Exhibit 4.1  



	NUMBER

  

    
	 	

 
	 	SHARES

  

    

	
THE ENSIGN GROUP, INC.

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
 COMMON STOCK
 





	
THIS CERTIFIES that	
 	

 	
 	
CUSIP 29358P 10 1

SEE REVERSE SIDE FOR CERTAIN DEFINITIONS
 





is the owner of


FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE $0.001 PER SHARE OF
  THE ENSIGN GROUP, INC. 


transferable only on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this Certificate properly endorsed. This Certificate is not
valid until countersigned by the Transfer Agent and registered by the Registrar.



        IN WITNESS WHEREOF, the said Corporation has caused this Certificate to be signed by the facsimile signatures of its duly authorized officers and its Corporate
seal to be hereunto affixed.



	DATED:

  

/s/ Gregory K. Stapley
 Secretary	 	THE ENSIGN GROUP, INC.

CORPORATE

SEAL

MAY 27,

1999

DELAWARE	 	  

  

/s/ Christopher R. Christensen
 President





COUNTERSIGNED
AND REGISTERED

            REGISTRAR AND TRANSFER COMPANY

            TRANSFER AGENT AND REGISTRAR 


BY










        The
following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or
regulations: 



	 	 	TEN COM	-as tenants in common	 	UNIF GIFT MIN ACT-	        Custodian        
	 	 	TEN ENT	-as tenants by the entireties	 	 	(Cust)                (Minor)
	 	 	JT TEN	-as joint tenants with right of survivorship and not as tenants in common	 	 	under Uniform Gifts to Minors Act

    
                        (State)




Additional
abbreviations may also be used though not in the above list. 


For Value Received,
                                         
        do hereby sell,
assign and transfer unto  



	PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE	 
	
	 
	  

  

    
	 





   






(PLEASE
PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE)

   








                                         
                                          
                                      Shares of the Common Stock represented by the within Certificate, and do hereby irrevocably constitute and appoint
                                         
                                          
                                      Attorney to transfer the
said Shares on the books of the within named Corporation with full power of substitution in the premises.  


Dated:
                                         
                   
  



	

 	
 	

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	 	 	NOTICE:	 	THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.	 	 





Signature(s) Guaranteed



	By:	    
	 
	 	THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM),
PURSUANT TO S.E.C. RULE 17Ad-15.