Other Real Estate Related and Other Investments - Narrative (Details)							1 Months Ended						12 Months Ended
	Dec. 15, 2023 loan	Nov. 29, 2023 USD ($) facility extension_option	Sep. 29, 2023 USD ($) extension_option facility	Jul. 17, 2023 USD ($) extension_option facility	Jun. 01, 2023 USD ($) facility	Mar. 30, 2023 USD ($) loan	Dec. 31, 2023 USD ($) facility Rate	Oct. 31, 2023 facility	Sep. 30, 2023 facility	Sep. 30, 2022 USD ($) extension_option facility	Aug. 31, 2022 USD ($) facility extension_option	Jun. 30, 2022 USD ($) facility	Dec. 31, 2023 USD ($) facility	Dec. 31, 2022 USD ($) loan facility	Dec. 31, 2021 USD ($)	Jun. 29, 2023 USD ($) facility	Jan. 25, 2023	Dec. 31, 2020 facility
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount							$ 190,197,000						$ 190,197,000
Number of facilities | facility					1		226						226
Interest rate																		12.00%
Number of facilities operated by existing operator | facility											4
Number of facilities operated by large regional operator | facility											1
Expected credit loss													$ 0	$ 3,844,000	$ 0
Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities acquired | facility												18
Skilled Nursing Facility
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility																		9
Number of facilities acquired | facility								2	1	4
Skilled Nursing Facility | Held for Sale | Trio Healthcare Holdings, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility														6
Multi-service campuses
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility							1						1
Multi-service campuses | Held for Sale | Trio Healthcare Holdings, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility														1
Mortgage Secured Loans Receivable
Financing Receivable, Allowance for Credit Loss [Line Items]
Payments for loans receivable							$ 10,500,000
Principal amount										$ 24,900,000	$ 22,300,000
Number of loans | loan	1
Number of extension option | extension_option										2	2
Extension option, term (year)										1 year	1 year
Earnout advance										$ 4,700,000
Subservicing fee percentage										100.00%	50.00%
Mortgage Secured Loans Receivable | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount												$ 75,000,000
Loan receivable interest rate												8.50%
Servicing fee threshold												8.25%
Effective rate												8.375%
Mortgage Secured Loans Receivable | SOFR
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans receivable, basis spread on variable rate										4.50%	4.25%
Floor rate										1.00%	1.00%
Mortgage Secured Loans Receivable | Minimum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee										1.00%	2.00%
Subservicing fee percentage										9.00%	8.25%
Mortgage Secured Loans Receivable | Minimum | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee												1.00%
Mortgage Secured Loans Receivable | Maximum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee										3.00%	3.00%
Mortgage Secured Loans Receivable | Maximum | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee												3.00%
Mortgage Secured Loans Receivable | Weighted Average | SOFR
Financing Receivable, Allowance for Credit Loss [Line Items]
Loans receivable, basis spread on variable rate										2.85%	2.75%
Mezzanine Loan Receivable
Financing Receivable, Allowance for Credit Loss [Line Items]
Payments for loans receivable						$ 15,000,000
Number of loans | loan						1
Mezzanine Loan Receivable | Next WV Realty, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount												$ 25,000,000
Loan receivable interest rate												11.00%
Mortgage Secured Loan Receivable, September 29, 2026 Maturity
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount		$ 6,300,000
Interest rate		9.90%	12.00%
Extension option, term (year)		6 months	6 months
Early termination fee		2.00%
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | E3 Acquisition, LLC
Financing Receivable, Allowance for Credit Loss [Line Items]
Preferred equity investment							$ 1,800,000
Preferred rate | Rate							15.00%
Repayment period							15 months
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Assisted Living Facilities
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility		1
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Skilled Nursing Facility
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility			3
Number of extension option | extension_option		2	2
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Skilled Nursing Facility | Minimum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee			0.00%
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Skilled Nursing Facility | Maximum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee			2.00%
Mortgage Secured Loan Receivable, September 29, 2026 Maturity | Multi-Tranche Facilities
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount			$ 3,600,000				$ 3,600,000						$ 3,600,000
Mortgage Secured Loan Receivable August 1, 2028 Maturity | SOFR
Financing Receivable, Allowance for Credit Loss [Line Items]
Interest rate																	8.75%
Mortgage Secured Loan Receivable August 1, 2028 Maturity | Skilled Nursing Facility
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount				$ 15,700,000
Number of facilities | facility				2
Interest rate				9.00%
Number of extension option | extension_option				1
Extension option, term (year)				5 years
Mortgage Secured Loan Receivable August 1, 2028 Maturity | Skilled Nursing Facility | Minimum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee				2.00%													1.00%
Mortgage Secured Loan Receivable August 1, 2028 Maturity | Skilled Nursing Facility | Maximum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee				3.00%													2.00%
Mortgage secured loans receivable | Skilled Nursing Facility
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount																$ 26,000,000
Number of facilities | facility																1
Interest rate																9.00%
Mortgage secured loans receivable | Skilled Nursing Facility | Minimum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee																0.00%
Mortgage secured loans receivable | Skilled Nursing Facility | Maximum
Financing Receivable, Allowance for Credit Loss [Line Items]
Early termination fee																3.00%
Mortgage secured loans receivable | Independent Living Facilities
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities | facility																1
Mortgage secured loans receivable
Financing Receivable, Allowance for Credit Loss [Line Items]
Extension option, term (year)					1 year
Mortgage secured loans receivable | Assisted Living Facilities
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount					$ 2,000,000
Interest rate					9.00%
B Tranche Mortgage Loan | Skilled Nursing Facility
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of facilities acquired by borrower | facility											5
Other loans receivable
Financing Receivable, Allowance for Credit Loss [Line Items]
Principal amount							$ 17,094,000						17,094,000
Expected credit loss													$ 0	$ 4,600,000	$ 0
Number of loans receivable with provision | loan														2
Unfunded loan commitment														$ 400,000
Write-off														800,000
Other loans receivable | Skilled Nursing Facility
Financing Receivable, Allowance for Credit Loss [Line Items]
Write-off														$ 2,500,000
Other loans receivable | Multi-service campuses
Financing Receivable, Allowance for Credit Loss [Line Items]
Number of loans receivable with provision | loan														1