Cotton Point Living Center

Name: Cotton Point Living Center: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Matthews, New Madrid County, Missouri · CCN 265859 · For-profit (Individual) · part of Circle B Enterprises (36 facilities, chain average 2.5 stars)

CMS rates Cotton Point Living Center 3 of 5 overall as of August 2026. 98 certified beds, 47 residents a day on average. 29 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $14,069.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★★★☆☆ 3 of 5
Health inspections	★★★★☆ 4 of 5
Staffing	★★☆☆☆ 2 of 5
Quality measures	★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay	1 / 1 of 5

Staffing

Total nurse staffing	4.11266 hours per resident per day
Registered nurses	0.38089 hours per resident per day
Weekend total	3.52766 hours per resident per day
Nursing staff turnover	63.1% (registered nurses 88.9%)
Administrators who left	2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-05-14	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-26
2026-05-14	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. Quality of Life and Care Deficiencies · tag F0688	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-26
2026-05-14 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-26
2026-05-14	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-26
2026-05-14	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-26
2026-05-14	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-26
2025-07-31 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	J Immediate jeopardy to resident health or safety; isolated	Past Non-Compliance 2025-07-24
2025-03-07 complaint survey	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. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-17
2025-03-07	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-17
2025-03-07	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-17
2025-03-07	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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 Resident Assessment and Care Planning Deficiencies · tag F0655	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-17
2025-03-07	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-17
2025-03-07	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0758	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-17
2025-02-04 complaint survey	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602	D No actual harm, with potential for more than minimal harm; isolated	Past Non-Compliance 2025-01-26
2024-12-18 complaint survey	Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · tag F0567	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-02-06
2024-12-18 complaint survey	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · tag F0568	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-10
2024-12-18 complaint survey	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · tag F0569	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-10
2024-08-27 complaint survey	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602	D No actual harm, with potential for more than minimal harm; isolated	Past Non-Compliance 2024-08-14
2023-11-03 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-15
2023-11-03	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-15
2023-11-03	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-15
2023-11-03	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0761	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-15

Fines and payment denials

Date	Penalty	Amount
2025-07-31	Fine	$14,069

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
The New Madrid Exempt Trust Organization	5% or greater direct ownership interest	100%	2016-07-14
Agh1 LLC Organization	adp of the snf	—	2025-06-02
Dcb Real Estate Partnership Lp Organization	adp of the snf	—	2016-08-08
Fg LLC Organization	adp of the snf	—	2016-12-02
Forvis Mazars LLP Organization	adp of the snf	—	2021-08-16
Mid States Inc. Organization	adp of the snf	—	2016-12-15
New Madrid Re LLC Organization	adp of the snf	—	2016-08-08
Sovereign Healthcare Group LLC Organization	adp of the snf	—	2025-04-06
Van De Ven LLC Organization	adp of the snf	—	2000-01-01
Agh1 LLC Organization	operational/managerial control	—	2016-12-02
Sovereign Healthcare Group LLC Organization	operational/managerial control	—	2021-04-23
The New Madrid Exempt Trust Organization	trustee of the snf	—	2016-07-14
Beaird, Todd Individual	adp of the snf	—	2022-01-01
Sahai, Madhu Individual	adp of the snf	—	2016-12-15
Wooten, Sharon Individual	adp of the snf	—	2025-12-08
Bedell, Donald Individual	corporate director	—	2016-07-14
Beaird, Todd Individual	corporate officer	—	2022-01-01
Bedell, Donald Individual	corporate officer	—	2016-07-14
Bedell, Bryan Individual	individual is an owner, partner or trustee of any adp of the snf	—	2025-05-12
Bedell, Donald Individual	operational/managerial control	—	2016-07-14
Sahai, Madhu Individual	operational/managerial control	—	2016-12-15
Wooten, Sharon Individual	operational/managerial control	—	2025-12-08

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Cotton Point Living Center.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in New Madrid County.