facebook tracking Cotton Point Living Center, Matthews MO: CMS Ratings
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Cotton Point Living Center

All states › Missouri › Matthews › Cotton Point Living Center

609 South Railroad Street Matthews, MO 63867 · New Madrid County

(573) 471-7861

Accepts Medicare Accepts Medicaid 98 certified beds For profit

CMS certification number 265859 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 29 citations in the last three years. CMS imposed 1 penalty, including $14,069 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 1 out of 5.

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%).

Nursing care per resident per day 4.26 hours
Above the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.44 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.58 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 60.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 81.8% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds98
Residents per day 47 About 48% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicare and Medicaid
Certified sinceDecember 2016
Part of a chainCircle B Enterprises
Legal business nameNEW MADRID NO 1 INC

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 26, 2026)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Jun 26, 2026)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 26, 2026)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Jun 26, 2026)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Jun 26, 2026)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jun 26, 2026)

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.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Jul 24, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2025)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Apr 17, 2025)

DAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Apr 17, 2025)

DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Apr 17, 2025)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Apr 17, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Apr 17, 2025)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Apr 17, 2025)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Apr 17, 2025)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Apr 17, 2025)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 17, 2025)

February 4, 2025 · 1 citation · includes complaint inspection

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Jan 26, 2025)

December 18, 2024 · 3 citations · includes complaint inspection

EHonor the resident's right to manage his or her financial affairs.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0567 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2025)

EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0568 · Complaint inspection · Deficient, Provider has date of correction (Jan 10, 2025)

DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Complaint inspection · Deficient, Provider has date of correction (Jan 10, 2025)

August 27, 2024 · 1 citation · includes complaint inspection

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Aug 14, 2024)

November 3, 2023 · 7 citations · includes complaint inspection

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Dec 15, 2023)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Dec 15, 2023)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Dec 15, 2023)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Dec 15, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Dec 15, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Dec 15, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 15, 2023)

Questions to ask on a tour of Cotton Point Living Center

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on July 31, 2025. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  4. 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?
  5. The home averages about 48% of its beds filled. Are any units closed?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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.

DateTypeAmount or length
Jul 31, 2025 Fine $14,069

Rating history

CMS monthOverallInspectionStaffingQuality
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.

  • 8.9 mi
    Missouri Delta Medical Center Sikeston
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 22m for patients treated and sent home
  • 21.4 mi
    Mercy Hospital Stoddard Dexter
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median 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

Annie's Garden Skilled Nursing Sikeston · 6.9 mi away Not rated Inspection — · Staffing — 75 beds · Medicaid
Delta South Nursing & Rehabilitation Sikeston · 7.4 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 60 beds · Medicaid
Hunter Acres Caring Center Sikeston · 8.5 mi away ★★☆☆☆ Inspection 4/5 · Staffing 1/5 120 beds · Medicaid
Sikeston Convalescent Center Sikeston · 8.8 mi away ★★★☆☆ Inspection 4/5 · Staffing 3/5 120 beds · Medicaid
Clearview Nursing Center Sikeston · 9.0 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 90 beds · Medicaid

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 ›

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Other Circle B Enterprises nursing homes in Missouri

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.

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https://www.nursinghomesineachstate.com/missouri/matthews/cotton-point-living-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.