The Ensign Group, Inc. was founded in 1999 and is based in Mission Viejo, California. The Ensign Group, Inc., through its subsidiaries, provides nursing and rehabilitative care services in California, Arizona, Texas, Washington, Utah, Colorado, and Idaho. The company offers nursing and assisted living services; physical, occupational, and speech therapies; and other rehabilitative and healthcare services for long-term residents and short-stay rehabilitation patients. As of December 31, 2009, it owned or leased 77 facilities.