Ruleme Center was recognized as the third-largest nursing home in Lake County for the first quarter of 2026, based on data from the Centers for Medicare and Medicaid Services (CMS).
The facility offered 138 beds during that time, exceeding Lake County’s average by 33 beds. On average, 113.4 residents stayed at Ruleme Center in the period.
The CMS assigned Ruleme Center an overall rating of 3 out of 5, falling below Florida’s nursing home average rating of 3.3.
Clermont Health and Rehabilitation Center led Lake County with 182 beds, while Lady Lake Specialty Care Center and Rehab was second with 145 beds available in the quarter.
Ruleme Center incurred $24,889 in fines related to two infractions and was subject to two penalties in the first quarter of 2026.
There were 14 for-profit nursing home facilities in Lake County, Florida.
U.S. Census Bureau estimates indicate that the older adult demographic in the United States continues to expand, while younger age groups decrease. Americans ages 65 and older grew by 13% between 2020 and 2024, as the under-18 population declined by 1.7%. Over the last century, the older adult population in the country saw substantial growth, rising from 4.9 million in 1920 to above 61 million by 2024.
A 2021 analysis found that close to half of this age group—about 28 million people—are likely to need long-term services and supports. The findings also estimate that more than one-third could ultimately require nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an organization focused on insurance education. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Clermont Health and Rehabilitation Center | 4 |
| 2 | Lady Lake Specialty Care Center and Rehab | 1 |
| 3 | Ruleme Center | 3 |
| 4 | Bayview Center | 4 |
| 4 | The Villages Healthcare and Rehabilitation Center | 3 |
| 4 | South Campus Care Center and Rehab | 3 |
| 4 | Solaris Healthcare Waterman | 5 |
| 4 | Edgewater at Waterman Village | 4 |
| 9 | Avante at MT Dora, Inc. | 3 |
| 9 | Avante at Leesburg, Inc. | 2 |
| 11 | Lake Eustis Healthcare and Rehabilitation Center | 2 |
| 11 | North Campus Rehabilitation and Nursing Center | 3 |
| 13 | Lake Port Square Health Center | 3 |
| 13 | Lakes of Clermont Health and Rehabilitation Center | 4 |
| 15 | Freedom Pointe Health Center | 4 |
| 16 | Lakeview Terrace Rehab and Health Care Center | 4 |
| 17 | Skytop View Rehabilitation Center | 5 |
Information for this article was retrieved from the Centers for Medicare and Medicaid Services. Access the original data here.
