v3.22.4
Cover - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Jan. 30, 2023
Jun. 30, 2022
Cover [Abstract]      
Document Type 10-K    
Document Annual Report true    
Document Period End Date Dec. 31, 2022    
Current Fiscal Year End Date --12-31    
Document Transition Report false    
Entity File Number 001-33757    
Entity Registrant Name ENSIGN GROUP, INC    
Entity Incorporation, State or Country Code DE    
Entity Tax Identification Number 33-0861263    
Entity Address, Address Line One 29222 Rancho Viejo Road, Suite 127    
Entity Address, City or Town San Juan Capistrano    
Entity Address, State or Province CA    
Entity Address, Postal Zip Code 92675    
City Area Code 949    
Local Phone Number 487-9500    
Title of 12(b) Security Common Stock, par value $0.001 per share    
Trading Symbol ENSG    
Security Exchange Name NASDAQ    
Entity Well-known Seasoned Issuer Yes    
Entity Voluntary Filers No    
Entity Current Reporting Status Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Large Accelerated Filer    
Entity Small Business false    
Entity Emerging Growth Company false    
ICFR Auditor Attestation Flag true    
Entity Shell Company false    
Entity Public Float     $ 2,400,450
Entity Common Stock, Shares Outstanding   55,732,114  
Entity Central Index Key 0001125376    
Document Fiscal Year Focus 2022    
Document Fiscal Period Focus FY    
Amendment Flag false