Exhibit 3.51

             CERTIFICATE OF CONVERSION TO LIMITED LIABILITY COMPANY
                                       OF
                 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER, LLC
                    (A CALIFORNIA LIMITED LIABILITY COMPANY)
                                       TO
                 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER, LLC
                     (A DELAWARE LIMITED LIABILITY COMPANY)

      This Certificate of Conversion to Limited Liability Company, dated as of
July 19, 2004, is being duly executed and filed by Roland Rapp, as an authorized
person, to convert Fountain View Subacute and Nursing Center, LLC, a California
limited liability company, to Fountain View Subacute and Nursing Center, LLC, a
Delaware limited liability company, under the Delaware Limited Liability Company
Act (6 Del. C. Section 18-101, et seq.).

      1.    Fountain View Subacute and Nursing Center, LLC was first formed on
            July 19, 2004. The jurisdiction of Fountain View Subacute and
            Nursing Center, LLC at the time it was first formed was California.

      2.    Fountain View Subacute and Nursing Center, LLC's name immediately
            prior to the filing of this Certificate of Conversion to Limited
            Liability Company was Fountain View Subacute and Nursing Center,
            LLC.

      3.    The name of Fountain View Subacute and Nursing Center, LLC as set
            forth in its certificate of formation is Fountain View Subacute and
            Nursing Center, LLC.

      IN WITNESS WHEREOF, the undersigned has executed this Certificate of
Conversion to Limited Liability Company as of the date first written above.

                                         /s/ Roland Rapp
                                         ---------------------------------------
                                         Roland Rapp
                                         Authorized Person




                            CERTIFICATE OF FORMATION

                                       OF

                 FOUNTAIN VIEW SUBACUTE AND NURSING CENTER, LLC

      This Certificate of Formation of Fountain View Subacute and Nursing
Center, LLC, dated as of July 19, 2004, is being duly executed and filed by
Roland Rapp, as an authorized person, to form a limited liability company under
the Delaware Limited Liability Company Act (6 Del.C. Section 18-101, et. seq.).

      FIRST. The name of the limited liability company formed hereby is Fountain
View Subacute and Nursing Center, LLC.

      SECOND. The address of the registered office and the name and the address
of the registered agent of the limited liability company required to be
maintained by Section 18-104 of the Delaware Limited Liability Company Act are
National Registered Agents, Inc., 9 East Loockerman Street, Suite 1B, Dover,
Kent County, Delaware 19901.

           IN WITNESS WHEREOF, the undersigned has executed this Certificate of
Formation as of the date first above written.

                                                      /s/
                                         ---------------------------------------
                                         Roland Rapp
                                         Authorized Person