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Accounting Policies and Related Matters - Additional Information (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Sep. 30, 2021
Jun. 30, 2021
Mar. 31, 2021
Mar. 12, 2021
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Agreements with residents, cancelable period 30 days            
Redeemable noncontrolling interests, carrying value $ 401,294            
Current redemption value of redeemable noncontrolling interest that exceeded the carrying value 40,212            
Property operating expenses $ 2,774,562 $ 2,597,823 $ 2,690,042        
United States              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Basis points 4.90%            
UNITED KINGDOM              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Basis points 0.80%            
CANADA              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Basis points 2.90%            
COVID-19              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Property operating expenses $ 97,933 31,927          
Rent collected percentage 94.00%            
COVID-19 | Grant              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Revenue from contract with customer $ 4,642 $ 3,014          
COVID-19 | Seniors Housing Operating              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Spot occupancy 77.70% 74.90%   76.90% 74.80% 72.90% 72.60%
Basis points 5.10%            
Property operating expenses $ 63,681 $ 110,719          
Buildings | Minimum              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Properties, estimated useful life 15 years            
Buildings | Maximum              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Properties, estimated useful life 40 years            
Improvements | Minimum              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Properties, estimated useful life 5 years            
Improvements | Maximum              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Properties, estimated useful life 15 years