Other Real Estate Related and Other Investments - Other Real Estate Related Investments, At Fair Value (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) facility	Dec. 31, 2022 USD ($) facility
Real Estate Properties [Line Items]
Principal amount	$ 190,197
Book value	178,568	$ 156,368
Mortgage secured loans receivable
Real Estate Properties [Line Items]
Principal amount	165,197
Book value	$ 156,769	$ 117,684
Weighted Average Contractual Interest Rate	8.90%
Mortgage secured loans receivable | SOFR
Real Estate Properties [Line Items]
Basis spread on variable rate (percent)	5.35%
Mortgage secured loans receivable | Skilled Nursing Facility
Real Estate Properties [Line Items]
Facility Count and Type | facility	30	30
Mortgage secured loans receivable | Assisted Living Facilities
Real Estate Properties [Line Items]
Facility Count and Type | facility	3	3
Mortgage secured loans receivable | Campus and Independent Living Facility
Real Estate Properties [Line Items]
Facility Count and Type | facility	2	2
Mezzanine loans receivable
Real Estate Properties [Line Items]
Principal amount	$ 25,000
Book value	$ 21,799	$ 38,684
Weighted Average Contractual Interest Rate	11.00%
Mezzanine loans receivable | Skilled Nursing and Campus Facilities
Real Estate Properties [Line Items]
Facility Count and Type | facility	18	18
Other loans receivable
Real Estate Properties [Line Items]
Principal amount	$ 17,094
Book value	$ 17,156	$ 9,600
Weighted Average Contractual Interest Rate	8.80%
Expected credit loss	$ (2,094)	(2,094)
Principal Balance	17,094
Book Value	$ 15,062	$ 7,506