X0303 4 2010-11-01 0 0001125376 ENSIGN GROUP, INC ENSG 0001417555 Christensen Christopher R. 27101 PUERTA REAL, SUITE 450 MISSION VIEJO CA 92691 1 1 0 0 President and CEO Common Stock 2010-11-01 4 S 0 15667 19.0034 D 1724333 I By Hobble Creek Investments, LLC Common Stock 2010-11-02 4 S 0 9333 19 D 1715000 I By Hobble Creek Investments, LLC Common Stock 2010-11-02 4 S 0 25000 19.5 D 1690000 I By Hobble Creek Investments, LLC Common Stock 2010-11-02 4 S 0 25000 19.4392 D 1665000 I By Hobble Creek Investments, LLC Common Stock 2010-11-03 4 S 0 25000 19.75 D 1640000 I By Hobble Creek Investments, LLC The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 25, 2010. This transaction was executed in multiple trades at prices ranging from $18.76 to $19.08. 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. Christopher R. Christensen is the sole member of this entity. This transaction was executed in multiple trades at prices ranging from $18.85 to $19.64. 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 $19.25 to $19.49. 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 $19.41 to $19.82. 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 2010-11-03