EXHIBIT 3.93

             CERTIFICATE OF CONVERSION TO LIMITED LIABILITY COMPANY
                                       OF
                   RIO HONDO SUBACUTE AND NURSING CENTER, LLC
                    (A CALIFORNIA LIMITED LIABILITY COMPANY)
                                       TO
                   RIO HONDO 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 Rio Hondo Subacute and Nursing Center, LLC, a
California limited liability company, to Rio Hondo 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. Rio Hondo Subacute and Nursing Center, LLC was first formed on July
19, 2004. The jurisdiction of Rio Hondo Subacute and Nursing Center, LLC at the
time it was first formed was California.

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

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

                   RIO HONDO SUBACUTE AND NURSING CENTER, LLC

         This Certificate of Formation of Rio Hondo 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 Rio
Hondo 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