Nursing home
Cotton Point Living Center
609 South Railroad Street, Matthews, MO 63867 · Map
For profit - Individual · 98 certified beds
Cotton Point Living Center is a Medicare-certified nursing home in Matthews, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.40 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Mar 7, 2025 cited 11 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $14,069In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Cotton Point Living Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.40 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.33 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.44 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 78.1% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $14,069, 1 total penalty.
What inspectors found at Cotton Point Living Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
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 Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 7, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 4, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 609 South Railroad Street
Matthews, MO 63867 - CMS certification #
- 265859
- Ownership
- For profit - Individual
- Certified beds
- 98
- Avg residents/day
- 57.6
- Provider type
- Medicare and Medicaid
- First certified
- 2016-12-15
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Cotton Point Living Center using Google Maps.
Other public records
- Website says A memory care unit, respite stays, nurse 24 hours a day, works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Cotton Point Living Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
We currently have availability in our coed long-term care area and our male memory care unit.
(page, checked Oct 12, 2026) - Offers respite or short-term stays.
Respite care services to support caregivers and provide peace of mind
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
24/7 skilled nursing care delivered with compassion and expertise
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Hospice services focused on comfort and dignity
(page, checked Oct 15, 2026) - Provides transportation.
Convenient transportation services for appointments and outings
(page, checked Oct 15, 2026) - Apartment types named: private room.
We’re refreshing private rooms, upgrading our beauty salon, and expanding our activities program with new, fun events for residents to enjoy.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Missouri Delta Medical Center, Sikeston. 8.8 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Annie's Garden Skilled Nursing, Sikeston. 6.9 miles away, straight line.
- Nearest home health agency office
- Adoration Home Health, Sikeston. 8.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 8.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63867 as micropolitan (micropolitan high commuting).
- Dialysis within 15 miles
- Fmc - Sikeston, Sikeston, 7.2 miles away, straight line (CMS rating 2 of 5 stars)
Davita Sikeston Jaycee Regional Dialysis, Sikeston, 8.9 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 63867.
Elite Hospice, office in Sikeston, 7.8 miles away, straight line
Elara Caring, office in Dexter, 22.3 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Southeastern Physician Services PC, Union City. 38.4 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective August 3, 1981), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: very high. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado very high, heat wave very high, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Cotton Point Living Center a good nursing home?
CMS gives Cotton Point Living Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Cotton Point Living Center staffed?
Cotton Point Living Center reports 3.40 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Cotton Point Living Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Cotton Point Living Center have?
Cotton Point Living Center is certified for 98 beds.