Every day, caregivers among the independent operating affiliates of the Ensign Group have the privilege of serving thousands of residents who depend on the skilled nursing, rehabilitation, post-acute, and assisted living services they provide.
Every resident deserves compassionate care, clinical excellence, and a nurturing and supportive environment. Ensign’s affiliates are dedicated to delivering leading outcomes and enhancing the lives of those they serve. Teams work hard every day to enhance the resident experience and share best practices for the benefit of the communities they serve.
Interdisciplinary care teams leverage collaborative, data-driven, evidence-based care practices.
Committed to operating with integrity and complying with regulatory, ethical, and professional standards.
Affiliates outperform the national average on the use of antipsychotic medications, reflecting our commitment to reducing unnecessary medication use.
Administrator and nursing turnover is lower than state averages, providing consistent leadership, and operational stability while supporting continuity of care and stronger resident relationships.
Innovative physical, occupational, and speech therapy programs are in place and focused on restoring function, increasing independence, and improving quality of life.
Team members work closely with residents to develop individualized care plans that support overall well-being and help them recover successfully.
Affiliates are deeply invested in building trusted partnerships with local hospitals, physicians, health systems, and other healthcare providers. Led by teams who live and work in the communities they serve, the affiliated facilities collaborate closely with referral partners to support successful transitions across the care continuum and help patients achieve better outcomes.
*Data from CMS Care Compare, Five-Star Quality Rating System as of September 2026.
**Percentage as compared to same facilities. CMS Care Compare Data as of September 2026.
Acquired 2015
Bainbridge Island Health and Rehabilitation sits across Puget Sound from Seattle and has been a part of Ensign since 2015.
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Acquired 2025
Decatur County Healthcare operates in Tennessee, a state we entered in 2024 as part of our continued expansion across the Southeast.
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| Occupancy Increase in Last Year‡ | +23% |
‡The data source for clinical results is from Centers for Medicare & Medicaid Services (CMS) Care Compare Five-Star Quality Rating System, September 2026. Cycle 1 survey inspection results are based on the latest CMS-reported regulatory inspection cycle which reflects results as of Q1 2026. State-wide averages represent the average reported performance of facilities within the states in which we operate. National averages represent the average performance of all facilities included in the CMS Care Compare database nationwide. Over the last few years, CMS has made significant changes to the star rating requirements that makes obtaining a 4 or 5-Star rating more difficult, which impacted our overall star rating.
References herein to the consolidated “company” and “its” assets and activities, as well as the use of the terms “we,” “us,” “its”, “our” and similar verbiage, are not meant to imply that The Ensign Group, Inc. has direct operating assets, employees or revenue, or that any of the affiliated entities, including facilities, or the Service Center, are operated or managed by the same entity.