Segment Information - Schedule of Segment Information (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2021 USD ($) segment	Dec. 31, 2020 USD ($)	Dec. 31, 2019 USD ($)
Segment Reporting [Abstract]
Number of reportable segments | segment	2
Segment Reporting Information [Line Items]
Revenues	$ 1,641,959	$ 1,760,303	$ 1,840,778
Income before income taxes	61,823	129,186	85,096
Depreciation and amortization	14,667	14,268	13,940
Total assets	777,529	785,031	722,592
Capital expenditures	5,687	4,341	4,368
Genesis | Consolidated revenues | Significant Customers
Segment Reporting Information [Line Items]
Revenues	$ 177,100	$ 258,700	$ 287,800
Concentration risk, percentage	10.80%	14.70%	15.60%
Housekeeping
Segment Reporting Information [Line Items]
Revenues	$ 821,300	$ 895,300	$ 909,500
Dietary
Segment Reporting Information [Line Items]
Revenues	820,600	865,000	931,300
Operating Segments | Housekeeping
Segment Reporting Information [Line Items]
Revenues	821,329	895,267	909,499
Income before income taxes	79,380	95,723	94,173
Depreciation and amortization	5,399	5,722	5,945
Total assets	225,531	214,500	265,096
Capital expenditures	5,005	3,710	3,188
Operating Segments | Dietary
Segment Reporting Information [Line Items]
Revenues	820,630	865,036	931,279
Income before income taxes	45,758	68,293	43,269
Depreciation and amortization	2,611	2,394	2,422
Total assets	221,911	174,866	236,075
Capital expenditures	451	393	68
Corporate and eliminations
Segment Reporting Information [Line Items]
Income before income taxes	(63,315)	(34,830)	(52,346)
Depreciation and amortization	6,657	6,152	5,573
Total assets	330,087	395,665	221,421
Capital expenditures	$ 231	$ 238	$ 1,112