X0303 4/A 2010-11-17 2010-11-18 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 0001417549 Christensen Carol M. 27101 PUERTA REAL, SUITE 450 MISSION VIEJO CA 92691 0 0 1 0 0001417547 Christensen Family Trust dated 8/17/92 27101 PUERTA REAL, SUITE 450 MISSION VIEJO CA 92691 0 0 1 0 Common Stock 2010-11-17 4 S 0 3116 21.8291 D 2361238 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. The number of shares sold and the total amount of shares beneficially owned have each been adjusted by 17,484 shares, as applicable, to reflect certain trade cancellations made by the reporting persons to comply with volume restrictions set forth in Rule 144(e). This transaction was executed in multiple trades at prices ranging from $21.76 to $21.92. 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 amendment is being filed to adjust the number of shares sold as well as the amount of securities beneficially owned by the reporting persons as a result of certain trade cancellations that were made to comply with the volume restrictions set forth in Rule 144(e). /s/ Suzanne Snapper, as power of attorney for Roy E. Christensen 2010-11-22 /s/ Suzanne Snapper, as power of attorney for Carol M. Christensen 2010-11-22 /s/ Suzanne Snapper, as power of attorney for Christensen Family Trust dated 8/17/92 2010-11-22