Florida ›Eustis

Ruleme Center

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2810 Ruleme St, Eustis, FL 32726 (opens Google Maps) · Lake County · (352) 357-1990· 138 certified beds · avg 118 residents/day · certified since Aug 1, 1994 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: ASTON HEALTH (38 facilities, chain avg rating 2.7★)

3/5
Health inspection rating (on-site)
inspected Jan 23, 2026
1
Serious findings on record
most recent Dec 6, 2023
$24,889
Fines, last 3 years
3.89
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Nov 24, 2023 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. F-0552

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

  3. D · Potential for more than minimal harm, isolated

    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. F-0645

View all 18 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jan 23, 2026D · Potential for more than minimal harm, isolatedThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Jan 23, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jan 23, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0645
Jan 23, 2026D · Potential for more than minimal harm, isolatedThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694
Jan 23, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Jan 30, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0880
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Dec 6, 2023▲ J · Immediate jeopardy, isolatedThe 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 · F-0578
Dec 6, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0773
Dec 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Apr 20, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 20, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0578
Apr 20, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Apr 20, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0761

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 7
Serious citations (G–L): 1
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202371J ▲
202450D
202510D
202650D

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)

How to file a complaint about care →

2 fines totaling $24,889.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityFlorida averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.89
Florida average: 4.03
U.S. average: 3.95
Registered Nurse hours
This facility: 0.51
Florida average: 0.76
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.55
Florida average: 3.68
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityFlorida avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.894.033.95top 49% in Florida; top 44% in the U.S.
Registered Nurse hours0.510.760.69bottom 24% in Florida; bottom 40% in the U.S.
Weekend total nurse staffing3.553.683.50top 49% in Florida; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)0.400.530.48bottom 40% in Florida; top 49% in the U.S.
Total nursing staff turnover (%)63.641.445.8bottom 5% in Florida; bottom 11% in the U.S.
RN turnover (%)90.946.042.9bottom 1% in Florida; bottom 2% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.56 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Ruleme Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Relume Center Holdco LLCOrganization5% or Greater Direct Ownership Interest100%10/15/2023
Aston Healthcare LLCOrganizationADP of the SNFNOT APPLICABLE01/01/2022
Britton, MarkIndividualOperational/Managerial ControlNOT APPLICABLE10/29/2025
Britton, MarkIndividualADP of the SNFNOT APPLICABLE10/29/2025
Groomes, SamuelIndividualOperational/Managerial ControlNOT APPLICABLE08/14/2025
Groomes, SamuelIndividualADP of the SNFNOT APPLICABLE10/29/2025
Lyon, JulietteIndividualOperational/Managerial ControlNOT APPLICABLE05/05/2023
Root, CalaIndividualOperational/Managerial ControlNOT APPLICABLE05/05/2023
Wildes, DonnaIndividualOperational/Managerial ControlNOT APPLICABLE08/28/2025
Wildes, DonnaIndividualADP of the SNFNOT APPLICABLE08/28/2025

All 10 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Aston Health — 38 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 37 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 64% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 24 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Solaris Healthcare Waterman1.2 miTavares, FL★★★★★4/5
Avante at Mt Dora, INC1.4 miMount Dora, FL★★★☆☆3/5
Lake Eustis Healthcare and Rehabilitation Center1.5 miEustis, FL★★☆☆☆1/5
Bayview Center1.7 miEustis, FL★★★★★4/5
Edgewater at Waterman Village2.7 miMount Dora, FL★★★★☆3/5
Lakeview Terrace Rehab and Health Care Center9.7 miAltoona, FL★★★★☆2/5
Lake Port Square Health Center10.4 miLeesburg, FL★★★☆☆3/5
South Campus Care Center and Rehab10.9 miLeesburg, FL★★★☆☆3/5
North Campus Rehabilitation and Nursing Center11.2 miLeesburg, FL★★★★☆3/5
Avante at Leesburg, INC12.5 miLeesburg, FL★★☆☆☆2/5
Solaris Healthcare Apopka15.0 miApopka, FL★★★★★5/5
Chatham Glen Healthcare and Rehabilitation Center15.4 miThe Villages, FL★★★★★4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Lake, FL — 17 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Eustis →

Facility data as of CMS processing date 2026-08-01. CCN 105855.

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