Concentration of Risk (Details)	12 Months Ended
	Dec. 31, 2022 facility bed	Dec. 31, 2021 bed facility	Dec. 31, 2020 facility bed
CA | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	27	27
Number of Beds/Units | bed	3,048	3,048
CA | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	8	8
Number of Beds/Units | bed	1,359	1,359
CA | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	5	5
Number of Beds/Units | bed	437	449
CA | Rental Revenue | Geographic Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	26.00%	25.00%
TX | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	38	37
Number of Beds/Units | bed	4,849	4,694
TX | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	3	3
Number of Beds/Units | bed	536	536
TX | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	3	3
Number of Beds/Units | bed	242	242
TX | Rental Revenue | Geographic Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	22.00%	20.00%
Ensign | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	83	83	77
Number of Beds/Units | bed	8,741	8,756	8,129
Ensign | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	8	8	8
Number of Beds/Units | bed	997	997	1,027
Ensign | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	7	4	4
Number of Beds/Units | bed	661	395	390
Ensign | Rental Revenue | Customer Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	35.00%	32.00%	32.00%
PMG | SNF
Concentration Risk [Line Items]
Number of Facilities | facility	13	13	13
Number of Beds/Units | bed	1,742	1,742	1,742
PMG | Campus
Concentration Risk [Line Items]
Number of Facilities | facility	2	2	2
Number of Beds/Units | bed	402	402	403
PMG | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities | facility	0	0	0
Number of Beds/Units | bed	0	0	0
PMG | Rental Revenue | Customer Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	16.00%	15.00%	16.00%