Skilled nursing facility · CMS certification number 265859

COTTON POINT LIVING CENTER

MATTHEWS, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 98

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 December 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$6,041,304	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,557,571	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,483,733	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,648,221	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$164,488	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$99,042	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$65,446	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$65,446 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	35,868	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,481	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,976	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	1,991	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	20,448	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	22	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	104	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	138	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	264	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	67.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	163.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	77.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445542, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 March 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,174,132	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$958,834	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,215,298	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,358,222	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$142,924	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$89,069	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$53,855	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$53,855 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,503	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	83	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	485.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	247.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404536, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,050,742	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,188,165	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,862,577	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,129,685	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$267,108	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$207,242	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$59,866	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$59,866 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,699	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	101	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	78.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	282.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	204.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361048, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,305,422	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$639,680	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,665,742	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,400,619	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$265,123	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$34,070	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$299,193	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $299,193 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,845	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	98	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	266	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	202.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330267, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,089,216	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$273,907	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,815,309	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,278,334	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$536,975	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,112,565	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,649,540	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,649,540 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,567	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	119.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	258.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	212.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300486, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,313,352	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$534,637	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,778,715	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,122,023	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$343,308	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$240,633	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$102,675	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$102,675 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,495	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	119	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	75.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	153.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	121.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1261421, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$949,304	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$194,742	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$754,562	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,088,930	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,334,368	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,106,632	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$227,736	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$227,738 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,555	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	95	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	51.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	47.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237071, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 15 December 2016 to 31 December 2017 — a reporting period of 381 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,036,023	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$588,268	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,447,755	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,616,216	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$168,461	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,635	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$156,826	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$156,826 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,477	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	288.49	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	231.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1207359, read from the public cost report file SNF10FY2017.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
THE NEW MADRID EXEMPT TRUST	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 07/14/2016
AGH1 LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/02/2025
BEAIRD, TODD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2022
DCB REAL ESTATE PARTNERSHIP LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/08/2016
FG LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/02/2016
FORVIS MAZARS LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/16/2021
MID STATES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/15/2016
NEW MADRID RE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/08/2016
SAHAI, MADHU	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/15/2016
SOVEREIGN HEALTHCARE GROUP LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/06/2025
VAN DE VEN LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2000
WOOTEN, SHARON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/08/2025
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
BEDELL, BRYAN	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/12/2025
AGH1 LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/02/2016
BEDELL, DONALD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/14/2016
SAHAI, MADHU	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/15/2016
SOVEREIGN HEALTHCARE GROUP LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/23/2021
WOOTEN, SHARON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/08/2025
THE NEW MADRID EXEMPT TRUST	TRUSTEE OF THE SNF	Organization	NOT APPLICABLE	since 07/14/2016

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NEW MADRID NO 1 INC (enrollment ID O20161006000341).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
THE NEW MADRID EXEMPT TRUST	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	7/14/2016	Private equity company: No Real estate investment trust: No Holding company: No
AGH1 LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/2/2025	Private equity company: No Real estate investment trust: No Holding company: No
DCB REAL ESTATE PARTNERSHIP LP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/8/2016	Private equity company: No Real estate investment trust: No Holding company: No
FG LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/2/2016	Private equity company: No Real estate investment trust: No Holding company: No
FORVIS MAZARS LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/16/2021	Private equity company: No Real estate investment trust: No Holding company: No
MADHU SAHAI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/15/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MID STATES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/15/2016	Private equity company: No Real estate investment trust: No Holding company: No
NEW MADRID RE LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/8/2016	Private equity company: No Real estate investment trust: No Holding company: No
SHARON WOOTEN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/8/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOVEREIGN HEALTHCARE GROUP LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/6/2025	Private equity company: No Real estate investment trust: No Holding company: No
TODD BEAIRD	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VAN DE VEN LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2000	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2000	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2000	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DONALD B BEDELL	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/14/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DONALD B BEDELL	Individual	CORPORATE OFFICER	100	7/14/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TODD BEAIRD	Individual	CORPORATE OFFICER	0	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AGH1 LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/2/2016	Private equity company: No Real estate investment trust: No Holding company: No
DONALD B BEDELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/14/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MADHU SAHAI	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/15/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHARON WOOTEN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/8/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOVEREIGN HEALTHCARE GROUP LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/23/2021	Private equity company: No Real estate investment trust: No Holding company: No
THE NEW MADRID EXEMPT TRUST	Organization	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/14/2016	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 March 2026: TAYLOR SLAUGHTER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: TAYLOR SLAUGHTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHARON WOOTEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHARON WOOTEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 January 2026: JASMINE OWENS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JASMINE OWENS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KEVIN FREEMAN BRITTON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KEVIN FREEMAN BRITTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEBRA DADE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEBRA DADE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAYLOR SLAUGHTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAYLOR SLAUGHTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 September 2025: TIFFANY ISBELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MADHU SAHAI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NEW MADRID RE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: KEVIN FREEMAN BRITTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DCB REAL ESTATE PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DEBRA DADE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DEBRA DADE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DONALD B BEDELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TODD BEAIRD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VAN DE VEN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MADHU SAHAI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MADHU SAHAI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: THE NEW MADRID EXEMPT TRUST appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MID STATES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FG LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AGH1 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AGH1 LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JASMINE OWENS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JASMINE OWENS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 October 2024: LYDIA CARTER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: TIFFANY ISBELL appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MADHU SAHAI appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
14 April 2023: MICHELLE CHISM no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: LYDIA CARTER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
15 March 2023: CLIFTON L SHIRRELL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: KEVIN FREEMAN BRITTON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: TODD BEAIRD appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv

Recent changes on this record

1 March 2026: TAYLOR SLAUGHTER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: TAYLOR SLAUGHTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHARON WOOTEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SHARON WOOTEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 January 2026: JASMINE OWENS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JASMINE OWENS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KEVIN FREEMAN BRITTON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KEVIN FREEMAN BRITTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEBRA DADE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEBRA DADE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAYLOR SLAUGHTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAYLOR SLAUGHTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
24 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 September 2025: TIFFANY ISBELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MADHU SAHAI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NEW MADRID RE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: KEVIN FREEMAN BRITTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DCB REAL ESTATE PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DEBRA DADE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DEBRA DADE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DONALD B BEDELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TODD BEAIRD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VAN DE VEN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MADHU SAHAI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MADHU SAHAI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: THE NEW MADRID EXEMPT TRUST appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MID STATES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FG LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SOVEREIGN HEALTHCARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AGH1 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AGH1 LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JASMINE OWENS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JASMINE OWENS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
4 March 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 October 2024: LYDIA CARTER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: TIFFANY ISBELL appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MADHU SAHAI appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	14 May 2026	14 May 2026	6	4
2	7 March 2025	7 March 2025	16	3
3	3 November 2023	3 November 2023	7	3

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

29 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
14 May 2026	Health	F 0688	Quality of Life and Care Deficiencies	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.	D	No	Deficient, Provider has date of correction	26 June 2026
14 May 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	26 June 2026
14 May 2026	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	26 June 2026
14 May 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	26 June 2026
14 May 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	26 June 2026
14 May 2026	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	26 June 2026
31 July 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	Yes	Past Non-Compliance	24 July 2025
7 March 2025	Health	F 0584	Resident Rights Deficiencies	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	Yes	Deficient, Provider has date of correction	17 April 2025
7 March 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	17 April 2025
7 March 2025	Health	F 0638	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	D	No	Deficient, Provider has date of correction	17 April 2025
7 March 2025	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	17 April 2025
7 March 2025	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	17 April 2025
7 March 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	17 April 2025
7 March 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	17 April 2025
7 March 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	17 April 2025
7 March 2025	Health	F 0758	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	17 April 2025
7 March 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	17 April 2025
4 February 2025	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Past Non-Compliance	26 January 2025
18 December 2024	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	E	Yes	Deficient, Provider has date of correction	6 February 2025
18 December 2024	Health	F 0568	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E	Yes	Deficient, Provider has date of correction	10 January 2025
18 December 2024	Health	F 0569	Resident Rights Deficiencies	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	D	Yes	Deficient, Provider has date of correction	10 January 2025
27 August 2024	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Past Non-Compliance	14 August 2024
3 November 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	15 December 2023
3 November 2023	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	15 December 2023
3 November 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	15 December 2023
3 November 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	15 December 2023
3 November 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	15 December 2023
3 November 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	15 December 2023
3 November 2023	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	15 December 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
31 July 2025	Fine	$14,069			134963

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Individual
Legal Business Name	NEW MADRID NO 1 INC
Date First Approved to Provide Medicare and Medicaid Services	2016-12-15
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	New Madrid
Telephone Number	5734717861
Chain Name	CIRCLE B ENTERPRISES
Chain ID	145
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	98
Average Number of Residents per Day	46.9
Overall Rating	3
Health Inspection Rating	4
QM Rating	1
Long-Stay QM Rating	1
Short-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on COTTON POINT LIVING CENTER: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 March 2026: TAYLOR SLAUGHTER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for COTTON POINT LIVING CENTER

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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