X0303 5 2009-12-31 0 0 0 0001125376 ENSIGN GROUP, INC ENSG 0001417559 Stapley Gregory K. 27101 PUERTA REAL, SUITE 450 MISSION VIEJO CA 92691 0 1 0 0 Vice President Common Stock 2009-02-02 5 G 0 8750 0 D 1046050 I By Stapley Family Trust Dated April 25, 2006 Common Stock 2009-12-17 5 G 0 7800 0 D 1038250 I By Stapley Family Trust Dated April 25, 2006 Common Stock 2009-12-30 5 G 0 200 0 D 45300 I By Marian K. Stapley Revocable Trust Dated April 29, 1965 Common Stock 21750 I By wife as UTMA These shares are directly owned by the Stapley Family Trust dated April 25, 2006 and indirectly by Gregory K. Stapley as Trustee of the trust. Gregory K. Stapley is an officer of the issuer. These shares are directly owned by the Marian K. Stapley Revocable Trust dated April 29, 1965 and indirectly by Gregory K. Stapley as Trustee of the trust. Gregory K. Stapley is an officer of the issuer. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Daniel H. Walker, as attorney in fact 2010-02-16