Florida › Lake County › Eustis
Ruleme Center
2810 Ruleme St, Eustis, FL 32726
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Ruleme Center, in Eustis, Florida, is certified for 138 beds under for-profit, limited liability company ownership and belongs to the Aston Health chain.
CMS gives it 4 of 5 stars overall, above the Florida median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (5, 6, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 13.0 per 100 beds, about the same as the state median of 15.8.
CMS lists 2 penalties in the period covered: fines totalling $25K.
Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Florida median of 3.6; nursing staff turnover is 63.6%.
Compared with county, state and nation
| Measure | This facility | Lake Co. median | Florida median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 18 | 28.7 |
| Citations per 100 beds | 13.0 | 19.2 | 15.8 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 63.6% | 46.0% | 41.8% | 45.8% |
| Fines listed | $24,889 | $0 | $0 | — |
County and state figures are medians across facilities (17 in the county, 694 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Florida average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2026, 22 Aug 2024.
Severity mix: J ×1 D ×16 E ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Jan 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0584 | 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. | D | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 23 Feb 2026 |
| 23 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Feb 2026 |
| 30 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 13 Mar 2025 |
| 22 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Sep 2024 |
| 22 Aug 2024 | F0761 | 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. | D | Standard survey | 26 Sep 2024 |
| 22 Aug 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard survey | 26 Sep 2024 |
| 22 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 26 Sep 2024 |
| 22 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Sep 2024 |
| 6 Dec 2023 | F0578 | 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. | J | Complaint investigation | 24 Nov 2023 |
| 6 Dec 2023 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 20 Dec 2023 |
| 6 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 Dec 2023 |
| 20 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 May 2023 |
| 20 Apr 2023 | F0578 | 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. | D | Standard survey | 18 May 2023 |
| 20 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 May 2023 |
| 20 Apr 2023 | F0761 | 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. | D | Standard survey | 18 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Jan 2025 | Fine | $9,620 | |
| 6 Dec 2023 | Fine | $15,269 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Florida average. Turnover: nursing staff 63.6%, RNs 90.9%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Florida median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.7% | 7.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 2.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.1% | 7.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.7% | 7.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Ruleme Center Llc. Chain: Aston Health (38 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Relume Center Holdco LLC | 5% or greater direct ownership interest | 100% | 10/15/2023 |
| Aston Healthcare LLC | Adp of the snf | NOT APPLICABLE | 01/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lake County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bayview Center | Eustis | 120 | 5 | 4 | 3 | 15 | 12.5 | — | 14 May 2026 |
| Skytop View Rehabilitation Center | Clermont | 30 | 5 | 4 | 5 | 13 | 43.3 | — | 16 Dec 2025 |
| Solaris Healthcare Waterman | Tavares | 120 | 5 | 4 | 4 | 17 | 14.2 | — | 3 Apr 2026 |
| Clermont Health and Rehabilitation Center | Clermont | 182 | 4 | 4 | 4 | 14 | 7.7 | — | 7 Aug 2025 |
| Edgewater At Waterman Village | Mount Dora | 120 | 4 | 3 | 4 | 18 | 15.0 | — | 12 Mar 2026 |
| Freedom Pointe Health Center | The Villages | 72 | 4 | 4 | 4 | 17 | 23.6 | — | 29 Jan 2026 |
| Lakes of Clermont Health and Rehabilitation Center | Clermont | 80 | 4 | 3 | 2 | 14 | 17.5 | $14K | 26 Feb 2026 |
| Lakeview Terrace Rehab and Health Care Center | Altoona | 40 | 4 | 2 | 5 | 12 | 30.0 | — | 2 Oct 2025 |
All 17 facilities in Lake County
Questions and answers
How many deficiencies has Ruleme Center been cited for?
18 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Florida median is 18 per facility.
Has Ruleme Center been fined?
Yes. CMS lists fines totalling $25K in the period covered.
How does staffing at Ruleme Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Florida median of 3.6 and a national average of 3.9.
Who operates Ruleme Center?
It is part of the Aston Health chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Relume Center Holdco LLC. Individual owners and managers are not listed on this site.
When was Ruleme Center last inspected?
The most recent survey or investigation in the CMS record is dated 23 Jan 2026; the most recent standard health survey was 23 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.