Segment Information - Schedule of Segment Information (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) segment	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Segment Reporting [Abstract]
Number of reportable segments | segment	2
Segment Reporting Information [Line Items]
Revenues	$ 1,671,389	$ 1,690,176	$ 1,641,959
Income before income taxes	53,056	44,553	65,512
Depreciation and amortization	14,344	15,316	14,667
Total assets	790,652	720,836	779,889
Capital expenditures	5,406	5,210	5,687
Genesis | Consolidated revenues | Significant Customers
Segment Reporting Information [Line Items]
Revenues	$ 181,400	$ 169,100	$ 177,100
Contribution percent	10.90%	10.00%	10.80%
Housekeeping
Segment Reporting Information [Line Items]
Revenues	$ 766,700	$ 795,700	$ 821,300
Dietary
Segment Reporting Information [Line Items]
Revenues	904,700	894,500	820,600
Operating Segments | Housekeeping
Segment Reporting Information [Line Items]
Revenues	766,651	795,687	821,329
Income before income taxes	61,311	73,096	79,380
Depreciation and amortization	4,380	5,491	5,399
Total assets	253,729	250,444	225,531
Capital expenditures	4,684	4,412	5,005
Operating Segments | Dietary
Segment Reporting Information [Line Items]
Revenues	904,738	894,489	820,630
Income before income taxes	43,547	29,065	45,758
Depreciation and amortization	3,001	3,075	2,611
Total assets	291,550	263,126	221,911
Capital expenditures	494	499	451
Corporate, Non-Segment
Segment Reporting Information [Line Items]
Income before income taxes	(51,802)	(57,608)	(59,626)
Depreciation and amortization	6,963	6,750	6,657
Total assets	245,373	207,266	332,447
Capital expenditures	$ 228	$ 299	$ 231