Ruleme Center: Staffing, Turnover, and Inspection Record
Ruleme Center is a 138-bed for-profit nursing home in Eustis, Florida, part of Aston Health. In the CMS August 2026 release it reported 2.12 nurse aide hours per resident per day, 8% below the Florida average of 2.31, and 63.6% nursing staff turnover (Florida average 41.4%).
Ruleme Center
2810 Ruleme StEustis, FL 32726
Lake County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Ruleme Center, nurse aides logged 2.12 hours per resident per day, 8% below the Florida average. With about 118 residents a day, that works out to roughly 249 aide hours a day, or about 31 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Florida avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.12 | 2.31 | 2.32 |
| Licensed practical nurses | 0.97 | 0.78 | 0.86 |
| Registered nurses | 0.47 | 0.73 | 0.69 |
| All nursing staff | 3.56 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.24 | 3.49 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
63.6% of nursing staff at Ruleme Center left over the year CMS measured, against a Florida average of 41.4% and a US average of 45.8%. Registered nurse turnover was 90.9%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 23, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Florida average 7.1). CMS lists 2 fines totaling $24,889 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 30, 2025 | Fine | $9,620 |
| Dec 6, 2023 | Fine | $15,269 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Ruleme Center holds 4 of 5 overall; the Florida average is 3.3.
About Ruleme Center
- Ownership: For profit - Limited Liability company
- Chain: Aston Health, 38 homes
- Legal name: Ruleme Center LLC
- Medicare and Medicaid certified since: Aug 1, 1994
- Area: urban
Nursing homes near Ruleme Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Solaris Healthcare Waterman Tavares | 1.2 | 120 | 2.25 | 4.07 | 44.7% | 5 | None |
| Avante at Mt Dora, Inc Mount Dora | 1.4 | 116 | 2.23 | 3.50 | 42.9% | 3 | None |
| Lake Eustis Healthcare and Rehabilitation Center Eustis | 1.5 | 90 | 2.05 | 3.23 | 46.0% | 2 | $17,345 |
| Bayview Center Eustis | 1.7 | 120 | 2.01 | 3.42 | 40.4% | 5 | None |
| Edgewater at Waterman Village Mount Dora | 2.7 | 120 | 2.28 | 4.11 | 40.4% | 4 | None |
| Lakeview Terrace Rehab and Health Care Center Altoona | 9.7 | 40 | 4.68 | 7.48 | 27.6% | 4 | None |
| Lake Port Square Health Center Leesburg | 10.4 | 80 | 2.27 | 4.03 | 51.2% | 3 | None |
| South Campus Care Center and Rehab Leesburg | 10.9 | 120 | 2.35 | 3.61 | 56.5% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.