA— 3,980 10,106 1,488 3,980 11,594 15,574 (1,075)19902019
CTR Partnership, L.P.Crestwood Health and Rehabilitation CenterWills Point, TX— 143 6,075 — 143 6,075 6,218 (368)19802020
Northshore Healthcare Holdings LLCSan Juan Capistrano Senior LivingSan Juan Capistrano, CA— 11,176 25,298 — 11,176 25,298 36,474 (1,205)19992021
Northshore Healthcare Holdings LLCCamarillo Senior LivingCamarillo, CA— 7,516 30,552 — 7,516 30,552 38,068 (1,441)20002021
Northshore Healthcare Holdings LLCBayshire CarlsbadCarlsbad, CA— 7,398 19,714 — 7,398 19,714 27,112 (944)19992021
Northshore Healthcare Holdings LLCBayshire Rancho MirageRancho Mirage, CA— 4,024 16,790 — 4,024 16,790 20,814 (820)20002021
CTR Partnership, L.P.Imboden Creek Living CenterDecatur, IL— 131 12,499 81 131 12,580 12,711 (289)20032022
— 55,670 281,386 10,524 55,670 291,910 347,580 (40,159)
Assisted and Independent Living Properties:
Avenue N Holdings LLCCambridge ALFRosenburg, TX— 124 2,301 392 124 2,693 2,817 (1,533)20072006
Moenium Holdings LLCGrand CourtMesa, AZ— 1,893 5,268 1,210 1,893 6,478 8,371 (3,888)19862007
Lafayette Health Holdings LLCChateau Des MonsEnglewood, CO— 420 1,160 189 420 1,349 1,769 (508)20112009
Expo Park Health Holdings LLCCanterbury GardensAurora, CO— 570 1,692 248 570 1,940 2,510 (1,022)19862010
Wisteria Health Holdings LLCWisteria INDAbilene, TX— 244 3,241 81 244 3,322 3,566 (1,860)20082011
Everglades Health Holdings LLCLexingtonVentura, CA— 1,542 4,012 113 1,542 4,125 5,667 (1,059)19902011
Flamingo Health Holdings LLCDesert Springs ALFLas Vegas, NV— 908 4,767 281 908 5,048 5,956 (3,022)19862011
18th Place Health Holdings LLCRose CourtPhoenix, AZ— 1,011 2,053 490 1,011 2,543 3,554 (1,142)19742011
Boardwalk Health Holdings LLCPark PlaceReno, NV— 367 1,633 52 367 1,685 2,052 (625)19932012
Willows Health Holdings LLCCascade PlazaRedmond, WA— 2,835 3,784 395 2,835 4,179 7,014 (1,500)20132013
Lockwood Health Holdings LLCSanta MariaSanta Maria, CA— 1,792 2,253 585 1,792 2,838 4,630 (1,560)19672013
Saratoga Health Holdings LLCLake RidgeOrem, UT— 444 2,265 176 444 2,441 2,885 (576)19952013
Sky Holdings AZ LLCDesert Sky Assisted LivingGlendale, AZ— 61 304 372 61 676 738 (520)20042002
Lemon River Holdings LLCThe Grove Assisted LivingRiverside, CA— 342 802 3,360 342 4,162 4,504 (3,156)20122009
Mission CCRC LLCSt. Joseph's Villa INDSalt Lake City, UT— 411 2,312 258 411 2,570 2,981 (1,778)19942011
CTR Partnership, L.P.Prelude Cottages of WoodburyWoodbury, MN— 430 6,714 76 430 6,790 7,220 (1,352)20112014
CTR Partnership, L.P.Lamplight Inn of West AllisWest Allis, WI— 97 6,102 106 77 4,181 4,258 — 20132016
CTR Partnership, L.P.Fort Myers Assisted LivingFort Myers, FL— 1,489 3,531 1,006 1,489 4,537 6,026 (712)19802016
CTR Partnership, L.P.Croatan VillageNew Bern, NC— 312 6,919 — 301 5,663 5,964 — 20102016
CTR Partnership, L.P.Countryside VillagePikeville, NC— 131 4,157 — 125 3,402 3,527 — 20112016
CTR Partnership, L.P.The Pines of ClarkstonVillage of Clarkston, MI— 603 9,326 — 522 5,329 5,851 — 20102016
CTR Partnership, L.P.The Pines of GoodrichGoodrich, MI— 241 4,112 459 207 3,862 4,069 — 20142016
CTR Partnership, L.P.The Pines of BurtonBurton, MI— 492 9,199 — 426 7,751 8,177 — 20142016
CTR Partnership, L.P.The Pines of LapeerLapeer, MI— 302 5,773 — 261 4,066 4,327 — 20082016
CTR Partnership, L.P.Arbor PlaceLodi, CA— 392 3,605 — 392 3,605 3,997 (578)19842016
CTR Partnership, L.P.Applewood of BrookfieldBrookfield, WI— 493 14,002 39 241 6,026 6,267 — 20132017
CTR Partnership, L.P.Applewood of New BerlinNew Berlin, WI— 356 10,812 — 190 5,033 5,223 — 20162017
CTR Partnership, L.P.Memory Care Cottages in White Bear LakeWhite Bear Lake, MN— 1,611 5,633 — 1,611 5,633 7,244 (775)20162017
CTR Partnership, L.P.Vista Del LagoEscondido, CA— 4,362 7,997 — 4,362 7,997 12,359 (698)20152019
CTR Partnership, L.P.Inn at Barton CreekBountiful, UT— 2,480 4,804 15 2,480 4,819 7,299 (380)19992020
CTR Partnership, L.P.Bridgeton Essentia NeighborhoodBridgeton, NJ— 245 5,795 — 190 4,510 4,700 (33)20212021
CTR Partnership, L.P.Rio Grande Essentia NeighborhoodRio Grande, NJ— 224 5,652 — 224 5,652 5,876 (169)20212021
— 27,224 155,677 10,345 26,492 139,044 165,537 (29,108)
— $241,304 $1,392,128 $118,249 $238,738 $1,483,133 $1,721,871 $(315,914)
(1) The aggregate cost of real estate for federal income tax purposes was $1.7 billion.
 Year Ended December 31,
Real estate:202220212020
Balance at the beginning of the period$1,873,806 $1,683,205 $1,605,081 
Acquisitions21,252 190,133 84,630 
Improvements5,896 4,521 7,223 
Impairment(29,803)— — 
Sales and/or transfers to assets held for sale, net(149,280)(4,053)(13,729)
Balance at the end of the period$1,721,871 $1,873,806 $1,683,205 
Accumulated depreciation:
Balance at the beginning of the period$(304,785)$(259,803)$(220,359)
Depreciation expense(42,131)(45,498)(41,914)
Impairment10,232 — — 
Sales and/or transfers to assets held for sale, net20,770 516 2,470 
Balance at the end of the period$(315,914)$(304,785)$(259,803)