ElderGrade
C

64/100

Average

Ruleme Center

2810 Ruleme St, Eustis, FL 32726

CMS 4/5 stars #14 of 17 in Lake County (352) 357-1990
Certified beds
138
Occupancy
85%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $24,889 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 64%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

20/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.89 total nurse hours per resident per day (national median 3.77)
  • 0.47 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

3/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 64% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $24,889 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.56 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.47 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.24 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 63.60%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 18 citations

Last standard health inspection: January 23, 2026 (7 months ago).

D Jan 23, 2026 F0552

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 23, 2026 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Jan 23, 2026 F0645

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

No actual harm, potential for more than minimal harm

D Jan 23, 2026 F0694

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 23, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jan 30, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Aug 22, 2024 F0695

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Aug 22, 2024 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of ASTON HEALTH, which operates 38 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BRITTON, MARK Individual OPERATIONAL/MANAGERIAL CONTROL
GROOMES, SAMUEL Individual OPERATIONAL/MANAGERIAL CONTROL
LYON, JULIETTE Individual OPERATIONAL/MANAGERIAL CONTROL
ROOT, CALA Individual OPERATIONAL/MANAGERIAL CONTROL
WILDES, DONNA Individual OPERATIONAL/MANAGERIAL CONTROL
ASTON HEALTHCARE LLC Organization ADP OF THE SNF
BRITTON, MARK Individual ADP OF THE SNF
GROOMES, SAMUEL Individual ADP OF THE SNF
WILDES, DONNA Individual ADP OF THE SNF
RELUME CENTER HOLDCO LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Ruleme Center

What is the ElderGrade for Ruleme Center? +

Ruleme Center holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Ruleme Center? +

Residents receive an average of 3.56 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Ruleme Center been cited for harming residents? +

Yes. 1 of the 18 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Ruleme Center accept Medicaid? +

Yes, Ruleme Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.