Ruleme Center
2810 Ruleme St · Eustis, FL · 32726 · 3523571990
138 certified beds For profit - Limited Liability company Chain: Aston Health
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.45 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 2 · $24,889 |
Inspection citations (18 in the current record)
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Potential for harm · D January 23, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D January 23, 2026
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.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D January 23, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 23, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Provide and implement an infection prevention and control program.
Corrected February 23, 2026 · Infection Control
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Potential for harm · D January 30, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 13, 2025 · Infection Control
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Potential for harm · D August 22, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 2024
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.
Corrected September 26, 2024 · Pharmacy Service
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Potential for harm · D August 22, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected September 26, 2024 · Administration
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Potential for harm · D August 22, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2024
Provide and implement an infection prevention and control program.
Corrected September 26, 2024 · Infection Control
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Immediate jeopardy · J December 6, 2023 · found via complaint
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.
Corrected November 24, 2023 · Resident Rights
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Potential for harm · D December 6, 2023 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected December 20, 2023 · Administration
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Potential for harm · D December 6, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 20, 2023
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.
Corrected May 18, 2023 · Resident Rights
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Potential for harm · D April 20, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 18, 2023 · Quality of Life and Care
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Potential for harm · D April 20, 2023
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.
Corrected May 18, 2023 · Pharmacy Service
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Potential for harm · E April 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 18, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 30, 2025 | Fine | $9,620 |
| December 6, 2023 | Fine | $15,269 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105855 · certified since August 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.