Ensign Group. CNA, LPN & RN careers.
~320 skilled nursing and senior living facilities operating in 14 states.
About Ensign Group
The Ensign Group (NASDAQ: ENSG) runs around 320 skilled nursing, assisted living, and home health operations across 14 states. The company uses a decentralized model. Each facility has significant local autonomy, and Ensign credits this approach for its CMS star ratings, which have historically run on the higher end for the industry.
Source: Ensign Group SEC filings and investor relations (NASDAQ: ENSG, 2024)
Check CMS star ratings at Medicare.gov/care-compare →What it's like to work at Ensign Group
Because every facility runs on its own, culture and management style change a lot from one Ensign location to the next. Staff often say their relationship with local leadership feels closer than at more top-down chains. Ensign promotes from within and has internal pathways for CNAs moving toward LPN and RN. Look up the specific facility's star rating at Medicare.gov/care-compare before you commit.
Credentials hired at Ensign Group
CNAs handle hands-on resident care. Bathing, dressing, feeding, vitals. Usually the entry point into any long-term care chain.
LPNs handle medication passes, wound care, and coordination with RN supervisors. A middle-tier clinical role, and large chains hire a lot of them.
RNs run floors as charge nurses, supervisors, or specialty nurses. Large chains tend to have internal paths from floor RN up to Director of Nursing (DON).
Large chain vs. Independent facility
Advantages of large chains
- Standardized benefit packages (health, dental, 401k)
- Formal training and orientation programs
- Internal transfer opportunities if you relocate
- Career ladder programs (CNA → LPN → RN)
- Larger HR and compliance infrastructure
Considerations at large chains
- Quality varies by individual facility, not just brand
- More bureaucratic processes for scheduling and HR
- Staffing ratios may vary by location
- Management turnover can affect facility culture
- Always check CMS star ratings for the specific facility
Other major nursing home chains
Find CNA, LPN & RN roles at partner facilities.
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