<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019faf67-bd9d-7bec-ab27-c4e4b4887575,g:70c2d503-33af-4d28-b0f6-e85577b26c8d-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:arcroleRef arcroleURI="https://xbrl.org/2023/arcrole/summation-item" xlink:type="simple" xlink:href="https://www.xbrl.org/2023/calculation-1.1.xsd#summation-item"/>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/UNAUDITEDCONDENSEDCONSOLIDATEDBALANCESHEETS" xlink:type="simple" xlink:href="ensg-20260930.xsd#UNAUDITEDCONDENSEDCONSOLIDATEDBALANCESHEETS"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/UNAUDITEDCONDENSEDCONSOLIDATEDBALANCESHEETS" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LiabilitiesAndStockholdersEquity_019faf67-c16b-7b0f-9472-2b2a4d835669" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LiabilitiesAndStockholdersEquity"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_Liabilities_019faf67-c16b-7fa8-89e3-f0b1039a2de9" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_Liabilities"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LiabilitiesAndStockholdersEquity_019faf67-c16b-7b0f-9472-2b2a4d835669" xlink:to="loc_us-gaap_Liabilities_019faf67-c16b-7fa8-89e3-f0b1039a2de9" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_CommitmentsAndContingencies_019faf67-c16b-7066-9b81-1e00627b0e31" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_CommitmentsAndContingencies"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LiabilitiesAndStockholdersEquity_019faf67-c16b-7b0f-9472-2b2a4d835669" xlink:to="loc_us-gaap_CommitmentsAndContingencies_019faf67-c16b-7066-9b81-1e00627b0e31" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest_019faf67-c16b-7127-b3d5-f04c8fc8656e" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LiabilitiesAndStockholdersEquity_019faf67-c16b-7b0f-9472-2b2a4d835669" xlink:to="loc_us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest_019faf67-c16b-7127-b3d5-f04c8fc8656e" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_Liabilities_019faf67-c16b-7f96-be0f-8307d9c81035" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_Liabilities"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LiabilitiesCurrent_019faf67-c16b-7829-b081-290e5bbb5c2a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LiabilitiesCurrent"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Liabilities_019faf67-c16b-7f96-be0f-8307d9c81035" xlink:to="loc_us-gaap_LiabilitiesCurrent_019faf67-c16b-7829-b081-290e5bbb5c2a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount_019faf67-c16b-75dd-a15c-8f29abd821d4" xlink:href="ensg-20260930.xsd#ensg_LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Liabilities_019faf67-c16b-7f96-be0f-8307d9c81035" xlink:to="loc_ensg_LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount_019faf67-c16b-75dd-a15c-8f29abd821d4" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingLeaseLiabilityNoncurrent_019faf67-c16b-74d2-a236-99eede09144c" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingLeaseLiabilityNoncurrent"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Liabilities_019faf67-c16b-7f96-be0f-8307d9c81035" xlink:to="loc_us-gaap_OperatingLeaseLiabilityNoncurrent_019faf67-c16b-74d2-a236-99eede09144c" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_SelfInsuranceReserveNoncurrent_019faf67-c16b-7747-81a0-2f0fc8e5c850" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_SelfInsuranceReserveNoncurrent"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Liabilities_019faf67-c16b-7f96-be0f-8307d9c81035" xlink:to="loc_us-gaap_SelfInsuranceReserveNoncurrent_019faf67-c16b-7747-81a0-2f0fc8e5c850" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_DeferredRentAndOtherLongTermLiabilities_019faf67-c16b-7410-b43e-59da0b6386c0" xlink:href="ensg-20260930.xsd#ensg_DeferredRentAndOtherLongTermLiabilities"/>
    <link:calculationArc order="5" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Liabilities_019faf67-c16b-7f96-be0f-8307d9c81035" xlink:to="loc_ensg_DeferredRentAndOtherLongTermLiabilities_019faf67-c16b-7410-b43e-59da0b6386c0" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LiabilitiesCurrent_019faf67-c16b-7f71-bbe2-c8ec14d76280" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LiabilitiesCurrent"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AccountsPayableCurrent_019faf67-c16b-705e-92d9-7fc4fc45bd17" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AccountsPayableCurrent"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LiabilitiesCurrent_019faf67-c16b-7f71-bbe2-c8ec14d76280" xlink:to="loc_us-gaap_AccountsPayableCurrent_019faf67-c16b-705e-92d9-7fc4fc45bd17" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_EmployeeRelatedLiabilitiesCurrent_019faf67-c16b-766f-9d3a-4ec4e8839020" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_EmployeeRelatedLiabilitiesCurrent"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LiabilitiesCurrent_019faf67-c16b-7f71-bbe2-c8ec14d76280" xlink:to="loc_us-gaap_EmployeeRelatedLiabilitiesCurrent_019faf67-c16b-766f-9d3a-4ec4e8839020" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingLeaseLiabilityCurrent_019faf67-c16b-7c3e-afd6-3e4bc4ed232b" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingLeaseLiabilityCurrent"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LiabilitiesCurrent_019faf67-c16b-7f71-bbe2-c8ec14d76280" xlink:to="loc_us-gaap_OperatingLeaseLiabilityCurrent_019faf67-c16b-7c3e-afd6-3e4bc4ed232b" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_SelfInsuranceReserveCurrent_019faf67-c16b-768f-9f09-95522cca655a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_SelfInsuranceReserveCurrent"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LiabilitiesCurrent_019faf67-c16b-7f71-bbe2-c8ec14d76280" xlink:to="loc_us-gaap_SelfInsuranceReserveCurrent_019faf67-c16b-768f-9f09-95522cca655a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c16b-73c6-a948-b24b331e071b" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OtherAccruedLiabilitiesCurrent"/>
    <link:calculationArc order="5" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LiabilitiesCurrent_019faf67-c16b-7f71-bbe2-c8ec14d76280" xlink:to="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c16b-73c6-a948-b24b331e071b" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LongTermDebtCurrent_019faf67-c16b-7a06-bbd4-bad5ad68213c" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LongTermDebtCurrent"/>
    <link:calculationArc order="6" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LiabilitiesCurrent_019faf67-c16b-7f71-bbe2-c8ec14d76280" xlink:to="loc_us-gaap_LongTermDebtCurrent_019faf67-c16b-7a06-bbd4-bad5ad68213c" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest_019faf67-c16b-7867-9ca1-4444995acba2" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_StockholdersEquity_019faf67-c16b-7e1a-9f61-e42efebe7238" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_StockholdersEquity"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest_019faf67-c16b-7867-9ca1-4444995acba2" xlink:to="loc_us-gaap_StockholdersEquity_019faf67-c16b-7e1a-9f61-e42efebe7238" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_MinorityInterest_019faf67-c16b-70ab-8fb2-c9cefe2fd16c" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_MinorityInterest"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest_019faf67-c16b-7867-9ca1-4444995acba2" xlink:to="loc_us-gaap_MinorityInterest_019faf67-c16b-70ab-8fb2-c9cefe2fd16c" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_Assets_019faf67-c16b-7072-8208-d174659bf985" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_Assets"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_RestrictedAndOtherAssetsNoncurrent_019faf67-c16b-7021-8af6-5f7c97182c25" xlink:href="ensg-20260930.xsd#ensg_RestrictedAndOtherAssetsNoncurrent"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Assets_019faf67-c16b-7072-8208-d174659bf985" xlink:to="loc_ensg_RestrictedAndOtherAssetsNoncurrent_019faf67-c16b-7021-8af6-5f7c97182c25" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_DeferredIncomeTaxAssetsNet_019faf67-c16b-777d-ac4a-a51e74107c3a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_DeferredIncomeTaxAssetsNet"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Assets_019faf67-c16b-7072-8208-d174659bf985" xlink:to="loc_us-gaap_DeferredIncomeTaxAssetsNet_019faf67-c16b-777d-ac4a-a51e74107c3a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IntangibleAssetsNetExcludingGoodwill_019faf67-c16b-7610-8b1e-11ae270a20ef" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IntangibleAssetsNetExcludingGoodwill"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Assets_019faf67-c16b-7072-8208-d174659bf985" xlink:to="loc_us-gaap_IntangibleAssetsNetExcludingGoodwill_019faf67-c16b-7610-8b1e-11ae270a20ef" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AssetsCurrent_019faf67-c16b-78d3-bb42-e976c3701e67" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AssetsCurrent"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Assets_019faf67-c16b-7072-8208-d174659bf985" xlink:to="loc_us-gaap_AssetsCurrent_019faf67-c16b-78d3-bb42-e976c3701e67" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_InsuranceSubsidiaryDepositsAndInvestments_019faf67-c16b-7eea-b8fe-269d426052c0" xlink:href="ensg-20260930.xsd#ensg_InsuranceSubsidiaryDepositsAndInvestments"/>
    <link:calculationArc order="5" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Assets_019faf67-c16b-7072-8208-d174659bf985" xlink:to="loc_ensg_InsuranceSubsidiaryDepositsAndInvestments_019faf67-c16b-7eea-b8fe-269d426052c0" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_Goodwill_019faf67-c16b-7e16-92a5-cffa9faa6fee" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_Goodwill"/>
    <link:calculationArc order="6" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Assets_019faf67-c16b-7072-8208-d174659bf985" xlink:to="loc_us-gaap_Goodwill_019faf67-c16b-7e16-92a5-cffa9faa6fee" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentNet_019faf67-c16b-7b28-a1a1-6656c4909c62" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PropertyPlantAndEquipmentNet"/>
    <link:calculationArc order="7" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Assets_019faf67-c16b-7072-8208-d174659bf985" xlink:to="loc_us-gaap_PropertyPlantAndEquipmentNet_019faf67-c16b-7b28-a1a1-6656c4909c62" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingLeaseRightOfUseAsset_019faf67-c16b-795d-8616-dc2782a689e0" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingLeaseRightOfUseAsset"/>
    <link:calculationArc order="8" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Assets_019faf67-c16b-7072-8208-d174659bf985" xlink:to="loc_us-gaap_OperatingLeaseRightOfUseAsset_019faf67-c16b-795d-8616-dc2782a689e0" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_StockholdersEquity_019faf67-c16b-7583-a9d7-28999f1a20bc" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_StockholdersEquity"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_CommonStockValue_019faf67-c16b-768d-8ae1-2fa8e2ae4917" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_CommonStockValue"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_StockholdersEquity_019faf67-c16b-7583-a9d7-28999f1a20bc" xlink:to="loc_us-gaap_CommonStockValue_019faf67-c16b-768d-8ae1-2fa8e2ae4917" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AdditionalPaidInCapitalCommonStock_019faf67-c16b-7475-86fe-3d4112f2ed92" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AdditionalPaidInCapitalCommonStock"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_StockholdersEquity_019faf67-c16b-7583-a9d7-28999f1a20bc" xlink:to="loc_us-gaap_AdditionalPaidInCapitalCommonStock_019faf67-c16b-7475-86fe-3d4112f2ed92" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_RetainedEarningsAccumulatedDeficit_019faf67-c16b-7508-bf7b-1ac6194617f1" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_RetainedEarningsAccumulatedDeficit"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_StockholdersEquity_019faf67-c16b-7583-a9d7-28999f1a20bc" xlink:to="loc_us-gaap_RetainedEarningsAccumulatedDeficit_019faf67-c16b-7508-bf7b-1ac6194617f1" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_TreasuryStockCommonValue_019faf67-c16b-7548-9cf2-2f85d0ec91da" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_TreasuryStockCommonValue"/>
    <link:calculationArc order="4" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_StockholdersEquity_019faf67-c16b-7583-a9d7-28999f1a20bc" xlink:to="loc_us-gaap_TreasuryStockCommonValue_019faf67-c16b-7548-9cf2-2f85d0ec91da" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AssetsCurrent_019faf67-c16b-7efc-bd9e-09025919cccd" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AssetsCurrent"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ShortTermInvestments_019faf67-c16b-7f78-a53d-b88186724ca1" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ShortTermInvestments"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_AssetsCurrent_019faf67-c16b-7efc-bd9e-09025919cccd" xlink:to="loc_us-gaap_ShortTermInvestments_019faf67-c16b-7f78-a53d-b88186724ca1" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PrepaidExpenseAndOtherAssetsCurrent_019faf67-c16b-7520-b642-ef589277df8e" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PrepaidExpenseAndOtherAssetsCurrent"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_AssetsCurrent_019faf67-c16b-7efc-bd9e-09025919cccd" xlink:to="loc_us-gaap_PrepaidExpenseAndOtherAssetsCurrent_019faf67-c16b-7520-b642-ef589277df8e" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_CashAndCashEquivalentsAtCarryingValue_019faf67-c16b-7e83-a0bf-7eda71bbdbea" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_CashAndCashEquivalentsAtCarryingValue"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_AssetsCurrent_019faf67-c16b-7efc-bd9e-09025919cccd" xlink:to="loc_us-gaap_CashAndCashEquivalentsAtCarryingValue_019faf67-c16b-7e83-a0bf-7eda71bbdbea" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AccountsReceivableNetCurrent_019faf67-c16b-757f-b918-f64ee2e7b944" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AccountsReceivableNetCurrent"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_AssetsCurrent_019faf67-c16b-7efc-bd9e-09025919cccd" xlink:to="loc_us-gaap_AccountsReceivableNetCurrent_019faf67-c16b-757f-b918-f64ee2e7b944" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/UNAUDITEDCONDENSEDCONSOLIDATEDSTATEMENTSOFINCOME" xlink:type="simple" xlink:href="ensg-20260930.xsd#UNAUDITEDCONDENSEDCONSOLIDATEDSTATEMENTSOFINCOME"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/UNAUDITEDCONDENSEDCONSOLIDATEDSTATEMENTSOFINCOME" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingIncomeLoss_019faf67-c16b-7e9c-8fe4-08102b9a0598" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingIncomeLoss"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_CostsAndExpenses_019faf67-c16b-7f88-8f60-e38117a3a784" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_CostsAndExpenses"/>
    <link:calculationArc order="1" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OperatingIncomeLoss_019faf67-c16b-7e9c-8fe4-08102b9a0598" xlink:to="loc_us-gaap_CostsAndExpenses_019faf67-c16b-7f88-8f60-e38117a3a784" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_Revenues_019faf67-c16b-7a3b-83b9-d8633b14c1f7" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_Revenues"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OperatingIncomeLoss_019faf67-c16b-7e9c-8fe4-08102b9a0598" xlink:to="loc_us-gaap_Revenues_019faf67-c16b-7a3b-83b9-d8633b14c1f7" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_Revenues_019faf67-c16b-7313-8896-4200e70fec2d" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_Revenues"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax_019faf67-c16b-7feb-a964-a2c9eb26e007" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Revenues_019faf67-c16b-7313-8896-4200e70fec2d" xlink:to="loc_us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax_019faf67-c16b-7feb-a964-a2c9eb26e007" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingLeaseLeaseIncome_019faf67-c16b-75b2-94e8-11b5ea95042a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingLeaseLeaseIncome"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_Revenues_019faf67-c16b-7313-8896-4200e70fec2d" xlink:to="loc_us-gaap_OperatingLeaseLeaseIncome_019faf67-c16b-75b2-94e8-11b5ea95042a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ProfitLoss_019faf67-c16b-746f-a4b4-4345a150c2ec" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ProfitLoss"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncomeTaxExpenseBenefit_019faf67-c16b-756e-be7f-ae1e054e870d" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncomeTaxExpenseBenefit"/>
    <link:calculationArc order="1" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_ProfitLoss_019faf67-c16b-746f-a4b4-4345a150c2ec" xlink:to="loc_us-gaap_IncomeTaxExpenseBenefit_019faf67-c16b-756e-be7f-ae1e054e870d" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest_019faf67-c16b-7173-97e7-0baac48b73bd" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_ProfitLoss_019faf67-c16b-746f-a4b4-4345a150c2ec" xlink:to="loc_us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest_019faf67-c16b-7173-97e7-0baac48b73bd" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NetIncomeLoss_019faf67-c16b-7297-8f57-0bfc8ad8f035" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NetIncomeLoss"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ProfitLoss_019faf67-c16b-7082-84ce-f71ae1f9d827" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ProfitLoss"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetIncomeLoss_019faf67-c16b-7297-8f57-0bfc8ad8f035" xlink:to="loc_us-gaap_ProfitLoss_019faf67-c16b-7082-84ce-f71ae1f9d827" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NetIncomeLossAttributableToNoncontrollingInterest_019faf67-c16b-7b67-b36b-cd8bd94e1670" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NetIncomeLossAttributableToNoncontrollingInterest"/>
    <link:calculationArc order="2" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetIncomeLoss_019faf67-c16b-7297-8f57-0bfc8ad8f035" xlink:to="loc_us-gaap_NetIncomeLossAttributableToNoncontrollingInterest_019faf67-c16b-7b67-b36b-cd8bd94e1670" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_CostsAndExpenses_019faf67-c16b-7d19-867e-61a0ad16e860" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_CostsAndExpenses"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_CostOfGoodsAndServicesSold_019faf67-c16b-7fe9-b05b-c9e122850982" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_CostOfGoodsAndServicesSold"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_CostsAndExpenses_019faf67-c16b-7d19-867e-61a0ad16e860" xlink:to="loc_us-gaap_CostOfGoodsAndServicesSold_019faf67-c16b-7fe9-b05b-c9e122850982" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_RentCostOfServices_019faf67-c16b-73a6-b9ac-2f0b21e92950" xlink:href="ensg-20260930.xsd#ensg_RentCostOfServices"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_CostsAndExpenses_019faf67-c16b-7d19-867e-61a0ad16e860" xlink:to="loc_ensg_RentCostOfServices_019faf67-c16b-73a6-b9ac-2f0b21e92950" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_GeneralAndAdministrativeExpense_019faf67-c16b-71bd-ab18-f344595e436e" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_GeneralAndAdministrativeExpense"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_CostsAndExpenses_019faf67-c16b-7d19-867e-61a0ad16e860" xlink:to="loc_us-gaap_GeneralAndAdministrativeExpense_019faf67-c16b-71bd-ab18-f344595e436e" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_DepreciationDepletionAndAmortization_019faf67-c16b-7d72-9f64-19323aeee233" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_DepreciationDepletionAndAmortization"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_CostsAndExpenses_019faf67-c16b-7d19-867e-61a0ad16e860" xlink:to="loc_us-gaap_DepreciationDepletionAndAmortization_019faf67-c16b-7d72-9f64-19323aeee233" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest_019faf67-c16b-7d2b-a260-f05ba278fd68" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NonoperatingIncomeExpense_019faf67-c16b-7f6d-b9da-abebf49f617a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NonoperatingIncomeExpense"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest_019faf67-c16b-7d2b-a260-f05ba278fd68" xlink:to="loc_us-gaap_NonoperatingIncomeExpense_019faf67-c16b-7f6d-b9da-abebf49f617a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingIncomeLoss_019faf67-c16b-7aff-b2da-8d7d7651a649" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingIncomeLoss"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest_019faf67-c16b-7d2b-a260-f05ba278fd68" xlink:to="loc_us-gaap_OperatingIncomeLoss_019faf67-c16b-7aff-b2da-8d7d7651a649" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NonoperatingIncomeExpense_019faf67-c16b-7b10-b250-ac3ca1ecddb7" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NonoperatingIncomeExpense"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OtherNonoperatingIncomeExpense_019faf67-c16b-7dec-9fa5-a010c1701c26" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OtherNonoperatingIncomeExpense"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NonoperatingIncomeExpense_019faf67-c16b-7b10-b250-ac3ca1ecddb7" xlink:to="loc_us-gaap_OtherNonoperatingIncomeExpense_019faf67-c16b-7dec-9fa5-a010c1701c26" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_InterestExpenseNonoperating_019faf67-c16b-72d4-a91d-ddb8511d4e31" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_InterestExpenseNonoperating"/>
    <link:calculationArc order="2" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NonoperatingIncomeExpense_019faf67-c16b-7b10-b250-ac3ca1ecddb7" xlink:to="loc_us-gaap_InterestExpenseNonoperating_019faf67-c16b-72d4-a91d-ddb8511d4e31" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_InvestmentIncomeInterest_019faf67-c16b-7b0a-ad28-1f608217211f" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_InvestmentIncomeInterest"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NonoperatingIncomeExpense_019faf67-c16b-7b10-b250-ac3ca1ecddb7" xlink:to="loc_us-gaap_InvestmentIncomeInterest_019faf67-c16b-7b0a-ad28-1f608217211f" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/UNAUDITEDCONDENSEDCONSOLIDATEDSTATEMENTSOFCASHFLOWS" xlink:type="simple" xlink:href="ensg-20260930.xsd#UNAUDITEDCONDENSEDCONSOLIDATEDSTATEMENTSOFCASHFLOWS"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/UNAUDITEDCONDENSEDCONSOLIDATEDSTATEMENTSOFCASHFLOWS" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_019faf67-c16b-71cf-b1f0-816e91556d77" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NetCashProvidedByUsedInInvestingActivities"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_PaymentsToAcquirePropertyAndEquipment_019faf67-c16b-7be7-bbee-60a211557c06" xlink:href="ensg-20260930.xsd#ensg_PaymentsToAcquirePropertyAndEquipment"/>
    <link:calculationArc order="1" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_019faf67-c16b-71cf-b1f0-816e91556d77" xlink:to="loc_ensg_PaymentsToAcquirePropertyAndEquipment_019faf67-c16b-7be7-bbee-60a211557c06" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PaymentsToAcquireBusinessesGross_019faf67-c16b-7329-8ad3-213e3d627c58" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PaymentsToAcquireBusinessesGross"/>
    <link:calculationArc order="2" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_019faf67-c16b-71cf-b1f0-816e91556d77" xlink:to="loc_us-gaap_PaymentsToAcquireBusinessesGross_019faf67-c16b-7329-8ad3-213e3d627c58" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_ProceedsFromInsuranceSettlementAndSaleOfProductiveAssetsInvestingActivities_019faf67-c16b-7b16-be17-304878fb452f" xlink:href="ensg-20260930.xsd#ensg_ProceedsFromInsuranceSettlementAndSaleOfProductiveAssetsInvestingActivities"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_019faf67-c16b-71cf-b1f0-816e91556d77" xlink:to="loc_ensg_ProceedsFromInsuranceSettlementAndSaleOfProductiveAssetsInvestingActivities_019faf67-c16b-7b16-be17-304878fb452f" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PaymentsToAcquireInvestments_019faf67-c16b-71e1-948d-ee1d5b5aa6d1" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PaymentsToAcquireInvestments"/>
    <link:calculationArc order="4" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_019faf67-c16b-71cf-b1f0-816e91556d77" xlink:to="loc_us-gaap_PaymentsToAcquireInvestments_019faf67-c16b-71e1-948d-ee1d5b5aa6d1" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ProceedsFromSaleMaturityAndCollectionsOfInvestments_019faf67-c16b-77c1-a797-3f1b3b623e8a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ProceedsFromSaleMaturityAndCollectionsOfInvestments"/>
    <link:calculationArc order="5" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_019faf67-c16b-71cf-b1f0-816e91556d77" xlink:to="loc_us-gaap_ProceedsFromSaleMaturityAndCollectionsOfInvestments_019faf67-c16b-77c1-a797-3f1b3b623e8a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PaymentsForProceedsFromOtherInvestingActivities_019faf67-c16b-7574-94b7-26eb660c6a45" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PaymentsForProceedsFromOtherInvestingActivities"/>
    <link:calculationArc order="6" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_019faf67-c16b-71cf-b1f0-816e91556d77" xlink:to="loc_us-gaap_PaymentsForProceedsFromOtherInvestingActivities_019faf67-c16b-7574-94b7-26eb660c6a45" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-73d6-bc1f-5e54a155a31f" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NetCashProvidedByUsedInFinancingActivities"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ProceedsFromIssuanceOfLongTermDebt_019faf67-c16b-793e-b45f-f453317e2a2b" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ProceedsFromIssuanceOfLongTermDebt"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-73d6-bc1f-5e54a155a31f" xlink:to="loc_us-gaap_ProceedsFromIssuanceOfLongTermDebt_019faf67-c16b-793e-b45f-f453317e2a2b" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_RepaymentsOfLongTermDebt_019faf67-c16b-7858-a29a-745f3b137953" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_RepaymentsOfLongTermDebt"/>
    <link:calculationArc order="2" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-73d6-bc1f-5e54a155a31f" xlink:to="loc_us-gaap_RepaymentsOfLongTermDebt_019faf67-c16b-7858-a29a-745f3b137953" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ProceedsFromStockOptionsExercised_019faf67-c16b-7d8f-af83-e6a6c0792e4f" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ProceedsFromStockOptionsExercised"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-73d6-bc1f-5e54a155a31f" xlink:to="loc_us-gaap_ProceedsFromStockOptionsExercised_019faf67-c16b-7d8f-af83-e6a6c0792e4f" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PaymentsRelatedToTaxWithholdingForShareBasedCompensation_019faf67-c16b-73ac-85a7-d8da4ddf027a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PaymentsRelatedToTaxWithholdingForShareBasedCompensation"/>
    <link:calculationArc order="4" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-73d6-bc1f-5e54a155a31f" xlink:to="loc_us-gaap_PaymentsRelatedToTaxWithholdingForShareBasedCompensation_019faf67-c16b-73ac-85a7-d8da4ddf027a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PaymentsForRepurchaseOfCommonStock_01a0cde3-8b11-7a71-b813-5548ce8ba304" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PaymentsForRepurchaseOfCommonStock"/>
    <link:calculationArc order="5" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-73d6-bc1f-5e54a155a31f" xlink:to="loc_us-gaap_PaymentsForRepurchaseOfCommonStock_01a0cde3-8b11-7a71-b813-5548ce8ba304" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PaymentsOfDividends_01a0cde3-8b11-74b9-95b5-caff73671c08" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PaymentsOfDividends"/>
    <link:calculationArc order="6" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-73d6-bc1f-5e54a155a31f" xlink:to="loc_us-gaap_PaymentsOfDividends_01a0cde3-8b11-74b9-95b5-caff73671c08" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PaymentsOfFinancingCosts_01a152e9-9773-738d-81d9-3b1faf328036" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PaymentsOfFinancingCosts"/>
    <link:calculationArc order="7" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-73d6-bc1f-5e54a155a31f" xlink:to="loc_us-gaap_PaymentsOfFinancingCosts_01a152e9-9773-738d-81d9-3b1faf328036" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_01a152e9-9773-7236-acc9-a5da7baf1ce0" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ProceedsFromPaymentsForOtherFinancingActivities"/>
    <link:calculationArc order="8" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-73d6-bc1f-5e54a155a31f" xlink:to="loc_us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_01a152e9-9773-7236-acc9-a5da7baf1ce0" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect_019faf67-c16b-7941-b125-5e45e25a47cb" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-7493-bd8a-965e85fffd50" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NetCashProvidedByUsedInOperatingActivities"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect_019faf67-c16b-7941-b125-5e45e25a47cb" xlink:to="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-7493-bd8a-965e85fffd50" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-7349-b361-ab1ef0f3063d" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NetCashProvidedByUsedInFinancingActivities"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect_019faf67-c16b-7941-b125-5e45e25a47cb" xlink:to="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_019faf67-c16b-7349-b361-ab1ef0f3063d" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_019faf67-c16b-71dc-bddf-2ef0589ba174" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NetCashProvidedByUsedInInvestingActivities"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect_019faf67-c16b-7941-b125-5e45e25a47cb" xlink:to="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_019faf67-c16b-71dc-bddf-2ef0589ba174" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NetCashProvidedByUsedInOperatingActivities"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ProfitLoss_019faf67-c16b-774e-b812-016827faa02c" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ProfitLoss"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_ProfitLoss_019faf67-c16b-774e-b812-016827faa02c" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_DepreciationDepletionAndAmortization_019faf67-c16b-7fe2-a191-c9d01e23486c" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_DepreciationDepletionAndAmortization"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_DepreciationDepletionAndAmortization_019faf67-c16b-7fe2-a191-c9d01e23486c" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ShareBasedCompensation_019faf67-c16b-7b92-932c-fd1b440101a5" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ShareBasedCompensation"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_ShareBasedCompensation_019faf67-c16b-7b92-932c-fd1b440101a5" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_ProceedsFromInsuranceSettlementAndGainLossOnLongLivedAssetsNetAndOtherInvestments_019faf67-c16b-74a4-823b-789496346308" xlink:href="ensg-20260930.xsd#ensg_ProceedsFromInsuranceSettlementAndGainLossOnLongLivedAssetsNetAndOtherInvestments"/>
    <link:calculationArc order="4" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_ensg_ProceedsFromInsuranceSettlementAndGainLossOnLongLivedAssetsNetAndOtherInvestments_019faf67-c16b-74a4-823b-789496346308" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncreaseDecreaseInAccountsReceivable_019faf67-c16b-795d-b5c4-07ffe7267e5a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncreaseDecreaseInAccountsReceivable"/>
    <link:calculationArc order="5" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_IncreaseDecreaseInAccountsReceivable_019faf67-c16b-795d-b5c4-07ffe7267e5a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncreaseDecreaseInPrepaidTaxes_019faf67-c16b-7874-bd29-d42f72d9db44" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncreaseDecreaseInPrepaidTaxes"/>
    <link:calculationArc order="6" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_IncreaseDecreaseInPrepaidTaxes_019faf67-c16b-7874-bd29-d42f72d9db44" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets_019faf67-c16b-741d-8796-717a8096990d" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets"/>
    <link:calculationArc order="7" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets_019faf67-c16b-741d-8796-717a8096990d" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LifeInsuranceCorporateOrBankOwnedChangeInValue_019faf67-c16b-7b73-b569-ade71a9bca73" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LifeInsuranceCorporateOrBankOwnedChangeInValue"/>
    <link:calculationArc order="8" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_LifeInsuranceCorporateOrBankOwnedChangeInValue_019faf67-c16b-7b73-b569-ade71a9bca73" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncreaseDecreaseInDeferredCompensation_019faf67-c16b-7ad8-b6b7-bd06afc5ba11" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncreaseDecreaseInDeferredCompensation"/>
    <link:calculationArc order="9" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_IncreaseDecreaseInDeferredCompensation_019faf67-c16b-7ad8-b6b7-bd06afc5ba11" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncreaseDecreaseInOperatingLeaseLiability_019faf67-c16b-79e6-a366-0e891d5a8745" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncreaseDecreaseInOperatingLeaseLiability"/>
    <link:calculationArc order="10" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_IncreaseDecreaseInOperatingLeaseLiability_019faf67-c16b-79e6-a366-0e891d5a8745" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncreaseDecreaseInAccountsPayable_019faf67-c16b-72b9-ac85-d626d49c5fc9" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncreaseDecreaseInAccountsPayable"/>
    <link:calculationArc order="11" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_IncreaseDecreaseInAccountsPayable_019faf67-c16b-72b9-ac85-d626d49c5fc9" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities_019faf67-c16b-7ebd-958a-360ebe1dd3de" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities"/>
    <link:calculationArc order="12" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities_019faf67-c16b-7ebd-958a-360ebe1dd3de" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncreaseDecreaseInOtherOperatingLiabilities_019faf67-c16b-7dee-94c5-e8aef9c38831" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncreaseDecreaseInOtherOperatingLiabilities"/>
    <link:calculationArc order="13" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_IncreaseDecreaseInOtherOperatingLiabilities_019faf67-c16b-7dee-94c5-e8aef9c38831" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncreaseDecreaseInSelfInsuranceReserve_019faf67-c16b-791b-8966-93015d3780ca" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncreaseDecreaseInSelfInsuranceReserve"/>
    <link:calculationArc order="14" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_IncreaseDecreaseInSelfInsuranceReserve_019faf67-c16b-791b-8966-93015d3780ca" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OtherOperatingActivitiesCashFlowStatement_019faf67-c16b-791a-87d8-234f24e745e6" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OtherOperatingActivitiesCashFlowStatement"/>
    <link:calculationArc order="15" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_OtherOperatingActivitiesCashFlowStatement_019faf67-c16b-791a-87d8-234f24e745e6" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AmortizationOfFinancingCostsAndDiscounts_019faf67-c16b-7f01-98d7-744b7bc14106" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AmortizationOfFinancingCostsAndDiscounts"/>
    <link:calculationArc order="16" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_019faf67-c16b-74bd-be45-786c3fd6fa59" xlink:to="loc_us-gaap_AmortizationOfFinancingCostsAndDiscounts_019faf67-c16b-7f01-98d7-744b7bc14106" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/REVENUEANDACCOUNTSRECEIVABLEScheduleofAccountsReceivableDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#REVENUEANDACCOUNTSRECEIVABLEScheduleofAccountsReceivableDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/REVENUEANDACCOUNTSRECEIVABLEScheduleofAccountsReceivableDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AccountsReceivableNetCurrent_019faf67-c16c-7d3a-9f52-bb3d7a14bcdc" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AccountsReceivableNetCurrent"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AccountsReceivableGross_019faf67-c16c-7ed4-ab20-e98eb361f580" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AccountsReceivableGross"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_AccountsReceivableNetCurrent_019faf67-c16c-7d3a-9f52-bb3d7a14bcdc" xlink:to="loc_us-gaap_AccountsReceivableGross_019faf67-c16c-7ed4-ab20-e98eb361f580" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AllowanceForDoubtfulAccountsReceivableCurrent_019faf67-c16c-797b-b9b6-549dd06ab062" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AllowanceForDoubtfulAccountsReceivableCurrent"/>
    <link:calculationArc order="2" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_AccountsReceivableNetCurrent_019faf67-c16c-7d3a-9f52-bb3d7a14bcdc" xlink:to="loc_us-gaap_AllowanceForDoubtfulAccountsReceivableCurrent_019faf67-c16c-797b-b9b6-549dd06ab062" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/COMPUTATIONOFNETINCOMEPERCOMMONSHAREDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#COMPUTATIONOFNETINCOMEPERCOMMONSHAREDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/COMPUTATIONOFNETINCOMEPERCOMMONSHAREDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_NetIncomeLoss_019faf67-c16c-758b-9b81-f6312d2a1f54" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_NetIncomeLoss"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity_019faf67-c16c-7acb-be44-274165453f6a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity"/>
    <link:calculationArc order="1" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetIncomeLoss_019faf67-c16c-758b-9b81-f6312d2a1f54" xlink:to="loc_us-gaap_IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity_019faf67-c16c-7acb-be44-274165453f6a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest_019faf67-c16c-7394-89a8-e1fe936c8311" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_NetIncomeLoss_019faf67-c16c-758b-9b81-f6312d2a1f54" xlink:to="loc_us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest_019faf67-c16c-7394-89a8-e1fe936c8311" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding_019faf67-c16c-76c9-8b09-62544624ca4a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_WeightedAverageNumberOfSharesOutstandingBasic_019faf67-c16c-7acf-b5c4-d47360eeabb2" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_WeightedAverageNumberOfSharesOutstandingBasic"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding_019faf67-c16c-76c9-8b09-62544624ca4a" xlink:to="loc_us-gaap_WeightedAverageNumberOfSharesOutstandingBasic_019faf67-c16c-7acf-b5c4-d47360eeabb2" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements_019faf67-c16c-7c7b-9e0b-19960456a4f5" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding_019faf67-c16c-76c9-8b09-62544624ca4a" xlink:to="loc_us-gaap_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements_019faf67-c16c-7c7b-9e0b-19960456a4f5" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/BUSINESSSEGMENTSScheduleofSegmentFinancialInformationDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#BUSINESSSEGMENTSScheduleofSegmentFinancialInformationDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/BUSINESSSEGMENTSScheduleofSegmentFinancialInformationDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_ensg_SegmentIncomeLoss_019faf67-c16c-740e-b2ea-0b2290861668" xlink:href="ensg-20260930.xsd#ensg_SegmentIncomeLoss"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_SegmentReportingOtherItemAmount_019faf67-c16c-751d-a555-678a505c05d7" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_SegmentReportingOtherItemAmount"/>
    <link:calculationArc order="1" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_ensg_SegmentIncomeLoss_019faf67-c16c-740e-b2ea-0b2290861668" xlink:to="loc_us-gaap_SegmentReportingOtherItemAmount_019faf67-c16c-751d-a555-678a505c05d7" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_DepreciationDepletionAndAmortization_019faf67-c16c-70bb-af1c-cc8f01a3b795" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_DepreciationDepletionAndAmortization"/>
    <link:calculationArc order="2" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_ensg_SegmentIncomeLoss_019faf67-c16c-740e-b2ea-0b2290861668" xlink:to="loc_us-gaap_DepreciationDepletionAndAmortization_019faf67-c16c-70bb-af1c-cc8f01a3b795" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_InterestExpenseNonoperating_019faf67-c16c-75e8-9d5c-134021d13967" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_InterestExpenseNonoperating"/>
    <link:calculationArc order="3" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_ensg_SegmentIncomeLoss_019faf67-c16c-740e-b2ea-0b2290861668" xlink:to="loc_us-gaap_InterestExpenseNonoperating_019faf67-c16c-75e8-9d5c-134021d13967" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_Revenues_019faf67-c16c-7f03-83bc-8c8261d67f17" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_Revenues"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_ensg_SegmentIncomeLoss_019faf67-c16c-740e-b2ea-0b2290861668" xlink:to="loc_us-gaap_Revenues_019faf67-c16c-7f03-83bc-8c8261d67f17" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest_019faf67-c16c-7c68-8626-55586bf59c1b" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_SegmentIncomeLoss_019faf67-c16c-79bc-97e9-3030f9891a98" xlink:href="ensg-20260930.xsd#ensg_SegmentIncomeLoss"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest_019faf67-c16c-7c68-8626-55586bf59c1b" xlink:to="loc_ensg_SegmentIncomeLoss_019faf67-c16c-79bc-97e9-3030f9891a98" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_OtherIncomeLossNotIncludedInSegmentIncomeLoss_019faf67-c16c-7cf1-810a-fda33e80d19a" xlink:href="ensg-20260930.xsd#ensg_OtherIncomeLossNotIncludedInSegmentIncomeLoss"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest_019faf67-c16c-7c68-8626-55586bf59c1b" xlink:to="loc_ensg_OtherIncomeLossNotIncludedInSegmentIncomeLoss_019faf67-c16c-7cf1-810a-fda33e80d19a" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/PROPERTYANDEQUIPMENTNETScheduleofPropertyandEquipmentNetDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#PROPERTYANDEQUIPMENTNETScheduleofPropertyandEquipmentNetDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/PROPERTYANDEQUIPMENTNETScheduleofPropertyandEquipmentNetDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentNet_019faf67-c16c-749d-97bc-22b506162b65" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PropertyPlantAndEquipmentNet"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentGross_019faf67-c16c-7438-8a6a-72b091ee289e" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_PropertyPlantAndEquipmentGross"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentNet_019faf67-c16c-749d-97bc-22b506162b65" xlink:to="loc_us-gaap_PropertyPlantAndEquipmentGross_019faf67-c16c-7438-8a6a-72b091ee289e" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment_019faf67-c16c-7401-be4a-e5d10442b764" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment"/>
    <link:calculationArc order="2" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentNet_019faf67-c16c-749d-97bc-22b506162b65" xlink:to="loc_us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment_019faf67-c16c-7401-be4a-e5d10442b764" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/INTANGIBLEASSETSNETScheduleofFiniteLivedIntangibleAssetsDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#INTANGIBLEASSETSNETScheduleofFiniteLivedIntangibleAssetsDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/INTANGIBLEASSETSNETScheduleofFiniteLivedIntangibleAssetsDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c06-b7c4-434e4bfbbf97" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsNet"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsGross_019faf67-c213-7d2f-a489-88914b8ed5ba" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsGross"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c06-b7c4-434e4bfbbf97" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsGross_019faf67-c213-7d2f-a489-88914b8ed5ba" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization_019faf67-c213-7ee2-b4ac-cc64c4cd01bb" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization"/>
    <link:calculationArc order="2" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c06-b7c4-434e4bfbbf97" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization_019faf67-c213-7ee2-b4ac-cc64c4cd01bb" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/INTANGIBLEASSETSNETScheduleofEstimatedAmortizationExpenseDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#INTANGIBLEASSETSNETScheduleofEstimatedAmortizationExpenseDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/INTANGIBLEASSETSNETScheduleofEstimatedAmortizationExpenseDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c66-b4f6-6b8c913b2439" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsNet"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear_019faf67-c213-7fda-acef-1f291c3e71d1" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c66-b4f6-6b8c913b2439" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear_019faf67-c213-7fda-acef-1f291c3e71d1" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths_019faf67-c213-7597-b8c5-4a4f81ec56b7" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c66-b4f6-6b8c913b2439" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths_019faf67-c213-7597-b8c5-4a4f81ec56b7" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo_019faf67-c213-767f-b97f-6a74a8291a23" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c66-b4f6-6b8c913b2439" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo_019faf67-c213-767f-b97f-6a74a8291a23" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree_019faf67-c213-7825-860d-cd166b1c8076" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c66-b4f6-6b8c913b2439" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree_019faf67-c213-7825-860d-cd166b1c8076" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour_019faf67-c213-7f89-aeda-59b667a77f0f" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour"/>
    <link:calculationArc order="5" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c66-b4f6-6b8c913b2439" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour_019faf67-c213-7f89-aeda-59b667a77f0f" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive_019faf67-c213-7f4f-9794-66c44abfdc64" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive"/>
    <link:calculationArc order="6" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c66-b4f6-6b8c913b2439" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive_019faf67-c213-7f4f-9794-66c44abfdc64" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive_019faf67-c213-7772-8c64-91d1a571c22b" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive"/>
    <link:calculationArc order="7" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_FiniteLivedIntangibleAssetsNet_019faf67-c213-7c66-b4f6-6b8c913b2439" xlink:to="loc_us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive_019faf67-c213-7772-8c64-91d1a571c22b" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/OTHERACCRUEDLIABILITIESDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#OTHERACCRUEDLIABILITIESDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/OTHERACCRUEDLIABILITIESDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c213-7957-bc5e-ef2f465d63f1" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OtherAccruedLiabilitiesCurrent"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_QualityAssuranceFee_019faf67-c213-7536-b1a9-0eb9045312cf" xlink:href="ensg-20260930.xsd#ensg_QualityAssuranceFee"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c213-7957-bc5e-ef2f465d63f1" xlink:to="loc_ensg_QualityAssuranceFee_019faf67-c213-7536-b1a9-0eb9045312cf" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_ContractsWithCustomerLiabilityAndCustomerRefundLiabilityCurrent_019faf67-c213-7367-b232-0647d02ec081" xlink:href="ensg-20260930.xsd#ensg_ContractsWithCustomerLiabilityAndCustomerRefundLiabilityCurrent"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c213-7957-bc5e-ef2f465d63f1" xlink:to="loc_ensg_ContractsWithCustomerLiabilityAndCustomerRefundLiabilityCurrent_019faf67-c213-7367-b232-0647d02ec081" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_ensg_CashHeldInTrustForResidents_019faf67-c213-7b86-ad12-9bc439dc2359" xlink:href="ensg-20260930.xsd#ensg_CashHeldInTrustForResidents"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c213-7957-bc5e-ef2f465d63f1" xlink:to="loc_ensg_CashHeldInTrustForResidents_019faf67-c213-7b86-ad12-9bc439dc2359" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_DividendsPayableCurrentAndNoncurrent_019faf67-c213-78c4-8368-099b7f72f0cc" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_DividendsPayableCurrentAndNoncurrent"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c213-7957-bc5e-ef2f465d63f1" xlink:to="loc_us-gaap_DividendsPayableCurrentAndNoncurrent_019faf67-c213-78c4-8368-099b7f72f0cc" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent_019faf67-c213-76bb-8856-ba4c4f0c7a6b" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent"/>
    <link:calculationArc order="5" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c213-7957-bc5e-ef2f465d63f1" xlink:to="loc_us-gaap_AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent_019faf67-c213-76bb-8856-ba4c4f0c7a6b" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OtherLiabilitiesNoncurrent_019faf67-c213-7468-a9a4-90950fe1cbb1" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OtherLiabilitiesNoncurrent"/>
    <link:calculationArc order="6" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c213-7957-bc5e-ef2f465d63f1" xlink:to="loc_us-gaap_OtherLiabilitiesNoncurrent_019faf67-c213-7468-a9a4-90950fe1cbb1" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LitigationReserveCurrent_019faf67-c213-7d46-9625-58b3b0d92770" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LitigationReserveCurrent"/>
    <link:calculationArc order="7" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c213-7957-bc5e-ef2f465d63f1" xlink:to="loc_us-gaap_LitigationReserveCurrent_019faf67-c213-7d46-9625-58b3b0d92770" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_AccruedIncomeTaxesNoncurrent_019faf67-c213-7688-9bd8-a40299f76145" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_AccruedIncomeTaxesNoncurrent"/>
    <link:calculationArc order="8" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OtherAccruedLiabilitiesCurrent_019faf67-c213-7957-bc5e-ef2f465d63f1" xlink:to="loc_us-gaap_AccruedIncomeTaxesNoncurrent_019faf67-c213-7688-9bd8-a40299f76145" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/DEBTScheduleofLongtermDebtDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#DEBTScheduleofLongtermDebtDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/DEBTScheduleofLongtermDebtDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LongTermDebtNoncurrent_019faf67-c213-75fc-be9a-105027b03125" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LongTermDebtNoncurrent"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LongTermDebtCurrent_019faf67-c213-7fe6-8cef-1d2b3a9f8fd3" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LongTermDebtCurrent"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LongTermDebtNoncurrent_019faf67-c213-75fc-be9a-105027b03125" xlink:to="loc_us-gaap_LongTermDebtCurrent_019faf67-c213-7fe6-8cef-1d2b3a9f8fd3" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_DebtInstrumentCarryingAmount_019faf67-c213-77e0-8ea5-d0d62c4ef454" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_DebtInstrumentCarryingAmount"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LongTermDebtNoncurrent_019faf67-c213-75fc-be9a-105027b03125" xlink:to="loc_us-gaap_DebtInstrumentCarryingAmount_019faf67-c213-77e0-8ea5-d0d62c4ef454" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_DeferredFinanceCostsNet_019faf67-c213-742a-b1d2-18a990bae481" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_DeferredFinanceCostsNet"/>
    <link:calculationArc order="3" weight="-1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LongTermDebtNoncurrent_019faf67-c213-75fc-be9a-105027b03125" xlink:to="loc_us-gaap_DeferredFinanceCostsNet_019faf67-c213-742a-b1d2-18a990bae481" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/LEASESScheduleofOperatingLeaseExpensesDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#LEASESScheduleofOperatingLeaseExpensesDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/LEASESScheduleofOperatingLeaseExpensesDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LeaseCost_019faf67-c213-7b03-8ed3-ba77599ae746" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LeaseCost"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingLeaseCost_019faf67-c213-709d-aeea-ae520636a22a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingLeaseCost"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LeaseCost_019faf67-c213-7b03-8ed3-ba77599ae746" xlink:to="loc_us-gaap_OperatingLeaseCost_019faf67-c213-709d-aeea-ae520636a22a" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_VariableLeaseCost_019faf67-c213-7032-817f-fc0486a0de36" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_VariableLeaseCost"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LeaseCost_019faf67-c213-7b03-8ed3-ba77599ae746" xlink:to="loc_us-gaap_VariableLeaseCost_019faf67-c213-7032-817f-fc0486a0de36" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/LEASESScheduleofFutureMinimumLeasePaymentsDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#LEASESScheduleofFutureMinimumLeasePaymentsDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/LEASESScheduleofFutureMinimumLeasePaymentsDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7520-9d66-6490b6a3e30b" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive_019faf67-c213-7ea4-bd97-c4479f08c55c" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7520-9d66-6490b6a3e30b" xlink:to="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive_019faf67-c213-7ea4-bd97-c4479f08c55c" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearTwo_019faf67-c213-7906-8f9c-4f2b5a808093" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearTwo"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7520-9d66-6490b6a3e30b" xlink:to="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearTwo_019faf67-c213-7906-8f9c-4f2b5a808093" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearFive_019faf67-c213-703d-ac3f-322244f8f157" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearFive"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7520-9d66-6490b6a3e30b" xlink:to="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearFive_019faf67-c213-703d-ac3f-322244f8f157" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths_019faf67-c213-7bcc-991c-709f15a64de1" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7520-9d66-6490b6a3e30b" xlink:to="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths_019faf67-c213-7bcc-991c-709f15a64de1" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearThree_019faf67-c213-7383-9c1e-1c76b177386f" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearThree"/>
    <link:calculationArc order="5" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7520-9d66-6490b6a3e30b" xlink:to="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearThree_019faf67-c213-7383-9c1e-1c76b177386f" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearFour_019faf67-c213-7b68-9e63-91304e21ffc1" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearFour"/>
    <link:calculationArc order="6" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7520-9d66-6490b6a3e30b" xlink:to="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearFour_019faf67-c213-7b68-9e63-91304e21ffc1" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsRemainderOfFiscalYear_019faf67-c213-7d08-b034-613c160927bc" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityPaymentsRemainderOfFiscalYear"/>
    <link:calculationArc order="7" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7520-9d66-6490b6a3e30b" xlink:to="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsRemainderOfFiscalYear_019faf67-c213-7d08-b034-613c160927bc" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingLeaseLiability_019faf67-c213-7190-ace4-95586c9ec57a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingLeaseLiability"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingLeaseLiabilityNoncurrent_019faf67-c213-70cc-a6b7-8d2a3b610678" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingLeaseLiabilityNoncurrent"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OperatingLeaseLiability_019faf67-c213-7190-ace4-95586c9ec57a" xlink:to="loc_us-gaap_OperatingLeaseLiabilityNoncurrent_019faf67-c213-70cc-a6b7-8d2a3b610678" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingLeaseLiabilityCurrent_019faf67-c213-7617-a1aa-17d14ae1e970" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingLeaseLiabilityCurrent"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_OperatingLeaseLiability_019faf67-c213-7190-ace4-95586c9ec57a" xlink:to="loc_us-gaap_OperatingLeaseLiabilityCurrent_019faf67-c213-7617-a1aa-17d14ae1e970" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/LEASESScheduleofFutureMinimumLeasePaymentsDetails_1" xlink:type="simple" xlink:href="ensg-20260930.xsd#LEASESScheduleofFutureMinimumLeasePaymentsDetails_1"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/LEASESScheduleofFutureMinimumLeasePaymentsDetails_1" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7d6c-ae7e-e4523c00fdaa" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_OperatingLeaseLiability_019faf67-c213-75a1-927b-5b5b053fb20b" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_OperatingLeaseLiability"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7d6c-ae7e-e4523c00fdaa" xlink:to="loc_us-gaap_OperatingLeaseLiability_019faf67-c213-75a1-927b-5b5b053fb20b" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LesseeOperatingLeaseLiabilityUndiscountedExcessAmount_019faf67-c213-70b4-bd95-69450c891dd6" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LesseeOperatingLeaseLiabilityUndiscountedExcessAmount"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue_019faf67-c213-7d6c-ae7e-e4523c00fdaa" xlink:to="loc_us-gaap_LesseeOperatingLeaseLiabilityUndiscountedExcessAmount_019faf67-c213-70b4-bd95-69450c891dd6" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/LEASESScheduleofAnnualRentalIncomeDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#LEASESScheduleofAnnualRentalIncomeDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/LEASESScheduleofAnnualRentalIncomeDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceived_019faf67-c213-7ab7-b9de-342148db3ebf" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LessorOperatingLeasePaymentsToBeReceived"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedThreeYears_019faf67-c213-78e0-b573-47d5ed47dbed" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LessorOperatingLeasePaymentsToBeReceivedThreeYears"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceived_019faf67-c213-7ab7-b9de-342148db3ebf" xlink:to="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedThreeYears_019faf67-c213-78e0-b573-47d5ed47dbed" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths_019faf67-c213-7f58-a27d-54f908f4239b" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceived_019faf67-c213-7ab7-b9de-342148db3ebf" xlink:to="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths_019faf67-c213-7f58-a27d-54f908f4239b" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedTwoYears_019faf67-c213-7a28-8095-2a5051a87a66" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LessorOperatingLeasePaymentsToBeReceivedTwoYears"/>
    <link:calculationArc order="3" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceived_019faf67-c213-7ab7-b9de-342148db3ebf" xlink:to="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedTwoYears_019faf67-c213-7a28-8095-2a5051a87a66" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedFiveYears_019faf67-c213-72bd-b506-432eee257aaf" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LessorOperatingLeasePaymentsToBeReceivedFiveYears"/>
    <link:calculationArc order="4" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceived_019faf67-c213-7ab7-b9de-342148db3ebf" xlink:to="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedFiveYears_019faf67-c213-72bd-b506-432eee257aaf" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedThereafter_019faf67-c213-770a-bae9-990d67d85843" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LessorOperatingLeasePaymentsToBeReceivedThereafter"/>
    <link:calculationArc order="5" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceived_019faf67-c213-7ab7-b9de-342148db3ebf" xlink:to="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedThereafter_019faf67-c213-770a-bae9-990d67d85843" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedFourYears_019faf67-c213-707a-964a-db08ec00c933" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LessorOperatingLeasePaymentsToBeReceivedFourYears"/>
    <link:calculationArc order="6" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceived_019faf67-c213-7ab7-b9de-342148db3ebf" xlink:to="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedFourYears_019faf67-c213-707a-964a-db08ec00c933" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedRemainderOfFiscalYear_019faf67-c213-7d3d-8fea-c289c55dabde" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_LessorOperatingLeasePaymentsToBeReceivedRemainderOfFiscalYear"/>
    <link:calculationArc order="7" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceived_019faf67-c213-7ab7-b9de-342148db3ebf" xlink:to="loc_us-gaap_LessorOperatingLeasePaymentsToBeReceivedRemainderOfFiscalYear_019faf67-c213-7d3d-8fea-c289c55dabde" xlink:type="arc"/>
  </link:calculationLink>
  <link:roleRef roleURI="http://www.ensigngroup.net/role/SELFINSURANCELIABILITIESScheduleofFutureSelfInsuranceLiabilitiesDetails" xlink:type="simple" xlink:href="ensg-20260930.xsd#SELFINSURANCELIABILITIESScheduleofFutureSelfInsuranceLiabilitiesDetails"/>
  <link:calculationLink xlink:role="http://www.ensigngroup.net/role/SELFINSURANCELIABILITIESScheduleofFutureSelfInsuranceLiabilitiesDetails" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_SelfInsuranceReserve_019faf67-c213-76d9-813f-c42f55f36e59" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_SelfInsuranceReserve"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_SelfInsuranceReserveCurrent_019faf67-c213-7a28-b7f9-83d4042d9dc2" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_SelfInsuranceReserveCurrent"/>
    <link:calculationArc order="1" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_SelfInsuranceReserve_019faf67-c213-76d9-813f-c42f55f36e59" xlink:to="loc_us-gaap_SelfInsuranceReserveCurrent_019faf67-c213-7a28-b7f9-83d4042d9dc2" xlink:type="arc"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_SelfInsuranceReserveNoncurrent_019faf67-c213-7d15-a801-6d1f7666fa41" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_SelfInsuranceReserveNoncurrent"/>
    <link:calculationArc order="2" weight="1.0" xlink:arcrole="https://xbrl.org/2023/arcrole/summation-item" xlink:from="loc_us-gaap_SelfInsuranceReserve_019faf67-c213-76d9-813f-c42f55f36e59" xlink:to="loc_us-gaap_SelfInsuranceReserveNoncurrent_019faf67-c213-7d15-a801-6d1f7666fa41" xlink:type="arc"/>
  </link:calculationLink>
</link:linkbase>
