Cotton Point Living Center

Cotton Point Living Center is a Nursing Home in Missouri

Cotton Point Living Center is a Nursing Home in Missouri

Cotton Point Living Center

MATTHEWS, MO 63867-9751 View Map

Cotton Point Living Center is a Nursing Home in Missouri

Cotton Point Living Center is a Nursing Home in Missouri

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Overview of Cotton Point Living Center
Cotton Point Living Center offers both long-term care in a warm, home-like setting and short-term rehabilitation services designated to help individuals regain strength and independence before returning home. Nestled in a peaceful, country setting, Cotton Point is truly a little slice of quiet living, where comfort, compassion, and quality care make every stay feel like home, whether it's for a short stay or a longer stay.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.77/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 98

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 57.3%
Residents per day (avg) 56
Occupancy rate
57.3%
Residents per day (avg)
56

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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

Might be optimal for
Short stays Recovery Medicare-covered care

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

Finances and operations

Proprietary home
Corporation
Home revenue
$5.3M
Operating loss
-$53.9K
Proprietary home Corporation
Home revenue
$5,263,201.00
Operating loss
$-53,855.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
31% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
Total costs $5.3M
Bed community size
98-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265859
Certification type: Medicare/Medicaid
County: NEW MADRID

Ownership & operating entity

Cotton Point Living Center is administrated by SHARON WOOTEN.

Owner name: NEW MADRID NO 1 INC

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

Amenities & Lifestyle

Trained staff
24-HR nursing
nutritious meals
social spaces.

Programs & Activities

Specific Programs
Long-term care, short-term rehabilitation, memory care.

Dining & Nutrition

Food Description
Nutritious meals provided.
Meals Included
Yes

Compare Nursing Homes around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Bertrand Nursing And Rehab Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
5/5
3.6515
5/5
3/5
2/5
-
Advanced Care of St Joseph
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 64505-1872
180
No
-
NORTH 18TH STREET CONSULTING LLC
57.2%
$5,504,210.00
$2,303,058.00
41.8%
141.10
1/5
2.1152
2/5
1/5
4/5
1
Amberwood Estates Nursing and Rehabilitation
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63121-1407
115
No
-
BERMUDA DRIVE CONSULTING LLC
81.7%
$5,482,532.00
$3,052,207.00
55.7%
79.70
1/5
1.7169
2/5
1/5
2/5
4
Cotton Point Living Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63867-9751
98
No
-
THE NEW MADRID EXEMPT TRUST
57.3%
$5,174,132.00
$1,629,320.00
31.5%
56.40
1/5
3.7700
2/5
1/5
1/5
1
Good Shepherd Care Community
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Cotton Point Living Center

Address 0.0 miles from city center

Address MATTHEWS, MO 63867-9751

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

93
Total Staff
76
Employees
17
Contractors
20,640
Total Hours (Quarter)
27
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse88.4 No
Licensed Practical Nurse158.4 No
Certified Nursing Assistant328.5 No
Staff by Category
Administration
2 staff
7.7hs shift avg
Nursing Staff
70 staff
8.7hs shift avg
Physicians & Practitioners
3 staff
7.9hs shift avg
Therapy Services
11 staff
6.3hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
5 staff
4.6hs shift avg
Dietary Services
1 staff
7.3hs shift avg
Other Services
1 staff
7.3hs shift avg
Contractor Analysis
6.3%
of total hours from contractors
1,307 contractor hours this quarter
Physical Therapy Aide: 3 Qualified Social Worker: 5 Respiratory Therapy Technician: 1 Speech Language Pathologist: 3 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Physical Therapy Assistant: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant320328,86791100%8.5
Licensed Practical Nurse150153,74891100%8.4
Nurse Aide in Training110112,1409099%9.1
Medication Aide/Technician4041,3498695%10.5
Registered Nurse8081,0218391%8.4
Administrator1015206571%8
Nurse Practitioner2025206673%7.9
Speech Language Pathologist0335075965%8.6
Physical Therapy Aide0334776066%7.8
Dietitian1014215864%7.3
Clinical Nurse Specialist1013774752%8
Dental Services Staff1013715156%7.3
Qualified Social Worker0551874145%4.6
Respiratory Therapy Technician0111014853%2.1
Occupational Therapy Assistant0111633%5.2
Occupational Therapy Aide0111033%3.3
Medical Director011633%2
Physical Therapy Assistant022422%2.2

Health Inspection History

Total Health inspections 8
21% above Missouri average
Missouri average: 6.6

Last Health inspection on Jul 2025

Total Health citations 32
12% below Missouri average
Missouri average: 36.5

4 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 25 citations
Complaint investigations 9 citations
Breakdown of citations
Critical Health citations 1
43% above Missouri average
Missouri average: 0.7
Serious Health citations 0
100% below Missouri average
Missouri average: 1.0
Moderate Health citations 30

Minor Health citations 1
Citations history (last 3 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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Individual
Resident Census by Payment Source
54 Total Residents
Medicare 4 (7.4%)
Medicaid 47 (87%)
Private Pay/Other 3 (5.6%)
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score 17.0
56% worse than Missouri average
Missouri average: 10.9
Functional decline score 28.4
46% worse than Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 30.1%
52% above Missouri average.

Walking Ability Worsened 39.5%
92% above Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 15.6%
14% below Missouri average.
Safety & clinical stability

Falls with Major Injury 8.0%
98% above Missouri average.

High Risk Residents with Pressure Ulcers 4.6%
9% below Missouri average.

Urinary Tract Infection 2.5%
7% below Missouri average.
Emotional & behavioral wellbeing

Depressive Symptoms 15.3%
19% above Missouri average.

Antipsychotic Use 41.2%
87% above Missouri average.
Preventive care

Pneumococcal Vaccine 48.5%
43% below Missouri average.

Influenza Vaccine 81.8%
10% below Missouri average.
Nutrition & physical health

Lost Too Much Weight 2.9%
48% below Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 8.4%

87% worse than Missouri average
Antipsychotic medication increase 7.8%

254% worse than Missouri average
Influenza Vaccine 21.4%

66% worse than Missouri average

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $14K
This home paid 81% less in fines than the state average.
Missouri average: $73K
Number of Fines 1
This home received 59% fewer fines than the state average.
Missouri average: 2.4
Payment Denials 0
This home had 100% fewer payment denials than the state average.
Missouri average: 0.7
Penalty History

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

Civil Money Penalty Jul 31, 2025
$14K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Missouri Seniors

Get financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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