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The Ensign Group

346 nursing homes · 17 states · 37,787 beds

average official
inspection rating

The Ensign Group at a glance

Nursing homes
346
States
17
Licensed beds
37,787
Average rating
3.2★
Rated 4★ or better
43%

Is The Ensign Group a good nursing home group?

Across 345 rated homes, The Ensign Group averages 3.2★ on official inspection ratings — above the roughly 3.0★ national average. 43% of its rated homes earn 4★ or better, while 31% sit at 1–2★. That’s a stronger-than-average record overall, but ratings still vary from location to location — judge each home on its own.

A group-wide number can’t tell you about the specific home near you — quality varies by location. Open each home below to see its own official inspection rating before you decide.

The Ensign Group quality vs. the national average

Across the 345 homes with an official inspection rating, The Ensign Group averages 3.2★. 43% are rated 4★ or better, and 31% are rated 1–2★. These are official government inspection ratings — a group-wide average hides a lot, so open each home below and judge it on its own.

The Ensign Group compared with all rated nursing homes nationwide
MeasureThe Ensign GroupNational average
Average rating3.2★3.0★
Homes rated 4★ or better43%40%
Homes rated 1–2★31%41%

How The Ensign Group’s homes are distributed

  • 5★78
  • 4★70
  • 3★89
  • 2★59
  • 1★49

The Ensign Group nursing home ratings by state

Where The Ensign Group operates and how its homes rate in each state. Ratings are the average of that state’s homes with an official inspection rating. Pick a state to browse every nursing home there.

StateHomesAvg. rating
Texas852.7★
California753.5★
Arizona394.0★
Colorado333.1★
Utah213.6★
Washington174.2★
Idaho153.3★
Kansas122.7★
Iowa102.0★
Tennessee102.6★
South Carolina93.7★
Nebraska72.0★
Wisconsin53.8★
Nevada31.7★
Alaska22.5★
Alabama21.5★
Oregon14.0★

Highest-rated The Ensign Group homes

The best-rated The Ensign Group nursing homes we have on record, by official inspection rating.

Lowest-rated The Ensign Group homes

The lowest-rated The Ensign Group homes we have on record — the ones to look at most closely and ask the most questions about.

About The Ensign Group

The Ensign Group, Inc., founded in 1999, is a holding company with independent subsidiaries that operate skilled nursing, senior living, and rehabilitative care facilities. It also owns and manages healthcare real estate and ancillary services through structured subsidiaries such as its Service Center and captive REIT, Standard Bearer Healthcare REIT, Inc.

Founded in 1999, Ensign began with independent operating affiliates providing post-acute care. Over time, it has adopted an approach centered on empowering local affiliate leadership via a decentralized, field-driven structure supported by a centralized Service Center.

Ensign is publicly traded (NASDAQ: ENSG), structured as a holding company with no direct operating assets or employees. Subsidiaries, including the Service Center (handling back-office support) and Standard Bearer (its captive REIT), operate independently.

As of March 31, 2026, Ensign's independent subsidiaries operated 378 facilities in 17 states, collectively supporting about 38,500 skilled nursing beds and 3,400 senior living units. The company continues expanding through acquisitions and leases of both operating and real estate assets.

Ensign’s lines of business include skilled nursing, assisted living, independent living, memory care, rehabilitative therapies, mobile diagnostics, non-emergency transportation, and real estate services through Standard Bearer.

Founded
1999
Headquarters
San Juan Capistrano, California

Leadership

Researched summary — facts drawn from cited public sources, in our own words. Ratings shown are official government inspection ratings.

Where The Ensign Group operates

The Ensign Group runs nursing homes in Alaska, Alabama, Arizona, California, and 13 more states. Pick a state to see every The Ensign Group home there alongside every other nursing home in the area.

All homes The Ensign Group runs

Each home is listed with its official inspection rating — from government health inspections, staffing, and quality data. A visit is still the best test.

Frequently asked questions about The Ensign Group

How many nursing homes does The Ensign Group operate?
The Ensign Group operates 346 nursing homes across 17 states with about 37,787 licensed beds in total.
What states does The Ensign Group operate in?
The Ensign Group runs nursing homes in Alaska, Alabama, Arizona, California, and 13 more states. Its largest presence is in Texas, California, Arizona.
Is The Ensign Group a good nursing home group?
Across 345 rated homes, The Ensign Group averages 3.2★ on official inspection ratings — above the roughly 3.0★ national average. 43% of its rated homes earn 4★ or better, while 31% sit at 1–2★. That’s a stronger-than-average record overall, but ratings still vary from location to location — judge each home on its own.
Where is The Ensign Group headquartered?
The Ensign Group is headquartered in San Juan Capistrano, California.
How are these ratings determined?
The ratings shown are official government inspection ratings. They combine on-site health inspections, staffing levels, and clinical quality measures into an overall score from 1 to 5 stars for each home — the same official data families and regulators use.

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