Sec Form 3 Filing - Hulse Brian @ ENSIGN GROUP, INC - 2009-05-26

FORM 3 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person Hulse Brian 2. Issuer Name and Ticker or Trading Symbol ENSIGN GROUP, INC [ ENSG] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director _____ 10% Owner X __ Officer (give title below) _____ Other (specify below) President of a subsidiary (Last) (First) (Middle) 27101 PUERTA REAL, STE 450 3. Date of Earliest Transaction (MM/DD/YY) 05/26/2009 (Street) MISSION VIEJO, CA92691 4. If Amendment, Date Original Filed (MM/DD/YY) 6. Individual or Joint/Group Filing (Check Applicable Line) __ X __ Form filed by One Reporting Person _____ Form filed by More than One Reporting Person (City) (State) (Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1.Title of Security (Instr. 3) 2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Code V Amount (A) or (D) Price Common Stock 3,000 D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) 6. Date Exercisable and Expiration Date (MM/DD/YY) 7. Title and Amount of Underlying Securities (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4) Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares Employee Stock Option (right to buy) $ 1.955 04/30/2004( 1 ) 04/29/2014 Common Stock 2,000 D Employee Stock Option (right to buy) $ 4.99 04/21/2005( 1 ) 04/20/2015 Common Stock 8,000 D Employee Stock Option (right to buy) $ 7.5 07/26/2006( 1 ) 07/25/2016 Common Stock 4,000 D Employee Stock Option (right to buy) $ 5.75 11/01/2005( 1 ) 10/31/2015 Common Stock 10,000 D Employee Stock Option (right to buy) $ 7.5 07/26/2006( 1 ) 07/25/2016 Common Stock 4,000 D Employee Stock Option (right to buy) $ 11.25 06/06/2008( 2 ) 06/05/2018 Common Stock 3,000 D Employee Stock Option (right to buy) $ 12 07/31/2008( 2 ) 07/30/2008 Common Stock 3,000 D Employee Stock Option (right to buy) $ 14.87 10/29/2008( 2 ) 10/28/2018 Common Stock 6,000 D Employee Stock Option (right to buy) $ 16.7 01/29/2009( 2 ) 01/28/2019 Common Stock 4,000 D Employee Stock Option (right to buy) $ 15.5 04/30/2009( 2 ) 04/29/2019 Common Stock 10,000 D

Reporting Owners Reporting Owner Name / Address Relationships Director 10% Owner Officer Other Hulse Brian 27101 PUERTA REAL, STE 450 MISSION VIEJO, CA92691 President of a subsidiary Signatures Daniel H. Walker, by power of attorney 06/05/2009 Signature of Reporting Person Date

Explanation of Responses:

( 1 )These Employee Stock Options are subject to a five year vesting schedule with 20% of the options vesting each year and were fully exercisable on the date of grant for restricted stock subject to the same vesting schedule. ( 2 )These Employee Stock Options are subject to a five year vesting schedule with 20% of the options vesting each year.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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