$3,100,000Pressure sore death
$2,333,000Fall involving traumatic brain injury
$1,500,000Bedsore settlement
$1,499,000Dementia patient injury
$1,250,000Repeated fall injuries

Ensign Group Nursing Home Sample Negligence Verdicts & Lawsuit

The Ensign Group Inc. is one of the nation’s largest nursing home chains. However, like many of the large nursing home chains, the Ensign Group has experienced problems in the care that it provides to residents of its homes. As a result, there have been a number of lawsuits filed against The Ensign Group both by residents’ families as well as whistleblowers.

Ensign Group at a Glance

Number of
Headquarters29222 Rancho Viejo Road, Suite 127
San Juan Capistrano, CA 92675
Year founded1999
Type of Care
In-House Therapy
Skilled Nursing
Assisted & Independent Living

The Ensign Group owns or operates over 230 locations that are spread across 13 states. 181 of these locations are considered skilled nursing facilities, and the company has nearly 19,000 beds in these locations. According to the 2017 Annual Report, The Ensign Group owns 63 of these facilities and leases the rest under a long-term agreement.

The Ensign Group operates under a unique structure insofar as it claims that each of its homes is operated by an independent subsidiary. Each operating subsidiary is treated as a portfolio company. The company claims that this structure allows for local decision-making for each facility.

Using Corporate Shells to Insulate Itself From Liability in Nursing Home Negligence Lawsuits

Nevertheless, The Ensign Group may be held legally responsible for the actions of its subsidiaries in a lawsuit against The Ensign Group. The company has attended to use this structure to shield the parent company from liability for the actions of the subsidiary. However, courts have seen fit to hold The Ensign Group legally responsible.

In a 2011 lawsuit against The Ensign Group, the company attempted to argue that it should not be responsible for any injuries suffered at the homes of its subsidiary. However, a court explained why it was necessary to hold The Ensign Group responsible. The court found that The Ensign Group directly engages in the control of the nursing home and holds itself out to the public as an operator of nursing homes. This defeated the company’s attempt to insulate itself from legal responsibility through the use of a complex corporate structure.

The Ensign Group is very aggressive in its acquisition strategy when it comes to purchasing nursing homes. The company has grown by a large amount in the past ten years. From the period between 2012 and 2017, The Ensign Group purchased 128 facilities. This more than doubled the size of the chain.

The Ensign Group is a publicly-traded company. At this writing, its market capitalization is roughly $2.5 billion. In 2018, the company made nearly $100 million in operating profits spread out among all of its business segments, including its assisted living operations.

The Ensign Group has faced several lawsuits alleging that it provided with residents with insufficient care that has caused injury to residents. There have been several lawsuits alleging that Ensign Group nursing homes providing insufficient care to prevent and treat pressure ulcers. Most pressure ulcers are considered avoidable so long as staff shifts the resident’s position every two hours. Typically pressure ulcers that grow and become infected are the result of some sort of lack of care that can rise to the level of neglect.

Here are some of the lawsuits that have been filed against The Ensign Group:

Lawsuits Against the Ensign Group for Pressure Ulcers

Lawsuit Filed in California – The resident developed a small pressure ulcer on her back. The lawsuit alleged that due to the nursing home’s lack of care and treatment, the ulcer grew to a baseball-sized wound that became infected. The family transferred the resident to another nursing home in order for her to receive better treatment.

Settlement ($800,000) in California – The resident allegedly suffered an incurable dislocated hip and well as pressure ulcers to her heels while she was under the care of the nursing home. The lawsuit alleged that the resident was not provided with sufficient pain management, nor was she given a timely and appropriate assessment of her condition. In fact, the dislocation was not even discovered until she was moved to another facility. An attempt at the surgery to fix the dislocation was unsuccessful, leading to a permanent disability.

Lawsuits Against the Ensign Group for Inadequate Staffing

Settlement ($3,000,000) in California – There was a class-action lawsuit that was filed against The Ensign Group for not having sufficient health care staffing at its nursing facilities in the state to provide an adequate level of care for residents. State regulations mandate that each nursing home provide residents with a minimum amount of nursing time for each resident each day. There is a cause of action if the nursing home does not comply. The lawsuit also alleged that the nursing home made fraudulent claims related with the false claims act with their marketing.

Whistleblower Lawsuit Against the Ensign Group for Fraudulent Billing

Settlement ($48,000,000) in California – There was a whistleblower lawsuit filed against The Ensign Group for Medicare fraud. The nursing home chain ordered treatment for residents that they did not need in order to increase their Medicare billings. The lawsuit was brought under the False Claims Act by federal prosecutors and covered six nursing homes in the chain.

The attorneys at the Nursing Home Law Center have years of experience in dealing with skilled nursing facilities such as the Ensign Group that sometimes put profits over the care of their residents. We help families exercise their legal rights when they have been violated at a nursing home. We are familiar with the many different types of injuries that residents can sustain at a nursing home and know how to litigate them to the conclusion. Call us today at (800) 726-9565 to set up your free no-risk case consultation.

For more information on Ensign facilities, look at the pages below:



  • Rock Canyon Respiratory and Rehabilitation Center


  • Gateway Transitional Care Center


  • Careage Hills Rehabilitation and Healthcare Center
  • Clarion Wellness and Rehabilitation Center
  • Fort Dodge Health and Rehabilitation Center


  • Colonial Manor of Randolph
  • Keystone Ridge Post Acute Nursing and Rehabilitation Center
  • Omaha Nursing and Rehabilitation Center

South Carolina

  • Millennium Post Acute Rehabilitation Center
  • Opus Post Acute Rehabilitation Center
  • Rock Hill Post Acute Care Center


  • Golden Acres Living and Rehabilitation Center
  • Heritage Gardens Rehabilitation and Healthcare Center
  • Legend Oaks Healthcare and Rehabilitation Center – Kyle
  • Legend Oaks Healthcare and Rehabilitation Center – North
  • Legend Oaks Healthcare and Rehabilitation Center
  • Mesa Springs Healthcare Center
  • Northern Oaks Living and Rehabilitation Center
  • Sonterra Health Center
  • Stillhouse Rehabilitation and Healthcare Center
  • The Courtyard Rehabilitation and Healthcare Center
  • The Mildred and Shirley L Garrison Geriatric Education and Care Center
  • Wellington Rehabilitation and Healthcare


  • City Creek Post Acute Nursing Center
  • Orem Rehabilitation and Nursing Center
  • Paramount Health and Rehabilitation Center
  • St George Rehabilitation Center


  • Mountain View Rehabilitation and Care Center
  • Redmond Care and Rehabilitation Center

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