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ElderCareCosts

The Ensign Group

CMS Care Compare chain (Chain ID 507). Figures below are CMS-published chain averages and facility designations, not ElderCareCosts scores or opinions.

CMS chain averages

  • Facilities in chain (CMS): 342
  • Average overall rating: 3.2
  • Average health inspection rating: 2.8
  • Average staffing rating: 2.7
  • Average quality measure rating: 4.4

Source: CMS Nursing Home Provider Information (Chain / Affiliated Entity columns). Missing values mean CMS did not publish that average for this chain.

The enforcement and staffing record

  • Stored CMS fine totals across the linked facilities on this page sum to $248,590, spread over 15 of 100 facilities (CMS quality snapshot 2026-08-01). A fine total can span multiple years and may include resolved or appealed matters.
  • Median reported nurse staffing: 3.96 hours per resident day across 100 reporting facilities (CMS Payroll-Based Journal, 2026Q1).

These are counts of public records, not a safety score. Each facility's own page shows its inspection history with the official source linked.

Linked nursing homes

Showing up to 100 linked facilities currently in our directory (CMS reports 342 in chain).