The Ensign Group Adds Skilled Nursing Facility in California

Rhea-AI Summary

The Ensign Group has expanded its healthcare portfolio with multiple strategic acquisitions. The company acquired Toluca Lake Transitional Care, a 52-bed skilled nursing facility in North Hollywood, California, with its real estate to be acquired by Standard Bearer Healthcare REIT. Additionally, Ensign acquired operations of two Idaho facilities: Ironwood Rehabilitation (80 beds) and Lakeside Rehabilitation (100 beds) in Coeur d'Alene. These acquisitions bring Ensign's portfolio to 347 healthcare operations, including 44 senior living facilities across 17 states. The company owns 144 real estate assets through its subsidiaries. The California facility was part of a larger seven-facility acquisition from Providence Home and Community Care announced in December 2024, while the Idaho facilities operate under a long-term triple net master lease with a third-party landlord.

Positive

• Expansion of portfolio with three additional skilled nursing facilities totaling 232 beds
• Strategic growth in established California market through Providence acquisition
• Geographic diversification with entry into Idaho market
• Increased real estate portfolio through Standard Bearer Healthcare REIT
• Growing presence across 17 states with 347 healthcare operations

Negative

• None.

Insights

Healthcare Industry Analyst

Ensign expands portfolio with three strategic skilled nursing acquisitions, boosting capacity by 232 beds across California and Idaho.

The Ensign Group continues to execute its expansion strategy with the acquisition of three additional skilled nursing facilities adding a combined 232 beds to its portfolio. The California acquisition (Toluca Lake Transitional Care) represents 52 beds in North Hollywood, with operations and real estate being acquired through different Ensign entities - the latter through Standard Bearer Healthcare REIT, their captive real estate company.

The two Idaho facilities in Coeur d'Alene (Ironwood and Lakeside) add 80 and 100 beds respectively, structured differently with operations-only acquisitions under triple-net lease agreements with a third-party landlord. This dual approach demonstrates Ensign's flexible capital allocation strategy - full ownership in strategic markets while using lease structures elsewhere to optimize capital deployment.

These transactions bring Ensign's portfolio to 347 healthcare operations (including 44 senior living operations) across 17 states, with 144 owned real estate assets. The California facility strengthens Ensign's presence in what management describes as "one of our best markets," potentially creating operational synergies through increased regional density.

The strategic significance lies in Ensign's methodical growth approach, with the California facility being part of a previously announced larger acquisition from Providence Home and Community Care. This systematic expansion combines both operations and selective real estate ownership, allowing the company to leverage scale advantages in staffing, procurement, and administrative functions while maintaining a balanced capital structure.

SAN JUAN CAPISTRANO, Calif., June 02, 2025 (GLOBE NEWSWIRE) -- The Ensign Group, Inc. (Nasdaq: ENSG), the parent company of the Ensign^TM group of companies, which invest in and provide skilled nursing and senior living services, physical, occupational and speech therapies, other rehabilitative and healthcare services, and real estate, announced today that it acquired the operations of Toluca Lake Transitional Care, a 52-bed skilled nursing facility located in North Hollywood, California. The real estate will be acquired by a subsidiary of Standard Bearer Healthcare REIT, Inc., Ensign’s captive real estate company, following receipt of state regulatory approvals. The acquisition was part of the larger acquisition of seven other facilities from Providence Home and Community Care, which was announced in December 2024. The acquisition was effective June 1, 2025.

“We are grateful for the chance to continue the legacy of this spectacular facility” said Barry Port, Ensign's Chief Executive Officer. “This facility is a great addition to one of our best markets and we’re excited for the continued growth in California” he added.

Adam Willits, President of Flagstone Healthcare South LLC, Ensign’s California subsidiary, added “This facility is a tremendous fit for us. We can’t wait to work with the extraordinary team of caregivers at the facility and work with them to provide excellent care and service to our residents.”

In a separate transaction on the same day, Ensign announced that it acquired the operations of Ironwood Rehabilitation and Care Center, an 80-bed skilled nursing facility located in Coeur d’Alene, Idaho and Lakeside Rehabilitation and Care Center, a 100-bed skilled nursing facility also located in Coeur d’Alene, Idaho. These acquisitions are subject to a long-term triple net master lease with a third-party landlord.

These acquisitions were effective as of June 1, 2025, and bring Ensign's growing portfolio to 347 healthcare operations, which includes 44 senior living operations, across 17 states.  Ensign subsidiaries, including Standard Bearer, own 144 real estate assets. Mr. Port reaffirmed that Ensign is actively seeking opportunities to acquire real estate and to lease both well-performing and struggling skilled nursing, senior living and other healthcare related businesses throughout the United States.

About Ensign^TM

The Ensign Group, Inc.'s independent operating subsidiaries provide a broad spectrum of skilled nursing and senior living services, physical, occupational and speech therapies and other rehabilitative and healthcare services at 347 healthcare facilities in Alabama, Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin. More information about Ensign is available at http://www.ensigngroup.net.

Contact Information

The Ensign Group, Inc., (949) 487-9500, ir@ensignservices.net 

SOURCE: The Ensign Group, Inc.

FAQ

How many facilities did ENSG acquire in June 2025?

ENSG acquired three facilities: one 52-bed facility in California and two facilities in Idaho with 80 and 100 beds respectively.

What is the total number of healthcare facilities operated by Ensign Group after these acquisitions?

After these acquisitions, Ensign Group operates 347 healthcare facilities, including 44 senior living operations across 17 states.

How many real estate assets does Ensign Group own through its subsidiaries?

Ensign Group owns 144 real estate assets through its subsidiaries, including Standard Bearer Healthcare REIT.

Where are the newly acquired ENSG facilities located?

The newly acquired facilities are located in North Hollywood, California (Toluca Lake Transitional Care) and Coeur d'Alene, Idaho (Ironwood Rehabilitation and Lakeside Rehabilitation).

Was the California facility acquisition part of a larger deal?

Yes, the Toluca Lake Transitional Care facility was part of a larger acquisition of seven facilities from Providence Home and Community Care, announced in December 2024.