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        <link:definition>9955527 - Disclosure - COMPUTATION OF NET INCOME PER COMMON SHARE (Details)</link:definition>
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        <link:definition>9955530 - Disclosure - OPERATION EXPANSIONS (Details)</link:definition>
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        <link:definition>9955531 - Disclosure - BUSINESS SEGMENTS - Narrative (Details)</link:definition>
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  <xs:element id="ensg_CampusOperationsMember" abstract="true" name="CampusOperationsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_A2025AcquiredPropertiesMember" abstract="true" name="A2025AcquiredPropertiesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_A2024AcquiredPropertiesMember" abstract="true" name="A2024AcquiredPropertiesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_CareTrustREITInc.Member" abstract="true" name="CareTrustREITInc.Member" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_LeaseArrangementAxis" abstract="true" name="LeaseArrangementAxis" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrldt:dimensionItem" type="xbrli:stringItemType"/>
  <xs:element id="ensg_LeaseArrangementDomain" abstract="true" name="LeaseArrangementDomain" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_StandardBearerMasterLeasesMember" abstract="true" name="StandardBearerMasterLeasesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_ManagementServiceTotalMember" abstract="true" name="ManagementServiceTotalMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_TruistBankMember" abstract="true" name="TruistBankMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_StandardBearerEquityPlanMember" abstract="true" name="StandardBearerEquityPlanMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_NumberOfLeaseArrangements" abstract="false" name="NumberOfLeaseArrangements" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_LesseeLeasingArrangementsOperatingLeasesNumberOfRenewalTerms" abstract="false" name="LesseeLeasingArrangementsOperatingLeasesNumberOfRenewalTerms" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_LesseeOperatingLeaseConsumerPriceIndex" abstract="false" name="LesseeOperatingLeaseConsumerPriceIndex" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="ensg_PropertyManagementFeePercentFeeOfTotalRevenues" abstract="false" name="PropertyManagementFeePercentFeeOfTotalRevenues" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="ensg_PropertyManagementFeePercentFeeOfFundsFromOperations" abstract="false" name="PropertyManagementFeePercentFeeOfFundsFromOperations" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="ensg_SkilledNursingOperationsIncludingLongTermAcuteCareHospitalsMember" abstract="true" name="SkilledNursingOperationsIncludingLongTermAcuteCareHospitalsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_NumberOfLongTermAcuteCareBeds" abstract="false" name="NumberOfLongTermAcuteCareBeds" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_SkilledServicesSegmentMember" abstract="true" name="SkilledServicesSegmentMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_StandardBearerSegmentMember" abstract="true" name="StandardBearerSegmentMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_SegmentIncomeLoss" abstract="false" name="SegmentIncomeLoss" nillable="true" xbrli:periodType="duration" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_OtherIncomeLossNotIncludedInSegmentIncomeLoss" abstract="false" name="OtherIncomeLossNotIncludedInSegmentIncomeLoss" nillable="true" xbrli:periodType="duration" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_EliminationsAndReconcilingItemsMember" abstract="true" name="EliminationsAndReconcilingItemsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_BusinessAndAssetAcquisitionsAxis" abstract="true" name="BusinessAndAssetAcquisitionsAxis" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrldt:dimensionItem" type="xbrli:stringItemType"/>
  <xs:element id="ensg_BusinessAndAssetAcquisitionsDomain" abstract="true" name="BusinessAndAssetAcquisitionsDomain" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_AcquiredPropertiesMember" abstract="true" name="AcquiredPropertiesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_AssembledOccupancyAcquiredMember" abstract="true" name="AssembledOccupancyAcquiredMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_BusinessCombinationAndAssetAcquisitionAssetsAcquiredAndLiabilitiesAssumedNet" abstract="false" name="BusinessCombinationAndAssetAcquisitionAssetsAcquiredAndLiabilitiesAssumedNet" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_DepreciationAndAmortizationMember" abstract="true" name="DepreciationAndAmortizationMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_MedicareAndMedicaidLicensesMember" abstract="true" name="MedicareAndMedicaidLicensesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_QualityAssuranceFee" abstract="false" name="QualityAssuranceFee" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_ContractsWithCustomerLiabilityAndCustomerRefundLiabilityCurrent" abstract="false" name="ContractsWithCustomerLiabilityAndCustomerRefundLiabilityCurrent" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_CashHeldInTrustForResidents" abstract="false" name="CashHeldInTrustForResidents" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_TotalNetDebtRatioMaximum" abstract="false" name="TotalNetDebtRatioMaximum" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:pureItemType"/>
  <xs:element id="ensg_LongTermDebtThresholdForEBITDARatioIncreaseElectionPeriod" abstract="false" name="LongTermDebtThresholdForEBITDARatioIncreaseElectionPeriod" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:durationItemType"/>
  <xs:element id="ensg_LongTermDebtThresholdForEBITDARatioIncreaseElection" abstract="false" name="LongTermDebtThresholdForEBITDARatioIncreaseElection" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_TotalNetDebtRatioMaximumAfterIncreaseElection" abstract="false" name="TotalNetDebtRatioMaximumAfterIncreaseElection" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:pureItemType"/>
  <xs:element id="ensg_TotalNetDebtRatioMinimum" abstract="false" name="TotalNetDebtRatioMinimum" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:pureItemType"/>
  <xs:element id="ensg_HUDInsuredMortgagesMember" abstract="true" name="HUDInsuredMortgagesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_A53PromissoryNoteMember" abstract="true" name="A53PromissoryNoteMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_A23SubsidiariesMember" abstract="true" name="A23SubsidiariesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_PrepaymentFeePeriodAxis" abstract="true" name="PrepaymentFeePeriodAxis" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrldt:dimensionItem" type="xbrli:stringItemType"/>
  <xs:element id="ensg_PrepaymentFeePeriodDomain" abstract="true" name="PrepaymentFeePeriodDomain" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_FirstThreeYearsMember" abstract="true" name="FirstThreeYearsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_InTheFourthYearMember" abstract="true" name="InTheFourthYearMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_YearsFiveThroughTenMember" abstract="true" name="YearsFiveThroughTenMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_AfterYearTenMember" abstract="true" name="AfterYearTenMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_NumberOfOperatingSubsidiaries" abstract="false" name="NumberOfOperatingSubsidiaries" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_PrepaymentPenalty" abstract="false" name="PrepaymentPenalty" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="ensg_ReductionInPrepaymentPenalty" abstract="false" name="ReductionInPrepaymentPenalty" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="ensg_AmendedAndRestated2022OmnibusIncentivePlanMember" abstract="true" name="AmendedAndRestated2022OmnibusIncentivePlanMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_NumberOfStockIncentivePlans" abstract="false" name="NumberOfStockIncentivePlans" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsConversionToReduceSharesAvailability" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsConversionToReduceSharesAvailability" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:pureItemType"/>
  <xs:element id="ensg_ShareBasedCompensationArrangementByShareBasedPaymentAwardOtherThanOptionsConversionToReduceSharesAvailability" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardOtherThanOptionsConversionToReduceSharesAvailability" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:pureItemType"/>
  <xs:element id="ensg_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfInstallments" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfInstallments" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestOutstandingAggregateIntrinsicValue" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestOutstandingAggregateIntrinsicValue" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_ShareBasedCompensationArrangementByShareBasedPaymentAwardRestrictedAwardsExercisePrice" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardRestrictedAwardsExercisePrice" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:perShareItemType"/>
  <xs:element id="ensg_ShareBasedCompensationArrangementByShareBasedPaymentAwardAnnualBonusesIncludedInEquityInstrumentsOtherThanOptionsGrantsInPeriod" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardAnnualBonusesIncludedInEquityInstrumentsOtherThanOptionsGrantsInPeriod" nillable="true" xbrli:periodType="duration" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_OtherStockAwardsMember" abstract="true" name="OtherStockAwardsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_EmployeeServiceShareBasedCompensationNonvestedAwards" abstract="false" name="EmployeeServiceShareBasedCompensationNonvestedAwards" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:sharesItemType"/>
  <xs:element id="ensg_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestNumber" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestNumber" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:sharesItemType"/>
  <xs:element id="ensg_MasterLeaseAgreementsMember" abstract="true" name="MasterLeaseAgreementsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_NewMasterLeaseAgreementMember" abstract="true" name="NewMasterLeaseAgreementMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_TripleNetLeaseArrangementsMember" abstract="true" name="TripleNetLeaseArrangementsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_VariousLandlordsMember" abstract="true" name="VariousLandlordsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_SkilledNursingOperationsAndSeniorLivingFacilitiesMember" abstract="true" name="SkilledNursingOperationsAndSeniorLivingFacilitiesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_NumberOfMasterLeaseAgreements" abstract="false" name="NumberOfMasterLeaseAgreements" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_SubsidiariesUnderMasterLeaseArrangement" abstract="false" name="SubsidiariesUnderMasterLeaseArrangement" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_IncreaseDecreaseInOperatingLeaseRightOfUseAsset" abstract="false" name="IncreaseDecreaseInOperatingLeaseRightOfUseAsset" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_AccruedRentAdjustment" abstract="false" name="AccruedRentAdjustment" nillable="true" xbrli:periodType="duration" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_LeasesToThirdPartyOperatorsMember" abstract="true" name="LeasesToThirdPartyOperatorsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_ThePennantGroupInc.Member" abstract="true" name="ThePennantGroupInc.Member" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_LessorOperatingLeaseNumberOfLeases" abstract="false" name="LessorOperatingLeaseNumberOfLeases" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_ThirdPartyTenantsMember" abstract="true" name="ThirdPartyTenantsMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_RentalMember" abstract="true" name="RentalMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_InvestmentExpenseIncome" abstract="false" name="InvestmentExpenseIncome" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="ensg_PayorAxis" abstract="true" name="PayorAxis" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrldt:dimensionItem" type="xbrli:stringItemType"/>
  <xs:element id="ensg_PayorDomain" abstract="true" name="PayorDomain" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_InsuranceCoverageLimitTypeAxis" abstract="true" name="InsuranceCoverageLimitTypeAxis" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrldt:dimensionItem" type="xbrli:stringItemType"/>
  <xs:element id="ensg_InsuranceCoverageLimitTypeDomain" abstract="true" name="InsuranceCoverageLimitTypeDomain" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_SelfInsuranceRetentionPerClaimMember" abstract="true" name="SelfInsuranceRetentionPerClaimMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_SelfInsuranceRetentionPerClaimEnforceableArbitrationAgreementMember" abstract="true" name="SelfInsuranceRetentionPerClaimEnforceableArbitrationAgreementMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_AggregateDeductibleMember" abstract="true" name="AggregateDeductibleMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_PerOccurenceMember" abstract="true" name="PerOccurenceMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_PerFacilityMember" abstract="true" name="PerFacilityMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_AggregateMember" abstract="true" name="AggregateMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_LossSensitiveLimitPerClaimMember" abstract="true" name="LossSensitiveLimitPerClaimMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_StopLossInsuranceLimitPerClaimMember" abstract="true" name="StopLossInsuranceLimitPerClaimMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_HealthLiabilityInsuranceMember" abstract="true" name="HealthLiabilityInsuranceMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_NonCaliforniaMember" abstract="true" name="NonCaliforniaMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_AllStatesExcludingColoradoMember" abstract="true" name="AllStatesExcludingColoradoMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_AllStatesExcludingCaliforniaTexasAndWashingtonMember" abstract="true" name="AllStatesExcludingCaliforniaTexasAndWashingtonMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_GeneralLiabilityAndProfessionalMalpracticeLiabilityInsuranceMember" abstract="true" name="GeneralLiabilityAndProfessionalMalpracticeLiabilityInsuranceMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_IndependentOperatingSubsidiariesUnderMedicareAndMedicaidProbeReviews" abstract="false" name="IndependentOperatingSubsidiariesUnderMedicareAndMedicaidProbeReviews" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="ensg_May2025RepurchaseProgramMember" abstract="true" name="May2025RepurchaseProgramMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_February2025RepurchaseProgramMember" abstract="true" name="February2025RepurchaseProgramMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_May2024RepurchaseProgramMember" abstract="true" name="May2024RepurchaseProgramMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_August2023RepurchaseProgramMember" abstract="true" name="August2023RepurchaseProgramMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_Dr.AnnS.BlouinMember" abstract="true" name="Dr.AnnS.BlouinMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="ensg_DarenJShawMember" abstract="true" name="DarenJShawMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
</xs:schema>
