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Nursing HomeMedicaid Investigative

Cotton Point Living Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

609 South Railroad Street, Matthews, MO 6386798 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 10 Google reviews

5
4
3
2
1
Cotton Point Living Center Nursing Home in Matthews, MO — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (11 vs median 10)
  • High staff turnover (78%)
  • High RN turnover (100%)

Bottom 25% in MO · Critically understaffed (RN) · Very high staff turnover · $14,069 in fines · Abuse citation

Source: Medicare data

What this means for your family

Because the majority of reviews for this facility lack descriptive content, it is difficult to verify the quality of care through online feedback alone. We strongly recommend scheduling an in-person tour to observe staff interactions and cleanliness firsthand, as the limited feedback available is insufficient to draw a definitive conclusion.

Google Reviews

Google Reviews

10 reviews on Google
Cotton Point Living Center receives very few substantive reviews, making it difficult to form a comprehensive picture of daily operations. While one recent reviewer praises the facility for its cleanliness and positive staff culture, other reviews lack descriptive text, limiting the ability to assess the quality of care or services.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean10.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Clean, odor-free environment
  • Friendly and helpful staff
  • Positive, content atmosphere for residents

Rating Trends

Tap a year to see what changed

2345.02015(2)5.02017(1)5.02018(1)5.02020(2)4.02024(4)5.02025(2)5.02026(2)

Distribution · 14 analyzed

5
13
4
0
3
0
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that the facility has 98 residents, how do you ensure that each individual receives consistent, personalized attention throughout the day?
  • 2I noticed the facility is consistently described as clean and odor-free; what specific protocols do you have in place to maintain that environment for the residents?
  • 3With recent state reports noting some areas for improvement regarding health inspections, what specific steps is the leadership team taking to address those findings?
  • 4Since staffing levels are a top priority for us, could you walk me through how your team manages coverage to ensure residents are well-supported during peak hours?
  • 5What does a typical daily activity schedule look like to keep residents engaged and foster the positive, content atmosphere we've heard about?
  • 6How does your nursing team coordinate with local hospitals or specialists if a resident experiences a sudden change in their health status or a medical emergency?

Personalized based on this facility's data


Key Review Excerpts

This place is a hidden gem! Very clean- no Nursing Home urine smell. ALL the employees are friendly, helpful, and happy-says alot about a work place!!

Visitor or family member · 2024★★★★★
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
42%
Registered nurses for medical care
Total Nursing
3.81hrs
93%
All nurses + aides combined
Staff Turnover
71%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

2

measures

Worse Than Avg

12

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility55.3%
Worse than Avg
Here
55.3%
US
93.4%
MO
84.4%
New madrid
70.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility42.6%
Worse than Avg
Here
42.6%
US
15.5%
MO
23.6%
New madrid
28.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility43.2%
Worse than Avg
Here
43.2%
US
19.5%
MO
25.4%
New madrid
29.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility36.0%
Worse than Avg
Here
36.0%
US
15.3%
MO
18.9%
New madrid
15.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility81.8%
Mixed vs Avgs
Here
81.8%
US
95.5%
MO
90.9%
New madrid
76.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
14.4%
MO
19.1%
New madrid
14.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
79.8%
MO
63.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility26.5%
Worse than Avg
Here
26.5%
US
81.8%
MO
65.9%
New madrid
38.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility11.1%
Worse than Avg
Here
11.1%
US
1.6%
MO
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
1penalties
Near state avg (12.0)
8 complaint-triggered
$14,069 in fines

Cotton Point Living Center shows concerning patterns with multiple families filing complaint reports that led to 9 deficiencies, including serious issues with protecting residents from abuse and financial exploitation. The facility has recurring problems with medication management, fire safety systems, and resident assessment procedures that persist across multiple surveys. While most deficiencies show correction dates, the pattern of repeated violations in core care areas suggests ongoing operational challenges families should carefully consider.

Jul 31, 2025Complaint
1
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Mar 7, 2025Routine
12
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Mar 7, 2025Complaint
1
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Feb 4, 2025Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Dec 18, 2024Complaint
3
0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0568Potential for harm · PatternCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0569Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Aug 27, 2024Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Federal Penalties

Fine

Jul 31, 2025

$14,069

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cotton Point Living Center

Organization Type

for profit

Chain Affiliation

Chain Name

Circle B Enterprises

Chain Size

36 facilities nationwide

Ownership & Management

Owners

The New Madrid Exempt Trust

Owner · Organization

100%

Bedell, Bryan

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Bedell, DonaldOfficer / DirectorBeaird, ToddOfficer / DirectorBedell, DonaldOfficer / DirectorAgh1 LLCManagerSovereign Healthcare Group LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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