X0303 4 2010-10-15 0 0001125376 ENSIGN GROUP, INC ENSG 0001409091 Johnson Van R 27101 PUERTA REAL STE 450 MISSION VIEJO CA 92691 1 0 0 0 Common Stock 2010-10-15 4 A 0 1000 0 A 6000 D /s/ Suzanne Snapper, as power of attorney 2010-10-19