Equity - Noncontrolling Interest (Details)	12 Months Ended
	Dec. 31, 2024 USD ($) item	Dec. 31, 2023 USD ($) item	Dec. 31, 2017 item
Noncontrolling interest
Gross Consolidated Assets	$ 1,786,142,000	$ 1,855,098,000
Non-controlling interests	$ 92,378,000	$ 34,988,000
Number of units | item	480
Partnership
Noncontrolling interest
Gross Consolidated Assets	$ 449,366,000
Non-controlling interests	92,378,000
North Carolina/ South Carolina | 2024 Acquisitions | Partnership | ALF/ILF/MC
Noncontrolling interest
Gross Consolidated Assets	122,460,000
Non-controlling interests	58,010,000
Ohio | 2023 Acquisitions | Partnership | ALF/ILF/MC
Noncontrolling interest
Gross Consolidated Assets	54,782,000
Non-controlling interests	9,134,000
North Carolina | ALF
Noncontrolling interest
Number of units | item		217
North Carolina | 2023 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets	121,419,000
Non-controlling interests	3,831,000
North Carolina | 2024 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets	41,000,000
Non-controlling interests	3,015,000
Florida | 2022 Acquisitions | Partnership | SNF
Noncontrolling interest
Gross Consolidated Assets	76,603,000
Non-controlling interests	14,325,000
Oregon | 2018 Acquisitions | Partnership | ALF & MC
Noncontrolling interest
Gross Consolidated Assets	18,452,000
Non-controlling interests	1,156,000
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets	14,650,000
Non-controlling interests	2,907,000
Wisconsin | ILC & MC
Noncontrolling interest
Number of units | item			110
South Carolina | ALF & MC
Noncontrolling interest
Number of units | item			87
Transfer of non-controlling interest by joint venture partner amount	$ 1,240,000