X0303 4 2010-10-18 0 0001125376 ENSIGN GROUP, INC ENSG 0001417545 Christensen Roy E 27101 PUERTA REAL, SUITE 450 MISSION VIEJO CA 92691 1 0 1 1 Chairman of the Board 0001417547 Christensen Family Trust dated 8/17/92 27101 PUERTA REAL, SUITE 450 MISSION VIEJO CA 92691 0 0 1 0 0001417549 Christensen Carol M. 27101 PUERTA REAL, SUITE 450 MISSION VIEJO CA 92691 0 0 1 0 Common Stock 2010-10-18 4 S 0 92400 18.15 D 2621796 I Christensen Family Trust dated 8/17/92 Common Stock 2010-10-19 4 S 0 25186 17.8935 D 2596610 I Christensen Family Trust dated 8/17/92 Common Stock 2010-10-20 4 S 0 35156 18.1468 D 2561454 I Christensen Family Trust dated 8/17/92 The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 7, 2010. This transaction was executed in multiple trades at prices ranging from $17.89 to $18.35. The price above reflects the weighted average sale 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. These shares are directly owned by the Christensen Family Trust dated 8/17/92, as ten percent of the issuer, and indirectly owned by Roy E. Christensen and Carol M. Christensen as trustees of the trust. Roy E. Christensen is a director, officer and ten percent owner of the issuer. Carol M. Christensen is a ten percent owner of the issuer. This transaction was executed in multiple trades at prices ranging from $17.77 to $18.28. The price above reflects the weighted average sale 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. This transaction was executed in multiple trades at prices ranging from $17.94 to $18.295. The price above reflects the weighted average sale 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. /s/ Suzanne Snapper, as power of attorney for Roy E. Christensen 2010-10-20 /s/ Suzanne Snapper, as power of attorney for Carol M. Christensen 2010-10-20 /s/ Suzanne Snapper, as power of attorney for Christensen Family Trust dated 8/17/92 2010-10-20