Cotton Point Living Center
609 South Railroad Street, Matthews, MO 63867 · (573) 471-7861
For profit - Individual · 98 certified beds
Cotton Point Living Center has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 6 citations (the Missouri average is 11.4). It was fined 1 time in the last three years, $14,069 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 14, 2026 found 6 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 14, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 14, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 14, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.May 14, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 14, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.May 14, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 14, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 31, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- 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.March 7, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.February 4, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to manage his or her financial affairs.December 18, 2024 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.December 18, 2024 · F0568 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.December 18, 2024 · F0569 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.August 27, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.November 3, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $14,069July 31, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.11 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.38 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.71 | 0.68 | 0.86 |
| Nurse aides | 3.02 | 2.29 | 2.32 |
| Total nursing staff turnover | 63.1% | 56% | 45.8% |
About this home
| Ownership | For profit - Individual |
| Certified beds | 98 |
| Average residents per day | 46.9 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Gideon Care Center Gideon · ★★★★★ 4 out of 5 stars
- New Madrid Living Center New Madrid · ★★★★★ 5 out of 5 stars
- Portageville Health Care Center Portageville · ★★★★★ 3 out of 5 stars
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Care matcherStep 1 of 7
Who are you looking for help for?
Free for families. Your answers aren't saved.
Data from Medicare (CMS), updated October 2026, from Cotton Point Living Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.