Cotton Point Living Center: Staffing, Turnover, and Inspection Record
Cotton Point Living Center is a 98-bed for-profit nursing home in Matthews, Missouri, part of Circle B Enterprises. In the CMS August 2026 release it reported 3.02 nurse aide hours per resident per day, 32% above the Missouri average of 2.29, and 63.1% nursing staff turnover (Missouri average 56.0%).
Cotton Point Living Center
609 South Railroad StreetMatthews, MO 63867
New Madrid County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Cotton Point Living Center, nurse aides logged 3.02 hours per resident per day, 32% above the Missouri average. With about 47 residents a day, that works out to roughly 142 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.02 | 2.29 | 2.32 |
| Licensed practical nurses | 0.71 | 0.68 | 0.86 |
| Registered nurses | 0.38 | 0.46 | 0.69 |
| All nursing staff | 4.11 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.53 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
63.1% of nursing staff at Cotton Point Living Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 88.9%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 14, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $14,069 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 31, 2025 | Fine | $14,069 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Cotton Point Living Center holds 3 of 5 overall; the Missouri average is 2.5.
About Cotton Point Living Center
- Ownership: For profit - Individual
- Chain: Circle B Enterprises, 36 homes
- Legal name: New Madrid No 1 Inc
- Medicare and Medicaid certified since: Dec 15, 2016
- Councils: resident council
- Area: rural
Nursing homes near Cotton Point Living Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Annie's Garden Skilled Nursing Sikeston | 6.9 | 75 | 2.86 | 4.11 | — | — | None |
| Delta South Nursing & Rehabilitation Sikeston | 7.4 | 60 | 2.26 | 3.17 | 49.0% | 4 | None |
| Hunter Acres Caring Center Sikeston | 8.5 | 120 | 2.54 | 3.42 | 50.0% | 3 | $10,023 |
| Sikeston Convalescent Center Sikeston | 8.8 | 120 | 2.81 | 3.85 | 61.2% | 3 | $13,627 |
| Clearview Nursing Center Sikeston | 9.0 | 90 | 3.03 | 4.00 | 41.0% | 4 | None |
| Aspire Senior Living East Prairie East Prairie · staffing data not validated | 10.8 | 52 | — | — | — | 3 | None |
| New Madrid Living Center New Madrid | 11.7 | 112 | 2.60 | 3.60 | 50.9% | 5 | $8,824 |
| Bertrand Nursing and Rehab Center Bertrand · staffing data not validated | 12.2 | 60 | — | — | — | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.