facebook tracking Ruleme Center, Eustis FL: CMS Ratings & Inspections
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Ruleme Center

All states › Florida › Eustis › Ruleme Center

2810 Ruleme St Eustis, FL 32726 · Lake County

(352) 357-1990

All 3 nursing homes in Eustis, FL (3 take Medicaid)

Accepts Medicare Accepts Medicaid 138 certified beds For profit

CMS certification number 105855 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Ruleme Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Ruleme Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Florida average of 3.3. Inspectors issued 18 citations in the last three years. CMS imposed 2 penalties, including $24,889 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.44 hours per resident per day at Ruleme Center, below the Florida median of 3.67 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 3.12 hours, 9% below its all-week average. 59.3% of nursing staff left within a year (Florida median 42%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.

Nursing care per resident per day 3.44 hours
Below the Florida median of 3.67 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.34 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.12 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 59.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 76% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds138
Residents per day 125 About 90% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1994
Part of a chainAston Health
Legal business nameRULEME CENTER LLC

Paying for care at Ruleme Center: Medicare and Medicaid

Ruleme Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Florida's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on January 23, 2026 and found 5 deficiencies. In total, inspectors issued 18 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 18 citations at Ruleme Center across 5 inspection dates, 4 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 6, 2023 (complaint inspection). The most common areas cited were resident rights (4) and infection control (3). The most serious was cited under the CMS rule to "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" (tag F0578, level J, December 6, 2023).

January 23, 2026 · 5 citations

DEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Feb 23, 2026)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Feb 23, 2026)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Feb 23, 2026)

DProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Feb 23, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 23, 2026)

January 30, 2025 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 13, 2025)

August 22, 2024 · 5 citations

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Sep 26, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Sep 26, 2024)

DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Potential for more than minimal harm · Administration Deficiencies · Tag F0835 · Deficient, Provider has date of correction (Sep 26, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Sep 26, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 26, 2024)

December 6, 2023 · 3 citations, includes immediate jeopardy · includes complaint inspection

JHonor 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.

Immediate jeopardy · Resident Rights Deficiencies · Tag F0578 · Complaint inspection · Past Non-Compliance (Nov 24, 2023)

DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Potential for more than minimal harm · Administration Deficiencies · Tag F0773 · Complaint inspection · Deficient, Provider has date of correction (Dec 20, 2023)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Dec 20, 2023)

April 20, 2023 · 4 citations

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 18, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (May 18, 2023)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (May 18, 2023)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 18, 2023)

Questions to ask on a tour of Ruleme Center

  1. Inspectors cited the home at the immediate-jeopardy level on December 6, 2023 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Nursing staff turnover was 59.3% a year. How many of the staff come from agencies?
  4. Several administrators left in the past year. What has changed for residents since then?
  5. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $24,889 in fines.

DateTypeAmount or length
Jan 30, 2025 Fine $9,620
Dec 6, 2023 Fine $15,269

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 3/5 1/5 4/5
August 2026 4/5 3/5 2/5 5/5
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Location

Hospitals near Ruleme Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Solaris Healthcare Waterman Tavares · 1.2 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 120 beds · Medicaid
Avante at Mt Dora Mount Dora · 1.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 116 beds · Medicaid
Lake Eustis Healthcare and Rehabilitation Center Eustis · 1.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 90 beds · Medicaid
Bayview Center Eustis · 1.7 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 120 beds · Medicaid
Edgewater at Waterman Village Mount Dora · 2.7 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 120 beds · Medicaid

More nursing homes near Ruleme Center ›   All nursing homes in Eustis ›

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Other Aston Health nursing homes in Florida

Affiliation comes from CMS's affiliated-entity data, October 2026. All 38 Aston Health nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/florida/eustis/ruleme-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.