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The Ensign Group Inc nursing homes in California
The Ensign Group Inc is associated with 62 Medicare-certified providers in California — 62 nursing homes. That is 86% of the 72 facilities WhoOwnsCare currently covers for this operator across 4 states. California is this operator's largest covered market.
The most recent recorded ownership activity in California is dated 2025-08-01. Ownership grouping confidence: Verified.
The Ensign Group Inc portfolio in California
| Facilities in state | 62 |
| Share of operator's covered portfolio | 86% |
| Share of the state's certified providers | 1.2% |
| Skilled nursing | 62 |
| Home health | not available |
| Hospice | not available |
| Certified beds | 6,373 |
| Counties represented | 12 |
| Cities represented | 49 |
| Legal entities in the corporate family | 10 |
| Earliest recorded ownership event in state | 2019-03-01 |
| Latest recorded activity | 2025-08-01 |
| Acquisitions recorded in state | 26 |
| Divestitures recorded in state | 0 |
| Net portfolio change | +26 |
| Momentum | not available |
The Ensign Group Inc in California vs its broader portfolio
| Measure | California | Other covered states | Difference |
|---|---|---|---|
| Occupancy of certified beds | 90.4% | 80.6% | +9.8% |
| Nurse hours per resident day | 4.39 | 3.44 | +0.95 |
| Annual nursing turnover | 37.8% | 49.1% | −11.4% |
| CMS overall rating | 3.47 | 2.90 | +0.57 |
| Health deficiencies on record | 46.6 | 27.2 | +19.4 |
| Distress score | 29.9 | 37.3 | −7.4 |
Compared with this operator's facilities currently covered by WhoOwnsCare in other states — not with all of its facilities nationally, and not with the state average. Only like-for-like measures are compared, and measures CMS does not publish for a provider type are omitted rather than estimated.
Corporate structure in California
| Entity | Relationship | What it means | Facilities |
|---|---|---|---|
| The Ensign Group Inc | Indirect owner | Holds an indirect ownership interest. | 60 |
| Flagstone Healthcare South LLC | Direct owner | Holds a direct ownership interest. | 37 |
| Twomagnets LLC | Operator | Holds operational or managerial control. | 18 |
| Flagstone Healthcare Central LLC | Direct owner | Holds a direct ownership interest. | 15 |
| Flagstone Healthcare North LLC | Direct owner | Holds a direct ownership interest. | 9 |
| Lincare Inc | Operator | Holds operational or managerial control. | 3 |
| The Ensign Group Inc | Direct owner | Holds a direct ownership interest. | 2 |
| Flagstone Healthcare Central LLC | Indirect owner | Holds an indirect ownership interest. | 1 |
| The Ensign Group Inc | Partner | General or limited partnership interest. | 1 |
| The Ensign Group Inc | Disclosable party | Disclosed to CMS as an additional party — vendors and professional advisers appear in this category as well as controlling parties. | 11 |
| Twomagnets LLC | Disclosable party | Disclosed to CMS as an additional party — vendors and professional advisers appear in this category as well as controlling parties. | 5 |
Lenders, lienholders, trustees and property owners are listed because they are part of the public record, and are excluded from every facility count on this page. Holding the mortgage is not operating the business.
How this corporate family is resolved
Verified Documentary evidence — a shared registered identifier, a shared officer, or a declared parent relationship — connects at least 80% of the entities in this corporate family.
Grouping is WhoOwnsCare analysis derived from CMS filings, not a CMS designation. How resolution and confidence work.
Ownership changes in California
| Effective | Facility | Acquiring entity | Prior entity |
|---|---|---|---|
| 2025-08-01 | Turlock Nursing and Rehabilitation Center | Tracy Ridge Healthcare, Inc. | Covenant Care California, LLC |
| 2025-08-01 | Arbor Rehabilitation & Nursing Center | Brody Bay Healthcare, Inc. | Covenant Care Lodi, LLC |
| 2025-05-01 | Pacific Haven Subacute and Healthcare Center | Strawberry Pond Healthcare LLC | 12072 Trask, Inc. |
| 2025-04-01 | Alamitos West Health & Rehabilitation | Malcolm Healthcare, Inc. | Ktla Properties Limited Partnership |
| 2023-02-01 | Palm Terrace Care Center | Goldenstar Healthcare Inc | P.t.c.h., Inc. |
| 2023-02-01 | Pacifica Nursing and Rehabilitation Center | Mussel Rock Healthcare Inc | Pacifica Care Center, Inc. |
| 2023-02-01 | Lomita Post-Acute Care Center | Sungazer Healthcare Inc | Lomita Verde Inc. |
| 2023-02-01 | Fairmont Rehabilitation Hospital | Deergrass Healthcare, Inc. | Lodi Skilled Nursing Services, Inc. |
| 2023-02-01 | New Orange Hills | Hollyleaf Healthcare, Inc. | Orange Coast Care, Inc. |
| 2023-02-01 | Madera Post Acute Center | Glimmer Healthcare Inc | Ramona Care, Inc. |
| 2023-02-01 | Chatsworth Park Health Care Center | Starburst Healthcare Inc | C.p.c.h. Inc. |
| 2023-02-01 | Grand Terrace Health Care Center | Morning Glory Healthcare Inc | Grand Terrace Health Care, Inc. |
| 2023-02-01 | Garden View Post Acute Rehabilitation | Clear Skies Healthcare Inc | B.p. Care Inc. |
| 2023-02-01 | Coventry Court Health Center | Manzanita Healthcare Inc | C.c.h.c., Inc. |
| 2023-02-01 | Lake Balboa Care Center | Nightfall Healthcare Inc | Lake Balboa Health Care, Inc. |
| 2023-02-01 | Edgewater Skilled Nursing Center | Moonrise Healthcare Inc | Edgewater Health Care, Inc. |
| 2022-02-01 | Desert Mountain Care Center | Stagecoach Healthcare, Inc. | Indio Nursing and Rehabilitation Center Inc |
| 2022-02-01 | Arrowhead Springs Healthcare | Perris Hills Healthcare LLC | San Bernardino Convalescent Operations Inc |
| 2021-01-01 | St. Catherine Healthcare | Santa Catalina Healthcare, Inc. | Windsor Gardens Healthcare Center of Fullerton LLC |
| 2021-01-01 | Golden Hill Post Acute | Devonshire Healthcare Inc | Windsor Healthcare Golden Palms LLC |
| 2021-01-01 | Camino Healthcare | Pine Forest Healthcare Inc | Sandhurst Convalescent Group Ltd |
| 2019-05-01 | St Elizabeth Healthcare Center | Fullerton Healthcare, Inc. | ST. Elizabeth Healthcare and Rehabilitation Center, LLC |
| 2019-05-01 | Villa Maria Post Acute | Santa Maria Healthcare, Inc. | Villa Maria Healthcare Center, LLC |
| 2019-05-01 | Mainplace Post Acute | La Veta Healthcare, Inc. | Fountain Care Center, LLC |
| 2019-05-01 | The Hills Post Acute | Tustin Hills Healthcare, Inc. | Carehouse Healthcare Center, LLC |
Across the period covered, WhoOwnsCare attributes 26 acquisitions and 0 divestitures to this operator in California, of which 4 and 0 fall in the last 24 months. These are recorded Medicare changes of ownership; CMS publishes them with a lag and they carry no price or terms. All California ownership changes.
Where The Ensign Group Inc operates in California
| County | Facilities | Share of state portfolio |
|---|---|---|
| Los Angeles | 19 | 31% |
| San Diego | 12 | 19% |
| Orange | 11 | 18% |
| San Bernardino | 4 | 6% |
| Riverside | 4 | 6% |
| Sonoma | 3 | 5% |
| Mendocino | 2 | 3% |
| Ventura | 2 | 3% |
| San Joaquin | 2 | 3% |
| Santa Barbara | 1 | 2% |
| Stanislaus | 1 | 2% |
| San Mateo | 1 | 2% |
The portfolio is clustered: the largest single county holds 31% of the operator's California facilities, spread across 12 countyies.
The Ensign Group Inc facilities in California
Every facility above links to its own ownership record. The full list is published; only the downloadable dataset is paid.
Related California intelligence
The Ensign Group Inc full operator profile · California market overview · Largest operators in California · California ownership changes · California distressed facilities · The Ensign Group Inc in Texas
Common questions
How many facilities does The Ensign Group Inc have in California?
62 Medicare-certified providers, which is 86% of the 72 facilities WhoOwnsCare currently covers for this operator.
Is The Ensign Group Inc expanding or contracting in California?
Recorded Medicare ownership transfers show 26 acquisitions and 0 divestitures in California.
How much of the California market does The Ensign Group Inc hold?
1.2% of the Medicare-certified providers WhoOwnsCare covers in California.