nursing home in Matthews, MO
Cotton Point Living Center
609 South Railroad Street, Matthews, MO 63867 · (573) 471-7861
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cotton Point Living Center at a glance
Cotton Point Living Center is a 98-bed for-profit nursing home in Matthews, Missouri (New Madrid County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Missouri average of 2.5.
Residents receive about 4.1 hours of nursing care per day (0.4 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (May 14, 2026) found 6 health citations. The Missouri average is 11.4.
Federal regulators fined it 1 time in the past three years, totaling $14,069.
Nursing staff turnover is 63.1% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 98
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Circle B Enterprises
- Medicare-certified since
- December 15, 2016
- Resident/family council
- Resident
- County
- New Madrid County
- CMS Certification Number
- 265859
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.11 hrs | 3.43 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.02 hrs | 2.29 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.53 hrs | 3.01 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 63.1% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 88.9% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 45 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,069 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 98 | 103 | 107 | |
| Average residents per day | 47 | 73 | 86 | |
| Occupancy | 47.9% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.3% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.9% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 43.4% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.6% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.6% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 27.3% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 34.8% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 10% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 7.2% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 42.3% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 18% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 81.8% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 62.9% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 10% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 21.4% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 43.8% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 14, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected June 26, 2026 |
| May 14, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected June 26, 2026 |
| May 14, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 14, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 14, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 26, 2026 |
| May 14, 2026 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 14, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 14, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 14, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 14, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 26, 2026 |
| July 31, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected July 24, 2025 |
| March 7, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected April 17, 2025 |
| March 7, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected April 17, 2025 |
| March 7, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected April 17, 2025 |
| March 7, 2025 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 7, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 7, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 7, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 7, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 7, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 7, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 7, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 7, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 7, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected April 17, 2025 |
| February 4, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected January 26, 2025 |
| December 18, 2024 Complaint | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | E Potential harm, pattern | Corrected January 10, 2025 |
| December 18, 2024 Complaint | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected February 6, 2025 |
| December 18, 2024 Complaint | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | D Potential harm, isolated | Corrected January 10, 2025 |
| August 27, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected August 14, 2024 |
| November 3, 2023 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected December 15, 2023 |
| November 3, 2023 Fire safety | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Tag E0022 | F Potential harm, widespread | Corrected November 12, 2023 |
| November 3, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 15, 2023 |
| November 3, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected December 15, 2023 |
| November 3, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 3, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 3, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 3, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 3, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 3, 2023 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected December 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $14,069 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 31, 2025 | Fine | $14,069 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| THE NEW MADRID EXEMPT TRUST Organization | 5% or greater direct ownership interest | 100% | 07/14/2016 |
| AGH1 LLC Organization | adp of the snf | NOT APPLICABLE | 06/02/2025 |
| BEAIRD, TODD Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| DCB REAL ESTATE PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 08/08/2016 |
| FG LLC Organization | adp of the snf | NOT APPLICABLE | 12/02/2016 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 08/16/2021 |
| MID STATES INC Organization | adp of the snf | NOT APPLICABLE | 12/15/2016 |
| NEW MADRID RE LLC Organization | adp of the snf | NOT APPLICABLE | 08/08/2016 |
| PENNINGTON, CARTER Individual | adp of the snf | NOT APPLICABLE | 03/05/2026 |
| SAHAI, MADHU Individual | adp of the snf | NOT APPLICABLE | 12/15/2016 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 04/06/2025 |
| VAN DE VEN LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2000 |
| BEDELL, DONALD Individual | corporate director | NOT APPLICABLE | 07/14/2016 |
| BEAIRD, TODD Individual | corporate officer | NOT APPLICABLE | 01/01/2022 |
| BEDELL, DONALD Individual | corporate officer | NOT APPLICABLE | 07/14/2016 |
| BEDELL, BRYAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/12/2025 |
| AGH1 LLC Organization | operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| BEDELL, DONALD Individual | operational/managerial control | NOT APPLICABLE | 07/14/2016 |
| PENNINGTON, CARTER Individual | operational/managerial control | NOT APPLICABLE | 03/05/2026 |
| SAHAI, MADHU Individual | operational/managerial control | NOT APPLICABLE | 12/15/2016 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| THE NEW MADRID EXEMPT TRUST Organization | trustee of the snf | NOT APPLICABLE | 07/14/2016 |
Other nursing homes near Cotton Point Living Center
Annie's Garden Skilled Nursing
302 Stallcup Drive, Sikeston, MO 63801 · 6.9 mi
For-profit · 75 beds · Part of Paradigm Senior Management
Not ratedDelta South Nursing & Rehabilitation
640 Colonel George E Day Parkway, Sikeston, MO 63801 · 7.4 mi
For-profit · 60 beds
★★★★★4Above averageHunter Acres Caring Center
628 North West Street, Sikeston, MO 63801 · 8.5 mi
For-profit · 120 beds · Part of Circle B Enterprises
★★★★★3AverageSikeston Convalescent Center
103 Kennedy Drive, Sikeston, MO 63801 · 8.8 mi
For-profit · 120 beds · Part of Circle B Enterprises
★★★★★3AverageClearview Nursing Center
430 Salcedo Road, Sikeston, MO 63801 · 9 mi
For-profit · 90 beds · Part of James & Judy Lincoln
★★★★★4Above averageAspire Senior Living East Prairie
186 Millar Road, East Prairie, MO 63845 · 10.8 mi
For-profit · 52 beds · Part of Aspire Senior Living
★★★★★3Average
Frequently asked questions
What is Cotton Point Living Center's rating?
Cotton Point Living Center has 3 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Cotton Point Living Center receive?
Its most recent standard health inspection found 6 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Cotton Point Living Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Cotton Point Living Center?
It is for profit - individual and part of Circle B Enterprises. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cotton Point Living Center and how do I contact it?
Cotton Point Living Center is at 609 South Railroad Street, Matthews, MO 63867. Phone: (573) 471-7861.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.