Nursing Home Alerts

Ruleme Center

2810 Ruleme St, Eustis, FL 32726

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Ruleme Center is a nursing home in Eustis, Florida. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(352) 357-1990
Last standard health inspection
January 23, 2026 (9 months ago)
Certified beds
138
Residents per day, on average
124.5
Ownership type
For profit - Limited Liability company
Legal business name
Ruleme Center LLC
Chain
Aston Health
Takes part in
Medicare and Medicaid

Fewer health citations than the Florida average (18 vs 20).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  3. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  4. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 3.7 to 3.2 hours per resident per day.

  5. 5 citations

    Health inspection on January 23, 2026

    CMS lists this as a standard inspection.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on February 23, 2026.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on February 23, 2026.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on February 23, 2026.

    • Citation F0694. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

      CMS lists it as corrected on February 23, 2026.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on February 23, 2026.

      CMS has cited this home for F0880 3 times since 2024.

    See this home on CMS Care Compare

  6. 4 citations

    Fire safety inspection on January 23, 2026

    CMS lists this as a standard inspection.

    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on February 23, 2026.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on February 23, 2026.

    • Citation K0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on February 23, 2026.

    • Citation K0211. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on February 23, 2026.

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  7. CMS update of November 20, 2025

    • Ownership

      CMS lists this home under a new chain.

    • Fine

      CMS changed the fine from January 30, 2025 from $14,800 to $9,620.

  8. CMS update of July 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

    • Ownership

      CMS lists this home under a new chain.

  9. CMS update of February 26, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  10. 1 citation

    Health inspection on January 30, 2025

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 13, 2025.

    See this home on CMS Care Compare

  11. Fine

    January 30, 2025 (1 year ago)

    CMS fine of $9,620 on January 30, 2025.

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  12. 5 citations

    Health inspection on August 22, 2024

    CMS lists this as a standard inspection.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on September 26, 2024.

      CMS has cited this home for F0695 2 times since 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 26, 2024.

      CMS has cited this home for F0761 2 times since 2023.

    • Citation F0835. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

      CMS lists it as corrected on September 26, 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on September 26, 2024.

      CMS has cited this home for F0842 2 times since 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 26, 2024.

    See this home on CMS Care Compare

  13. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  14. CMS update of February 29, 2024

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

  15. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  16. 3 citations

    Health inspection on December 6, 2023

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    30 of 694 Florida homes (4%) got a citation at the immediate jeopardy level in 2023.

    • Citation F0578. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on November 24, 2023.

      CMS has cited this home for F0578 2 times since 2023.

    • Citation F0773. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

      CMS lists it as corrected on December 20, 2023.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on December 20, 2023.

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  17. Fine

    December 6, 2023 (2 years ago)

    CMS fine of $15,269 on December 6, 2023.

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  18. 4 citations

    Health inspection on April 20, 2023

    CMS lists this as a standard inspection.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on May 18, 2023.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 18, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on May 18, 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 18, 2023.

    See this home on CMS Care Compare

  19. 3 citations

    Fire safety inspection on April 20, 2023

    CMS lists this as a standard inspection.

    • Citation E0034. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide a means of sharing information on occupancy/needs.

      CMS lists it as corrected on June 7, 2023.

    • Citation E0035. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide family notifications of emergency plan.

      CMS lists it as corrected on June 7, 2023.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on June 7, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Ruleme Center last inspected?

CMS lists January 23, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Ruleme Center have?

CMS lists 18 health citations since April 20, 2023. CMS also calls these deficiencies.

Has Ruleme Center been fined?

CMS lists 2 fines in the past three years, $24,889 in total.

What is the CMS star rating of Ruleme Center?

Its CMS overall star rating is 2 of 5.

Is Ruleme Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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