GoodStanding

Nursing home report

RULEME CENTER

EUSTIS, FL · Medicare-certified · 138 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall

4 of 5 stars overall. Ruleme Center has a 2-star staffing rating with reported nurse staffing below the federal benchmark (3.56 vs 4.1 hours/resident/day), a recent federal penalty with $9,620 in fines over the last 24 months, and a 3-star health inspection rating.

Facility ratings

Health inspections

Staffing

3.5574 hrs/resident/day

Quality measures

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 3.5574.

Staffing detail

Registered nurses
0.47
Licensed practical nurses
0.97
Nurse aides
2.12
Weekend nursing
3.24

Hours per resident per day.

Total staff turnover: 64%
Registered nurse turnover: 91%

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).

Long-stay residents on antipsychotic medication

14.3%13.6%Improving

Residents with a fall causing major injury

0.9%2.9%Worsening

Residents with pressure ulcers (bedsores)

3.3%2.3%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

6.6%7.9%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.8%8.3%Worsening

Residents whose ability to walk got worse

6.2%24%Worsening

Long-stay residents on antianxiety or sleep medication

31.5%29.3%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

22.3%25%Worsening

Residents with depressive symptoms

9.2%3.9%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

99.1%99%No change

Short-stay residents given the seasonal flu vaccine

95.7%

Short-stay residents given the pneumonia vaccine

87.7%90.4%Improving

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $9,620 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. 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
117.5 residents on an average day (85% of 138 beds)
Medicare history
Certified for 32 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.