RULEME CENTER in Eustis, FL has a 3-star overall rating, with 2-star staffing, 3-star health inspection, and 4-star quality measures. It reported 3.45 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $9,620 in fines in the last 24 months with a recent federal penalty.
Last inspection: January 23, 2026Penalties, last 24 months: $9,620recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4458.
Staffing detail
Registered nurses
0.42
Licensed practical nurses
0.94
Nurse aides
2.08
Weekend nursing
3.18
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 90%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
14.1%8.9%Improving
Residents with a fall causing major injury
2%2.8%Worsening
Residents with pressure ulcers (bedsores)
2.3%3.8%Worsening
Residents with a urinary tract infection
1%0%Improving
Residents who lost too much weight
12.5%4.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.8%7.8%Improving
Residents whose ability to walk got worse
16.5%7.6%Improving
Long-stay residents on antianxiety or sleep medication
25.6%26.8%Worsening
Short-stay residents newly given an antipsychotic
2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.1%22.7%Worsening
Residents with depressive symptoms
6.2%2.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.1%95.3%Worsening
Short-stay residents given the seasonal flu vaccine
—95.7%—
Short-stay residents given the pneumonia vaccine
91.3%80.2%Worsening
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to make sure residents fully understood their health status, care, and treatments. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: D
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: D
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $9,620 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $24,889 in total fines.
Federal fine
Jan 30, 2025
$9,620
Federal fine
Dec 6, 2023
$15,269
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of ASTON HEALTH · 38 homes · 2.6 stars avg
Occupancy
113.4 residents on an average day (82% of 138 beds)
Medicare history
Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.