About Cotton Point Living CenterCotton Point Living Center is located at 609 South Railroad Street, Matthews, MO, reachable at (573) 471-7861. This For profit – Individual facility operates 98.0 certified beds and serves an average of 57 residents per day. Medicare and Medicaid services have been provided since 2016-12-15. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
#14193 of 14703 nationally – #427 of 487 in Missouri
Who Is This Facility Best For?
Cotton Point Living Center may be considered for families with limited options in Matthews, MO, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★1 / 5
Health Inspection
★★★★★2 / 5
Staffing Rating
★★★★★1 / 5
Quality Measures (QM)
★★★★★1 / 5
Long-Stay QM Rating
★★★★★1 / 5
Short-Stay QM Rating
★★★★★1 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightCotton Point Living Center currently provides 3 hours 24 minutes of total nurse staffing per resident per day, including 20 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 78.1%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 24 minutes
Nurse Aide Hours2 hours 27 minutes
Licensed Practical Nurse (LPN) Hours38 minutes
Registered Nurse (RN) Hours20 minutes
Physical Therapist Hours1 minute
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours2 hours 38 minutes
Weekend Registered Nurse (RN) Hours13 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance Summary⚠️ CMS has flagged Cotton Point Living Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 1 fine(s) totaling $14,069. 14 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, Cotton Point Living Center ranks 14193rd out of 14,703 facilities (composite score: 48.1/100), placing it in the bottom 25% nationwide. Within MO, it ranks 427th out of 487 nursing homes. For 2026 staffing: total nurse hours rank #10,109 nationally and RN hours rank #12,269 nationally (#311 in MO).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MO State Rank
Note
2022
3.24
#10,058 / 14,703
#182 / 487
Below average
2023
2.75
#13,115 / 14,703
#357 / 487
⚠️ Bottom 25%
2024
3.11
#11,805 / 14,703
#286 / 487
⚠️ Bottom 25%
2025
3.56
#8,212 / 14,703
#163 / 487
Below average
2026
3.40
#10,109 / 14,703
#229 / 487
Below average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MO State Rank
Note
2022
0.41
#10,505 / 14,703
#216 / 487
Below average
2023
0.26
#12,747 / 14,703
#364 / 487
⚠️ Bottom 25%
2024
0.35
#11,466 / 14,703
#260 / 487
⚠️ Bottom 25%
2025
0.53
#7,948 / 14,703
#101 / 487
Below average
2026
0.33
#12,269 / 14,703
#311 / 487
⚠️ Bottom 25%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Cotton Point Living Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2016-12-15. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (573) 471-7861 or your local Medicaid office to verify current eligibility.
Cotton Point Living Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (1★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 48.1/100, placing it #14193 of 14703 facilities nationally and #427 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Cotton Point Living Center receives a reported average of 3 hours 24 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 20 minutes; Licensed Practical Nurse (LPN) — 38 minutes; Nurse Aide — 2 hours 27 minutes. On weekends, total nurse staffing is 2 hours 38 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 78.1%. Families are encouraged to ask about current staffing schedules during their facility visit.
⚠️ CMS has flagged Cotton Point Living Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 1 fine(s) totaling $14,069. 14 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $14,069, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 62.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Cotton Point Living Center ranks 14193rd out of 14,703 facilities (composite score: 48.1/100), placing it in the bottom 25% nationwide. Within MO, it ranks 427th out of 487 nursing homes. For 2026 staffing: total nurse hours rank #10,109 nationally and RN hours rank #12,269 nationally (#311 in MO). Our composite quality score of 48.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Matthews, visit: https://nursinghomesnearme.org/missouri/matthews/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.