Concentration of Risk (Details)	12 Months Ended
	Dec. 31, 2023 facility bed	Dec. 31, 2022 facility bed	Dec. 31, 2021 facility bed	Jun. 01, 2023 facility	Dec. 31, 2020 facility
Concentration Risk [Line Items]
Number of Facilities	226			1
SNF
Concentration Risk [Line Items]
Number of Facilities					9
Campus
Concentration Risk [Line Items]
Number of Facilities	1
CA | SNF
Concentration Risk [Line Items]
Number of Facilities	40	27	27
Number of Beds/Units | bed	4,615	3,048	3,048
CA | Campus
Concentration Risk [Line Items]
Number of Facilities	9	8	8
Number of Beds/Units | bed	1,527	1,359	1,359
CA | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	8	5	5
Number of Beds/Units | bed	656	437	449
CA | Rental Revenue | Geographic Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	28.00%	26.00%	25.00%
TX | SNF
Concentration Risk [Line Items]
Number of Facilities	40	38	37
Number of Beds/Units | bed	5,123	4,849	4,694
TX | Campus
Concentration Risk [Line Items]
Number of Facilities	3	3	3
Number of Beds/Units | bed	536	536	536
TX | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	2	3	3
Number of Beds/Units | bed	212	242	242
TX | Rental Revenue | Geographic Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	21.00%	22.00%	20.00%
Ensign | SNF
Concentration Risk [Line Items]
Number of Facilities	83	83	83
Number of Beds/Units | bed	8,738	8,741	8,756
Ensign | Campus
Concentration Risk [Line Items]
Number of Facilities	8	8	8
Number of Beds/Units | bed	997	997	997
Ensign | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	7	7	4
Number of Beds/Units | bed	661	661	395
Ensign | Rental Revenue | Customer Concentration Risk
Concentration Risk [Line Items]
Percentage of Total Revenue (percent)	32.00%	35.00%	32.00%
PMG | SNF
Concentration Risk [Line Items]
Number of Facilities	13	13	13
Number of Beds/Units | bed	1,742	1,742	1,742
PMG | Campus
Concentration Risk [Line Items]
Number of Facilities	2	2	2
Number of Beds/Units | bed	402	402	402
PMG | ALF/ILF
Concentration Risk [Line Items]
Number of Facilities	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)	14.00%	16.00%	15.00%