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Nursing Homes · Medicare certified

Cotton Point Living Center

609 South Railroad Street · Matthews, MO 63867 · 98 certified beds

(573) 471-7861

NPI 1699228387 (opens in a new tab)

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About Cotton Point Living Center

Cotton Point Living Center is a nursing home in Matthews, Missouri. Its capacity is 98 beds, above the New Madrid County median of 72 for nursing homes. It is run by a for-profit operator and is part of Circle B Enterprises. It is Medicare certified. Its public inspection record shows 32 citations, the most recent on May 14, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 4.26 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

3.0

Staffing

3.0

Quality measures

1.0

CMS Care Compare, October 2026.

Inspection history (32)

Records from October 2021 to May 2026.

  • May 14, 2026

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2026.

  • July 31, 2025

    Tag F0600

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

    Severity J: isolated, immediate jeopardy. Corrected July 24, 2025.

  • March 7, 2025

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • March 7, 2025

    Tag F0655

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • March 7, 2025

    Tag F0640

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • March 7, 2025

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • March 7, 2025

    Tag 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 l….

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • March 7, 2025

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • March 7, 2025

    Tag F0692

    Provide enough food/fluids to maintain a resident's health.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • March 7, 2025

    Tag F0607

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • March 7, 2025

    Tag F0638

    Assure that each resident’s assessment is updated at least once every 3 months.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • March 7, 2025

    Tag F0812

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2025.

  • February 4, 2025

    Tag F0602

    Protect each resident from the wrongful use of the resident's belongings or money.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 26, 2025.

  • December 18, 2024

    Tag F0567

    Honor the resident's right to manage his or her financial affairs.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 6, 2025.

  • December 18, 2024

    Tag F0569

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 10, 2025.

  • December 18, 2024

    Tag F0568

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 10, 2025.

  • August 27, 2024

    Tag F0602

    Protect each resident from the wrongful use of the resident's belongings or money.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 14, 2024.

  • November 3, 2023

    Tag F0637

    Assess the resident when there is a significant change in condition.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

  • November 3, 2023

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

  • November 3, 2023

    Tag F0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

See the source data on data.cms.gov (opens in a new tab)

Penalties (1)

Total fines: $14,069

  • July 31, 2025 · Fine

    CMS recorded a civil money penalty of $14,069 against this nursing home on July 31, 2025.

See the source data on data.cms.gov (opens in a new tab)

Staffing

4.26 nurse hours per resident per day in Q2 2026, up from 3.81 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Circle B Enterprises, a chain of 36 nursing homes.

Average CMS star ratings across the chain: 2.6 overall, 3.1 for health inspections, 1.9 for staffing, 1.9 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Missouri.

Nursing Homes

Missouri median$6,741/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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