Missouri › New Madrid County › Matthews
Cotton Point Living Center
609 South Railroad Street, Matthews, MO 63867
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Cotton Point Living Center is a For-profit, individual nursing home in Matthews, Missouri, certified for 98 beds and caring for about 47 residents a day.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 2 and quality measures 1.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (6, 16, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 29.6 per 100 beds, about the same as the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 4.1 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 63.1%.
Compared with county, state and nation
| Measure | This facility | New Madrid Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 29 | 24 | 31 | 28.7 |
| Citations per 100 beds | 29.6 | 29.6 | 32.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 3.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 63.1% | 61.5% | 56.1% | 45.8% |
| Fines listed | $14,069 | $8,824 | $0 | — |
County and state figures are medians across facilities (6 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 May 2026, 7 Mar 2025.
Severity mix: J ×1 D ×24 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Jun 2026 |
| 14 May 2026 | F0688 | 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. | D | Standard survey | 26 Jun 2026 |
| 14 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Jun 2026 |
| 14 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 26 Jun 2026 |
| 14 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 26 Jun 2026 |
| 14 May 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 26 Jun 2026 |
| 31 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 24 Jul 2025 |
| 7 Mar 2025 | F0584 | 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. | D | Complaint investigation | 17 Apr 2025 |
| 7 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 17 Apr 2025 |
| 7 Mar 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 17 Apr 2025 |
| 7 Mar 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 17 Apr 2025 |
| 7 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 17 Apr 2025 |
| 7 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Apr 2025 |
| 7 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 17 Apr 2025 |
| 7 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 17 Apr 2025 |
| 7 Mar 2025 | F0758 | 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. | D | Standard survey | 17 Apr 2025 |
| 7 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 17 Apr 2025 |
| 4 Feb 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 26 Jan 2025 |
| 18 Dec 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint investigation | 6 Feb 2025 |
| 18 Dec 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Complaint investigation | 10 Jan 2025 |
| 18 Dec 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Complaint investigation | 10 Jan 2025 |
| 27 Aug 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 14 Aug 2024 |
| 3 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 15 Dec 2023 |
| 3 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Dec 2023 |
| 3 Nov 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 15 Dec 2023 |
| 3 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Dec 2023 |
| 3 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Dec 2023 |
| 3 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 Dec 2023 |
| 3 Nov 2023 | F0761 | 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. | D | Standard survey | 15 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 31 Jul 2025 | Fine | $14,069 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 63.1%, RNs 88.9%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 27.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.3% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 10.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 34.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 43.4% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. Chain: Circle B Enterprises (36 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Agh1 LLC | Operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| Sovereign Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| Agh1 LLC | Adp of the snf | NOT APPLICABLE | 06/02/2025 |
| Dcb Real Estate Partnership LP | Adp of the snf | NOT APPLICABLE | 08/08/2016 |
| Fg LLC | Adp of the snf | NOT APPLICABLE | 12/02/2016 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 08/16/2021 |
| Mid States Inc | Adp of the snf | NOT APPLICABLE | 12/15/2016 |
| New Madrid Re LLC | Adp of the snf | NOT APPLICABLE | 08/08/2016 |
| Sovereign Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 04/06/2025 |
| Van De Ven LLC | Adp of the snf | NOT APPLICABLE | 01/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in New Madrid County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| New Madrid Living Center | New Madrid | 112 | 5 | 5 | 3 | 11 | 9.8 | $9K | 18 Sep 2025 |
| Delta South Nursing & Rehabilitation | Sikeston | 60 | 4 | 4 | 3 | 24 | 40.0 | — | 9 Jan 2026 |
| Gideon Care Center | Gideon | 72 | 4 | 5 | 1 | 19 | 26.4 | — | 19 Mar 2026 |
| Portageville Health Care Center | Portageville | 60 | 3 | 4 | 1 | 25 | 41.7 | $241K | 1 May 2025 |
| Annie'S Garden Skilled Nursing | Sikeston | 75 | — | — | — | 0 | 0.0 | — | — |
All 6 facilities in New Madrid County
Questions and answers
How many deficiencies has Cotton Point Living Center been cited for?
29 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Cotton Point Living Center been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Cotton Point Living Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Cotton Point Living Center?
It is part of the Circle B Enterprises chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Agh1 LLC and Sovereign Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was Cotton Point Living Center last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 14 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.