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BUSINESS SEGMENTS - Narrative (Details) | 3 Months Ended
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Mar. 31, 2024 property segment operation
Segment Reporting Information [Line Items] |
Number of reportable segments | segment | 2
Transitional and skilled service facilities | 264
Transitional and skilled services and senior living campuses | 27
Number of real estate properties | property | 114
Senior living facilities | 11
Standard Bearer Healthcare REIT, Inc. |
Segment Reporting Information [Line Items] |
Number of real estate properties | property | 109

X
- Definition Number of Assisted and Independent Living Facilities + References No definition available. + Details
Name: | ensg_SeniorLivingFacilities
Namespace Prefix: | ensg_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | instant

X
- Definition Skilled Service Facilities + References No definition available. + Details
Name: | ensg_SkilledServiceFacilities
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
Name: | us-gaap_NumberOfRealEstateProperties
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 + Details
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Balance Type: | na
Period Type: | duration

X
- 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
Name: | us-gaap_SegmentReportingInformationLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | dei_LegalEntityAxis=ensg_StandardBearerHealthcareREITIncMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |