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BUSINESS SEGMENTS - Narrative (Details)	12 Months Ended
	Dec. 31, 2023 property segment operation facility
Segment Reporting Information [Line Items]
Number of reportable segments | segment	2
Transitional and skilled service facilities | operation	259
Transitional and skilled services and senior living campuses | operation	27
Number of real estate properties | property	113
Senior living facilities | facility	11
Standard Bearer Healthcare REIT, Inc.
Segment Reporting Information [Line Items]
Number of real estate properties | property	108

X

- Definition

Number of Assisted and Independent Living Facilities

+ References

No definition available.

+ Details

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Namespace Prefix:	ensg_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

X

- Definition

Skilled Service Facilities

+ References

No definition available.

+ Details

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Namespace Prefix:	ensg_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

X

- Definition

Transitional and Skilled Services and Assistant and Independent Living Campuses

+ References

No definition available.

+ Details

Name:	ensg_SkilledServicesAndSeniorLivingCampuses
Namespace Prefix:	ensg_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

X

- Definition

The number of real estate properties owned as of the balance sheet date.

+ References

No definition available.

+ Details

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

X

- Definition

Number of segments reported by the entity. A reportable segment is a component of an entity for which there is an accounting requirement to report separate financial information on that component in the entity's financial statements.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 18
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-18

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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

No definition available.

+ Details

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- Details

Name:	dei_LegalEntityAxis=ensg_StandardBearerHealthcareREITIncMember
Namespace Prefix:
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Period Type: