Exhibit 10.4  


THE ENSIGN GROUP, INC.

NON-INCENTIVE STOCK OPTION AGREEMENT  


        This NON-INCENTIVE STOCK OPTION AGREEMENT
(the "Agreement") is made this                          day of
                        ,
                         by and between The Ensign Group, Inc., a Delaware
corporation
(the "Company") and                         , an individual resident of
                        ,
                         ("Optionee"). All capitalized terms used herein but
not defined herein shall have the meanings given to
them in The Ensign Group, Inc. 2007 Omnibus Incentive Plan (the "Plan"). 


        1.    Grant of Option.    The Company hereby grants Optionee, on the date such grant was approved by the Committee
(the "Grant Date"), the option (the "Option") to purchase all or any part of an aggregate
of                          shares (the "Shares") of Common Stock of
the Company at the exercise price of
$                         per share according to the terms and conditions set forth in this Agreement and in the Plan. The
Option will not be treated as an incentive stock option
within the meaning of Section 422 of the Internal Revenue Code of 1986, as amended (the "Code"). The Option is issued under the Plan and
is subject to its terms and conditions. A copy of the Plan will be furnished upon request of Optionee. 


        The
Option shall terminate at the close of business ten years from the Grant Date (the "Expiration Date") unless sooner terminated
or cancelled in accordance with this Agreement or the Plan. 


        2.    Vesting of Option Rights.    


        (a)   Except
as otherwise provided in this Agreement, the Option may be exercised for vested Shares by Optionee in accordance with the following schedule: 



	On or after each of

the following dates
	 	Number of Shares

with respect to which

the Option is vested and

exercisable

	
 	
 	

 
	
 	
 	

 
	
 	
 	

 






        (b)   During
the lifetime of Optionee, the Option shall be exercisable only by Optionee and shall not be assignable or transferable by Optionee, other than by will or the laws
of descent and distribution; provided however, that Optionee may transfer the Option to any "Family Member" (as such term is
defined in the General Instructions to Form S-8 (or any successor to such Instructions or such Form) under the Securities Act),  provided that the Participant may not receive any consideration
for such transfer, the Family Member may not make any subsequent transfers other than by
will or by the laws of descent and distribution and the Company receives written notice of such transfer. 


        3.    Exercise of Option after Death or Termination of Service.    The Option shall terminate and may no longer be
exercised if Optionee ceases to provide Service to the Company or its affiliates, except that: 


        (a)   If
Optionee's Service shall be terminated for any reason, voluntary or involuntary, other than for "Cause"
(as defined in Section 3(e)) or Optionee's death or disability (within the meaning of Section 22(e)(3) of the Code), Optionee may at any time within a period of
3 months after such termination exercise the Option to the extent the Option was vested and exercisable by Optionee on the date of the termination of Optionee's Service. 


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        (b)   If
Optionee's Service is terminated for Cause, the Option shall be terminated as of the date of the act giving rise to such termination. 


        (c)   If
Optionee shall die while the Option is still exercisable according to its terms or if Optionee's Service is terminated because Optionee has become disabled (within
the meaning of Section 22(e)(3) of the Code) while providing Service to the Company and Optionee shall not have fully exercised the Option, such Option may be exercised at any time within
12 months after Optionee's death or date of termination of Service for disability by Optionee, personal representatives or administrators or guardians of Optionee, as applicable or by any
person or persons to whom the Option is transferred by will or the applicable laws of descent and distribution, to the extent of the full number of Shares Optionee was entitled to purchase under the
Option on (i) the earlier of the date of death or termination of Service or (ii) the date of termination for such disability, as applicable. 



        (d)   Notwithstanding
the above, in no case may the Option be exercised to any extent by anyone after the Expiration Date of the Option. 


        (e)   "Cause" shall mean (i) the willful and continued failure by Optionee substantially to perform his or her duties
and obligations (other than any such failure resulting from his or her incapacity due to physical or mental illness), (ii) Optionee's conviction or plea bargain of any felony or gross
misdemeanor involving moral turpitude, fraud or misappropriation of funds or (iii) the willful engaging by Optionee in misconduct which causes substantial injury to the Company or its
affiliates, its other employees or the employees of its affiliates or its clients or the clients of its affiliates, whether monetarily or otherwise. For purposes of this paragraph, no action or
failure to act on Optionee's part shall be considered "willful" unless done or omitted to be done, by Optionee in bad faith and without reasonable
belief that his or her action or omission was in the best interests of the Company. However, if the term or concept has been defined in an employment agreement between the Company and Optionee, then
Cause shall have the definition set forth in such employment agreement. The foregoing definition shall not in any way preclude or restrict the right of the Company (or any Affiliate) to
discharge or dismiss Optionee or other person providing Service to the Company (or any Affiliate) for any other acts or omissions but such other acts or omissions shall not be deemed, for
purposes of this Agreement, to constitute grounds for termination for Cause. 


        4.    Method of Exercise of Option.    Subject to the foregoing, the Option may be exercised in whole or in part from
time to time by serving written notice of exercise on the Company at its principal office within the Option period. The notice shall state the number of Shares as to which the Option is being
exercised and shall be accompanied by payment of the exercise price. Payment of the exercise price shall be made (i) in cash (including bank check, personal check or money order payable to the
Company), or (ii) with the approval of the Company (which may be given in its sole discretion), by delivering to the Company for cancellation shares of the Company's Common Stock already owned
by Optionee having a Fair Market Value (as defined in the Plan) equal to the full exercise price of the Shares being acquired. Subject to Section 402 of the Sarbanes-Oxley Act of 2002,
to the extent this Option is exercised for vested Shares, the Option may be exercised in whole or in part from time to time through a special sale and remittance procedure pursuant to which Optionee
shall concurrently provide irrevocable instructions (1) to Optionee's brokerage firm to effect the immediate sale of the purchased Shares and remit to the Company, out of the sale
proceeds available on the settlement date, sufficient funds to cover the aggregate exercise price payable for the purchased Shares plus all applicable income and employment taxes required to be
withheld by the Company by reason of such exercise, and (2) to the Company to deliver the certificates for the purchased Shares directly to such brokerage firm in order to complete
the sale. 


        5.    Miscellaneous.    


        (a)    Plan Provisions Control.    In the event that any provision of the Agreement conflicts with or is inconsistent
in any respect with the terms of the Plan, the terms of the Plan shall control. This 


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Agreement
(and any addendum hereto) and the Plan together constitute the entire agreement between the parties hereto with regard to the subject matter hereof. 


        (b)    No Rights of Stockholders.    Neither Optionee, Optionee's legal representative nor a permissible assignee of
this Option shall have any of the rights and privileges of a stockholder of the Company with respect to the Shares, unless and until such Shares have been issued in the name of Optionee, Optionee's
legal representative or permissible assignee, as applicable. 


        (c)    No Right to Employment.    The grant of the Option shall not be construed as giving Optionee the right to be
retained in the employ of, or as giving a director of the Company or an Affiliate (as defined in the Plan) the right to continue as a director of the Company or an Affiliate with, the Company
or an Affiliate, nor will it affect in any way the right of the Company or an Affiliate to terminate such employment or position at any time, with or without cause. In addition, the Company or an
Affiliate may at any time dismiss Optionee from employment, or terminate the term of a director of the Company or an Affiliate, free from any liability or any claim under the Plan or the Agreement.
Nothing in the Agreement shall confer on any person any legal or equitable right against the Company or any Affiliate, directly or indirectly, or give rise to any cause of action at law or in equity
against the Company or an Affiliate. The Option granted hereunder shall not form any part of the wages or salary of Optionee for purposes of severance pay or termination indemnities, irrespective of
the reason for termination of employment. Under no circumstances shall any person ceasing to be an employee of the Company or any Affiliate be entitled to any compensation for any loss of any right or
benefit under the Agreement or Plan which such employee might otherwise have enjoyed but for termination of employment, whether such compensation is claimed by way of damages for wrongful or unfair
dismissal, breach of contract or otherwise. By participating in the Plan, Optionee shall be deemed to have accepted all the conditions of the Plan and the Agreement and the terms and conditions of any
rules and regulations adopted by the Committee and shall be fully bound thereby. 


        (d)    Governing Law.    The validity, construction and effect of the Plan and the Agreement, and any rules and
regulations relating to the Plan and the Agreement, shall be determined in accordance with the internal laws, and not the law of conflicts, of the State of Delaware. 



        (e)    Severability.    If any provision of the Agreement is or becomes or is deemed to be invalid, illegal or
unenforceable in any jurisdiction or would disqualify the Agreement under any law deemed applicable by the Committee (as defined in the Plan), such provision shall be construed or deemed
amended to
conform to applicable laws, or if it cannot be so construed or deemed amended without, in the determination of the Committee, materially altering the purpose or intent of the Plan or the Agreement,
such provision shall be stricken as to such jurisdiction or the Agreement, and the remainder of the Agreement shall remain in full force and effect. 



        (f)    No Trust or Fund Created.    Neither the Plan nor the Agreement shall create or be construed to create a trust
or separate fund of any kind or a fiduciary relationship between the Company or any Affiliate and Optionee or any other person. 


        (g)    Headings.    Headings are given to the Sections and subsections of the Agreement solely as a convenience to
facilitate reference. Such headings shall not be deemed in any way material or relevant to the construction or interpretation of the Agreement or any provision thereof. 



        (h)    Conditions Precedent to Issuance of Shares.    Shares shall not be issued, and the Company shall not have any
liability for failure to issue Shares, pursuant to the exercise of the Option unless such exercise and the issuance and delivery of the applicable Shares pursuant thereto shall comply with all
relevant provisions of law, including, without limitation, the Securities Act of 1933, as amended, the Exchange Act of 1934, as amended, the rules and regulations promulgated thereunder, the
requirements of any applicable Stock Exchange and the Delaware General Corporation Law. As a condition to the exercise of the purchase price relating to the Option, the Company may require that 


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the
person exercising or paying the purchase price represent and warrant that the Shares are being purchased only for investment and without any present intention to sell or distribute such Shares if,
in the opinion of counsel for the Company, such a representation and warranty is required by law. 


        (i)    Withholding.    In order to provide the Company with the opportunity to claim the benefit of any income tax
deduction which may be available to it upon the exercise of the Option and in order to comply with all applicable federal or state income tax laws or regulations, the Company may take such action as
it deems appropriate to insure that, if necessary, all applicable federal or state payroll, withholding, income or other taxes are withheld or collected from Optionee. 


        (j)    Consultation With Professional Tax and Investment Advisors.    The holder of this Award acknowledges that the
grant, exercise, vesting or any payment with respect to this Award, and the sale or other taxable disposition of the Shares acquired pursuant to the exercise thereof, may have tax consequences
pursuant to the Code or under local, state or international tax laws. The holder further acknowledges that such holder is relying solely and exclusively on the holder's own professional tax and
investment advisors with respect to any and all such matters (and is not relying, in any manner, on the Company or any of its employees or representatives). Finally, the holder understands and
agrees that any and all tax consequences resulting from the Award and its grant, exercise, vesting or any payment with respect thereto, and the sale or other taxable disposition of the Shares acquired
pursuant to the Plan, is solely
and exclusively the responsibility of the holder without any expectation or understanding that the Company or any of its employees or representatives will pay or reimburse such holder for such taxes
or other items. 


        IN WITNESS WHEREOF, the Company and Optionee have executed this Agreement on the date set forth in the first paragraph. 



	 	 	THE ENSIGN GROUP, INC.
	
 	
 	

 	

 
	

 	
 	

By:	


	

 	
 	

Name:	


	

 	
 	

Title:	


	

 	
 	

 	

 
	
 	
 	
[OPTIONEE]
	
 	
 	

 	

 
	
 	
 	

 	

 
	 	 	

	

 	
 	

Name:	






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