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Medicare-certifiedSkilled Nursing

Cotton Point Living Center

Matthews, MissouriMedicare inspection record
(573) 471-7861

About Cotton Point Living Center

Cotton Point Living Center brings together compassionate care and medical expertise for residents in Matthews, Missouri who need skilled nursing and rehabilitation services. Our team focuses on personalized recovery plans that help each person regain strength and independence during their time with us.

Community at a glance

Capacity

98 residents

Location

Matthews, MO

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

609 SOUTH RAILROAD STREET, Matthews, Missouri 63867

(573) 471-7861

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on May 14, 2026, state inspectors cited 6 health deficiencies (the Missouri average is 11.4).

Nurses and nurse aides spend 4 hours 7 minutes with each resident a day, above the Missouri average of 3 hours 26 minutes.

Medicare fined Cotton Point Living Center once in the last three years, $14,069 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 7 minutesAbove the Missouri average
Registered nurse time per resident, per day23 minutesBelow the Missouri average
Nursing staff who left in the past year63%Above the Missouri average

2 administrators have left the home in the past year.

Inspections

29 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 14, 2026 · Standard inspection · 6 citations

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

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 26, 2026
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 26, 2026
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 26, 2026
  • Provide 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 26, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 26, 2026
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 26, 2026

July 31, 2025 · Complaint investigation · 1 citation

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jul 24, 2025
March 7, 2025 · Standard inspection · 10 citations+
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 17, 2025
  • Implement 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 17, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 17, 2025
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 17, 2025
  • Assure that each resident’s assessment is updated at least once every 3 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 17, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 17, 2025
  • Honor 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 17, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 17, 2025
  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 17, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 17, 2025
February 4, 2025 · Complaint investigation · 1 citation+
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jan 26, 2025
December 18, 2024 · Complaint investigation · 3 citations+
  • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 10, 2025
  • Honor the resident's right to manage his or her financial affairs.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 6, 2025
  • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 10, 2025
August 27, 2024 · Complaint investigation · 1 citation+
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Aug 14, 2024
November 3, 2023 · Standard inspection · 7 citations+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Dec 15, 2023
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 15, 2023
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 15, 2023
  • Assess the resident when there is a significant change in condition

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 15, 2023
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 15, 2023
  • Ensure 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 15, 2023
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 15, 2023

Fines and payment denials

1 fine totaling $14,069 in the last three years.

  • July 31, 2025Fine: $14,069

About the home, per Medicare

Ownership
For profit - Individual
Legal business name
New Madrid No 1 Inc
Medicare-certified beds
98
Average residents per day
47
Accepts
Medicare and Medicaid
First certified
December 15, 2016
Part of a chain
Circle B Enterprises, 36 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
265859

Location

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609 SOUTH RAILROAD STREETMatthews, MO 63867

12 other communities within 10 miles

Senior living near Matthews

Questions about Cotton Point Living Center

How did Cotton Point Living Center do on its last inspection?+

State inspectors visited on May 14, 2026 and cited 6 health deficiencies, 1 of them from complaint investigations. The Missouri average is 11.4.

How much nursing care does each resident get at Cotton Point Living Center?+

Nurses and aides spend 4 hours 7 minutes with each resident per day, including 23 minutes from registered nurses. 63% of nursing staff left over the past year.

Has Cotton Point Living Center been fined by Medicare?+

Yes. Medicare fined Cotton Point Living Center once in the last three years, totaling $14,069.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Matthews Skilled Nursing in Missouri Skilled Nursing guide Information last updated October 2026