Segment Information - Schedule of Segment Information (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2022 USD ($) segment	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
Segment Reporting [Abstract]
Number of reportable segments | segment	2
Segment Reporting Information [Line Items]
Revenues	$ 1,690,176	$ 1,641,959	$ 1,760,303
Income before income taxes	45,082	61,823	129,186
Depreciation and amortization	15,316	14,667	14,268
Total assets	718,334	777,529	785,031
Capital expenditures	5,210	5,687	4,341
Genesis | Consolidated revenues | Significant Customers
Segment Reporting Information [Line Items]
Revenues	$ 169,100	$ 177,100	$ 258,700
Contribution percent	10.00%	10.80%	14.70%
Housekeeping
Segment Reporting Information [Line Items]
Revenues	$ 795,700	$ 821,300	$ 895,300
Dietary
Segment Reporting Information [Line Items]
Revenues	894,500	820,600	865,000
Operating Segments | Housekeeping
Segment Reporting Information [Line Items]
Revenues	795,687	821,329	895,267
Income before income taxes	73,096	79,380	95,723
Depreciation and amortization	5,491	5,399	5,722
Total assets	250,444	225,531	214,500
Capital expenditures	4,412	5,005	3,710
Operating Segments | Dietary
Segment Reporting Information [Line Items]
Revenues	894,489	820,630	865,036
Income before income taxes	29,065	45,758	68,293
Depreciation and amortization	3,075	2,611	2,394
Total assets	263,126	221,911	174,866
Capital expenditures	499	451	393
Corporate and eliminations
Segment Reporting Information [Line Items]
Income before income taxes	(57,079)	(63,315)	(34,830)
Depreciation and amortization	6,750	6,657	6,152
Total assets	204,764	330,087	395,665
Capital expenditures	$ 299	$ 231	$ 238