All states › Missouri › Matthews › Cotton Point Living Center
609 South Railroad Street Matthews, MO 63867 · New Madrid County
CMS certification number 265859 · See this home on Medicare Care Compare
Is Cotton Point Living Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Cotton Point Living Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.26 hours per resident per day at Cotton Point Living Center, above the Missouri median of 3.37 (US median: 3.72). About 0.44 of those hours are from registered nurses. On weekends it falls to 3.58 hours, 16% below its all-week average. Ask how weekends are staffed. 60.8% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Cotton Point Living Center: Medicare and Medicaid
Cotton Point Living Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 14, 2026 and found 5 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 29 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 29 citations at Cotton Point Living Center across 7 inspection dates, 9 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 31, 2025 (complaint inspection). The most common areas cited were pharmacy service (6) and quality of life and care (6). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, July 31, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
May 14, 2026 · 6 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
July 31, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
March 7, 2025 · 10 citations · includes complaint inspection
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DAssure that each resident’s assessment is updated at least once every 3 months.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide enough food/fluids to maintain a resident's health.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
February 4, 2025 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
December 18, 2024 · 3 citations · includes complaint inspection
EHonor the resident's right to manage his or her financial affairs.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
August 27, 2024 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
November 3, 2023 · 7 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAssess the resident when there is a significant change in condition
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Questions to ask on a tour of Cotton Point Living Center
- Inspectors cited the home at the immediate-jeopardy level on July 31, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 31, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 48% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $14,069 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 31, 2025 | Fine | $14,069 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 4/5 | 3/5 | 1/5 |
| August 2026 | 3/5 | 4/5 | 2/5 | 1/5 |
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Location
Hospitals near Cotton Point Living Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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8.9 mi
Missouri Delta Medical Center SikestonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 22m for patients treated and sent home
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21.4 mi
Mercy Hospital Stoddard DexterEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 49m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Cotton Point Living Center › All nursing homes in Matthews ›
Compare Cotton Point Living Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Delta South Nursing & Rehabilitation · Sikeston · 4 stars · 7.4 mi
- Clearview Nursing Center · Sikeston · 4 stars · 9.0 mi
Other Circle B Enterprises nursing homes in Missouri
- Communities of Wildwood Ranch · Joplin · 5 stars
- Southgate Living Center · Caruthersville · 5 stars
- Riverways Manor · Van Buren · 5 stars
- Puxico Nursing and Rehabilitation Center · Puxico · 4 stars
- Houston House · Houston · 4 stars
- Riverview Nursing Center · Mokane · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 36 Circle B Enterprises nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.