The Ensign Group (NASDAQ: ENSG) has cooled off significantly in 2016, following its 23 transactions in 2015. The company has only closed three deals so far this year, including its purchase of the Legend Healthcare properties (with eight skilled nursing facilities in Texas) and a small hospice operation in Iowa. Most recently, Ensign acquired a 171-bed skilled nursing facility in Kansas City, Kansas, which included the operations and the underlying real estate, for an undisclosed price. The facility includes a 10-bed assisted living unit, and was 56% occupied under the ownership of a faith-based not-for-profit. Ensign’s subsidiary, Endura Healthcare, Inc., will take over operations.