Item 5.07. Submission of Matters to a Vote of Security Holders.

The 2020 Annual Meeting of Stockholders (the "Annual Meeting") of The Ensign Group, Inc. (the "Company") was held on May 27, 2021. The number of issued and outstanding shares of the Company's common stock entitled to vote at the Annual Meeting was 54,953,285. These shares were issued and outstanding as of April 1, 2021, which was the record date for the Annual Meeting. There were present at the Annual Meeting, either in person or by proxy, 51,260,088 shares of the Company's common stock. The matters voted upon at the Annual Meeting and the results of the votes were as follows:

1.The two nominees named below were elected to serve as Class II directors of the board of directors, to serve until the 2024 Annual Meeting, until a successor is elected and qualified, and the voting rights were as follows:


                                                      Votes           Votes
               Nominee                                 For           Against        Abstain(a)

    Class II directors elected for a three-year term
    Christopher R. Christensen                      44,728,704      3,222,695         5,080
    Daren J. Shaw                                   45,014,291      2,935,649         6,539

2. The selection of Deloitte & Touche LLP as our independent registered public accounting firm for the year ending December 31, 2021 was ratified, and the voting results were as follows:


                     Votes For        Votes Against       Abstentions(b)
                     49,356,289         1,897,891              5,908

3. The compensation paid to the company's named executive officers, as disclosed pursuant to Item 402 of Regulation S-K, including the Compensation Discussion and Analysis, compensation tables and narrative discussion, was approved on an advisory basis, and the voting results were as follows:


                     Votes For        Votes Against       Abstentions(b)
                     45,462,537         2,477,947             15,995

(a)The number of Broker non-votes was 3,303,609. Abstentions and broker non-votes are not counted as a vote caste either "For" or "Against" each nominee's election. (b)Abstentions were counted as shares entitled to vote and had the same effect as votes against the proposal. Broker non-votes were treated as not entitled to vote for purposes of determining approval of this proposal.

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