Ensign Group is a holding company. Through its operating subsidiaries, Co. provides skilled nursing, senior living and rehabilitative services, as well as other ancillary businesses. Co. provides nursing care services for patients with chronic conditions, prolonged illness, and the elderly. Co. also engages in the acquisition and leasing of skilled nursing and senior living properties. Co.'s senior living communities provide residential accommodations, activities, meals, housekeeping and assistance in the activities of daily living to seniors who are independent or who require some support, but not the level of nursing care provided in a skilled nursing operation.