Ruleme Center
2810 Ruleme St, Eustis, FL 32726 · Lake County · 138 certified beds · avg 118 residents/day · certified since Aug 1, 1994
Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Dec 6, 2023 · F-0578 · triggered by a complaint
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 24, 2023 (Past Non-Compliance)
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 6, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 20, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 1 | J ▲ |
| 2024 | 5 | 0 | D |
| 2025 | 1 | 0 | D |
| 2026 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $24,889.
| Date | Type | Amount / length |
|---|---|---|
| Jan 30, 2025 | Fine | $9,620 |
| Dec 6, 2023 | Fine | $15,269 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.89 | 4.03 | 3.95 | top 49% in Florida; top 44% in the U.S. |
| Registered Nurse hours | 0.51 | 0.76 | 0.69 | bottom 24% in Florida; bottom 40% in the U.S. |
| Weekend total nurse staffing | 3.55 | 3.68 | 3.50 | top 49% in Florida; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.53 | 0.48 | bottom 40% in Florida; top 49% in the U.S. |
| Total nursing staff turnover (%) | 63.6 | 41.4 | 45.8 | bottom 5% in Florida; bottom 11% in the U.S. |
| RN turnover (%) | 90.9 | 46.0 | 42.9 | bottom 1% in Florida; bottom 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.56, RN 0.47, weekend 3.24. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | 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 | Operational/Managerial Control | NOT APPLICABLE | 10/29/2025 |
| Britton, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 10/29/2025 |
| Groomes, Samuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/14/2025 |
| Groomes, Samuel | Individual | ADP of the SNF | NOT APPLICABLE | 10/29/2025 |
| 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 |
| Wildes, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Solaris Healthcare Waterman | 1.2 mi | Tavares, FL | ★★★★★ | 4/5 | |
| Avante at Mt Dora, INC | 1.4 mi | Mount Dora, FL | ★★★☆☆ | 3/5 | |
| Lake Eustis Healthcare and Rehabilitation Center | 1.5 mi | Eustis, FL | ★★☆☆☆ | 1/5 | |
| Bayview Center | 1.7 mi | Eustis, FL | ★★★★★ | 4/5 | |
| Edgewater at Waterman Village | 2.7 mi | Mount Dora, FL | ★★★★☆ | 3/5 | |
| Lakeview Terrace Rehab and Health Care Center | 9.7 mi | Altoona, FL | ★★★★☆ | 2/5 | |
| Lake Port Square Health Center | 10.4 mi | Leesburg, FL | ★★★☆☆ | 3/5 | |
| South Campus Care Center and Rehab | 10.9 mi | Leesburg, FL | ★★★☆☆ | 3/5 | |
| North Campus Rehabilitation and Nursing Center | 11.2 mi | Leesburg, FL | ★★★★☆ | 3/5 | |
| Avante at Leesburg, INC | 12.5 mi | Leesburg, FL | ★★☆☆☆ | 2/5 | |
| Solaris Healthcare Apopka | 15.0 mi | Apopka, FL | ★★★★★ | 5/5 | |
| Chatham Glen Healthcare and Rehabilitation Center | 15.4 mi | The Villages, FL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105855.