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Impairment of Real Estate Investments, Assets Held for Sale, Net and Asset Sales (Details)
3 Months Ended 12 Months Ended
Dec. 31, 2022
USD ($)
bed
Sep. 30, 2022
USD ($)
facility
individual
bed
Jun. 30, 2022
USD ($)
facility
Mar. 31, 2022
USD ($)
facility
bed
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2022
facility
Dec. 31, 2022
Dec. 31, 2022
state
Real Estate [Line Items]                    
Number of properties               216   5
Number of properties to be repurposed | facility       3            
Contractual cash rent attributable to properties held for sale and repurposed (percent)       10.00%            
Impairment of real estate investments       $ 18,000,000 $ 79,062,000 $ 0 $ 0      
Assets held for sale, net $ 12,291,000       12,291,000 4,835,000        
Real estate investment property, at cost 1,821,902,000       1,821,902,000 1,979,785,000        
Proceeds from sale         45,149,000 6,958,000 6,608,000      
Gain (loss) on sale of real estate         (3,769,000) (77,000) $ (37,000)      
Number of individuals | individual   4                
Real estate investments, net 1,421,410,000       1,421,410,000 $ 1,589,971,000        
Term Loan | Term Loan with 3 Years Maturity Term                    
Real Estate [Line Items]                    
Debt instrument face amount   $ 7,000,000                
Interest rate (percent)   8.50%                
Term Loan | Term Loan Maturity Date of November 29, 2022                    
Real Estate [Line Items]                    
Debt instrument face amount   $ 5,000,000                
Interest rate (percent)   8.50%                
Assisted Living Facility                    
Real Estate [Line Items]                    
Amount transferred out of assets held-for-sale 47,800,000 $ 4,900,000     4,800,000          
Catch-up depreciation         100,000          
Real estate investment property, at cost 50,800,000       50,800,000          
Valuation, Market Approach | Level 3 | Assisted Living Facility                    
Real Estate [Line Items]                    
Prices per unit input   $ 125,000                
Valuation, Market Approach | Level 3 | Skilled Nursing Facility                    
Real Estate [Line Items]                    
Prices per unit input     $ 20,000              
Valuation, Market Approach | Level 3 | Minimum                    
Real Estate [Line Items]                    
Prices per unit input 20,000       20,000          
Valuation, Market Approach | Level 3 | Maximum                    
Real Estate [Line Items]                    
Prices per unit input 85,000       85,000          
Valuation, Market Approach | Level 3 | Weighted Average                    
Real Estate [Line Items]                    
Prices per unit input $ 55,000       55,000          
Valuation Technique, Terminal Capitalization Rate | Level 3 | Minimum | Assisted Living Facility                    
Real Estate [Line Items]                    
Assets held-for-sale, measurement input                 0.075  
Valuation Technique, Terminal Capitalization Rate | Level 3 | Maximum | Assisted Living Facility                    
Real Estate [Line Items]                    
Assets held-for-sale, measurement input                 0.0875  
Discounted cash flow | Level 3 | Minimum | Assisted Living Facility                    
Real Estate [Line Items]                    
Assets held-for-sale, measurement input                 0.085  
Discounted cash flow | Level 3 | Maximum | Assisted Living Facility                    
Real Estate [Line Items]                    
Assets held-for-sale, measurement input                 0.0975  
Disposed of by Sale                    
Real Estate [Line Items]                    
Impairment expense to reduce carrying value to fair value less costs to sell         45,000,000          
Number of properties impaired | facility               12    
Disposed of by Sale | Assisted Living Facility                    
Real Estate [Line Items]                    
Number of properties | facility   5           5    
Number of operational beds | bed 301                  
Real estate investment property, at cost   $ 12,700,000                
Proceeds from sale $ 11,000,000                  
Gain (loss) on sale of real estate         (1,700,000)          
Disposed of by Sale | Skilled Nursing Facility                    
Real Estate [Line Items]                    
Number of properties | facility       1            
Number of operational beds | bed       83            
Real estate investment property, at cost       $ 800,000            
Proceeds from sale       $ 1,000,000            
Gain (loss) on sale of real estate         200,000          
Disposed of by Sale | Trio Healthcare Holdings, LLC                    
Real Estate [Line Items]                    
Number of properties | facility     7              
Number of operational beds | bed   708                
Real estate investment property, at cost     $ 46,900,000              
Proceeds from sale   $ 32,800,000                
Gain (loss) on sale of real estate         (2,100,000)          
Held for Sale                    
Real Estate [Line Items]                    
Number of properties | facility       27            
Impairment expense to reduce carrying value to fair value less costs to sell $ 14,400,000                  
Number of properties impaired | facility       10       5    
Held for Sale | Assisted Living Facility                    
Real Estate [Line Items]                    
Number of properties | facility   1   1       9    
Held for Sale | Skilled Nursing Facility                    
Real Estate [Line Items]                    
Number of properties | facility     1              
Impairment expense to reduce carrying value to fair value less costs to sell     $ 1,700,000              
Real estate investment property, at cost     2,800,000              
Real estate investments, net     $ 1,100,000              
Held for Sale | Trio Healthcare Holdings, LLC | Skilled Nursing Properties                    
Real Estate [Line Items]                    
Number of properties | facility   6           6    
Held for Sale | Trio Healthcare Holdings, LLC | Multi-service campuses                    
Real Estate [Line Items]                    
Number of properties | facility               1    
Held for Use                    
Real Estate [Line Items]                    
Impairment of real estate investments         $ 1,700,000          
Number of properties impaired | facility               1