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      <liveTestFlag>LIVE</liveTestFlag>



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      <issuerCik>0001125376</issuerCik>
      <issuerName>ENSIGN GROUP, INC</issuerName>
      <secFileNumber>001-33757</secFileNumber>
      <issuerAddress>
        <com:street1>29222 RANCHO VIEJO RD.</com:street1>
        <com:street2>SUITE 127</com:street2>
        <com:city>SAN JUAN CAPISTRANO</com:city>
        <com:stateOrCountry>CA</com:stateOrCountry>
        <com:zipCode>92675</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>(949) 487-9500</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Snapper Suzanne D.</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
        <relationshipToIssuer>Director</relationshipToIssuer>
      </relationshipsToIssuer>
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    <securitiesInformation>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>Fidelity Brokerage Services LLC</name>
        <address>
          <com:street1>900 Salem Street</com:street1>
          <com:city>Smithfield</com:city>
          <com:stateOrCountry>RI</com:stateOrCountry>
          <com:zipCode>02917</com:zipCode>
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      <noOfUnitsSold>9404</noOfUnitsSold>
      <aggregateMarketValue>940413.28</aggregateMarketValue>
      <noOfUnitsOutstanding>55732114</noOfUnitsOutstanding>
      <approxSaleDate>04/24/2023</approxSaleDate>
      <securitiesExchangeName>NASDAQ</securitiesExchangeName>
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      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>04/24/2023</acquiredDate>
      <natureOfAcquisitionTransaction>Options Granted 05/29/2014</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>9404</amountOfSecuritiesAcquired>
      <paymentDate>04/24/2023</paymentDate>
      <natureOfPayment>Cash</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
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        <name>Suzanne Snapper</name>
        <address>
          <com:street1>29222 Rancho Viejo Road</com:street1>
          <com:street2>Suite 127</com:street2>
          <com:city>San Juan Capistrano</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>92675</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>02/03/2023</saleDate>
      <amountOfSecuritiesSold>137</amountOfSecuritiesSold>
      <grossProceeds>13019.35</grossProceeds>
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    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Suzanne Snapper</name>
        <address>
          <com:street1>29222 Rancho Viejo Road</com:street1>
          <com:street2>Suite 127</com:street2>
          <com:city>San Juan Capistrano</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>92675</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>03/30/2023</saleDate>
      <amountOfSecuritiesSold>34470</amountOfSecuritiesSold>
      <grossProceeds>3206230.50</grossProceeds>
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        <name>Suzanne Snapper</name>
        <address>
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          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>92675</com:zipCode>
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      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>04/11/2023</saleDate>
      <amountOfSecuritiesSold>35304</amountOfSecuritiesSold>
      <grossProceeds>3533001.90</grossProceeds>
    </securitiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>04/24/2023</noticeDate>
      <planAdoptionDates>
        <planAdoptionDate>12/13/2022</planAdoptionDate>
      </planAdoptionDates>
      <signature>/s/ Jennifer Ruchti, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Suzanne Snapper</signature>
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144
0001470396
XXXXXXXX
LIVE
0001125376
ENSIGN GROUP, INC
001-33757
29222 RANCHO VIEJO RD.
SUITE 127
SAN JUAN CAPISTRANO
CA
92675
(949) 487-9500
Snapper Suzanne D.
Officer
Director
Common
Fidelity Brokerage Services LLC
900 Salem Street
Smithfield
RI
02917
9404
940413.28
55732114
04/24/2023
NASDAQ
Common
04/24/2023
Options Granted 05/29/2014
Issuer
N
9404
04/24/2023
Cash
N
Suzanne Snapper
29222 Rancho Viejo Road
Suite 127
San Juan Capistrano
CA
92675
Common
02/03/2023
137
13019.35
Suzanne Snapper
29222 Rancho Viejo Road
Suite 127
San Juan Capistrano
CA
92675
Common
03/30/2023
34470
3206230.50
Suzanne Snapper
29222 Rancho Viejo Road
Suite 127
San Juan Capistrano
CA
92675
Common
04/11/2023
35304
3533001.90
04/24/2023
12/13/2022
/s/ Jennifer Ruchti, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Suzanne Snapper