Trading Arrangements, by Individual Trading Arrangements, by Individual [Table] WEIGHTED AVERAGE COMMON SHARES OUTSTANDING DENOMINATOR: Weighted Average Number of Shares Outstanding, Diluted [Abstract] Trading Arrangement: Trading Arrangement [Axis] Maximum Maximum [Member] Statistical Measurement [Domain] Statistical Measurement [Domain] Total Medicaid and Medicare Total Medicaid and Medicare Medicaid And Medicare [Member] Total revenue from Medicaid and Medicare [Member] Number of operational skilled nursing beds Number Of Skilled Nursing Beds Number of skilled nursing beds available for use at a skilled nursing facility Title of 12(b) Security Title of 12(b) Security Subsequent Event Subsequent Event [Member] Document Fiscal Year Focus Document Fiscal Year Focus Operating leases of lessee, contingent rentals, basis spread on variable rate Lessee, Operating Lease, Discount Rate Managed care Managed care Managed care Managed Care [Member] Revenue from managed care payors [Member] Adjustment to Compensation, Amount Adjustment to Compensation Amount Financial Instrument [Axis] Financial Instrument [Axis] Non-Vested Restricted Awards Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward] Standard Bearer Healthcare REIT, Inc. Standard Bearer Healthcare REIT, Inc. [Member] Standard Bearer Healthcare REIT, Inc. Customer [Axis] Customer [Axis] Segment Reporting [Abstract] Segment Reporting [Abstract] Schedule of Estimated Amortization Expense Intangible Asset, Finite-Lived, and Capitalized Cost, Software to be Sold, Leased, or Marketed, Estimated Amortization Expense [Table Text Block] Liability for Future Policy Benefit, by Product Segment [Table] Liability for Future Policy Benefit, by Product Segment [Table] Common stock: $0.001 par value; 150,000 shares authorized; 62,224 and 58,350 shares issued and shares outstanding at September 30, 2026, respectively, and 61,652 and 58,085 shares issued and shares outstanding at December 31, 2025, respectively Common Stock, Value, Issued 2027 Lessee, Operating Lease, Liability, to be Paid, Year One Repurchase of shares of common stock to satisfy tax withholding obligations Payment, Tax Withholding, Share-Based Payment Arrangement Accrued wages and related liabilities Employee-related Liabilities, Current Schedule of Debt Schedule of Long-Term Debt Instruments [Table Text Block] Award requisite service period Share-Based Compensation Arrangement by Share-Based Payment Award, Award Requisite Service Period Litigation accrual Loss Contingency Accrual Management fees, as a percentage of total revenues Property Management Fee, Percent Fee of Total Revenues Property Management Fee, Percent Fee of Total Revenues Line of Credit Line of Credit [Member] Restatement Determination Date Restatement Determination Date Maturities of investments Proceeds from Sale, Maturity and Collection of Investments Issuance of restricted stock, net of forfeitures (in shares) Stock Issued During Period, Shares, Restricted Stock Award, Net of Forfeitures Amendment Flag Amendment Flag Goodwill [Line Items] Goodwill [Line Items] Current liabilities: Liabilities, Current [Abstract] Entity Common Stock, Shares Outstanding Entity Common Stock, Shares Outstanding Grant date intrinsic value (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Grant Date Intrinsic Value Thereafter Lessee, Operating Lease, Liability, to be Paid, after Year Five Various Landlords Various Landlords [Member] Various Landlords[Member] Truist Truist Bank [Member] Truist Bank [Member] Leases [Abstract] Leases [Abstract] Insurance Coverage Limit Type [Domain] Insurance Coverage Limit Type [Domain] Insurance Coverage Limit Type [Domain] Total Management Fee Management Service, Total [Member] Management Service, Total Adjustment to Non-PEO NEO Compensation Footnote Adjustment to Non-PEO NEO Compensation Footnote [Text Block] February 2025 Repurchase Program February 2025 Repurchase Program [Member] February 2025 Repurchase Program Property, Plant, and Equipment [Abstract] Property, Plant, and Equipment [Abstract] Entity Address, State or Province Entity Address, State or Province Granted (in shares) Options granted (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Gross PEO Total Compensation Amount PEO Total Compensation Amount Common stock, par value (in dollars per share) Common Stock, Par or Stated Value Per Share Asset Acquisition [Axis] Asset Acquisition [Axis] Intangible assets, net Intangible Asset, Excluding Goodwill, after Accumulated Amortization Nonvested at beginning of period (in shares) Nonvested at end of period (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number Share Repurchase Program [Domain] Share Repurchase Program [Domain] Basic (in shares) Weighted average common shares outstanding (in shares) Weighted Average Number of Shares Outstanding, Basic Retirement Benefits [Abstract] Retirement Benefits [Abstract] Outstanding Aggregate Erroneous Compensation Amount Outstanding Aggregate Erroneous Compensation Amount Fair Value, by Balance Sheet Grouping [Table] Fair Value, by Balance Sheet Grouping [Table] Number of reportable segments Number of Reportable Segments Amortized cost basis of held-to-maturity investments Debt Securities, Held-to-Maturity, Amortized Cost, after Allowance for Credit Loss Total current liabilities Liabilities, Current 2030 Lessee, Operating Lease, Liability, to be Paid, Year Four Retirement Plan Tax Status [Domain] Retirement Plan Tax Status [Domain] Customer relationships Customer Relationships [Member] Accrued self-insurance liabilities—less current portion LONG-TERM SELF-INSURANCE LIABILITIES Self Insurance Reserve, Noncurrent Concentration Risk [Table] Concentration Risk [Table] Entity Address, City or Town Entity Address, City or Town Asset acquisition, purchase price Aggregate purchase price for real estate purchases Asset Acquisition, Consideration Transferred Equity awards granted (in shares) Granted (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] Statement of Financial Position [Abstract] Statement of Financial Position [Abstract] Accrued rent expense adjustments Accrued Rent Adjustment Adjustment to deferred rent arising from the difference between rent expense recognized and rental payments made in the current period. Award Timing MNPI Disclosure Award Timing MNPI Disclosure [Text Block] Vested in the period (in shares) Vested (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period Basis of Presentation Basis of Accounting, Policy [Policy Text Block] Net Intangible Asset, Finite-Lived, after Accumulated Amortization Peer Group Total Shareholder Return Amount Peer Group Total Shareholder Return Amount Payor [Axis] Payor [Axis] Payor [Axis] Accounts receivable, gross Accounts Receivable, before Allowance for Credit Loss Revenue Revenue from Contract with Customer Benchmark [Member] Cash paid during the period for: Additional Cash Flow Elements and Supplemental Cash Flow Information [Abstract] Dr. Ann S. Blouin [Member] Dr. Ann S. Blouin Per Occurence Per Occurence [Member] Per Occurence [Member] Sublease income Sublease Income Accumulated Amortization Intangible Asset, Finite-Lived, Accumulated Amortization Fair Value, Inputs, Level 2 Fair Value, Inputs, Level 2 [Member] Total Shareholder Return Vs Peer Group Total Shareholder Return Vs Peer Group [Text Block] May 2026 Repurchase Program May 2026 Repurchase Program [Member] May 2026 Repurchase Program Non-california Non-California [Member] Non-California [Domain] Line of credit facility, maximum borrowing capacity Line of Credit Facility, Maximum Borrowing Capacity Non-Rule 10b5-1 Arrangement Terminated Non-Rule 10b5-1 Arrangement Terminated [Flag] 2029 Lessor, Operating Lease, Payment to be Received, Year Three Current maturities of long-term debt Less: current maturities Long-Term Debt, Current Maturities Rental revenue Rental [Member] Rental Parent Company Parent Company [Member] Number of operating subsidiaries Number Of Operating Subsidiaries Number Of operating subsidiaries entered into mortgage loans that are insured with HUD. New Leases To Third Party Operators New Leases To Third Party Operators [Member] New Leases To Third Party Operators Subsequent Event Type [Axis] Subsequent Event Type [Axis] Mortgage loans Collateralized Debt Obligations [Member] Concentration Risk Type [Axis] Concentration Risk Type [Axis] Schedule of Long-term Debt Instruments [Table] Schedule of Long-Term Debt Instruments [Table] Restricted and other assets Restricted And Other Assets, Noncurrent Restricted And Other Assets, Noncurrent Class of Treasury Stock [Table] Class of Treasury Stock [Table] Recent Accounting Pronouncements New Accounting Pronouncements, Policy [Policy Text Block] Litigation Case [Axis] Litigation Case [Axis] Combined Real Estate And Leases Combined Real Estate And Leases [Member] Combined Real Estate And Leases Accrued capital expenditures Capital Expenditures Incurred but Not yet Paid Land Land [Member] Grantee Status [Axis] Grantee Status [Axis] Schedule of Segment Financial Information Segment Reporting [Table Text Block] Non-Controlling Interest Noncontrolling Interest [Member] Estimates and Assumptions Use of Estimates, Policy [Policy Text Block] Incentive Management Fee Management Service, Incentive [Member] Defined Contribution Plan Disclosure [Line Items] Defined Contribution Plan Disclosure [Line Items] Schedule of Other Accrued Liabilities Schedule of Accrued Liabilities [Table Text Block] Payor [Domain] Payor [Domain] Payor [Domain] HUD Insured Mortgages HUD Insured Mortgages [Member] HUD Insured Mortgages Accrued litigation (Note 18) Estimated Litigation Liability, Current PROPERTY AND EQUIPMENT - NET Property, Plant, and Equipment [Text Block] Schedule of Future Minimum Lease Payments Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block] Document Period End Date Document Period End Date Change in operating assets and liabilities Adjustment to Reconcile Net Income to Cash Provided by (Used in) Operating Activity, Increase (Decrease) in Operating Capital [Abstract] Forfeited (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures and Expirations in Period Stock-based compensation expense related to restricted stock awards to non-employee directors Other Stock Awards [Member] Stock awards [Member] NET CASH USED IN INVESTING ACTIVITIES Cash Provided by (Used in) Investing Activity, Including Discontinued Operation Equity Awards Adjustments, Excluding Value Reported in Compensation Table Equity Awards Adjustments, Excluding Value Reported in the Compensation Table [Member] Other States, Except California, Texas and Washington All States, Excluding California, Texas And Washington [Member] All States, Excluding California, Texas And Washington Subsidiaries Captive Insurance Subsidiary Subsidiaries [Member] 2028 Lessee, Operating Lease, Liability, to be Paid, Year Two COMMON STOCK REPURCHASE PROGRAM Equity [Text Block] Expense: Costs and Expenses [Abstract] Security Exchange Name Security Exchange Name Debt instrument, term Debt Instrument, Term Prepaid income taxes Increase (Decrease) in Prepaid Taxes Schedule of Service Revenue by Major Payor Source Segment Reporting, Reconciliation of Revenue by Segment to Consolidated [Table Text Block] Treasury stock, at cost, 3,874 and 3,567 shares at September 30, 2026 and December 31, 2025 Treasury Stock, Common, Value Debt instrument, interest rate, effective percentage Debt Instrument, Interest Rate, Effective Percentage Weighted Average Exercise Price (in dollars per share) Granted (in dollars per share) Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Intercompany Elimination Consolidation, Eliminations [Member] LEASES Lessor, Operating Leases [Text Block] Lessee, Lease, Description [Line Items] Lessee, Lease, Description [Line Items] Entity Shell Company Entity Shell Company Consolidation Items [Domain] Consolidation Items [Domain] Triple Net Lease Arrangements Triple Net Lease Arrangements [Member] Triple Net Lease Arrangements Number of shares authorized (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized 2025 Acquired Properties 2025 Acquired Properties [Member] 2025 Acquired Properties Lease liabilities—current Less: current lease liabilities Operating Lease, Liability, Current Schedule of Property and Equipment, Net Property, Plant, and Equipment [Table Text Block] Workers' Compensation Accrued workers’ compensation liabilities Workers' Compensation Insurance [Member] Schedule of Exercise Price and Fair Value Displayed at Grant Date for Stock Option Grants Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value [Table Text Block] COMPUTATION OF NET INCOME PER COMMON SHARE Earnings Per Share [Text Block] Name Outstanding Recovery, Individual Name NET INCOME PER SHARE ATTRIBUTABLE TO THE ENSIGN GROUP INC. Earnings Per Share [Abstract] Award Timing, How MNPI Considered Award Timing, How MNPI Considered [Text Block] Insurance proceeds, loss (gain) on long-lived assets and other investments Proceeds From Insurance Settlement And Gain (Loss) On Long-Lived Assets, Net And Other Investments Proceeds From Insurance Settlement And Gain (Loss) On Long-Lived Assets, Net And Other Investments Document Fiscal Period Focus Document Fiscal Period Focus Cash proceeds from insurance recoveries and sale of assets Proceeds From Insurance Settlement and Sale Of Productive Assets, Investing Activities Proceeds From Insurance Settlement and Sale Of Productive Assets, Investing Activities Peer Group Issuers, Footnote Peer Group Issuers, Footnote [Text Block] Liabilities for Guarantees on Long-Duration Contracts [Line Items] Liabilities for Guarantees on Long-Duration Contracts [Line Items] TOTAL LIABILITIES Liabilities Trading Symbol Trading Symbol Nonqualified Plan Nonqualified Plan [Member] Management fees, as a percentage of funds from operations Property Management Fee, Percent Fee of Funds from Operations Property Management Fee, Percent Fee of Funds from Operations Property taxes Accrual for Taxes Other than Income Taxes Geographical [Domain] Geographical [Domain] Aggregate Deductible Aggregate Deductible [Member] Aggregate Deductible [Member] Other indefinite-lived intangibles Intangible Asset, Excluding Goodwill, Indefinite-Lived Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year [Member] Pension Adjustments Prior Service Cost Pension Adjustments Prior Service Cost [Member] Stock repurchase program, period in force Share Repurchase Program, Period in Force Company Selected Measure Name Company Selected Measure Name Number of facilities under long-term lease arrangements Number Of Facilities Under Long-Term Lease Arrangements Number Of Facilities Under Long-Term Lease Arrangements Income Tax Disclosure [Abstract] Income Tax Disclosure [Abstract] Amortization of deferred financing fees Amortization of Debt Issuance Costs and Discounts Concentration Risk [Line Items] Concentration Risk [Line Items] Schedule of Indefinite-Lived Intangible Assets [Table] Intangible Asset, Indefinite-Lived [Table] Standard Bearer Master Leases Standard Bearer Master Leases [Member] Standard Bearer Master Leases Long-term debt Outstanding debt Long-Term Debt, Gross Medicaid-skilled Medicaid-Skilled [Member] Revenue from Medicaid for skilled services [Member] Senior Living Operations Senior Living Operations [Member] Senior Living Operation Noncontrolling interests attributable to subsidiary equity plan Noncontrolling Interest, Increase From Subsidiary Equity Issuance, Including Adjustments To Additional Paid In Capital Noncontrolling Interest, Increase From Subsidiary Equity Issuance, Including Adjustments To Additional Paid In Capital Credit Facility [Domain] Credit Facility [Domain] Cash flows from operating activities: Cash Provided by (Used in) Operating Activity, Including Discontinued Operation [Abstract] Compensation Amount Outstanding Recovery Compensation Amount Individual: Individual [Axis] Indefinite-lived Intangible Assets [Line Items] Intangible Asset, Indefinite-Lived [Line Items] Diluted (in shares) Adjusted weighted average common shares outstanding (in shares) Weighted Average Number of Shares Outstanding, Diluted Accounts, Notes, Loans and Financing Receivable [Line Items] Accounts, Notes, Loans and Financing Receivable [Line Items] Disaggregation of Revenue [Line Items] Disaggregation of Revenue [Line Items] Entity Emerging Growth Company Entity Emerging Growth Company Equity Valuation Assumption Difference, Footnote Equity Valuation Assumption Difference, Footnote [Text Block] Long-term debt—less current maturities Long-Term Debt, Net Of Current Maturities And Debt Discount Long-Term Debt, Net Of Current Maturities And Debt Discount Underlying Security Market Price Change Underlying Security Market Price Change, Percent Dividends declared Dividends Target award multiple Share-Based Compensation Arrangement By Share-Based Payment Award, Target Award Multiple Share-Based Compensation Arrangement By Share-Based Payment Award, Target Award Multiple Accrued dividends declared Dividends payable Dividends Payable Less: present value adjustment Lessee, Operating Lease, Liability, Undiscounted Excess Amount Award vesting rights, percentage Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Rights, Percentage Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table] Revenue from Contract with Customer [Abstract] Revenue from Contract with Customer [Abstract] GOODWILL Goodwill [Text Block] Lease liabilities Operating Lease, Payments Award Timing Predetermined Award Timing Predetermined [Flag] 2026 Acquired Properties 2026 Acquired Properties [Member] 2026 Acquired Properties Treasury Stock Treasury Stock, Common [Member] Intangible Asset, Goodwill and Other [Abstract] Intangible Asset, Goodwill and Other [Abstract] Intrinsic value of options exercised in period Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period, Intrinsic Value Letters of credit outstanding, pledged amount Letters of Credit Outstanding, Amount Adjustment To PEO Compensation, Footnote Adjustment To PEO Compensation, Footnote [Text Block] Employee stock award compensation APIC, Share-Based Payment Arrangement, Increase for Cost Recognition Effective income tax rate Effective Income Tax Rate Reconciliation, Percent Activities in goodwill Goodwill, Period Increase (Decrease) Organization, Consolidation and Presentation of Financial Statements [Abstract] Organization, Consolidation and Presentation of Financial Statements [Abstract] Grantee Status [Domain] Grantee Status [Domain] Indefinite-lived Intangible Assets, Major Class Name [Domain] Intangible Asset, Indefinite-Lived, Class [Domain] TOTAL LEASE PAYMENTS Lessee, Operating Lease, Liability, to be Paid Lessor, Lease, Description [Table] Lessor, Lease, Description [Table] Operating Entity [Domain] Operating Entity [Domain] [Domain] for Operating Entity [Axis] Real Estate And Lease Arrangements [Axis] Real Estate And Lease Arrangements [Axis] Real Estate And Lease Arrangements Plus: incremental shares from assumed conversion (in shares) Incremental Common Shares Attributable to Dilutive Effect of Share-Based Payment Arrangements Nonvested at beginning of period (in dollars per share) Nonvested at end of period (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value Net income Income (Loss) from Continuing Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest All Executive Categories All Executive Categories [Member] Number of states with operating facilities and other ancillary operations Number of States in which Entity Operates Operating lease obligations Increase (Decrease) in Operating Lease Liability Washington WASHINGTON Pension Adjustments Service Cost Pension Adjustments Service Cost [Member] General Liability General Liability [Member] 23 Subsidiaries 23 Subsidiaries [Member] 23 Subsidiaries Plan Name [Domain] Plan Name [Domain] Asset Acquisition [Domain] Asset Acquisition [Domain] Balance at beginning of period (in dollars per share) Balance at end of period (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price Right-of-use assets Operating Lease, Right-of-Use Asset Concentration Risk Type [Domain] Concentration Risk Type [Domain] Extended lease term Lessee, Operating Lease, Renewal Term Fair Value Disclosures [Abstract] Fair Value Disclosures [Abstract] Skilled Services Skilled Services Segment [Member] Skilled Services Segment Debt Disclosure [Abstract] Debt Disclosure [Abstract] Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] BUSINESS SEGMENTS Segment Reporting [Text Block] Minimum Minimum [Member] Subsidiaries under master lease arrangement Subsidiaries Under Master Lease Arrangement Facilities operated under two separate three-facility master lease arrangements. Under these master leases, a breach at a single facility could subject one or more of the other facilities covered by the same master lease to the same default risk. Expiration Date Trading Arrangement Expiration Date Chad A. Keetch [Member] Chad A. Keetch Schedule of Disaggregation of Revenue Disaggregation of Revenue [Table Text Block] Acquired Properties Acquired Properties [Member] Acquired Properties Income Statement Location [Axis] Location, Statement of Income, Balance [Axis] Amended and Restated Plan Amended And Restated 2022 Omnibus Incentive Plan [Member] Amended and Restated 2022 Omnibus Incentive Plan Non-Rule 10b5-1 Arrangement Adopted Non-Rule 10b5-1 Arrangement Adopted [Flag] Financial assets, investment funds Cash and Cash Equivalents, Fair Value Disclosure Total equity Balance at beginning of period Balance at end of period Equity, Including Portion Attributable to Noncontrolling Interest Share-based compensation, options outstanding, weighted average remaining contractual term Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted-Average Remaining Contractual Term Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table [Member] Insurance Coverage Limit Type [Axis] Insurance Coverage Limit Type [Axis] Insurance Coverage Limit Type [Axis] Schedule of Real Estate Properties [Table] Real Estate Property, Ownership [Table] Schedule of Employee Stock Option Roll Forward Schedule of Common Stock Outstanding Roll Forward [Table Text Block] Third-Party Payor 524292 Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds [Member] Buildings and improvements Building and Building Improvements [Member] Aggregate Pension Adjustments Service Cost Aggregate Pension Adjustments Service Cost [Member] Thereafter Lessor, Operating Lease, Payment to be Received, after Year Five Common shares authorized (in shares) Common Stock, Shares Authorized Exercise Price Award Exercise Price Cash flows from investing activities: Cash Provided by (Used in) Investing Activity, Including Discontinued Operation [Abstract] Issuance of restricted stock, net of forfeitures Stock Issued During Period, Value, Restricted Stock Award, Net of Forfeitures Stock repurchase program, authorized amount Share Repurchase Program, Authorized, Amount Gross insurance recoveries Estimated Insurance Recoveries Segment Reporting [Line Items] Segment Reporting [Line Items] Share-based compensation, nonvested awards, cost not yet recognized Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount Document Quarterly Report Document Quarterly Report 2027 Lessor, Operating Lease, Payment to be Received, Year One Independent subsidiaries with multi-claim reviews scheduled or in process Independent Operating Subsidiaries Under Medicare And Medicaid Probe Reviews Facilities under Medicare Probe reviews relating to Medicare services, billings and potential overpayments Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested [Member] Segments [Domain] Segments [Domain] Real Estate And Lease Arrangements [Domain] Real Estate And Lease Arrangements [Domain] Real Estate And Lease Arrangements [Domain] Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items] Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Line Items] Texas TEXAS Lease Arrangement [Axis] Lease Arrangement [Axis] Information by group of related lease arrangements. DEFERRED COMPENSATION PLAN Compensation and Employee Benefit Plans [Text Block] Cash and cash equivalents beginning of period Cash and cash equivalents end of period Cash, Cash Equivalent, Restricted Cash, and Restricted Cash Equivalent, Including Discontinued Operation Annual bonuses settled in vested awards Share-Based Compensation Arrangement By Share-Based Payment Award, Annual Bonuses, Included In Equity Instruments Other Than Options, Grants In Period Share-Based Compensation Arrangement By Share-Based Payment Award, Annual Bonuses, Included In Equity Instruments Other Than Options, Grants In Period Lender Name [Axis] Lender Name [Axis] DEBT Debt Disclosure [Text Block] Payments on debt Repayments of Long-Term Debt Management fees Management Fee Expense Less: debt issuance costs, net Debt Issuance Costs, Net Awards Close in Time to MNPI Disclosures, Table Awards Close in Time to MNPI Disclosures [Table Text Block] Equity Component [Domain] Equity Component [Domain] PEO Actually Paid Compensation Amount PEO Actually Paid Compensation Amount TOTAL EXPENSES Costs and Expenses Adoption Date Trading Arrangement Adoption Date Per Facility Per Facility [Member] Per Facility [Member] Debt instrument, interest rate, stated percentage Debt Instrument, Interest Rate, Stated Percentage Counterparty Name [Domain] Counterparty Name [Domain] Total Ensign Group, Inc. stockholders' equity Equity, Attributable to Parent OTHER INCOME, NET Nonoperating Income (Expense) Real Estate [Domain] Real Estate [Domain] ASSETS Assets [Abstract] Title Trading Arrangement, Individual Title Forgone Recovery due to Disqualification of Tax Benefits, Amount Forgone Recovery due to Disqualification of Tax Benefits, Amount Accounting Policies [Abstract] Accounting Policies [Abstract] Restatement does not require Recovery Restatement Does Not Require Recovery [Text Block] Weighted Average Risk-Free Rate Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate PRESENT VALUE OF TOTAL LEASE LIABILITIES Operating Lease, Liability Insider Trading Policies and Procedures [Line Items] Balance at beginning of period, (in shares) Balance at end of period, (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Number OTHER ACCRUED LIABILITIES Accounts Payable and Accrued Liabilities Disclosure [Text Block] Medicare Medicare Medicare Medicare [Member] Revenue from Medicare [Member] Other financing activities Proceeds from (Payment for) Other Financing Activity Allowance for doubtful accounts on accounts receivable Less: allowance for doubtful accounts Accounts Receivable, Allowance for Credit Loss, Current Insider Trading Policies and Procedures Adopted Insider Trading Policies and Procedures Adopted [Flag] Performance Stock Units Stock-based compensation expense related to performance stock units Performance Shares [Member] Income tax payable Accrued Income Taxes, Noncurrent Prepaid expenses and other current assets Prepaid Expense and Other Assets, Current Number of installments Share-Based Compensation Arrangement By Share-Based Payment Award, Number Of Installments Share-Based Compensation Arrangement By Share-Based Payment Award, Number Of Installments Forfeited (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures and Expirations in Period, Weighted Average Exercise Price COMMITMENTS AND CONTINGENCIES Commitments and Contingencies Disclosure [Text Block] Compensation Actually Paid vs. Net Income Compensation Actually Paid vs. Net Income [Text Block] Rental revenue Operating Lease, Lease Income Antidilutive securities excluded from computation of earnings per share, amount (in shares) Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount Schedule of Goodwill Goodwill [Table Text Block] Entity Central Index Key Entity Central Index Key Less: accumulated depreciation Property, Plant, and Equipment, Accumulated Depreciation, Depletion, and Amortization Additional paid-in capital Additional Paid in Capital, Common Stock All Adjustments to Compensation All Adjustments to Compensation [Member] Other Segment Reporting, Reconciling Item, Corporate Nonsegment [Member] Other operating activities, net Adjustment to Reconcile Net Income to Cash Provided by (Used in) Operating Activity, Other Item EQUITY Equity [Abstract] Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year [Member] NET CASH PROVIDED BY OPERATING ACTIVITIES Cash Provided by (Used in) Operating Activity, Including Discontinued Operation Accounts Receivable Accounts Receivable [Member] Income Statement [Abstract] Income Statement [Abstract] Ensign Group, Inc. stockholders' equity: Equity, Attributable to Parent [Abstract] Document Transition Report Document Transition Report Gain (loss) on deferral investment Gain (Loss) on Investments Fair Value Hierarchy and NAV [Axis] Fair Value Hierarchy and NAV [Axis] Deferred tax assets Deferred Income Tax Assets, Net Stock Appreciation Rights (SARs) Stock Appreciation Rights (SARs) [Member] Cash held in trust for patients Cash Held In Trust For Residents Cash held in trust for residents reflects monies received from, or on behalf of, residents. Maintaining a trust account for residents is a regulatory requirement and, while the trust assets offset the liability, the Company assumes a fiduciary responsibility for these funds. Schedule of Finite-Lived Intangible Assets Intangible Asset, Finite-Lived [Table Text Block] Schedule of Assumptions for Stock Options Granted Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions [Table Text Block] All other not included in segment income Other Income (Loss), Not Included In Segment Income (Loss) Other Income (Loss), Not Included In Segment Income (Loss) Number of Options Outstanding Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward] Interest rate margin Debt Instrument, Basis Spread on Variable Rate Lessor, Lease, Description [Line Items] Lessor, Lease, Description [Line Items] City Area Code City Area Code Variable Rate [Domain] Variable Rate [Domain] Restricted Stock Awards Stock-based compensation expense related to restricted stock awards Restricted Stock [Member] Standard Bearer Standard Bearer Segment [Member] Standard Bearer Segment All Individuals All Individuals [Member] Dividends paid Payments of Dividends Name Forgone Recovery, Individual Name Share-based compensation, nonvested awards, cost not yet recognized, period for recognition Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition Non-GAAP Measure Description Non-GAAP Measure Description [Text Block] Weighted Average Grant Date Fair Value Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract] INTANGIBLE ASSETS - NET Intangible Asset [Text Block] Statement [Line Items] Statement [Line Items] TOTAL ASSETS Assets Segment income Segment Income (Loss) Segment Income (Loss) Entity [Domain] Entity [Domain] Less: net income attributable to noncontrolling interests Income (Loss) from Continuing Operations, Net of Tax, Attributable to Noncontrolling Interest Operating segments Operating Segments [Member] Weighted Average Fair Value of Options (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value Interest expense Interest expense Interest Expense, Nonoperating Schedule of Stock-Based Compensation Expense Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table Text Block] Expected to vest Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Expected To Vest, Outstanding, Aggregate Intrinsic Value Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Expected To Vest, Outstanding, Aggregate Intrinsic Value OPTIONS AND AWARDS Share-Based Payment Arrangement [Text Block] PEO PEO [Member] Self insurance reserve TOTAL SELF-INSURANCE LIABILITIES Self Insurance Reserve Number of lease agreements Lessor, Operating Lease, Number Of Leases Lessor, Operating Lease, Number Of New Leases Stock-based compensation expense related to stock options Share-Based Payment Arrangement, Expense Other Other Liabilities, Noncurrent Goodwill Goodwill Wage, Hour And Labor Code-Related Violations Wage, Hour And Labor Code-Related Violations [Member] Wage, Hour And Labor Code-Related Violations Forgone Recovery due to Violation of Home Country Law, Amount Forgone Recovery due to Violation of Home Country Law, Amount Issuance of common stock to employees and directors resulting from the exercise of stock options (in shares) Exercised (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period Granted (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value Number of senior living operations sharing property with skilled nursing operations Number Of Real Estate Properties Sharing Locations Number Of Real Estate Properties Sharing Locations Subsequent Event Type [Domain] Subsequent Event Type [Domain] Payables and Accruals [Abstract] Payables and Accruals [Abstract] Retained Earnings Retained Earnings [Member] Long-term lease liabilities—less current portion LONG-TERM OPERATING LEASE LIABILITIES Operating Lease, Liability, Noncurrent Share-based compensation, nonvested awards (in shares) Employee Service Share-based Compensation, Nonvested Awards Employee Service Share-based Compensation, Nonvested Awards Revolving credit facility Revolving Credit Facility [Member] Forfeited (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value Erroneously Awarded Compensation Recovery Erroneously Awarded Compensation Recovery [Table] Increase (Decrease) in Stockholders' Equity [Roll Forward] Increase (Decrease) in Stockholders' Equity [Roll Forward] Common shares outstanding (in shares) Common stock, balance at beginning of period (in shares) Common stock, balance at end of period (in shares) Common Stock, Shares, Outstanding Award Timing Disclosures [Line Items] Rent—cost of services Rent Cost Of Services Rent cost of services Diluted (in dollars per share) Diluted net income per common share (in dollars per share) Earnings Per Share, Diluted Entity Current Reporting Status Entity Current Reporting Status Aggregate Aggregate [Member] Blanket Aggregate [Member] NET CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES Cash Provided by (Used in) Financing Activity, Including Discontinued Operation Total Shareholder Return Amount Total Shareholder Return Amount Operating lease, variable lease income Operating Lease, Variable Lease Income New Master Lease Agreeement New Master Lease Agreement [Member] New Master Lease Agreement Shares of common stock used to satisfy tax withholding obligations Share-Based Payment Arrangement, Decrease for Tax Withholding Obligation Prepaid expenses and other assets Increase (Decrease) in Prepaid Expense and Other Assets Accrued wages and related liabilities Increase (Decrease) in Employee Related Liabilities Litigation Case [Domain] Litigation Case [Domain] Intangible Asset, Finite-Lived [Line Items] Intangible Asset, Finite-Lived [Line Items] Other long-term liabilities Deferred Rent And Other Long-Term Liabilities Rental expense in excess of actual rental payments and other long-term liabilities Adjustments to reconcile net income to net cash provided by operating activities: Adjustment to Reconcile Net Income to Cash Provided by (Used in) Operating Activity [Abstract] Deferred compensation liability, noncurrent Deferred Compensation Liability, Classified, Noncurrent Share-based Payment Arrangement [Abstract] Share-Based Payment Arrangement [Abstract] Cash flows from financing activities: Cash Provided by (Used in) Financing Activity, Including Discontinued Operation [Abstract] Service revenue Revenue Total Service Revenue Revenue from Contract with Customer, Excluding Assessed Tax Property and equipment, net PROPERTY AND EQUIPMENT, NET Property, Plant, and Equipment, after Accumulated Depreciation, Depletion, and Amortization Conversion to reduce shares availability Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Conversion To Reduce Shares Availability Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Conversion To Reduce Shares Availability Line of credit facility, unused capacity, commitment fee percentage Line of Credit Facility, Unused Capacity, Commitment Fee Percentage Financial Instruments [Domain] Financial Instruments [Domain] Loss-Sensitive Limit Per Claim Loss-Sensitive Limit Per Claim [Member] Loss-Sensitive limit per claim [Member] Accrued general liability and professional malpractice liabilities General Liability And Professional Malpractice Liability Insurance [Member] General Liability And Professional Malpractice Liability Insurance Intangible Asset, Finite-Lived, Class [Axis] Intangible Asset, Finite-Lived, Class [Axis] Issuance of common stock to employees and directors resulting from the exercise of stock options Stock Issued During Period, Value, Stock Options Exercised Equity Awards Adjustments, Footnote Equity Awards Adjustments, Footnote [Text Block] Underlying Securities Award Underlying Securities Amount REVENUE AND ACCOUNTS RECEIVABLE Revenue from Contract with Customer [Text Block] Stop-Loss Insurance Limit Per Claim Stop-Loss Insurance Limit Per Claim [Member] Stop-Loss Insurance limit per claim[Member] Construction in progress Construction in Progress [Member] Other investing activities Payment for (Proceeds from) Other Investing Activity Operating lease, weighted average discount rate, percent Operating Lease, Weighted Average Discount Rate, Percent Term of operating lease Lessor, Operating Lease, Term of Contract Number of shares available for grant (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant Segment Reporting [Table] Segment Reporting [Table] May 2025 Repurchase Program May 2025 Repurchase Program [Member] May 2025 Repurchase Program Share-based compensation, options expected to vest, number (in shares) Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Expected To Vest, Number As of the balance sheet date, the number of shares which are expected to vest into stock options outstanding can be converted under the option plan. Schedule of Operating Lease Expenses Lease, Cost [Table Text Block] Number of senior living units Number Of Senior Living Units Operational Assisted Living and Independent Living Units Commitments and Contingencies Disclosure [Abstract] Commitments and Contingencies Disclosure [Abstract] Other income (expense): Other Nonoperating Income (Expense) [Abstract] All Trading Arrangements All Trading Arrangements [Member] Other Performance Measure, Amount Other Performance Measure, Amount Award Timing MNPI Considered Award Timing MNPI Considered [Flag] Income from operations Operating Income (Loss) Current Fiscal Year End Date Current Fiscal Year End Date Leases To Third Party Operators Leases To Third Party Operators [Member] Leases To Third Party Operators June 2026 Repurchase Program June 2026 Repurchase Program [Member] June 2026 Repurchase Program Non-PEO NEO Average Total Compensation Amount Non-PEO NEO Average Total Compensation Amount Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year [Member] Dividends declared (in dollars per share) Common Stock, Dividends, Per Share, Declared Entity File Number Entity File Number Rule 10b5-1 Arrangement Adopted Rule 10b5-1 Arrangement Adopted [Flag] Thereafter Intangible Asset, Finite-Lived, Estimated Amortization Expense, after Year Five Operating Entity [Axis] Operating Entity [Axis] Operating Entity [Axis] Self-Insurance Retention Per Claim Self-Insurance Retention Per Claim [Member] Self-insurance retention per claim [Member] Weighted Average Exercise Price Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract] Recovery of Erroneously Awarded Compensation Disclosure [Line Items] Common shares issued (in shares) Common Stock, Shares, Issued Measure: Measure [Axis] Treasury stock (in shares) Treasury stock, balance at beginning of period (in shares) Treasury stock, balance at end of period (in shares) Treasury Stock, Common, Shares Insurance subsidiary deposits and investments Insurance Subsidiary Deposits And Investments Captive insurance subsidiary cash and equivalents designated to support long-term insurance subsidiary liabilities and debt security investments held to maturity. Equity Components [Axis] Equity Components [Axis] Accounts receivable Increase (Decrease) in Accounts Receivable Product and Service [Domain] Product and Service [Domain] California CALIFORNIA Disaggregation of Revenue [Table] Disaggregation of Revenue [Table] Third Party Operators Third Party Operators [Member] Third Party Operators Entity Interactive Data Current Entity Interactive Data Current Variable Rate [Axis] Variable Rate [Axis] Net income attributable to noncontrolling interests Net income attributable to noncontrolling interest Net Income (Loss) Attributable to Noncontrolling Interest Purchase of property and equipment Payments To Acquire Property And Equipment Payments To Acquire Property And Equipment Compensation Actually Paid vs. Other Measure Compensation Actually Paid vs. Other Measure [Text Block] Entity Small Business Entity Small Business 2029 Lessee, Operating Lease, Liability, to be Paid, Year Three Termination Date Trading Arrangement Termination Date Shares of common stock used to satisfy tax withholding obligations (in shares) Share-Based Payment Arrangement, Shares Withheld for Tax Withholding Obligation Weighted Average Life (Years) Intangible Asset, Finite-Lived, Acquired, Weighted-Average Amortization Period Property, Plant, and Equipment [Line Items] Property, Plant, and Equipment [Line Items] Compensation Actually Paid vs. Total Shareholder Return Compensation Actually Paid vs. Total Shareholder Return [Text Block] MNPI Disclosure Timed for Compensation Value MNPI Disclosure Timed for Compensation Value [Flag] Expiration period Share-Based Compensation Arrangement by Share-Based Payment Award, Expiration Period Line of Credit Facility, Lender [Domain] Line of Credit Facility, Lender [Domain] Document Type Document Type Skilled Nursing Properties Skilled Nursing Properties [Member] Skilled Nursing Properties Fair Value as of Grant Date Award Grant Date Fair Value Lessee leasing arrangements, operating leases, number of renewal terms Lessee Leasing Arrangements, Operating Leases, Number Of Renewal Terms Lessee Leasing Arrangements, Operating Leases, Number Of Renewal Terms Number of master lease agreements Number Of Master Lease Agreements Master Lease agreements Schedule of Goodwill [Table] Goodwill [Table] Vested Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Intrinsic Value Pay vs Performance Disclosure, Table Pay vs Performance [Table Text Block] Remaining authorized repurchase amount available Share Repurchase Program, Remaining Authorized, Amount Lease Arrangement [Domain] Lease Arrangement [Domain] Lease Arrangement Arrangement Duration Trading Arrangement Duration Statement of Stockholders' Equity [Abstract] Statement of Stockholders' Equity [Abstract] Proceeds from debt (Note 13) Proceeds from Issuance of Long-Term Debt Local Phone Number Local Phone Number STANDARD BEARER Standard Bearer [Text Block] Standard Bearer Consolidation Items [Axis] Consolidation Items [Axis] Entity Address, Postal Zip Code Entity Address, Postal Zip Code Entity Registrant Name Entity Registrant Name Share-based compensation, restricted awards, exercise price (in dollars per share) Share-Based Compensation Arrangement By Share-Based Payment Award, Restricted Awards, Exercise Price Share-Based Compensation Arrangement By Share-Based Payment Award, Restricted Awards, Exercise Price Income before provision for income taxes Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest Insider Trading Policies and Procedures Not Adopted Insider Trading Policies and Procedures Not Adopted [Text Block] Aggregate intrinsic value of options that vested in period Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value Commitments and contingencies (Notes 13 and 18) Commitments and Contingencies Gross Carrying Amount Intangible Asset, Finite-Lived, before Accumulated Amortization TOTAL REVENUE Revenues Property and equipment, gross Property, Plant, and Equipment, before Accumulated Depreciation, Depletion, and Amortization Changed Peer Group, Footnote Changed Peer Group, Footnote [Text Block] 2030 Intangible Asset, Finite-Lived, Estimated Amortization Expense, Year Four Forgone Recovery due to Expense of Enforcement, Amount Forgone Recovery due to Expense of Enforcement, Amount Other third-party Third Party Tenants [Member] Third Party Tenants [Member] Executive Category: Executive Category [Axis] Schedule of Nonvested Restricted Stock Awards Schedule of Nonvested Restricted Stock Units Activity [Table Text Block] Award vesting period Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period Furniture and fixtures Furniture and Fixtures [Member] Counterparty Name [Axis] Counterparty Name [Axis] LIABILITIES AND EQUITY Liabilities and Equity [Abstract] Intangible Asset, Finite-Lived, Class [Domain] Intangible Asset, Finite-Lived, Class [Domain] Facility trade name Trade name Trade Names [Member] 2030 Lessor, Operating Lease, Payment to be Received, Year Four Quality assurance fee Quality Assurance Fee Quality assurance fee represents amounts payable to California, Utah, Idaho, Washington, Colorado, Iowa, and Nebraska in respect of a mandated fee based on resident days Award Type [Domain] Award Type [Domain] Non-PEO NEO Average Compensation Actually Paid Amount Non-PEO NEO Average Compensation Actually Paid Amount Long-Term Insurance Subsidiary Liabilities Insurance Subsidiary Long-Term Investments [Member] Long-Term Insurance Subsidiary Liabilities 2026 (remainder) Lessee, Operating Lease, Liability, to be Paid, Remainder of Fiscal Year FAIR VALUE MEASUREMENTS Fair Value Disclosures [Text Block] Line of credit facility, maximum borrowing capacity, increase Line Of Credit Facility, Maximum Borrowing Capacity, Increase Line Of Credit Facility, Maximum Borrowing Capacity, Increase SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION Supplemental Cash Flow Information [Abstract] Health Liability Insurance Health Liability Insurance [Member] Health Liability Insurance [Member] Expected Life Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Term 2027 Intangible Asset, Finite-Lived, Estimated Amortization Expense, Year One Repurchase of common stock (in shares) Repurchase of common stock (in shares) Treasury Stock, Shares, Acquired Lease term Lessee, Operating Lease, Term of Contract PEO Name PEO Name Geographical [Axis] Geographical [Axis] Leasehold improvements Leasehold Improvements [Member] TOTAL Lessor, Operating Lease, Payment to be Received Retirement Plan Tax Status [Axis] Retirement Plan Tax Status [Axis] Income taxes Income Tax Paid, before Refund Received Property, Plant and Equipment, Type [Axis] Long-Lived Asset, Class [Axis] Other segment items Segment Reporting, Other Segment Item, Amount Stock Price or TSR Estimation Method Stock Price or TSR Estimation Method [Text Block] Entity Tax Identification Number Entity Tax Identification Number Legal Entity [Axis] Legal Entity [Axis] All Other Eliminations And Reconciling Items [Member] Eliminations And Reconciling Items Lessee, Lease, Description [Table] Lessee, Lease, Description [Table] Repurchase of common stock (Note 19) Amount of common stock repurchased Treasury Stock, Value, Acquired, Cost Method Accrued self-insurance liabilities—current Less: current self-insurance liabilities Self Insurance Reserve, Current Exercised (in dollars per share) Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price Schedule of Finite-Lived Intangible Assets [Table] Intangible Asset, Finite-Lived [Table] Accounts payable Increase (Decrease) in Accounts Payable Other accrued liabilities OTHER ACCRUED LIABILITIES Other Accrued Liabilities, Current Entity Incorporation, State or Country Code Entity Incorporation, State or Country Code Base Rate Base Rate [Member] Medicaid Medicaid [Member] Revenue from Medicaid for custodial services [Member] Aggregate Erroneous Compensation Not Yet Determined Aggregate Erroneous Compensation Not Yet Determined [Text Block] Material Terms of Trading Arrangement Material Terms of Trading Arrangement [Text Block] Non-NEOs Non-NEOs [Member] Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year [Member] DESCRIPTION OF BUSINESS Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block] Debt Instrument [Axis] Debt Instrument [Axis] Cash payments for acquisitions Payments to Acquire Businesses, Gross Stock-based compensation Share-Based Payment Arrangement, Noncash Expense 2028 Intangible Asset, Finite-Lived, Estimated Amortization Expense, Year Two Lease, cost Lease, Cost Medicare and Medicaid licenses Medicare And Medicaid Licenses [Member] Medicare licenses for home health and hospice segment and all other segment. Offsetting expense (reduction in expense) Investment Expense (Income) Investment Expense (Income) Customer [Domain] Customer [Domain] LEASES Lessee, Operating Leases [Text Block] Long-term Debt, Type [Domain] Long-Term Debt, Type [Domain] Basic (in dollars per share) Basic net income per common share (in dollars per share) Earnings Per Share, Basic Equity, Class of Treasury Stock [Line Items] Equity, Class of Treasury Stock [Line Items] Repurchase of shares of common stock (Note 19) Payments for Repurchase of Common Stock Total current assets Assets, Current Statistical Measurement [Axis] Statistical Measurement [Axis] Insider Trading Arrangements [Line Items] LONG-TERM DEBT LESS CURRENT MATURITIES Long-Term Debt, Excluding Current Maturities CPI increases and short term-lease cost Short-Term Lease, Cost Number of master lease arrangements Number Of Lease Arrangements Number Of Lease Arrangements Award Type [Axis] Award Type [Axis] 2026 (remainder) Lessor, Operating Lease, Payment to be Received, Remainder of Fiscal Year Payments of deferred financing costs Payments of Financing Costs Named Executive Officers, Footnote Named Executive Officers, Footnote [Text Block] Accounts receivable—less allowance for doubtful accounts of $7,910 and $7,805 at September 30, 2026 and December 31, 2025, respectively ACCOUNTS RECEIVABLE, NET Accounts Receivable, after Allowance for Credit Loss, Current Retained earnings Retained Earnings (Accumulated Deficit) Product and Service [Axis] Product and Service [Axis] Standard Bearer Equity Plan Standard Bearer Equity Plan [Member] Standard Bearer Equity Plan Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table [Member] Enforceable Arbitration Agreement Self-Insurance Retention Per Claim, Enforceable Arbitration Agreement [Member] Self-Insurance Retention Per Claim, Enforceable Arbitration Agreement Real Estate, Type of Property [Axis] Real Estate, Type of Property [Axis] Awards Close in Time to MNPI Disclosures Awards Close in Time to MNPI Disclosures [Table] Common Stock Common Stock [Member] Schedule of Rental Income from Third-Party Sources Operating Lease, Lease Income [Table Text Block] Maximum annual contributions per employee Defined Contribution Plan, Maximum Annual Contributions Per Employee, Percent Operating lease expense Operating Lease, Cost Compensation Actually Paid vs. Company Selected Measure Compensation Actually Paid vs. Company Selected Measure [Text Block] Cover page. Cover [Abstract] Reclassifications Reclassification, Comparability Adjustment [Policy Text Block] Insurance [Abstract] Weighted Average Dividend Yield Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Dividend Rate Skilled Nursing Operations Skilled Nursing Operations [Member] Skilled Nursing Operations Accrued health benefits Health Insurance Product Line [Member] % of Revenue Revenue % Concentration percentage Concentration Risk, Percentage Concentration Risk Benchmark [Axis] Concentration Risk Benchmark [Axis] Colorado COLORADO Equity Awards Adjustments Equity Awards Adjustments [Member] Skilled Nursing And Senior Living Facilities Skilled Nursing Operations And Senior Living Facilities [Member] Skilled Nursing Operations And Senior Living Facilities TOTAL LIABILITIES AND EQUITY Liabilities and Equity Cost of services Variable Lease, Cost Options to purchase under long-term lease arrangements Number Of Facilities Under Long-Term Lease Arrangements, Option To Purchase Number Of Facilities Under Long-Term Lease Arrangements, Option To Purchase Stock Options Stock-based compensation expense related to stock options Share-Based Payment Arrangement, Option [Member] Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] Non-controlling interest Equity, Attributable to Noncontrolling Interest Schedule of Annual Rental Income Lessor, Operating Lease, Payment to be Received, Maturity [Table Text Block] Segments [Axis] Segments [Axis] Other accrued liabilities Increase (Decrease) in Other Operating Liabilities Additional 402(v) Disclosure Additional 402(v) Disclosure [Text Block] Plan Name [Axis] Plan Name [Axis] Schedule of Accounts Receivable Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block] Tabular List, Table Tabular List [Table Text Block] SELF INSURANCE LIABILITIES Liability for Future Policy Benefits and Unpaid Claims Disclosure [Text Block] Other income Other Nonoperating Income (Expense) Schedule of Indefinite-lived Intangible Assets Intangible Asset, Indefinite-Lived, Acquired [Table Text Block] Weighted Average Volatility Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Weighted Average Volatility Rate 2031 Intangible Asset, Finite-Lived, Estimated Amortization Expense, Year Five 2029 Intangible Asset, Finite-Lived, Estimated Amortization Expense, Year Three 2026 (remainder) Intangible Asset, Finite-Lived, Estimated Amortization Expense, Remainder of Fiscal Year Name Awards Close in Time to MNPI Disclosures, Individual Name Real Estate Properties [Line Items] Real Estate Properties [Line Items] Deferred compensation liability Increase (Decrease) in Deferred Compensation Purchases of investments Payments to Acquire Investments Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested [Member] Outstanding Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Intrinsic Value Less: Net Income (Loss) Attributable to Noncontrolling Interest [Abstract] Forfeited (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period General and administrative expense General and Administrative Expense Property, Plant and Equipment, Type [Domain] Long-Lived Asset, Class [Domain] Master Lease Agreements Master Lease Agreements [Member] Master Lease Agreements Schedule of Property, Plant and Equipment [Table] Property, Plant, and Equipment [Table] Adjustment to Compensation: Adjustment to Compensation [Axis] All States Except Colorado All States, Excluding Colorado [Member] All States Except Colorado [Domain] Number of real estate properties Number of Real Estate Properties Refunds, deferred revenue and advances Contracts With Customer, Liability And Customer Refund Liability, Current Resident refunds payable includes amounts due to residents for overpayments and duplicate payments Share Repurchase Program [Axis] Share Repurchase Program [Axis] Rule 10b5-1 Arrangement Terminated Rule 10b5-1 Arrangement Terminated [Flag] Aggregate Erroneous Compensation Amount Aggregate Erroneous Compensation Amount Interest Interest Paid, Excluding Capitalized Interest, Operating Activity Statement of Cash Flows [Abstract] Statement of Cash Flows [Abstract] Private and other Private and other payors Private Pay And Other [Member] Revenue from self-pay and Other payors [Member] Credit Facility [Axis] Credit Facility [Axis] Aggregate Available Trading Arrangement, Securities Aggregate Available Amount Number of Options Vested (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number Name Measure Name INCOME TAXES Income Tax Disclosure [Text Block] Accounts payable Accounts Payable, Current Pay vs Performance Disclosure [Line Items] All Other Other Operating Segment [Member] Fair Value Hierarchy and NAV [Domain] Fair Value Hierarchy and NAV [Domain] 2031 Lessee, Operating Lease, Liability, to be Paid, Year Five Debt Instrument [Line Items] Debt Instrument [Line Items] Consumer price index Lessee, Operating Lease, Consumer Price Index Lessee, Operating Lease, Consumer Price Index CareTrust CareTrust REIT, Inc. [Member] CareTrust REIT [Member] Pay vs Performance Disclosure Pay vs Performance Disclosure [Table] Schedule of Self-Insurance Insurance Liabilities Schedule of Liability for Future Policy Benefits, by Product Segment [Table Text Block] Additional Paid-In Capital Additional Paid-in Capital [Member] Entity Filer Category Entity Filer Category Defined Contribution Plan [Table] Defined Contribution Plan [Table] Indefinite-lived Intangible Assets [Axis] Intangible Asset, Indefinite-Lived, Class [Axis] Equipment Equipment [Member] Investments—current Short-Term Investments The Pennant Group, Inc. Pennant The Pennant Group, Inc. [Member] The Pennant Group, Inc. Campus Operations Campus Operations [Member] Campus Operations Schedule of Reconciliation of the Numerator and Denominator Used in the Calculation of Basic Net Income Per Common Share Schedule of Earnings Per Share, Basic, by Common Class, Including Two Class Method [Table Text Block] 2031 Lessor, Operating Lease, Payment to be Received, Year Five Name Trading Arrangement, Individual Name Other than options, conversion to reduce shares availability Share-Based Compensation Arrangement By Share-Based Payment Award, Other Than Options, Conversion To Reduce Shares Availability Share-Based Compensation Arrangement By Share-Based Payment Award, Other Than Options, Conversion To Reduce Shares Availability Cash and cash equivalents Cash and Cash Equivalent Right-of-use assets Increase (Decrease) In Operating Lease, Right-Of-Use Asset Increase (Decrease) In Operating Lease, Right-Of-Use Asset Rent expense Operating Lease, Expense Concentration Risk Benchmark [Domain] Concentration Risk Benchmark [Domain] Company Selected Measure Amount Company Selected Measure Amount Depreciation and amortization Depreciation and amortization Depreciation, Depletion and Amortization Secured Overnight Financing Rate (SOFR) Secured Overnight Financing Rate (SOFR) [Member] Schedule of Accounts, Notes, Loans and Financing Receivable [Table] Accounts and Financing Receivables [Table] NET INCOME Net income Net Income (Loss), Including Portion Attributable to Noncontrolling Interest Cash surrender value of life insurance policy premiums Life Insurance, Corporate or Bank Owned, Change in Value Current assets: Assets, Current [Abstract] Operating lease, weighted average remaining lease term Operating Lease, Weighted Average Remaining Lease Term Non-PEO NEO Non-PEO NEO [Member] Entity Address, Address Line One Entity Address, Address Line One Qualified Plan Qualified Plan [Member] Right-of-use assets obtained in exchange for new and modified operating lease obligations Right-of-Use Asset Obtained in Exchange for Operating Lease Liability Vested (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value Provision for income taxes Income tax expense Income Tax Expense (Benefit) Customer Concentration Risk Customer Concentration Risk [Member] Cost of services Cost of Product and Service Sold Award Timing Method Award Timing Method [Text Block] Net decrease in cash and cash equivalents Cash, Cash Equivalent, Restricted Cash, and Restricted Cash Equivalent, Period Increase (Decrease), Including Exchange Rate Effect and Discontinued Operation Forgone Recovery, Explanation of Impracticability Forgone Recovery, Explanation of Impracticability [Text Block] NUMERATOR: Net Income (Loss) Attributable to Parent [Abstract] 2028 Lessor, Operating Lease, Payment to be Received, Year Two NET INCOME ATTRIBUTABLE TO THE ENSIGN GROUP, INC. Net income attributable to the Ensign Group, Inc. Net Income (Loss) Attributable to Parent Long-term Debt, Type [Axis] Long-Term Debt, Type [Axis] Schedule of Reconciliation of the Numerator and Denominator Used in the Calculation of Diluted Net Income Per Common Share Schedule of Earnings Per Share, Diluted, by Common Class, Including Two Class Method [Table Text Block] Erroneous Compensation Analysis Erroneous Compensation Analysis [Text Block] Statement [Table] Statement [Table] All Other Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment [Member] Restatement Determination Date: Restatement Determination Date [Axis] Issuance of common stock upon exercise of options Proceeds from Stock Options Exercised Share-based Payment Arrangement, Expensed and Capitalized, Amount [Table] Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table] Non-employee Directors Share-Based Payment Arrangement, Nonemployee [Member] Schedule of Aggregate Intrinsic Value of Options Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Exercisable [Table Text Block] Interest income Investment Income, Interest Weighted Average Exercise Price of Options Vested (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Exercise Price Base Management Fee Management Service, Base [Member] Accrued self-insurance liabilities Increase (Decrease) in Self Insurance Reserve REVENUE Revenues [Abstract] Non-cash financing and investing activity Other Noncash Investing and Financing Items [Abstract] SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Presentation and Significant Accounting Policies [Text Block] Pension Benefits Adjustments, Footnote Pension Benefits Adjustments, Footnote [Text Block]