Nursing home · Matthews, MO

Cotton Point Living Center

609 South Railroad Street, Matthews, MO 63867 · 98 certified beds · for profit ownership · part of Circle B Enterprises

Medicare & MedicaidFined $14,069 in 3 years

Call (573) 471-7861 Directions

Medicare overall rating3 / 5AverageSikeston area 3.8 · Missouri 2.51 · U.S. 2.99

4/5Health inspections Above average

2/5Staffing Below average

1/5Quality measures Much below average

1/5Short-stay (rehab) quality Much below average

1/5Long-stay quality Much below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on May 14, 2026, when they cited 6 problems, 1 of them from complaint investigations. The most common area was quality of life and care (2 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 6 are marked corrected in the CMS data. At its most recent standard inspection (May 14, 2026) it had 6 citations, compared with an average of 5.8 for Sikeston-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 4.11 hours per resident per day here, 20% more than the Missouri average (3.43) and 6% more than the U.S. average (3.86). Registered nurses account for 0.38 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 63% over the past year, 7 points higher than Missouri (56%) and 17 points higher than the U.S. (46%).

How Cotton Point Living Center compares

This home's latest CMS figures next to the averages for Sikeston-area homes (10), Missouri (487) and the U.S. (14,680).

	This home	Sikeston area	Missouri	U.S.
Total nurse hours per resident per day	4.11	3.71	3.43	3.86
Registered nurse hours per resident per day	0.38	0.41	0.46	0.68
Weekend nurse hours per resident per day	3.53	3.23	3.01	3.42
Nursing staff turnover (past year)	63%	53%	56%	46%
Registered nurse turnover (past year)	89%	48%	48%	43%
Citations at the most recent standard inspection	6	5.8	11.4	9.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

May 14, 20266standard + complaint

Jul 31, 20251complaint · 1 harm-level citation

Mar 7, 202510standard + complaint

Feb 4, 20251complaint

Dec 18, 20243complaint

Aug 27, 20241complaint

Nov 3, 20237standard + complaint

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 29 of 29 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations

Date	Deficiency	Severity	Status
May 14, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary	E	Deficient, Provider has date of correction
May 14, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint	D	Deficient, Provider has date of correction
May 14, 2026	Ensure medication error rates are not 5 percent or greater. Pharmacy service	D	Deficient, Provider has date of correction
May 14, 2026	Ensure that residents are free from significant medication errors. Pharmacy service	D	Deficient, Provider has date of correction
May 14, 2026	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control	D	Deficient, Provider has date of correction
May 14, 2026	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. Quality of life and care	D	Deficient, Provider has date of correction
Jul 31, 2025	Protect 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	J immediate jeopardy	Past Non-Compliance
Mar 7, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning	D	Deficient, Provider has date of correction
Mar 7, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary	D	Deficient, Provider has date of correction
Mar 7, 2025	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. Pharmacy service	D	Deficient, Provider has date of correction
Mar 7, 2025	Provide enough food/fluids to maintain a resident's health. Quality of life and care	D	Deficient, Provider has date of correction
Mar 7, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service	D	Deficient, Provider has date of correction
Mar 7, 2025	Create 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	Deficient, Provider has date of correction
Mar 7, 2025	Assure that each residentâs assessment is updated at least once every 3 months. Resident assessment and care planning	D	Deficient, Provider has date of correction
Mar 7, 2025	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation	D	Deficient, Provider has date of correction
Mar 7, 2025	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. Resident rights · complaint	D	Deficient, Provider has date of correction
Mar 7, 2025	Encode each residentâs assessment data and transmit these data to the State within 7 days of assessment. Resident assessment and care planning	D	Deficient, Provider has date of correction
Feb 4, 2025	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint	D	Past Non-Compliance
Dec 18, 2024	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights · complaint	E	Deficient, Provider has date of correction
Dec 18, 2024	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights · complaint	D	Deficient, Provider has date of correction
Dec 18, 2024	Honor the resident's right to manage his or her financial affairs. Resident rights · complaint	E	Deficient, Provider has date of correction
Aug 27, 2024	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint	D	Past Non-Compliance
Nov 3, 2023	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint	E	Deficient, Provider has date of correction
Nov 3, 2023	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights	D	Deficient, Provider has date of correction
Nov 3, 2023	Assess the resident when there is a significant change in condition Resident assessment and care planning	D	Deficient, Provider has date of correction
Nov 3, 2023	Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care	D	Deficient, Provider has date of correction
Nov 3, 2023	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care	D	Deficient, Provider has date of correction
Nov 3, 2023	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service	D	Deficient, Provider has date of correction
Nov 3, 2023	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. Pharmacy service	D	Deficient, Provider has date of correction

Fines and penalties

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

Location

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Questions about Cotton Point Living Center

Answers computed from CMS data for this facility.

What is Cotton Point Living Center's Medicare rating?

Medicare rates Cotton Point Living Center 3 out of 5 stars overall (average). The average for Sikeston-area nursing homes is 3.8, for Missouri 2.51 and for the U.S. 2.99.

How did Cotton Point Living Center do on its last inspection?

Has Cotton Point Living Center been fined?

Yes. CMS reports 1 fine totaling $14,069 in the past three years.

Does Cotton Point Living Center accept Medicaid?

Cotton Point Living Center is certified for both Medicare and Medicaid. Call (573) 471-7861 to ask whether a Medicaid bed is open.

Other nursing homes near Matthews

Compare all 10 Sikeston-area nursing homes · · Sikeston guide

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.