Federal inspection record · CMS data as of October 1, 2026
Ruleme Center
2810 Ruleme St, Eustis, FL · (352) 357-1990
- Certified beds
- 138
- Residents per day
- 125
- Ownership
- For-Profit
- Chain
- Aston Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1994
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Ruleme Center carries 28 inspection points. That is fewer than 63% of Florida's 691 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–25 pts
- 3★ 25–46 pts
- 2★ 46–85 pts
- 1★ over 85 pts
Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
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.
Everything else, by area of care
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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
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 Assessment and Care Planning3D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care3D
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service2D
- D
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
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.
Administration2D
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-01-23
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-08-22
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-04-20
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 26 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 76% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$24,889 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-30 | Fine | $9,620 |
| 2023-12-06 | Fine | $15,269 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.0 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts worse | 97.6% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 100.0% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better | 2.4% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.6 pts better | 2.8% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 6.2% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.8 pts worse | 29.7% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.9 pts worse | 11.6% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.9 pts worse | 10.3% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better | 6.6% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.0% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence13 pts worse | 22.5% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 4.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.8 pts worse | 83.8% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts worse | 9.4% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 99.1% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.4 pts better | 20.4% | 25.8% | 23.4% |
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Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Relume Center Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Aston Healthcare LLC | Adp Of The SNF · Organization | 0% | 44 facilities |
| Britton, Mark | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Britton, Mark | Adp Of The SNF · Individual | 0% | 5 facilities |
| Groomes, Samuel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Groomes, Samuel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lyon, Juliette | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Root, Cala | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wildes, Donna | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Wildes, Donna | Adp Of The SNF · Individual | 0% | 33 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
Smoke1E
- E
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous1E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Solaris Healthcare Waterman
Tavares, FL · Solaris Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 5 min
- Fines
- $0
-
Avante At Mt Dora, Inc
Mount Dora, FL · Avante Centers
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0
-
Lake Eustis Healthcare And Rehabilitation Center
Eustis, FL · Excelsior Care Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 17 min
- Fines
- $17,345