COTTON POINT LIVING CENTER – MATTHEWS, MO

CMS Verified | 2026-03-01

Cotton Point Living Center

609 SOUTH RAILROAD STREET, Matthews, MO 63867
(573) 471-7861
98 beds
All Matthews facilities
1.0*
Overall
2.0*
Health Inspection
1.0*
Quality Care
1.0*
Staffing
48.11
Score /100
#14193
National Rank

#14193
of 14703 facilities
National
3.5% position
#427
of 487 in MO
State Rank
#6
of 6 in New Madrid
County Rank
#1
of 1 in Matthews
City Rank
#1
of 1 in ZIP 63867
ZIP Rank






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.
Facility

Cotton Point Living Center

Address

609 South Railroad Street, Matthews, MO 63867

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 98 Certified Beds
  • Ownership: For profit – Individual
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
❌ Poor (1★) quality of care
Compliance
❌ 4 fine(s) over 5 years
5-Year Trend
Declining over 5 years
48.11
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#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.
Number of Fines (current period) 1
Total Fines Amount $14069.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record Y
Total Weighted Health Survey Score 62.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#14,193
of 14,703
National
Bottom 5%
#427
of 487
MO State
Bottom 12% in MO
#6
of 6
️ New Madrid County
#6 of 6
#1
of 1
️ Matthews
Best in city
#1
of 1
ZIP 63867
Best in ZIP

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).

How do we calculate these rankings?

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/

Contact and Location

ADR
Address

609 SOUTH RAILROAD STREET, Matthews, MO 63867
Get directions on Google Maps

TEL
LLC
Legal Name

NEW MADRID NO 1 INC

MAP
Browse by Location

All Missouri ·
New Madrid County ·
Matthews ·
ZIP 63867

Facility Details

Number of Certified Beds 98
Average Residents / Day 57 (59% occupancy)
Ownership Type For profit – Individual
Provider Type Medicare and Medicaid
County New Madrid County, MO
City Matthews, MO
ZIP Code 63867
Approved Since December 15, 2016
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 265859
Data Processing Date March 1, 2026
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.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org