FORM 5 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). Form 3 Holdings Reported Form 4 Transactions Reported

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person * Christensen Roy E 2. Issuer Name and Ticker or Trading Symbol ENSIGN GROUP, INC [ENSG] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) __X__ Director __X__ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chairman of the Board (Last) (First) (Middle) 27101 PUERTA REAL, SUITE 450 3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year) 12/31/2008 (Street) MISSION VIEJO, CA 92691 4. If Amendment, Date Original Filed(Month/Day/Year) 6. Individual or Joint/Group Reporting (check applicable line) ___ Form Filed by One Reporting Person _X_ Form Filed by More than One Reporting Person (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Amount (A) or (D) Price Common Stock 06/26/2008   G 5,000 D $ 0 3,403,651 (1) I (2) Christensen Family Trust Dated 8/17/92 Common Stock 08/29/2008   G 25,000 D $ 0 3,403,651 (1) I (2) Christensen Family Trust Dated 8/17/92 Common Stock 11/18/2008   G 12,000 D $ 0 3,403,651 (1) I (2) Christensen Family Trust Dated 8/17/92

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

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SEC 2270 (9-02)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3)

2. Conversion or Exercise Price of Derivative Security

3. Transaction Date (Month/Day/Year)

3A. Deemed Execution Date, if any (Month/Day/Year)

4. Transaction Code (Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5)

6. Date Exercisable and Expiration Date (Month/Day/Year)

7. Title and Amount of Underlying Securities (Instr. 3 and 4)

8. Price of Derivative Security (Instr. 5)

9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4)

10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)

11. Nature of Indirect Beneficial Ownership (Instr. 4)

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
Christensen Roy E 27101 PUERTA REAL, SUITE 450 MISSION VIEJO, CA 92691	  X	  X	  Chairman of the Board	Â
Christensen Family Trust dated 8/17/92 27101 PUERTA REAL, SUITE 450 MISSION VIEJO, CA 92691	Â	  X	Â	Â
Christensen Carol M. 27101 PUERTA REAL, SUITE 450 MISSION VIEJO, CA 92691	Â	  X	Â	Â

Signatures

Daniel H. Walker, as attorney-in-fact for Roy E. Christensen		02/13/2009
**Signature of Reporting Person		Date
Daniel H. Walker, as attorney-in-fact for Christensen Family Trust 8/17/92		02/13/2009
**Signature of Reporting Person		Date
Daniel H. Walker, as attorney-in-fact for Carol M. Christensen		02/13/2009
**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	This number represents the number of shares held as of December 31, 2008 and does not reflect the number of shares held at the time these gifts were made.
(2)	These shares are directly owned by the Christensen Family Trust Dated 8/17/92, as ten percent owner of the issuer, and indirectly by Roy E. Christensen and Carol M. Christensen as trustees of the trust. Roy E. Christensen is a director, officer and ten percent owner of the issuer. Carol M. Christensen is a ten percent owner of the issuer.

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