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Summary of Significant Accounting Policies Disaggregation of Revenues (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Resident fees and services $ 18,948,000 $ 11,865,000 $ 51,863,000 $ 34,053,000
Senior Housing-RIDEA        
Resident fees and services 18,948,000 11,865,000 51,863,000 34,053,000
Senior Housing-RIDEA | Transferred at Point in Time        
Resident fees and services 174,000 144,000 746,000 501,000
Senior Housing-RIDEA | Transferred over Time        
Resident fees and services 18,774,000 11,721,000 51,117,000 33,552,000
Resident Fees and Services        
Resident fees and services 18,948,000 11,865,000 51,863,000 34,053,000
Private and Other Payors | Resident Fees and Services        
Resident fees and services 17,300,000 10,451,000 46,766,000 29,553,000
Medicaid | Resident Fees and Services        
Resident fees and services $ 1,648,000 $ 1,414,000 $ 5,097,000 $ 4,500,000