F

RULEME CENTER

2810 RULEME ST, EUSTIS, FL 32726
Score: 35 / 100

With a score of 35/100, Ruleme Center ranks in the bottom tier of Florida nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Ruleme Center, with 3.24 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 18 deficiencies at Ruleme Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are fully informed and understand their health status, care and treatments..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.24 3.8 Below Average
Registered Nurses (RN) 0.33 0.7 Below Average
Licensed Practical Nurses (LPN) 0.93 0.7 Above Average
Certified Nursing Assistants (CNA) 1.98 2.4 Below Average
Weekend Total Nursing 3.02 3.8 Below Average
Weekend RN Hours 0.19 0.7 Below Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Jan 22, 2026
Most Recent Inspection
🟠 17 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0552 Severity D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    Jan 22, 2026 · Resident Rights Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jan 22, 2026 · Resident Rights Deficiencies
  • Tag 0645 Severity D
    PASARR screening for Mental disorders or Intellectual Disabilities
    Jan 22, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0694 Severity D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    Jan 22, 2026 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jan 22, 2026 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.1% 4.5% Better
Falls with major injury 1.2% 3.0% Better
On antipsychotic medication 14.2% 14.5% Average
Urinary tract infections 0.2% 2.5% Better
ADL decline (daily activities) 6.4% 14.0% Better
Excessive weight loss 9.3% 7.5% Worse
New/worsened incontinence 18.0% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $24,889

How This Grade Was Calculated

This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
138
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 22, 2026
Deficiencies (Cycle 1)
5