nursing home in Eustis, FL
Ruleme Center
2810 Ruleme St, Eustis, FL 32726 · (352) 357-1990
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Ruleme Center at a glance
Ruleme Center is a 138-bed for-profit nursing home in Eustis, Florida (Lake County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Florida average of 3.3.
Residents receive about 3.6 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (January 23, 2026) found 5 health citations. The Florida average is 7.1.
Federal regulators fined it 2 times in the past three years, totaling $24,889.
Nursing staff turnover is 63.6% per year (state average 41.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 138
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Aston Health
- Medicare-certified since
- August 1, 1994
- Resident/family council
- None
- County
- Lake County
- CMS Certification Number
- 105855
Ratings
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.2 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.56 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.73 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.12 hrs | 2.31 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.24 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 63.6% | 41.4% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 90.9% | 46% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 28 | 63 | 80.6 | Better |
Penalties
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $24,889 | $24,361 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 138 | 122 | 107 | |
| Average residents per day | 118 | 109 | 86 | |
| Occupancy | 85.1% | 88.9% | 80.9% |
Long-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.9% | 2.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11.7% | 8.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.7% | 8.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.1% | 9.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.3% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4.4% | 4.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 29.3% | 14.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 22.5% | 10.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 99.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.6% | 98.2% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.7% | 94.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.1% | 95.2% | 82% | Average |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 23, 2026 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected February 23, 2026 |
| January 23, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected February 23, 2026 |
| January 23, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected February 23, 2026 |
| January 23, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected February 23, 2026 |
| January 23, 2026 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected February 23, 2026 |
| January 23, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected February 23, 2026 |
| January 23, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 23, 2026 |
| January 23, 2026 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected February 23, 2026 |
| January 23, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected February 23, 2026 |
| January 30, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 13, 2025 |
| August 22, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 22, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 22, 2024 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | D Potential harm, isolated | Corrected September 26, 2024 |
| August 22, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 26, 2024 |
| December 6, 2023 Complaint | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | J Immediate jeopardy, isolated | Corrected November 24, 2023 |
| December 6, 2023 Complaint | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0773 | D Potential harm, isolated | Corrected December 20, 2023 |
| December 6, 2023 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 20, 2023 |
| April 20, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 7, 2023 |
| April 20, 2023 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected June 7, 2023 |
| April 20, 2023 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | F Potential harm, widespread | Corrected June 7, 2023 |
| April 20, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 18, 2023 |
| April 20, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 18, 2023 |
| April 20, 2023 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 18, 2023 |
| April 20, 2023 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected May 18, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $24,889 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 30, 2025 | Fine | $9,620 |
| December 6, 2023 | Fine | $15,269 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| RELUME CENTER HOLDCO LLC Organization | 5% or greater direct ownership interest | 100% | 10/15/2023 |
| ASTON HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| BRITTON, MARK Individual | adp of the snf | NOT APPLICABLE | 10/29/2025 |
| GROOMES, SAMUEL Individual | adp of the snf | NOT APPLICABLE | 10/29/2025 |
| WILDES, DONNA Individual | adp of the snf | NOT APPLICABLE | 08/28/2025 |
| BRITTON, MARK Individual | operational/managerial control | NOT APPLICABLE | 10/29/2025 |
| GROOMES, SAMUEL Individual | operational/managerial control | NOT APPLICABLE | 08/14/2025 |
| LYON, JULIETTE Individual | operational/managerial control | NOT APPLICABLE | 05/05/2023 |
| ROOT, CALA Individual | operational/managerial control | NOT APPLICABLE | 05/05/2023 |
| WILDES, DONNA Individual | operational/managerial control | NOT APPLICABLE | 08/28/2025 |
Other nursing homes near Ruleme Center
Solaris Healthcare Waterman
4501 Waterman Way, Tavares, FL 32778 · 1.2 mi
For-profit · 120 beds · Part of Solaris Healthcare
- CMS high performer
★★★★★5Much above averageAvante at Mt Dora, INC
3050 Brown Ave, Mount Dora, FL 32757 · 1.4 mi
For-profit · 116 beds · Part of Avante Centers
★★★★★3AverageLake Eustis Healthcare and Rehabilitation Center
411 W Woodward Ave, Eustis, FL 32726 · 1.5 mi
For-profit · 90 beds · Part of Excelsior Care Group
★★★★★2Below averageBayview Center
301 S Bay St, Eustis, FL 32726 · 1.7 mi
For-profit · 120 beds · Part of Aston Health
- CMS high performer
★★★★★5Much above average- ★★★★★4Above average
Lakeview Terrace Rehab and Health Care Center
110 Lodge Terrace Dr, Altoona, FL 32702 · 9.7 mi
Non-profit · 40 beds
★★★★★2Below average
Frequently asked questions
What is Ruleme Center's rating?
Ruleme Center has 4 out of 5 stars on the CMS overall star rating. The average for Florida nursing homes is 3.3 stars.
How many inspection citations did Ruleme Center receive?
Its most recent standard health inspection found 5 citations, compared with a Florida average of 7.1. Every citation is listed on this page with its severity.
Does Ruleme Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Ruleme Center?
It is for profit - limited liability company and part of Aston Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ruleme Center and how do I contact it?
Ruleme Center is at 2810 Ruleme St, Eustis, FL 32726. Phone: (352) 357-1990.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.