Cotton Point Living Center
Nursing Home · Matthews, MO
CMS certification number265859
Contact & location
609 South Railroad StreetMatthews, MO 63867
New Madrid County
- Phone
- (573) 471-7861
- ZIP code
- 63867 – all care providers
Facility details
- Certified beds
- 98
- Residents per day
- 46.9 (48% occupied)
- Ownership
- For profit - Individual
- Legal name
- New Madrid No 1 INC
- Chain
- Circle B Enterprises (36 facilities, avg 2.5★)
- Medicare certified since
- December 15, 2016
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.11 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.38 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.71 (state 0.68 · U.S. 0.86)
- Nurse aides
- 3.02 (state 2.29 · U.S. 2.32)
- Weekend total
- 3.53 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 63.1 (state 56.0 · U.S. 45.8)%
- RN turnover
- 88.9 (state 47.8 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- May 14, 2026
- Health deficiencies (last cycle)
- 6.0 (state 11.5 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 29 health · 10 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2025-07-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-07-24 |
| 2025-03-07 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-03-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-03-07 | Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-03-07 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-03-07 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-03-07 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-03-07 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-03-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-03-07 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-03-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-17 |
| 2025-02-04 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-26 |
| 2024-12-18 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-06 |
| 2024-12-18 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-10 |
| 2024-12-18 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-10 |
| 2024-08-27 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-14 |
| 2023-11-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-03 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-11-03 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $14,069 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-31 | Fine | $14,069 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| The New Madrid Exempt Trust (organization) | 5%+ Direct Ownership Interest · 100% | |
| Agh1 LLC (organization) | Administrator · NOT APPLICABLE | |
| Beaird, Todd (individual) | Administrator · NOT APPLICABLE | |
| DCB Real Estate Partnership LP (organization) | Administrator · NOT APPLICABLE | |
| FG LLC (organization) | Administrator · NOT APPLICABLE | |
| Forvis Mazars LLP (organization) | Administrator · NOT APPLICABLE | |
| Mid States INC (organization) | Administrator · NOT APPLICABLE | |
| New Madrid Re LLC (organization) | Administrator · NOT APPLICABLE | |
| Sahai, Madhu (individual) | Administrator · NOT APPLICABLE | |
| Sovereign Healthcare Group LLC (organization) | Administrator · NOT APPLICABLE | |
| Van De Ven LLC (organization) | Administrator · NOT APPLICABLE | |
| Wooten, Sharon (individual) | Administrator · NOT APPLICABLE | |
| Bedell, Donald (individual) | Corporate Director · NOT APPLICABLE | |
| Beaird, Todd (individual) | Corporate Officer · NOT APPLICABLE | |
| Bedell, Donald (individual) | Corporate Officer · NOT APPLICABLE | |
| Bedell, Bryan (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Agh1 LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Bedell, Donald (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sahai, Madhu (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sovereign Healthcare Group LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Wooten, Sharon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| The New Madrid Exempt Trust (organization) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Cotton Point Living Center?
Cotton Point Living Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Cotton Point Living Center have?
It has 98 certified beds and cares for about 47 residents per day.
Has Cotton Point Living Center been fined?
Yes. CMS lists 1 penalty totaling $14,069 in the last three years.
Who owns Cotton Point Living Center?
It is part of Circle B Enterprises and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Cotton Point Living Center?
(573) 471-7861. The facility is located at 609 South Railroad Street, Matthews, MO 63867.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.