Ruleme Center
2810 RULEME ST, Eustis, FL 32726
Eustis, Florida · CMS verdict
Ruleme Center's CMS overall star rating stands at 2 of 5, below the Florida state average (3.2) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Ruleme Center in Eustis, Florida holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 47 of 100 (grade F). The 138-bed facility operates where a semi-private nursing-home room in Florida runs a median of $10,342 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 47 is built
Each segment is a dimension's weighted points toward the score, summing to 47.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Ruleme Center carries an overall CMS quality rating of 2 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (3/5), staffing (1/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Eustis, Florida, this facility operates 138 certified beds with an average daily census of roughly 112 residents - an occupancy rate of about 81%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 81% occupancy, this facility runs close to its typical range for a stabilized operation.
Same-ownership peers
Within Florida, Ruleme Center is one of 295 for profit - limited liability company nursing homes CMS rates. Its 2-star overall rating sits below the for profit - limited liability company-segment average of 3.0 stars, ahead of roughly 17% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (18 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Ruleme Center compares to Florida
CMS five-star sub-ratings (0–5) for this facility against the Florida facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Florida state average. Higher is better on all four CMS measures.
Where Ruleme Center ranks in Florida
Among the 689 CMS-rated nursing homes in Florida, Ruleme Center’s 2-star overall rating is higher than 15% of them. The bars show how all Florida homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
135 Florida homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 138 |
| Residents | 112 |
| Ownership | For profit - Limited Liability company |
| County | Lake |
| Penalties | 2 |
| Deficiencies | 18 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Ruleme Center? ▾
2 out of 5 stars is Ruleme Center's current CMS overall rating, built from a health inspection rating of 3/5, a staffing rating of 1/5, and a quality measures rating of 4/5.
How much does a nursing home cost per month in Florida? ▾
In Florida, a semi-private nursing home room runs a median $10,342/month ($124,100/year) per the CareScout 2025 survey; private rooms average $12,167/month.
What services does Ruleme Center offer? ▾
With 138 beds with approximately 112 current residents, Ruleme Center is a skilled nursing facility. It operates under for profit - limited liability company ownership, and CMS's inspection record shows 18 deficiencies and 2 penalties.
Does Ruleme Center have any deficiencies or penalties? ▾
Ruleme Center has multiple deficiencies (18 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Florida? ▾
In Florida, alternatives include assisted living ($5,610/mo), home health aides ($6,101/mo), and adult day care ($1,625/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Florida elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 105855.
Read our methodology - how this data is sourced, computed, and verified.