<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/schedule13g" xmlns:ns1="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>SCHEDULE 13G/A</submissionType>
    <previousAccessionNumber>0001126328-22-000035</previousAccessionNumber>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001218333</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <coverPageHeader>
      <amendmentNo>4</amendmentNo>
      <securitiesClassTitle>Common stock, $0.01 par value</securitiesClassTitle>
      <eventDateRequiresFilingThisStatement>12/31/2025</eventDateRequiresFilingThisStatement>
      <issuerInfo>
        <issuerCik>0001492298</issuerCik>
        <issuerName>Sabra Health Care REIT, Inc.</issuerName>
        <issuerCusip>78573L106</issuerCusip>
        <issuerPrincipalExecutiveOfficeAddress>
          <ns1:street1>1781 FLIGHT WAY</ns1:street1>
          <ns1:city>TUSTIN</ns1:city>
          <ns1:stateOrCountry>CA</ns1:stateOrCountry>
          <ns1:zipCode>92782</ns1:zipCode>
        </issuerPrincipalExecutiveOfficeAddress>
      </issuerInfo>
      <designateRulesPursuantThisScheduleFiled>
        <designateRulePursuantThisScheduleFiled>Rule 13d-1(b)</designateRulePursuantThisScheduleFiled>
      </designateRulesPursuantThisScheduleFiled>
    </coverPageHeader>
    <coverPageHeaderReportingPersonDetails>


      <reportingPersonName>PRINCIPAL REAL ESTATE INVESTORS LLC</reportingPersonName>
      <citizenshipOrOrganization>DE</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0</soleVotingPower>
        <sharedVotingPower>21331583</sharedVotingPower>
        <soleDispositivePower>0</soleDispositivePower>
        <sharedDispositivePower>21331583</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>21331583</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>8.6</classPercent>
      <typeOfReportingPerson>IA</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <coverPageHeaderReportingPersonDetails>


      <reportingPersonName>PRINCIPAL GLOBAL INVESTORS</reportingPersonName>
      <citizenshipOrOrganization>DE</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>0</soleVotingPower>
        <sharedVotingPower>3140497</sharedVotingPower>
        <soleDispositivePower>0</soleDispositivePower>
        <sharedDispositivePower>3140497</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>3140497</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>1.3</classPercent>
      <typeOfReportingPerson>IA</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <items>
      <item1>
        <issuerName>Sabra Health Care REIT, Inc.</issuerName>
        <issuerPrincipalExecutiveOfficeAddress>1781 FLIGHT WAY, TUSTIN, CALIFORNIA
92782</issuerPrincipalExecutiveOfficeAddress>
      </item1>
      <item2>
        <filingPersonName>PRINCIPAL REAL ESTATE INVESTORS LLC

PRINCIPAL GLOBAL INVESTORS</filingPersonName>
        <principalBusinessOfficeOrResidenceAddress>PRINCIPAL REAL ESTATE INVESTORS, LLC
711 HIGH STREET
DES MOINES, Iowa
50392-0300

PRINCIPAL GLOBAL INVESTORS
711 HIGH STREET
DES MOINES, Iowa
50392-0300
</principalBusinessOfficeOrResidenceAddress>
        <citizenship>PRINCIPAL REAL ESTATE INVESTORS LLC - DELAWARE

PRINCIPAL GLOBAL INVESTORS - DELAWARE</citizenship>
      </item2>
      <item3>
        <notApplicableFlag>N</notApplicableFlag>
        <typeOfPersonFiling>IA</typeOfPersonFiling>
      </item3>
      <item4>
        <amountBeneficiallyOwned>24,472,080</amountBeneficiallyOwned>
        <classPercent>9.9</classPercent>
        <numberOfSharesPersonHas>
          <solePowerOrDirectToVote>PRINCIPAL REAL ESTATE INVESTORS LLC - 0

PRINCIPAL GLOBAL INVESTORS - 0</solePowerOrDirectToVote>
          <sharedPowerOrDirectToVote>PRINCIPAL REAL ESTATE INVESTORS LLC - 21,331,583

PRINCIPAL GLOBAL INVESTORS - 3,140,497</sharedPowerOrDirectToVote>
          <solePowerOrDirectToDispose>PRINCIPAL REAL ESTATE INVESTORS LLC - 0

PRINCIPAL GLOBAL INVESTORS - 0</solePowerOrDirectToDispose>
          <sharedPowerOrDirectToDispose>PRINCIPAL REAL ESTATE INVESTORS LLC - 21,331,583

PRINCIPAL GLOBAL INVESTORS - 3,140,497</sharedPowerOrDirectToDispose>
        </numberOfSharesPersonHas>
      </item4>
      <item5>
        <notApplicableFlag>Y</notApplicableFlag>
      </item5>
      <item6>
        <notApplicableFlag>Y</notApplicableFlag>
      </item6>
      <item7>
        <notApplicableFlag>Y</notApplicableFlag>
      </item7>
      <item8>
        <notApplicableFlag>Y</notApplicableFlag>
      </item8>
      <item9>
        <notApplicableFlag>Y</notApplicableFlag>
      </item9>
      <item10>
        <notApplicableFlag>N</notApplicableFlag>
        <certifications>By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under ?? 240.14a-11.</certifications>
      </item10>
    </items>
    <exhibitInfo>This statement is filed by Principal Real Estate Investors LLC and Principal Global Investors LLC jointly pursuant to a Joint Filing Agreement, which is filed with this Schedule 13G as Exhibit 99.1.</exhibitInfo>
    <signatureInformation>
      <reportingPersonName>PRINCIPAL REAL ESTATE INVESTORS LLC</reportingPersonName>
      <signatureDetails>
        <signature>/s/ J. Markham Penrod</signature>
        <title>Chief Compliance Officer - North America, Principal Asset Management</title>
        <date>02/05/2026</date>
      </signatureDetails>
    </signatureInformation>
    <signatureInformation>
      <reportingPersonName>PRINCIPAL GLOBAL INVESTORS</reportingPersonName>
      <signatureDetails>
        <signature>/s/ J. Markham Penrod</signature>
        <title>Chief Compliance Officer - North America, Principal Asset Management</title>
        <date>02/05/2026</date>
      </signatureDetails>
    </signatureInformation>
  </formData>

</edgarSubmission>
