Occupancy rate
57%
In line with Missouri averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
Occupancy rate
57.3%
Residents per day (avg)
56
Occupancy rate
57.3%
Residents per day (avg)
56
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
Privately-owned community
Operated by a business corporation.
Home revenue
$5.3M
Operating loss
-$53.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$5,263,201.00
Operating loss
$-53,855.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.3M
98-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Missouri averageOccupied beds
56 / 98
Average residents
72 per day
License details
Facility type
Snf
County:
NEW MADRID
Additional licensing details
CMS Certification Number:
265859
Certification type:
Medicare/Medicaid
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
Programs & Activities
Specific Programs
Long-term care, short-term rehabilitation, memory care.
Dining & Nutrition
Food Description
Nutritious meals provided.
Meals Included
Yes
Health Inspection History
Inspections
Total health inspections
8
Missouri average 6.6
Last Health inspection on Jul 2025
Total health citations
32
Citations per inspection
4
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 3 years)
Critical Health citations
1
1
43% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
1 critical citation
0 serious citations
30 moderate citations
1 minor citation
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
-
10
-
+42%-2%+18%
Cotton Point Living Center
+10%
+1%
-14%
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
-
THE NEW MADRID EXEMPT TRUST
57.3%
$5,174,132.00
$1,629,320.00
31.5%
56
3.7700
1
32
1
+10%+1%-14%
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
-
38
-
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Cotton Point Living Center
Type of care:
SNF
AL
Community:
MO 63867-9751
Bed Count:
98
Operator:
THE NEW MADRID EXEMPT TRUST
CCN:
265859
Occupancy:
57.3%
Home Revenue:
$5,174,132.00
Payroll Costs:
$1,629,320.00
Payroll %:
31.5%
Avg Residents/Day:
56
Overall Rating:
Adj Nurse Hours:
3.7700
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
32
Severe Citations:
1
RN share vs State Avg:
+10%
+10%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
-14%
-14%
Places of interest near Cotton Point Living Center
0.0 miles from city center
MATTHEWS, MO 63867-9751
Calculate Travel Distance to Cotton Point Living Center
Add your location
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 Nurse | 8 | 8.4 | No |
| Licensed Practical Nurse | 15 | 8.4 | No |
| Certified Nursing Assistant | 32 | 8.5 | 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 Assistant | 32 | 0 | 32 | 8,867 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 15 | 0 | 15 | 3,748 | 91 | 100% | 8.4 |
| Nurse Aide in Training | 11 | 0 | 11 | 2,140 | 90 | 99% | 9.1 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,349 | 86 | 95% | 10.5 |
| Registered Nurse | 8 | 0 | 8 | 1,021 | 83 | 91% | 8.4 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 520 | 66 | 73% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 507 | 59 | 65% | 8.6 |
| Physical Therapy Aide | 0 | 3 | 3 | 477 | 60 | 66% | 7.8 |
| Dietitian | 1 | 0 | 1 | 421 | 58 | 64% | 7.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 377 | 47 | 52% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 371 | 51 | 56% | 7.3 |
| Qualified Social Worker | 0 | 5 | 5 | 187 | 41 | 45% | 4.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 101 | 48 | 53% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 16 | 3 | 3% | 5.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 10 | 3 | 3% | 3.3 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 4 | 2 | 2% | 2.2 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
54 residents
Residents by payment source
Medicare
4 residents (7.4%)
Medicaid
47 residents (87%)
Private pay or other
3 residents (5.6%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.0
56% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
46% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
30.1%
Percent of long-stay residents whose need for help with daily activities has increased
30.1%
52% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
39.5%
Percent of long-stay residents whose ability to move independently worsened
39.5%
92% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
14% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
8.0%
Percent of long-stay residents experiencing one or more falls with major injury
8.0%
98% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
9% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.5%
Percent of long-stay residents with a urinary tract infection
2.5%
7% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.9%
Percent of long-stay residents who lose too much weight
2.9%
48% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
15.3%
Percent of long-stay residents who have depressive symptoms
15.3%
19% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
41.2%
Percent of long-stay residents who received an antipsychotic medication
41.2%
87% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
48.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
48.5%
43% worse than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
81.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
81.8%
10% worse than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
8.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
8.4%
87% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
7.8%
Percent of short-stay residents who newly received an antipsychotic medication
7.8%
254% worse than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
21.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
21.4%
66% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
81% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$14K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 31, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 31, 2025
$14K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Cotton Point Living Center based on CMS SNF Cost Reports.
Occupancy Rate
57.3%
↓ 0.5pp vs 2022
Net Income
-$53,855
↑ ~$6K vs 2022
Total Payroll
$2,368,007
↑ ~$493K vs 2022
Profit Margin
-1.0%
↑ 0.2pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Missouri Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Cotton Point Living Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
