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Data / Nursing homes / Missouri / Cotton Point Living Center

Cotton Point Living Center, Matthews, MO: 3 star rating, fined $14,069 across 1 fine

Cotton Point Living Center in Matthews, MO is owned by The New Madrid Exempt Trust, is rated 3 of 5 stars by Medicare, and was fined $14,069 across 1 fine in the three years to October 1, 2026. CMS lists 29 health citations from inspections in that time, the latest survey on May 14, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
609 South Railroad Street, Matthews, MO 63867
Overall rating
3 of 5 stars
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measure rating
1 of 5
Certified beds
98
Residents per day
47 on average
Ownership type
For profit, individual
Chain
Circle B Enterprises, 36 facilities
Fines
$14,069 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
29, of which 1 with actual harm or immediate jeopardy
Latest survey
May 14, 2026
CMS Certification Number
265859
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 31, 2025Fine$14,069Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 14, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
July 31, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncomplianceJuly 24, 2025data.cms.gov
March 7, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 7, 2025F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 7, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 7, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 7, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 7, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 7, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 7, 2025F638Assure that each resident’s assessment is updated at least once every 3 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 7, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 7, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
February 4, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJanuary 26, 2025data.cms.gov
December 18, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 18, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 18, 2024F567Honor the resident's right to manage his or her financial affairs.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2025data.cms.gov
August 27, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceAugust 14, 2024data.cms.gov
November 3, 2023F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
November 3, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
November 3, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
November 3, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
November 3, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
November 3, 2023F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
November 3, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 10 individual or personal trusts (3 managers, 4 officers, directors or trustees, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
The New Madrid Exempt TrustDirect owner100%July 14, 2016data.cms.gov
Agh1 LLCOperational or managerial controlNot listedDecember 2, 2016data.cms.gov
Sovereign Healthcare Group LLCOperational or managerial controlNot listedApril 23, 2021data.cms.gov
Agh1 LLCAdditional disclosable partyNot listedJune 2, 2025data.cms.gov
DCB Real Estate Partnership LPAdditional disclosable partyNot listedAugust 8, 2016data.cms.gov
FG LLCAdditional disclosable partyNot listedDecember 2, 2016data.cms.gov
Forvis Mazars LLPAdditional disclosable partyNot listedAugust 16, 2021data.cms.gov
Mid States IncAdditional disclosable partyNot listedDecember 15, 2016data.cms.gov
New Madrid Re LLCAdditional disclosable partyNot listedAugust 8, 2016data.cms.gov
Sovereign Healthcare Group LLCAdditional disclosable partyNot listedApril 6, 2025data.cms.gov
Van De Ven LLCAdditional disclosable partyNot listedJanuary 1, 2000data.cms.gov
The New Madrid Exempt TrustTrusteeNot listedJuly 14, 2016data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.