Exhibit 4.1

NUMBER		SHARES
THE ENSIGN GROUP, INC. INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE COMMON STOCK

THIS CERTIFIES that
CUSIP 29358P 10 1
SEE REVERSE SIDE FOR CERTAIN DEFINITIONS

is the owner of

FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE $0.001 PER SHARE OF
THE ENSIGN GROUP, INC.

transferable only on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

IN WITNESS WHEREOF, the said Corporation has caused this Certificate to be signed by the facsimile signatures of its duly authorized officers and its Corporate seal to be hereunto affixed.

DATED:
  
/s/ Gregory K. Stapley Secretary THE ENSIGN GROUP, INC.
CORPORATE
SEAL
MAY 27,
1999
DELAWARE   
  
/s/ Christopher R. Christensen President

COUNTERSIGNED AND REGISTERED
            REGISTRAR AND TRANSFER COMPANY
            TRANSFER AGENT AND REGISTRAR

BY

        The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations:

TEN COM	-as tenants in common	UNIF GIFT MIN ACT-	Custodian
TEN ENT	-as tenants by the entireties		(Cust)                (Minor)
JT TEN	-as joint tenants with right of survivorship and not as tenants in common		under Uniform Gifts to Minors Act                             (State)

Additional abbreviations may also be used though not in the above list.

For Value Received,do hereby sell, assign and transfer unto

PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE

(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE)
   

Shares of the Common Stock represented by the within Certificate, and do hereby irrevocably constitute and appoint                                                                                                                            Attorney to transfer the said Shares on the books of the within named Corporation with full power of substitution in the premises.

Dated:                                                              

X
X
NOTICE:	THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.

Signature(s) Guaranteed

By:
	THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.