Nursing HomeInspections

Cotton Point Living Center

Nursing home in Matthews, MO

Medicare & Medicaid certified3★ overall (CMS)

Call (573) 471-7861Send a messageMap ↗

Public-record details

Address
609 South Railroad Street, Matthews, MO 63867
Phone
(573) 471-7861
Listed under
For-profit
Medicare CCN
265859
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
1 of 5
Certified beds
98
Average residents per day
47
Ownership
For-profit, individual
Legal business name
New Madrid No 1 INC
Chain
Circle B Enterprises (36 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 15, 2016
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265859. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 14, 2026. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 3, 2023 to May 14, 2026): 9 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 14, 2026Provide 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		D
Potential for more than minimal harm, isolated
May 14, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 14, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 14, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 14, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
May 14, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jul 31, 2025Protect 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 · complaint inspection		J
Immediate jeopardy, isolated
Mar 7, 2025Honor 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 7, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 7, 2025Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 7, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 7, 2025Create 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		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $14,069 in the last three years.

Jul 31, 2025Fine: $14,069

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.11 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
3.02 hours
Total nurse staffing on weekends
3.53 hours
Nursing staff turnover (yearly)
63%
RN turnover (yearly)
89%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.