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Discontinued Operations Statement of Operations, Disposal Group (Details) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Revenue $ 0us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue $ 728us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue $ 1,564us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue
Cost of services (exclusive of facility rent, general and administrative and depreciation and amortization expense shown separately below) 0us-gaap_DisposalGroupIncludingDiscontinuedOperationOperatingExpense (807)us-gaap_DisposalGroupIncludingDiscontinuedOperationOperatingExpense (3,646)us-gaap_DisposalGroupIncludingDiscontinuedOperationOperatingExpense
Charges to discontinued operations for the excess carrying amount of goodwill and other indefinite-lived intangible assets 0ensg_DisposalGroupIncludingDiscontinuedOperationsReductionInExcessCarryingAmountOfGoodwillAndOtherIndefiniteLivedIntangibleAssets (2,837)ensg_DisposalGroupIncludingDiscontinuedOperationsReductionInExcessCarryingAmountOfGoodwillAndOtherIndefiniteLivedIntangibleAssets 0ensg_DisposalGroupIncludingDiscontinuedOperationsReductionInExcessCarryingAmountOfGoodwillAndOtherIndefiniteLivedIntangibleAssets
Disposal Group, Discontinued Operations, Gain (Loss) on Disposal   2,837ensg_DisposalGroupDiscontinuedOperationsGainLossonDisposal  
Facility rent - cost of services 0ensg_DisposalGroupIncludingDiscontinuedOperationsRentExpense (12)ensg_DisposalGroupIncludingDiscontinuedOperationsRentExpense (38)ensg_DisposalGroupIncludingDiscontinuedOperationsRentExpense
Depreciation and amortization 0ensg_DisposalGroupIncludingDisontinuedOperationsDepreciationAndAmortization (33)ensg_DisposalGroupIncludingDisontinuedOperationsDepreciationAndAmortization (106)ensg_DisposalGroupIncludingDisontinuedOperationsDepreciationAndAmortization
Loss from discontinued operations 0us-gaap_DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss (2,961)us-gaap_DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss (2,226)us-gaap_DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss
Benefit from income taxes 0us-gaap_DiscontinuedOperationTaxEffectOfDiscontinuedOperation (1,157)us-gaap_DiscontinuedOperationTaxEffectOfDiscontinuedOperation (869)us-gaap_DiscontinuedOperationTaxEffectOfDiscontinuedOperation
Loss from discontinued operation, net of income tax benefit $ 0us-gaap_DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax $ (1,804)us-gaap_DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax $ (1,357)us-gaap_DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax