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Nursing homeFAID #7429

Cotton Point Living Center

609 SOUTH RAILROAD STREET, MATTHEWS, MO, 63867
(573) 471-7861
98 licensed beds
★★★★★3/5CMS Five-Star overall4/5 health inspections2/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

609 South Railroad Street
Matthews, MO 63867
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Public record summary

What we can show you for free.
Bed capacity
98
State license
052992
CMS facility ID
265859
Care type
Nursing home
Facility name
Cotton Point Living Center
Street address
609 SOUTH RAILROAD STREET
City / state / ZIP
Matthews, MO 63867
Phone
(573) 471-7861
State license #
052992

About this facility — Cotton Point Living Center

Cotton Point Living Center is a Medicare/Medicaid-certified skilled nursing facility in Matthews, Missouri. It is licensed for 98 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 1 senior care facility in Matthews and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Cotton Point Living Center 39 times across 13 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $14,069 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
New Madrid No 1 Inc
Parent company
Circle B Enterprises
Ownership type
For profit - Individual
Administrator
Carter Pennington

Registered owners & officers

The New Madrid Exempt Trust
Direct owner · Trustee — 100% stake — since 2016
Agh1 Llc
Operational control · Additional disclosable party — since 2016
Beaird, Todd
Officer · Additional disclosable party — since 2022
Bedell, Bryan
Owner of a disclosable party — since 2025
Bedell, Donald
Director · Officer · Operational control — since 2016
Dcb Real Estate Partnership Lp
Additional disclosable party — since 2016
Fg Llc
Additional disclosable party — since 2016
Forvis Mazars Llp
Additional disclosable party — since 2021
Mid States Inc
Additional disclosable party — since 2016
New Madrid Re Llc
Additional disclosable party — since 2016
Sahai, Madhu
Operational control · Additional disclosable party — since 2016
Sovereign Healthcare Group Llc
Operational control · Additional disclosable party — since 2021
Van De Ven Llc
Additional disclosable party — since 2000
Wooten, Sharon
Operational control · Additional disclosable party — since 2025

Regulatory standing

Federal court records
12 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2016-12-15
License expires
2027-09-20
CMS overall rating
3 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$14,069 total
Last standard inspection
2026-05-14
Nurse staffing
4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$252 per day (≈ $7,660/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
78% Medicaid · 11% Medicare · 11% private/other
Occupancy
57% (fiscal year 2023)
Vs. state median
2% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
98
Licensed as
SNF
Memory care
Yes — dedicated memory care
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-14Health inspectionComplaint-triggered6 citations
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2026-06-26
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-26
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-06-26
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2026-06-26
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-06-26
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-06-26
2025-07-31Health inspectionComplaint-triggered1 citation
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-24
8 earlier / fire-safety inspections (32 citations)
2025-03-07Health inspectionComplaint-triggered10 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2025-04-17
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-04-17
F-0638
D · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-04-17
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-04-17
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-04-17
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-17
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-17
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-17
F-0758
D · No harm found
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.
Corrected 2025-04-17
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-17
2025-02-04Health inspectionComplaint-triggered1 citation
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-01-26
2024-12-18Health inspectionComplaint-triggered3 citations
F-0567
E · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2025-02-06
F-0568
E · No harm foundFrom a complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-01-10
F-0569
D · No harm foundFrom a complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-01-10
2024-08-27Health inspectionComplaint-triggered1 citation
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-08-14
2023-11-03Health inspectionComplaint-triggered7 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-15
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2023-12-15
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-15
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-15
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-15
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-15
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-12-15
2026-05-14Fire-safety inspection4 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-06-26
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2026-06-26
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-06-26
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-06-26
2025-03-07Fire-safety inspection3 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-17
K-0223
F · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-04-17
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-17
2023-11-03Fire-safety inspection3 citations
E-0022
F · No harm found
Establish policies and procedures for sheltering.
Corrected 2023-11-12
K-0281
F · No harm found
Install proper backup exit lighting.
Corrected 2023-12-15
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-12-15

Federal penalties

2025-07-31Fine$14,069
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265859.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered