Sunflower County, Mississippi · Nursing home
Walter B Crook Nursing Facility
3 of 5 overall from CMS
840 North Oak Avenue, Ruleville, MS 38771
At a glance
- Overall rating 3 of 5 Above the state average of 2.7
- Nurse time per resident, per day 4.80 hours Above the state average of 4.18
- Nursing staff who left in a year 27.0% Below the state average of 45.7%
- Health citations, last 3 inspection cycles 14 3 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 93.8% of 60 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Walter B Crook Nursing Facility is a 60-bed nursing home in Ruleville, Mississippi (Sunflower County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 4.80 nurse staffing hours per resident per day, above the Mississippi average of 4.18. CMS lists no fines in the past three years.
- Certified beds
- 60
- Residents per day (average)
- 56.3
- Certified since
- 2017 (9 yrs)
Government - State Participates in MedicaidLocated in a hospital
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Walter B Crook Nursing Facility
Chosen from this home's public data.
- CMS counts 7 health deficiencies in the latest inspection cycle (the standard inspection on Nov 13, 2025 plus complaint and infection-control inspections); the Mississippi average is 6.8. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 4.27 hours per resident on weekends against 4.80 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.57 hours per resident per day; the Mississippi average is 0.64. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Mississippi average 2.7
- Health inspections 3 of 5 Mississippi average 2.8
- Staffing 5 of 5 Mississippi average 3.8
- Quality measures 1 of 5 Mississippi average 2.2
The vertical line marks the Mississippi average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.80 h Mississippi average 4.18
- Nurse aides 2.91 h Mississippi average 2.43
- Licensed practical nurses 1.32 h Mississippi average 1.11
- Registered nurses 0.57 h Mississippi average 0.64
- All staff, weekends 4.27 h Mississippi average 3.50
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Mississippi average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover27.0%
- Mississippi average45.7%
- Registered nurse turnover0.0%
- Mississippi average38.5%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Mississippi and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Mississippi | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 24.6% | 20.5% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.8% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.1% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 5.2% | 2.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 1.6% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 95.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 22.2% | 19.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9% | 23.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 97.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.7% | 6.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.5% | 20.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.1% | 21.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Data missing or not submitted | 2.43 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Data missing or not submitted | 2.86 | 1.78 |
Short-stay residents
| Measure | This home | Mississippi | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.7% | 88.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 2.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 84.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Data missing or not submitted | 27.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Data missing or not submitted | 15.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 14 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. The most recent citation at the harm level or above was on Nov 13, 2025: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 13, 2025 | 7 | 0 |
| Feb 28, 2024 | 4 | 0 |
| Dec 8, 2022 | 3 | 1 |
Mississippi homes averaged 6.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (14)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 5, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 5, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 5, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 5, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 5, 2025)
Show 9 more
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Dec 5, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 5, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 22, 2024)
-
GActual harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 22, 2024)
-
BPotential for minimal harm, pattern
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 22, 2024)
-
BPotential for minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 22, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 9, 2023)
-
DPotential for more than minimal harm, isolated
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 9, 2023)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 9, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Mississippi homes averaged 1.1 fines and $17,231 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Mississippi
- Size180 of 201 by certified beds
- Mississippi average residents per day73.7
- ChainNone listed
- Resident or family councilResident
- Homes in Sunflower County2
Common questions
What is the CMS star rating for Walter B Crook Nursing Facility?
Walter B Crook Nursing Facility has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 5 and quality measures is 1.
How many beds does Walter B Crook Nursing Facility have?
Walter B Crook Nursing Facility has 60 certified beds. It averages 56.3 residents per day, about 93.8% of its certified beds.
How much nursing care do residents get at Walter B Crook Nursing Facility?
The home reports 4.80 hours of nurse staffing per resident per day, including 0.57 hours from registered nurses. The Mississippi average is 4.18 hours and 0.64 hours from registered nurses.
Has Walter B Crook Nursing Facility been fined?
CMS lists no fines for this home in the past three years.
Does Walter B Crook Nursing Facility accept Medicare or Medicaid?
CMS lists its participation as "Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Ruleville Community Care Center 111beds 88.8%in use 3.94nurse hours a day
- 1 of 5 Cleveland Community Care Center 120beds 91.3%in use 3.73nurse hours a day
- 3 of 5 Bolivar Medical Center LTC 35beds 82.9%in use 4.43nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Sunflower County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 25A422. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.