Cotton Point Living Center

Nursing Home, Hospice Care, Memory Care & Respite Care · Matthews, MO

CMS overall rating

Cotton Point Living Center

Nursing Home, Hospice Care, Memory Care & Respite Care · Matthews, MO

CMS overall rating

609 South Railroad St, Matthews, MO 63867-9751 View map

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Cotton Point Living Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Cotton Point Living Center accepts Medicare, Medicaid, and private pay.

Overview of Cotton Point Living Center

New Madrid No 1, Inc., and administrator Carter Pennington handle operations at Cotton Point Living Center, a 98-bed nursing home situated at 609 South Railroad Street in Matthews, Missouri. Financial billing is sorted through traditional avenues, clearing payments via Medicare, Medicaid, and private pay. For visitors, the surrounding landscape is highly car-dependent, carrying a walkability score of 10 out of 100, which means family members will need a vehicle for almost all trips to the campus.

Operational records indicate a 61 percent occupancy rate alongside an average length of stay of 247 days. This operational timeline reflects a routine balanced between short-term post-hospital therapy tracks and multi-month residential placements. Daily physical care and medical needs are monitored by an around-the-clock staffing framework providing an average of 3 hours and 46 minutes of total nursing care per resident each day, with registered nurses, practical nurses, and aides covering standard unit rotations.

Official survey summaries indicate that inspectors flagged specific procedural corrections regarding general building operations and compliance guidelines, meaning the property’s long-term cumulative citations-per-inspection rate is above zero.

Families can evaluate how the campus integrates short-term physical rehabilitation loops and permanent skilled nursing care. The facility provides standard services, including a dedicated male memory care unit, freshly prepared daily meals, and common social spaces.

Facility Direct Line (573) 471-7861 adm@cottonpoint.net

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 46m per day

vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +25% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	19m per day	▼ 33% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	36m per day	▼ 12% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 54m per day	▲ 25% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 19m per day	▲ 8% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 47% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	14m per day	▼ 29% State avg: 20m per day · National avg: 28m per day

Capacity and availability

247 days

98-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 10 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

61%

Lower than the Missouri average: 66.6%

Occupied beds

60 / 98

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceSeptember 21, 2025

ExpirationSeptember 20, 2027

CountyNew Madrid

License Number052992

CMS Certification Number265859

Certification TypeMedicare / Medicaid

Cotton Point Living Center is legally operated by New Madrid No 1, Inc, and administered by Carter Pennington.

Corporate EntityNEW MADRID NO 1 INC

Owner NameNew Madrid No 1 Inc

Skilled Nursing Facility

98 units

Total beds

98 units

Rehabilitation Services

Short-Term Rehab

24-Hour Staffing

Dedicated Alzheimer's Unit

Trained Staff

24-Hr Nursing

Nutritious Meals

Social Spaces

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2018 · 8 years of data 138 deficiencies 18 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection July 31, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	138	35	This facility has 294% more total deficiencies than a typical Missouri assisted living residence (138 vs. MO avg 35).↑ 294% worse
Deficiencies per year Average deficiencies per year since 2018.	17.3	4.4	This facility has 293% more deficiencies per year than a typical Missouri assisted living residence (17.3 vs. MO avg 4.4).↑ 293% worse
Deficiencies per inspection Average deficiencies per inspection.	7.7	5	This facility has 54% more deficiencies per inspection than a typical Missouri assisted living residence (7.7 vs. MO avg 5).↑ 54% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	18	7	This facility has 157% more total inspections than a typical Missouri assisted living residence (18 vs. MO avg 7).↑ 157% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

July 31, 2025 complaint investigation found immediate jeopardy for failure to protect a resident from physical abuse causing a fractured hip requiring surgery.
March 7, 2025 routine inspection documented 15 deficiencies including unsafe environment, medication errors, incomplete assessments, narcotics reconciliation failures, and unsanitary food storage.
February 4, 2025 complaint investigation substantiated misappropriation of resident property by staff with police notified and disciplinary action taken.

Show Inspection Reports

Inspections since 2021

Total health inspections 8

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

23 of 32 citations resulted from standard inspections; 7 of 32 resulted from complaint investigations; and 2 of 32 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

30 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 5 years)

Abuse/Neglect critical citation Jul 31, 2025

Corrected

Abuse/Neglect moderate citation Mar 07, 2025

Corrected

Nutrition moderate citation Mar 07, 2025

Corrected

Pharmacy moderate citation Mar 07, 2025

Corrected

Top deficiency categories

Resident Rights 9 deficiencies (28%)

Pharmacy Services 5 deficiencies (16%)

Quality of Life & Care 4 deficiencies (13%)

Abuse, Neglect & Exploitation 4 deficiencies (13%)

Infection Control 1 deficiency (3%)

Environmental 1 deficiency (3%)

Total staff 96

Employees 84

Contractors 12

Staff to resident ratio 1.78 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 21,460

Nursing staff breakdown

7.2 hours

9.1 hours

8.6 hours

Contractor staffing

1,753 contractor hours this quarter

Qualified Social Worker: 3 Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Physical Therapy Aide: 1 Medical Director: 1 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	34	0	34	9,871	92	100%	8.6
Licensed Practical Nurse	11	0	11	2,880	92	100%	9.1
Medication Aide/Technician	7	0	7	2,098	90	98%	10.2
Nurse Aide in Training	10	0	10	1,955	89	97%	9.2
Registered Nurse	8	0	8	729	78	85%	7.2
Speech Language Pathologist	0	2	2	722	64	70%	7.1
Nurse Practitioner	5	0	5	652	70	76%	7.8
Administrator	3	0	3	528	66	72%	8
Physical Therapy Aide	0	1	1	427	60	65%	7.1
Qualified Social Worker	0	3	3	425	66	72%	5.4
Dental Services Staff	1	0	1	383	50	54%	7.7
Other Dietary Services Staff	1	0	1	363	46	50%	7.9
Clinical Nurse Specialist	3	0	3	131	18	20%	7.3
Dietitian	1	0	1	118	19	21%	6.2
Respiratory Therapy Technician	0	1	1	85	40	43%	2.1
Occupational Therapy Aide	0	1	1	60	9	10%	6.6
Medical Director	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	9	3	3%	3
Physical Therapy Assistant	0	2	2	2	2	2%	1

34 Certified Nursing Assistant

% of Days 100%

11 Licensed Practical Nurse

% of Days 100%

7 Medication Aide/Technician

% of Days 98%

10 Nurse Aide in Training

% of Days 97%

8 Registered Nurse

% of Days 85%

2 Speech Language Pathologist

% of Days 70%

5 Nurse Practitioner

% of Days 76%

3 Administrator

% of Days 72%

1 Physical Therapy Aide

% of Days 65%

3 Qualified Social Worker

% of Days 72%

1 Dental Services Staff

% of Days 54%

1 Other Dietary Services Staff

% of Days 50%

3 Clinical Nurse Specialist

% of Days 20%

1 Dietitian

% of Days 21%

1 Respiratory Therapy Technician

% of Days 43%

1 Occupational Therapy Aide

% of Days 10%

1 Medical Director

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

2 Physical Therapy Assistant

% of Days 2%

View All Staffing Data

Total fines amount $14K

81% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $14K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jul 31, 2025 · $14K

Civil Money Penalty Jul 31, 2025

$14K

Last updated: Jan 2026

High-risk clinical events score 17.0

56% worse than State average

State average: 10.9

Functional decline score 28.4

46% worse than State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 30.1%

52% worse than State average

State average: 19.8%

Walking Ability Worsened 39.5%

92% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 15.6%

14% better than State average

State average: 18.1%

Falls with Major Injury 8.0%

98% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.6%

9% better than State average

State average: 5.0%

Urinary Tract Infection 2.5%

7% better than State average

State average: 2.7%

Lost Too Much Weight 2.9%

48% better than State average

State average: 5.6%

Depressive Symptoms 15.3%

19% worse than State average

State average: 12.8%

Antipsychotic Use 41.2%

87% worse than State average

State average: 22.0%

Pneumococcal Vaccine 48.5%

43% worse than State average

State average: 85.2%

Influenza Vaccine 81.8%

10% worse than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.03

50% better than State average

State average: 2.08

ED visits per 1,000 days 2.57

9% worse than State average

State average: 2.35

Short-stay resident measures

Significantly below average State avg: 2.1

Pneumococcal Vaccine 8.4%

87% worse than State average

State average: 66.6%

Antipsychotic medication increase 7.8%

254% worse than State average

State average: 2.2%

Influenza Vaccine 21.4%

66% worse than State average

State average: 63.5%

Re-hospitalized after SNF stay 29.3%

16% worse than State average

State average: 25.3%

Emergency department visits 15.4%

15% worse than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 48.0%

11% worse than State average

State average: 53.7%

Breakdown by payment type

Medicare

48% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

27% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

26% of new residents, often for long-term daily care.

Typical stay 2 years

Total residents 54

Medicare

7.4% of residents

Medicaid

87% of residents

Private pay or other

5.6% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Cotton Point Living Center from 2017–2023, based on CMS SNF Cost Reports.

Occupancy Rate 57.3% ↓ 0.5pp vs 2022

Net Patient Income -$142.9K ↑ ~$124.2K vs 2022

Payroll Costs $1.8M ↑ ~$332.4K vs 2022

Operating Margin -3.4% ↑ 3.5pp vs 2022

Financial Performance

Net patient revenue Operating expenses Net patient income

Salaries Wage Costs Contract Labor

Medicare Medicaid Private Pay/Other

Metric	2017	2018	2019	2020	2021	2022	2023
Occupancy %	60.0%	12.7%	40.5%	57.3%	55.5%	57.9%	57.3%
Beds	98	98	98	98	98	98	98
Net Income	-$156,826	-$227,738	-$102,675	$1,649,540	$299,193	-$59,866	-$53,855
Gross Revenue	$4,036,023	$949,304	$3,313,352	$4,089,216	$4,305,422	$5,050,742	$5,174,132
Operating Expenses	$3,616,216	$2,088,930	$3,122,023	$3,278,334	$3,400,619	$4,129,685	$4,358,222
Net Patient Income	-$168,461	-$1,334,368	-$343,308	$536,975	$265,123	-$267,108	-$142,924
Net Patient Revenue	$3,447,755	$754,562	$2,778,715	$3,815,309	$3,665,742	$3,862,577	$4,215,298
Payroll Costs	$1,684,777	$1,081,082	$1,271,684	$1,415,203	$1,409,746	$1,466,130	$1,798,512
Operating Margin %	-4.9%	-176.8%	-12.4%	14.1%	7.2%	-6.9%	-3.4%
Medicare %	5.4%	9.1%	15.6%	9.9%	9.2%	7.6%	11.1%
Medicaid %	87.3%	81.5%	68.9%	71.6%	75.1%	76.4%	78.1%
Private %	7.3%	9.4%	15.5%	18.6%	15.7%	16.0%	10.8%
Net Patient Revenue/Day	$153	$166	$192	$186	$185	$187	$206
Cost/Day	$161	$459	$215	$159	$171	$200	$213
Avg Length of Stay	231.7 days	48.0 days	121.8 days	212.0 days	202.5 days	204.9 days	247.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.2M

Net patient income

-$142.9K

For-profit Individual

Net patient revenue

$4.2M

Net patient income

-$142.9K

Other income

$89.1K

Payroll costs

$1.8M 42.7% of net patient revenue

Other operating costs

$2.6M

Total costs

$4.4M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (48% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 48%

Private pay 27%

Medicaid 26%

Coverage residents most often leave under.

Medicare 49%

Private pay 11%

Medicaid 40%

0.0 miles from city center Estimated distance in miles from Matthews's city center to Cotton Point Living Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Cotton Point Living Center	NH HC MC RC	Matthews	-	98	-	10	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
John Knox Village	NH AL HC IL MC RC	Lee's Summit	-	408	A+	58	1 Bed / 2 Bed
Ignite Medical Resort Blue Springs	NH PC	Blue Springs	-	90	-	68	-
Moore-Few Care Center	NH HC MC PC RC	-	-	108	-	39	Private Suites

Nursing Home Explorer

Who is the owner of Cotton Point Living Center?

Cotton Point Living Center is legally operated by New Madrid No 1, Inc, and administered by Carter Pennington.

Is Cotton Point Living Center in a walkable area?

Cotton Point Living Center has a walk score of 10. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Cotton Point Living Center?

According to MO state health department records, Cotton Point Living Center's license number is 052992.

When does Cotton Point Living Center's license expire?

According to MO state health department records, Cotton Point Living Center's license expires on September 20, 2027.

What is the occupancy rate at Cotton Point Living Center?

Cotton Point Living Center's occupancy is 61%.

Does Cotton Point Living Center operate as a for-profit or non-profit?

Cotton Point Living Center is registered as a for-profit in MO.

Who is the administrator of Cotton Point Living Center?

Carter Pennington is the administrator of Cotton Point Living Center.

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Cotton Point Living Center

Overview of Cotton Point Living Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Amenities & Lifestyle

Contact Cotton Point Living Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

34 Certified Nursing Assistant

11 Licensed Practical Nurse

7 Medication Aide/Technician

10 Nurse Aide in Training

8 Registered Nurse

2 Speech Language Pathologist

5 Nurse Practitioner

3 Administrator

1 Physical Therapy Aide

3 Qualified Social Worker

1 Dental Services Staff

1 Other Dietary Services Staff

3 Clinical Nurse Specialist

1 Dietitian

1 Respiratory Therapy Technician

1 Occupational Therapy Aide

1 Medical Director

1 Occupational Therapy Assistant

2 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Cotton Point Living Center

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