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 June 2026.
**Percentage as compared to same facilities. CMS Care Compare Data as of June 2026.
Acquired 2023
Graduated SFF 2024
The Reserve represents a remarkable turnaround story. Prior to its acquisition by Ensign affiliates, the facility had been designated a CMS Special Focus Facility and faced significant regulatory challenges, including Immediate Jeopardy findings in 2023. Since then, management has implemented meaningful improvements, resulting in deficiency-free surveys, strong quality outcomes, and a 5-star CMS overall rating.
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| Zero-deficiency surveys in a row‡ | 3 |
| Occupancy growth since acquisition | +45% |
| Registered Nurse turnover better than National Average by‡ | +29% |
Acquired 2018
Sun West Choice operates in the Phoenix healthcare market which is heavily penetrated by managed care organizations who emphasize strong outcomes, shorter lengths of stay and reduced rehospitalizations.
To become an Operation of Choice:
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| Nursing Staff Turnover Outperforms the State Average By‡ | +23% |
Acquired 2014
Grossmont Post Acute Care represents a significant investment in post-acute care for East San Diego County as the area’s first new skilled nursing facility in over 30 years. The replacement facility added 15 licensed beds and increased daily skilled census from 72 to 100 patients within months of opening. Featuring a modern, healing environment with private and semi-private rooms, Grossmont is supported by nursing staffing levels that outperform both state and national benchmarks.
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‡The data source for clinical results is from Centers for Medicare & Medicaid Services (CMS) Care Compare Five-Star Quality Rating System, June 2026. Cycle 1 survey inspection results are based on the latest CMS-reported regulatory inspection cycle which reflects results as of Q4 2025. 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.