SEC Form 4

FORM 4		UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940	OMB APPROVAL OMB Number: 3235-0287 Estimated average burden hours per response: 0.5
	Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person* Christensen Christopher R. (Last) (First) (Middle) 27101 PUERTA REAL, SUITE 450 (Street) MISSION VIEJO CA 92691 (City) (State) (Zip)	2. Issuer Name and Ticker or Trading Symbol ENSIGN GROUP, INC [ ENSG ]	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director X 10% Owner X Officer (give title below) Other (specify below) President & CEO
	3. Date of Earliest Transaction (Month/Day/Year) 11/04/2008
	4. If Amendment, Date of Original Filed (Month/Day/Year)	6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock	11/04/2008		M		4,000	A	$2.45	14,500(1)	I	By Spouse
Common Stock	11/04/2008		M		6,000	A	$7.5	20,500(1)	I	By Spouse
Common Stock	11/04/2008		S		2,700	D	$18.51(2)	17,800(1)	I	By Spouse
Common Stock	11/05/2008		S		13,067	D	$16.02(3)	4,733(1)	I	By Spouse
Common Stock	11/06/2008		S		2,112	D	$15	2,621(1)	I	By Spouse
Common Stock								1,854,500(4)	I	Hobble Creek Investments, LLC(6)
Common Stock								4,000(5)	I	By Children

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Employee Stock Options	$2.45	11/04/2008		M			4,000	12/22/2004	12/22/2014	Common Stock	4,000(1)	$0	0	I	By Spouse
Employee Stock Options	$7.5	11/04/2008		M			6,000	07/26/2006	07/26/2016	Common Stock	6,000(1)	$0	0	I	By Spouse

Explanation of Responses:

1. The reporting person acquired beneficial ownership of these shares upon his marriage to the owner of the shares. The reporting person disclaims beneficial ownership of these shares and this report should not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.

2. 1,000 shares were sold for $18.50, 1,100 shares were sold for $18.51 and 600 shares were sold for $18.52.

3. This transaction was executed in multiple trades at prices ranging from $16.00 to $16.23. The price above reflects the weighted average sales price. The reporting person hereby undertakes to provide upon request by the Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.

4. Since the date of the reporting person's last ownership report, the Christensen Family Trust dated 10/24/05 transferred 1,854,500 shares of common stock to Mr. Christensen and 1,854,500 shares to his ex-wife pursuant to a domestic relations order. The reporting person no longer reports as beneficially owned any securities owned by his ex-wife.

5. These shares include 4,000 shares held for Mr. Christensen's minor children under the California Uniform Transfers to Minors Act. Mr. Christensen's ex-wife holds voting and investment power over these shares. Mr. Christensen disclaims ownership of these 4,000 shares and this report shall not be deemed an admission that Mr. Christensen is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.

6. Mr. Christensen is the sole member of this entity.

	/s/ Daniel Walker, as attorney-in-fact for Christopher R. Christensen	11/06/2008
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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