Nursing homes › Missouri › Cotton Point Living Center
609 South Railroad Street, Matthews, MO 63867 · 5734717861 · 98 certified beds
Per CMS filings, this facility is affiliated with Circle B Enterprises, a group operating 36 facilities in 2 states. Group record: average rating 2.5/5, 4 abuse citation icons, 0 facilities on the Special Focus list, $518,766 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 4.11 (Missouri median: 3.36). RN hours: 0.38. Weekend total: 3.53. Nursing staff turnover: 63%.
All-time on record: 32 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-06-26 |
| 2025-07-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-07-24 |
| 2025-03-07 | 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. | D | complaint | corrected 2025-04-17 |
| 2025-03-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2025-04-17 |
| 2025-03-07 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Health | corrected 2025-04-17 |
| 2025-03-07 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2025-04-17 |
| 2025-03-07 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-04-17 |
| 2025-03-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-04-17 |
| 2025-03-07 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-04-17 |
| 2025-03-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-04-17 |
| 2025-03-07 | 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. | D | Health | corrected 2025-04-17 |
| 2025-03-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-04-17 |
| 2025-02-04 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-01-26 |
| 2024-12-18 | Honor the resident's right to manage his or her financial affairs. | E | complaint | corrected 2025-02-06 |
| 2024-12-18 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | complaint | corrected 2025-01-10 |
| 2024-12-18 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | complaint | corrected 2025-01-10 |
| 2024-08-27 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-08-14 |
| 2023-11-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2023-12-15 |
| 2023-11-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-12-15 |
| 2023-11-03 | Assess the resident when there is a significant change in condition | D | Health | corrected 2023-12-15 |
| 2023-11-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-12-15 |
| 2023-11-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-12-15 |
| 2023-11-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-12-15 |
| 2023-11-03 | 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. | D | Health | corrected 2023-12-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-31 | Fine | $14,069 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| THE NEW MADRID EXEMPT TRUST | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/14/2016 |
| BEDELL, DONALD | Corporate Director | Individual | NOT APPLICABLE | since 07/14/2016 |
| BEAIRD, TODD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
| BEDELL, DONALD | Corporate Officer | Individual | NOT APPLICABLE | since 07/14/2016 |
| AGH1 LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/02/2016 |
| SOVEREIGN HEALTHCARE GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/23/2021 |
| BEDELL, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/14/2016 |
| SAHAI, MADHU | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/15/2016 |
| WOOTEN, SHARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/08/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265859. Corrections: data@carerecords.org.