Cotton Point Living Center
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Matthews, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Cotton Point Living Center

Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Matthews, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Cotton Point Living Center accepts Medicare, Medicaid, and private pay.

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2018 · 8 years of data 138 deficiencies 18 inspections

Inspection Scorecard Info 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 2 Worse Metrics worse than Missouri average:
• Total deficiencies (294% above)
• Deficiencies per inspection (166% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 13835 This facility has 294% more total deficiencies than a typical Missouri nursing home (138 vs. MO avg 35).↑ 294% worse
Deficiencies per inspection Info Average deficiencies per inspection. 7.72.9 This facility has 166% more deficiencies per inspection than a typical Missouri nursing home (7.7 vs. MO avg 2.9).↑ 166% worse

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

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1812 This facility has had 50% more total inspections than the Missouri average (18 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 50% more

Inspection Reports Summary Info 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.

Health Inspection History

Inspections since 2021
Total health inspections 8

State average 6.6


Last Health inspection on Jul 2025

Total health citations
32 Rank #148 / 274Health citations — State benchmarkedThis home is ranked 148th out of 274 homes in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 36.5

Citations per inspection
4 Rank #70 / 274Citations per inspection — State benchmarkedThis home is ranked 70th out of 274 homes in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 5.67


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
1
43% worse than State average

State average: 0.7


Serious health citations
0
100% better than State average

State average: 1

1 critical citation State average: 0.7

0 serious citations State average: 1

30 moderate citations State average: 33.6

1 minor citation State average: 1.2
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 96
Employees 84
Contractors 12
Staff to resident ratio 1.78 : 1
5% more staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 28
Average shift 8.3 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 21,460

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 11 LPN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 34 CNA Staff are full-time employees. No contractors work on this role. 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

8.2%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant340349,87192100%8.6
Licensed Practical Nurse110112,88092100%9.1
Medication Aide/Technician7072,0989098%10.2
Nurse Aide in Training100101,9558997%9.2
Registered Nurse8087297885%7.2
Speech Language Pathologist0227226470%7.1
Nurse Practitioner5056527076%7.8
Administrator3035286672%8
Physical Therapy Aide0114276065%7.1
Qualified Social Worker0334256672%5.4
Dental Services Staff1013835054%7.7
Other Dietary Services Staff1013634650%7.9
Clinical Nurse Specialist3031311820%7.3
Dietitian1011181921%6.2
Respiratory Therapy Technician011854043%2.1
Occupational Therapy Aide01160910%6.6
Medical Director0112433%8
Occupational Therapy Assistant011933%3
Physical Therapy Assistant022222%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%

Penalties and fines

Includes penalties issued in 2025

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 Rank #181 / 276Federal fines — State benchmarkedThis home is ranked 181st out of 276 homes in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 276 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
81% lower than Missouri average

Missouri average: $73K

Number of fines 1
59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri 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.

1 penalty in the past 3 years

Jul 31, 2025 · $14K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 31, 2025
$14K

Last updated: Jan 2026

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 Info 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 average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.4
46% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly below average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 30.1%
52% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 39.5%
92% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.6%
14% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.0%
98% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.6%
9% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.5%
7% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.9%
48% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 15.3%
19% worse than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 41.2%
87% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 48.5%
43% worse than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 81.8%
10% worse than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.03
50% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.57
9% worse than Missouri average

Missouri average: 2.35

Short-stay resident measures
Significantly below average Missouri avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 8.4%
87% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 7.8%
254% worse than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 21.4%
66% worse than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 29.3%
16% worse than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 15.4%
15% worse than Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Missouri average

Missouri average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 48.0%
11% worse than Missouri average

Missouri 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

Facility Characteristics

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

Total residents 54
Medicare
4
7.4% of residents
Medicaid
47
87% of residents
Private pay or other
3
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.

Finances and operations

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

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$142.9K
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.2M Rank #187 / 277Revenue — State benchmarkedThis home is ranked 187th out of 277 homes in Missouri for revenue. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$142.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$89.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #224 / 277Payroll — State benchmarkedThis home is ranked 224th out of 277 homes in Missouri for payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.8M 42.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #219 / 277Payroll % — State benchmarkedThis home is ranked 219th out of 277 homes in Missouri for payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.4M

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.

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

Admissions
86 total

Coverage residents most often arrive under.

Medicare 48%
Private pay 27%
Medicaid 26%
Discharges
83 total

Coverage residents most often leave under.

Medicare 49%
Private pay 11%
Medicaid 40%

Places of interest near Cotton Point Living Center

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

Calculate Travel Distance to Cotton Point Living Center

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Address

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265859

Frequently Asked Questions about Cotton Point Living Center

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%.

Are pets allowed at Cotton Point Living Center?

No, Cotton Point Living Center has a no-pet policy.

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.

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