Cotton Point Living Center

Name: Cotton Point Living Center
Address: 609 SOUTH RAILROAD STREET, Matthews, MO, 63867, US
Telephone: 5734717861

609 South Railroad Street, Matthews, MO 63867 · New Madrid County · 98 certified beds · avg 47 residents/day · certified since Dec 15, 2016 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

$14,069

Fines, last 3 years

4.40

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jul 31, 2025 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jul 24, 2025 (Past Non-Compliance)

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 14, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 14, 2026	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 14, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 14, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
May 14, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 14, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jul 31, 2025	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Mar 7, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Mar 7, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 7, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 4, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Dec 18, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint
Dec 18, 2024	E · Potential for harm, repeated	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint
Dec 18, 2024	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · from a complaint
Aug 27, 2024	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Nov 3, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Nov 3, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 3, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Nov 3, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 3, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 3, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 3, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	0	E
2024	4	0	E
2025	12	1	J ▲
2026	6	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $14,069.

Date	Type	Amount / length
Jul 31, 2025	Fine	$14,069

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.40	3.66	3.95	top 21% in Missouri; top 26% in the U.S.
Registered Nurse hours	0.41	0.49	0.69	bottom 48% in Missouri; bottom 23% in the U.S.
Weekend total nurse staffing	3.77	3.22	3.50	top 23% in Missouri; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.33	0.48	bottom 38% in Missouri; bottom 17% in the U.S.
Total nursing staff turnover (%)	63.1	56.0	45.8	bottom 32% in Missouri; bottom 12% in the U.S.
RN turnover (%)	88.9	47.8	42.9	bottom 4% in Missouri; bottom 2% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.11, RN 0.38, weekend 3.53. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
The New Madrid Exempt Trust	Organization	5% or Greater Direct Ownership Interest	100%	07/14/2016
Agh1 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/02/2016
Agh1 LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/02/2025
Beaird, Todd	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Beaird, Todd	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2022
Bedell, Bryan	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/12/2025
Bedell, Donald	Individual	Corporate Director	NOT APPLICABLE	07/14/2016
Bedell, Donald	Individual	Corporate Officer	NOT APPLICABLE	07/14/2016
Bedell, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	07/14/2016
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
Sahai, Madhu	Individual	Operational/Managerial Control	NOT APPLICABLE	12/15/2016
Sahai, Madhu	Individual	ADP of the SNF	NOT APPLICABLE	12/15/2016
Sovereign Healthcare Group LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/23/2021
Sovereign Healthcare Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/06/2025
The New Madrid Exempt Trust	Organization	Trustee of the SNF	NOT APPLICABLE	07/14/2016
Van de Ven LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2000

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Annie's Garden Skilled Nursing	6.9 mi	Sikeston, MO		—/5
Delta South Nursing & Rehabilitation	7.4 mi	Sikeston, MO	★★★★☆	4/5
Hunter Acres Caring Center	8.5 mi	Sikeston, MO	★★★☆☆	4/5
Sikeston Convalescent Center	8.8 mi	Sikeston, MO	★★★☆☆	4/5
Clearview Nursing Center	9.0 mi	Sikeston, MO	★★★★☆	4/5
Aspire Senior Living East Prairie	10.8 mi	East Prairie, MO	★★★☆☆	4/5
New Madrid Living Center	11.7 mi	New Madrid, MO	★★★★★	5/5
Bertrand Nursing and Rehab Center	12.2 mi	Bertrand, MO	★★★★☆	5/5
Daybreak Nursing Center	17.2 mi	Sikeston, MO	★★★★☆	5/5

Compare this facility with the 3 closest →

All facilities in Matthews →

Facility data as of CMS processing date 2026-08-01. CCN 265859.

The Care File

Visit checklist — Cotton Point Living Center

609 South Railroad Street, Matthews, MO 63867 · 5734717861

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $14,069

Most serious findings on record:

▲ Jul 31, 2025 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265859 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)