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Nursing HomeMedicaid

Ruleme Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

2810 Ruleme St, Eustis, FL 32726138 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 211 Google reviews

5
4
3
2
1
Ruleme Center Nursing Home in Eustis, FL — Street View
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What this means for your family

Ruleme Center is frequently praised for its clean environment and dedicated staff, making it a strong choice for many families. However, given the serious reports of inconsistent hygiene and medication management, we strongly advise families to conduct frequent, unannounced visits and maintain active communication with the nursing management to ensure your loved one's specific care plan is being followed.

Google Reviews

Google Reviews

211 reviews on Google
Ruleme Center receives polarized feedback, with many families praising the compassionate staff and clean environment, while others raise serious concerns regarding neglect and poor communication. While many visitors highlight specific staff members who go above and beyond, there is a recurring pattern of complaints regarding slow response times to call buttons and inconsistent quality of care. Families should be aware that experiences appear highly dependent on individual staff interactions.

Quality Themes

Tap a score for details
Food3.0Staff8.0Clean8.0Activities9.0Meds2.0MemoryN/AComms6.0ValueN/A

Strengths

  • Warm, attentive nursing and CNA staff
  • Clean and well-maintained facility
  • Effective and helpful rehab department
  • Responsive social services and administrative support

Concerns

  • Slow response times to call buttons (mentioned by 3 reviewers)
  • Poor food quality and nutritional balance (mentioned by 4 reviewers)
  • Inconsistent hygiene and bathing schedules (mentioned by 4 reviewers)
  • Negligent care or communication regarding medical needs (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'19(2)'22(10)'24(58)'26(30)

Distribution · 160 analyzed

5
124
4
18
3
2
2
2
1
14
20 reviews posted between Dec 3, 2024Dec 6, 2024 · 19 were 5-star

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that the facility is very active in responding to online feedback; how does that culture of communication translate into how you keep families updated on their loved one's daily medical care?
  • 2With the current staffing levels, what is your protocol for ensuring that call buttons are answered promptly, especially during evening or weekend shifts?
  • 3We understand that nutrition is a key part of health; could you walk us through how you manage dietary preferences and ensure residents are receiving balanced, high-quality meals?
  • 4How does your team coordinate the bathing and hygiene schedule to ensure it remains consistent and comfortable for the residents?
  • 5Given the importance of medication management, what specific systems or double-check procedures do you have in place to ensure accuracy and safety for residents?
  • 6What does a typical afternoon look like for residents here, and how do you encourage social engagement among those with different mobility levels?

Personalized based on this facility's data


Key Review Excerpts

Although this place is an older building and may not be a modern facility, the care that my mom received was outstanding! I loved all the nurses and they took very good care of my mom.

Rehab patient's family · 2024★★★★★

The staff is courteous and the rooms are clean. At times the nurses aren't answering the call buttons to my brother's room on a timely manner, but I do understand they get busy.

Long-term resident's family · 2023★★★★

They neglected to give her the medication when her blood pressure reached that point! she could have had a stroke!

Rehab patient's family · 2024☆☆☆☆
Source: 211 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
57%
Registered nurses for medical care
Total Nursing
3.45hrs
84%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
90%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

2

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.0%
Mixed vs Avgs
Here
5.0%
US
12.1%
FL
4.1%
Lake
37.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.4%
Worse than Avg
Here
28.4%
US
19.5%
FL
15.0%
Lake
14.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
FL
99.2%
Lake
92.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
14.4%
FL
9.1%
Lake
10.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.8%
Mixed vs Avgs
Here
18.8%
US
19.4%
FL
11.5%
Lake
20.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
15.3%
FL
10.6%
Lake
12.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.7%
Better than Avg
Here
95.7%
US
79.8%
FL
94.7%
Lake
73.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.9%
Mixed vs Avgs
Here
83.9%
US
81.8%
FL
94.8%
Lake
76.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
FL
1.5%
Lake
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
2penalties
Near state avg (7.3)
4 complaint-triggered
$24,889 in fines

Families have filed complaints against RULEME Center, triggering 4 deficiency findings, including recent concerns about infection control and resident treatment rights. The facility shows recurring problems with infection control appearing across multiple surveys, resident rights violations, and medication management issues. While many past deficiencies have been corrected, several current issues from January 2026 remain uncorrected with only correction plans in place.

Jan 23, 2026Routine
9
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0584Potential for harm · IsolatedCorrected

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.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Jan 30, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 22, 2024Routine
5
0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

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 drugs.

0835Potential for harm · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 6, 2023Complaint
3
0578Immediate jeopardy · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

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.

0773Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Apr 20, 2023Routine
7
0034Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

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 drugs.

Federal Penalties

Fine

Jan 30, 2025

$9,620

Fine

Dec 6, 2023

$15,269

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ruleme Center

Organization Type

for profit

Chain Affiliation

Chain Name

Aston Health

Chain Size

38 facilities nationwide

Chain avg rating: 2.5/5 · Rank 22 of 30

Ownership & Management

Owners

Relume Center Holdco LLC

Owner · Organization

100%

Key personnel

Britton, MarkManagerGroomes, SamuelManagerLyon, JulietteManagerRoot, CalaManagerWildes, DonnaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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