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Operators

The Ensign Group Nursing Homes in California

Quick answer: The Ensign Group is the second-largest nursing home operator in California, running 75 facilities, with $843,111 in federal fines. Its homes rate 3.51 stars on average, above the statewide average of 3.16. If a loved one was harmed at an Ensign home, call (888) 999-0169 or send us a message for a free review.

The Ensign Group is a large, publicly traded, for-profit operator. Its California homes average 3.51 stars, above the statewide mean of 3.16, and its total federal fines are lower than PACS Group's. As with any large chain, the average hides a bottom tier worth knowing about.

Row of similar California nursing facility buildings suggesting a single operator. Illustration for The Ensign Group Nursing Homes in California.
Illustration. Not a photograph of The Ensign Group facilities.

What the public record shows for The Ensign Group

MeasureThe Ensign GroupCalifornia
California nursing homes751,165
Average CMS star rating3.513.16
Homes rated 1 or 2 stars21.3% (16 of 75)35.1% (405 of 1,154)
Total federal fines$843,111$28,736,255
Homes flagged for abuse by CMS3113

Source: CMS Care Compare, August 2026, reported as published.

Ensign's homes average 3.51 stars, above the statewide average of 3.16. The CMS data places 16 of Ensign's 75 rated homes in the bottom two tiers.

Where The Ensign Group operates

Ensign is concentrated in Los Angeles (21), San Diego (15), and Orange (12) counties, with additional homes in San Bernardino, Sonoma, and Riverside.

Look up any Ensign home in our California nursing home directory.

What this means for families

A company average does not protect a specific resident. If a loved one developed a bedsore, fell, or suffered neglect at an Ensign home, the question is what that facility's records show, not what the chain averages. Ensign's one-star homes with six-figure fines are exactly the facilities where a serious injury deserves a close look.

If your loved one was harmed at an Ensign Group home

Michael Young and Thomas Wallin spent years defending nursing homes before switching sides, and they have recovered millions of dollars for elder abuse victims. If your loved one was neglected or injured at an Ensign facility, see our nursing home neglect page and call (888) 999-0169 for a free, confidential consultation. We serve families throughout California, and you pay nothing unless we win.

Sources and authoritative references

  • CMS Care Compare: https://www.medicare.gov/care-compare/
  • CMS Provider Data Catalog (dataset behind these figures): https://data.cms.gov/provider-data/dataset/4pq5-n9py
  • California Nursing Home Report Card 2026: /resources/california-nursing-home-report-card/
  • California Department of Public Health, Cal Health Find: https://calhealthfind.cdph.ca.gov/

75 California nursing homes operated by this company

Grouped by county, from the CMS Care Compare data this site publishes. Every home links to its own page with that home's ratings, staffing, citations and fines.

Frequently asked questions

How many nursing homes does The Ensign Group run in California?

By the current CMS data, The Ensign Group operates 75 California nursing homes, the second most of any operator.

Is The Ensign Group a good nursing home company?

Its California homes average 3.51 stars, above the statewide average of 3.16, with 21.3% in the bottom two tiers and only three homes carrying the abuse icon. Individual homes vary, so check the specific facility.

Can I sue an Ensign Group nursing home?

Yes, if a resident was harmed by neglect or abuse. The California Elder Abuse Act applies regardless of the operator, and the facility's records are where a case begins.

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Disclaimer: all facility counts, ratings, staffing figures, fines, penalties, and abuse-icon figures on this page are drawn from public CMS data (medicare.gov and data.cms.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility or company is not an allegation of wrongdoing. Operator groupings follow the affiliated-entity and legal-business-name fields as published by CMS and may not capture every corporate relationship. Company names and marks are the property of their respective owners; Young & Wallin is not affiliated with, endorsed by, or sponsored by The Ensign Group. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.

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