Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
RULEME CENTER
EUSTIS, FL · 138 certified beds · Last Life Safety survey January 23, 2026
CMS Certification Number 105855 · first certified August 1994
Also on this campus
The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Ruleme Place (2808 Ruleme St). Matched by the telephone number the two records share. The records are separate and are never added together.
Ownership
Operated by ASTON HEALTH · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within FL
7 citations — more than 50% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 4 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was January 2026. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
4 of the 7 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 7 |
| Median facility in FL | 7 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| April 20, 2023 | 3 |
| August 22, 2024 | 0 |
| January 23, 2026 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2026-01-23 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2026-01-23 |
| E-0034 | Provide a means of sharing information on occupancy/needs. | 1 | 2023-04-20 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 1 | 2026-01-23 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2026-01-23 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2023-04-20 |
| E-0035 | Provide family notifications of emergency plan. | 1 | 2023-04-20 |
What the citations cover
- Emergency Preparedness Deficiencies 4
- Miscellaneous Deficiencies 1
- Egress Deficiencies 1
- Smoke Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 4 |
| Miscellaneous Deficiencies | 1 |
| Egress Deficiencies | 1 |
| Smoke Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 23, 2026 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (February 23, 2026) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (February 23, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (February 23, 2026) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (February 23, 2026) |
April 20, 2023 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (June 7, 2023) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (June 7, 2023) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (June 7, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.