Assisted Living in Arkansas

Commonly called The Natural State, Arkansas boasts inviting Southern warmth, four distinct seasons, and an abundance of natural wonders including the famous Ozark Mountain range. This idyllic landscape and the state’s relatively low costs of living make it a common destination for retirees. However, there are many considerations that must go into an assisted living decision, and a thorough review of Arkansas’ overall senior living landscape is advisable. Genworth Financial shows in their 2018 annual Cost of Care survey that Arkansasans pay less for assisted living than other Americans.

Directory of Assisted Living Facilities in Arkansas

We have gathered information on nearly 100 facilities in the state of Arkansas including costs, amenities, and other important features. Use the directory below to learn about facilities near you and find the ideal home for yourself or a loved one.

Paying for Assisted Living in Arkansas

How to Pay for Assisted Living in Arkansas

Determining how to finance assisted living often starts with the question, “What’s the cost?” In today’s economy, where inflation plays a significant role, having current data is crucial for senior living financial planning. AssistedLiving.org has gathered cost information from its expansive network of over 75,000 senior living providers. This data offers a glimpse into the average expenses for assisted living in Arkansas and 13 additional cities within Arkansas.

How Inflation Has Impacted the Cost of Assisted Living in Arkansas

Inflation has caused assisted living price increases from 2022 to 2023 in the U.S., but costs actually decreased by 3.5% in Arkansas. In comparison, the national average jumped 10%, and other states also experienced notable increases, emphasizing the need to budget carefully for long-term care. Prices in Mississippi rose by $303, but Tennessee experienced a more significant $818 jump in costs, expected to grow further by 8.5% in 2024. Assisted living expenses in Louisiana rose from $3,473 to $3,903 but may stay stable in 2024. Oklahoma remains more affordable than average but recorded a steep 19.5% increase in 2023.

Assisted Living Costs in Arkansas's Top Cities

Depending on which city seniors live in, assisted living can have a drastically different cost throughout Arkansas, so attentive planning is essential for affordable long-term care. Fort Smith is one of the cheapest locations in the state, offering savings of up to $1,162 per month, but Fayetteville is slightly more expensive than average at $3,998. Assisted living costs $380 more in Little Rock and $367 more in Springdale.

The Cost of Other Types of Senior Living

When choosing a type of care, seniors should generally prioritize services that meet their needs, but these services can increase the costs they pay per month. Independent living, at $2,764, is the most affordable option for seniors requiring minimal support, while assisted living costs more at $3,840 due to higher staff-to-resident ratios and daily assistance with personal tasks. Memory care communities have stricter personnel requirements and regulations, pushing costs even higher at $5,056 monthly.

Financial Assistance for Assisted Living in Arkansas

Personal Care Medicaid

The DHS Division of Medical Services administers Personal Care Medicaid coverage to Arkansas citizens. This coverage is intended to provide hands-on assistance with activities of daily living for people who do not live in nursing homes or intermediate care facilities. ALF residents may receive personal care coverage if their facility is registered with the state Medicaid program as a personal care provider.

Who Is Eligible?

A physician will perform a medical needs assessment to be reviewed by staff nurses and physicians at Arkansas’ Office of Long-Term Care. Applicants of any age should be people who need assistance with at least one normal activity of daily living, such as eating, bathing, moving around on foot, or dressing.

Financial eligibility for state assistance is determined by The Division of County Operations.

• There is a $2,000 asset cap for individuals seeking Medicaid long-term care assistance.
• There is a $3,000 asset cap for couples.
• There is a general income cap of $2,250 for all individuals, though this cap is lower for people who receive Medicare part B benefits. Check the DHS Quick Reference Medicaid Chart to find out more.

How to Apply

To apply for benefits administered under the State Medicaid Program, applicants only need to fill out one application. To get more details about Medicaid eligibility requirements and start an application, contact your local county DHS office.

• Call (800) 482-8988 for information on eligibility and enrollment.
• Call (800) 482-5431 for information on services covered by Medicaid.
• For the hearing impaired, call: (800) 285-1131.
• View the DHS list of programs and services.
• Fill out an application: Arkansas DHS Long-Term Services and Supports Application.

PACE

PACE is Arkansas’ Program of All-Inclusive Care for the Elderly. It provides financial coverage of all medical and personal care needs, allowing especially frail seniors to remain in their homes or in assisted living facilities rather than being institutionalized. This Medicare-directed program mostly serves residents who have dual eligibility for Medicaid and Medicare. For ALF residents, a live-in partner or family member must be available to provide a low level of personal care to supplement the services that PACE provides.

Who Is Eligible?

• People who are 55 or older
• People who live in the service area of a PACE organization
• Those who are eligible for nursing home care
• People who are able to live safely in their communities

How to Apply

To find out if you live in an area covered by PACE, please call (855) 207-7500 for counties in Northeast Arkansas and (501) 376-8852 for counties in Central Arkansas. Locate your county’s Area Agency on Aging for more information.

Assisted Living Choices Waiver

People who are nursing home-eligible and wish to reside in an assisted living facility may qualify for the Assisted Living Choices program. Assisted Living Choices is a Medicaid waiver which allows for 24-hour personal care services to be covered for a limited number of people, helping nursing home-eligible recipients avoid being institutionalized. Other forms of assistance are available through this program, including:

• Extended prescription drug coverage for non-Medicare residents
• Periodic nursing evaluations and services
• Medication oversight and administration
• Non-medical transportation
• Therapeutic, social, and recreational activities

Who is Eligible?

Those who require intermediate-level nursing home care are eligible, but individuals requiring skilled care are not. Adults who have no physical disabilities must be 65 or older to qualify.

• There is a $2,000 asset cap for individuals, and the assets of married couples are considered individually.
• Only countable assets are considered, including bank accounts, cash, and mutual funds.
• There is a $2,250 income cap for individuals, with no separately designated amount for couples.

How to Apply

Applications can be filed at your local Department of Human Services office, or the process can be initiated over the phone by calling the Choices in Living Resource Center at (866) 801-3435.

Supplemental Security Income

Medicaid and Medicaid waiver programs cannot pay for room and board in an ALF, but these costs are mitigated through legal restrictions for Supplemental Security Income recipients. The Arkansas State Medicaid Program helps to reduce the burden of room and board payments by limiting how much can be charged to SSI recipients for lodging.

Who is Eligible?

If assisted living residents receive Supplemental Security Income, they will automatically receive Medicaid with the benefit of mitigated room and board costs at ALFs. Their SSI is automatically applied to room and board costs up to a certain amount at ALFs. A small personal needs allowance is retained from their Supplemental Security Income for personal use.

How to Apply

Check your eligibility for Supplemental Security Income and fill out an application:

• Call (800) 772-1213.
• For the hearing impaired, call (800) 325-0778.
• Call or visit your local Social Security Office.

More Ways to Finance Assisted Living

Some additional ways to finance assisted living costs include:

• Veterans Benefits: Veterans can take advantage of several different pension programs to help cover the cost of assisted living. For more information, see the article on benefits.va.gov.

• Life Insurance Policies: Even if a spouse or loved one hasn’t died, certain types of life insurance policies can be used to pay for assisted living. More information is available at longtermcare.acl.gov.

• Long-Term Care Insurance: Long-term care insurance is a type of insurance policy that pays for long-term care when it becomes necessary, including the cost of assisted living. For more information on the benefits and drawbacks of this financing method, visit longtermcare.acl.gov.

• Reverse Mortgages: Reverse mortgages allow seniors to access the equity from a home that they own, and these funds can be used to pay for assisted living. The U.S. Department of Housing and Urban Development offers a federally insured reverse mortgage program.

Free and Low-Cost Resources for Seniors in Arkansas

There are many resources in Arkansas that assist seniors in their retirement. Assistedliving.org has compiled information on local organizations, programs and agencies and categorized them into care types for easy reference.

Area Agency on Aging

Retirees can find support and advice on various senior-related issues from their local Area Agency on Aging. The agency provides advice on topics such as financial assistance programs, in-home care and long-term care planning. It also connects seniors and caregivers with community-based resources.

Cash Assistance Programs

Cash assistance programs in Arkansas provide financial support to help low-income retirees remain in their own homes for as long as possible. Seniors and caregivers can apply for tax rebates and reductions, discounts on vital services and help covering the cost of heating and cooling their home.

Food Assistance Programs

Local organizations help ensure elderly citizens have a balanced diet and receive essential vitamins and minerals to remain healthy. Through nutrition programs, congregate meals, home-delivered meals and food pantries, these programs help Arkansas seniors afford the nutritious food they need.

Free Used Medical Equipment

Due to the high cost of purchasing new medical equipment, several organizations in Arkansas collect lightly used medical devices such as wheelchairs, ramps and walkers and distribute them to local seniors and residents in need.

Home Repair and Modifications

Seniors and those with disabilities can access a variety of local resources to help them pay for home repairs and modifications. Programs in Arkansas have different eligibility criteria and often assist retirees by providing grants or loans.

Legal Resources

Many organizations offer free or low-cost legal services to Arkansas seniors. Older adults can access advice on issues such as estate planning, living wills and power of attorney. Some firms also act as long-term care ombudsmen, advocating for the rights of seniors in senior living communities.

Senior Centers

Senior centers in Arkansas bring together residents through recreational activities and events. Many also offer advice and support on senior issues, run wellness and nutrition programs, and connect older adults with other resources in the local area.

Senior Engagement

Senior engagement resources and programs in Arkansas help older adults remain active and ensure they contribute to the community. Resources include wellness programs, volunteer opportunities, support groups and organizations that help residents connect with the community to live fulfilling lives.

Social Security Offices

Social Security offices in Arkansas help seniors and disabled people access the benefits they’re entitled to. Older adults can contact their local office for information about receiving retirement benefits, disability allowance and Supplemental Security Income.

Tax Assistance

Seniors can apply for tax assistance from several Arkansas resources. Elderly residents and those with disabilities could be eligible for tax exemptions on medical expenses, reductions on property tax and other tax assistance programs.

Utility & Energy Bill Assistance

Low-income seniors who are struggling to meet the costs of maintaining their homes can find support from organizations that offer assistance with utility and energy bills. Arkansas retirees could also qualify for emergency funding programs if they’re in danger of losing utility services due to unpaid invoices.

Veteran’s Services

Arkansas retirees who have served in the U.S. military can find support from local veteran services. These offices and organizations help vets access the benefits they’re eligible for and provide advice and information on a variety of issues.

Assisted Living Laws and Regulations in Arkansas

The Arkansas DHS Office of Long-Term Care (OLTC) is responsible for licensing and regulating nursing homes and other care-oriented living arrangements. The OLTC, sometimes called “the Office”, administers and monitors the following regulatory practices, among many others.

Assisted Living Service Plans

An assisted living service plan is sometimes called a needs assessment or an Individual Service Plan (ISP), and the majority of ALFs use them. On entering into an assisted living arrangement, the facility’s administrators will coordinate a consultation with prospective residents or their representatives. Together, they will determine individual needs and desires. The service plan is a living document which is updated with annual or quarterly re-evaluations of a resident’s needs and the facility’s provisions.

Any residents who receive behavioral care must have goals and strategies included in their service plan, and the plan must be confirmed by a physician or behavioral healthcare provider. If the plan involves recurrent medication administration or other skilled nursing services, a nurse or medical practitioner must review and confirm the provisions.

The plan must include:

• A facility disclosure statement that establishes the form of care offered, treatment, staffing, an emergency preparedness plan, special services and related costs, and other information as required by law
• A description of the resident’s medical conditions, including any physical, cognitive or behavioral impairments
• The level and scope of services the resident receives
• A treatment and service schedule

Assisted Living Admission Requirements

To take up residence in an assisted living community, applicants must meet certain intellectual and physical requirements. This is an important part of independent, care-oriented living, as it keeps the resident safe and limits liability for the service provider. The Residential Care Compendium for Arkansas states that ALFs cannot accommodate residents who:

• Need 24-hour nursing services, except in cases where the resident is certified by a licensed home health agency for a maximum of 60 days with one 30-day extension
• Are bedridden, or who have terminal or long-term illnesses
• May be a danger to themselves or others
• Have transfer assistance needs beyond the ALF’s ability to accommodate, including assistance with emergency evacuation

By law, facilities must provide residents with an occupancy admission agreement prior to moving in or on their move-in date. This document will disclose things like financial policies and charges, rules and regulations for residents, and a full disclosure of the facility’s available services and emergency protocols.

Assisted Living Scope of Care

In Arkansas, ALFs may be classified as Level I or Level II. The level of care that a facility is equipped to provide will determine eligibility for residence based on applicants’ physical and intellectual capabilities. ALFs can provide personal care services through the Medicaid State Plan, and in Level II ALFs, more medically trained staff will be on hand.

The main differences between a Level I and Level II facility are:

• A Level I facility cannot serve residents who are nursing home-eligible, while a Level II facility may.
• A Level II facility must employ a consulting pharmacist.
• A Level I facility cannot provide significant medication assistance, while a Level II facility can provide direct care to help residents take their medicines.

Both Level I facilities and Level II facilities do provide:

• 24-hour staff availability
• 24-hour emergency care assistance
• Registered nurses on staff
• Assistance with social, recreational, and other activities
• Assistance with transportation
• Linen service
• Three meals a day, with readily available snacks and fluids
• Care for residents with Alzheimer’s disease
• Limited assistance with all Activities of Daily Living (ADL)

Assisted Living Medicaid Policy

Arkansas Medicaid reimburses for what it calls personal care services, providing hands-on assistance to ALF residents with Activities of Daily Living (ADL), like feeding oneself, grooming, toileting, and moving around on one’s feet. In cases where residents in Level II care need more direct assistance, Arkansas Medicaid may reimburse for Disability Services or allow the use of a Medicaid-related program, such as the Assisted Living Choices waiver.

• For help determining if you are eligible for Medicaid, or to find a Medicaid planner, visit the American Council on Aging’s website.
• For a list of materials needed to apply and relevant contacts, visit the Arkansas Medicaid website.

Assisted Living Facility Requirements

The home-like setting of assisted living communities will meet certain logistical requirements for the kinds of living spaces and amenities they provide. All ALF units in Arkansas are discrete apartments, and residents are never housed with a roommate unless they specifically request to live with a partner.

All units must meet these requirements:

• Kitchens in functionally and visually distinct areas
• Wheelchair accessible
• Lockable doors
• Basic appliances like fridges and microwaves
• Separate wings for live-in partners with Level II care needs

Medication Management Regulations

Level I facilities: One of the main requirements of admittance to a Level I assisted living establishment is that a resident should be capable of self-administering their medications. Staff at the facility can still provide reminders to take medicines and, as long as it’s done in the presence of the resident, they can provide assistance getting bottles and blister packs open.

Level II facilities: In a Level II assisted living community, direct care can be provided to people with physical or memory impairment in taking their medications. A registered nurse will be on staff who can administer medicines to residents who have been assessed as being unable to do so for themselves. There will also be a consulting pharmacist employed at the facility to help regulate the process.

Staffing Requirements

Arkansas ALFs employ staffing plans to coordinate shifts and keep an effective number of employees on staff at all times. The staff must include at least one certified Registered Nurse (RN), and for Alzheimer’s care in Level II facilities, more specialized staff will be on hand.

Employees of ALFs in Arkansas must adhere to the following employment criteria:

• Employees must be at least 18 years of age.
• Employees and workers on the grounds are subject to extensive background checks.
• All employees must be educated on fire safety and evacuation procedures.
• Staff with communicable diseases or skin lesions are not allowed contact with residents or their food.

Administrators of ALFs in Arkansas must adhere to the following employment criteria:

• Must be at least 21 years of age
• Must have a high school diploma or GED
• Must have the ability to comply with regulations, and agree to do so in written documentation
• Must successfully complete a criminal background check designed by the Office of Long-Term Care
• Must have no previous convictions or substantiated reports relating to the administration of long-term care
• Must complete a certification program approved by the OLTC
• Must be on staff and present during normal business hours, or they must designate someone to be there in their absence

Staff Training Requirements

Facility administrators and employees must all complete a training course certified by the Office of Long-Term Care, with more specialized training for administrators. Direct care staff in Level II facilities also receive specialized training regarding Alzheimer’s and dementia, and all training must be supplemented with at least six hours per year of continued education.

Training to be completed within six months of hire:

• Building safety and emergency measures, including safe operation of fire extinguishers and evacuation of residents from the building
• Abuse, neglect, and financial exploitation reporting requirements
• Incident reporting
• Sanitation and food safety
• A general overview of the job’s specific requirements
• Philosophy and principles of independent living in an assisted living residence
• Residents’ Bill of Rights
• Medication assistance or monitoring
• Review of the aging process and disability sensitivity training

Background Checks for Assisted Living

In the assisted living communities of Arkansas, all employees including any non-employees working on ALF grounds must pass a criminal background check. The background check itself is specifically designed in accordance with Arkansas’ Rules and Regulations for Conducting Criminal Record Checks for Employees of Long-Term Care Facilities.

• It must be verified that any would-be employee has never been convicted of, and does not have any substantiated reports of neglect or abuse of residents, or misuse of resident property.
• Before making any new hires or allowing workers onto the grounds, the facility must check names against the Employment Clearance Registry of the Office of Long-Term Care, and also the Adult Abuse Registry maintained by DHS/DAAST.
• Re-checks must be done every five years.
• The Office of Long-Term care will conduct an investigation into the character of prospective administrators as part of their criminal background check.
• Administrators must have no prior convictions relating to the operation of a long-term care facility.

Reporting Abuse

The Division of Aging and Adult Services (DAAS) is a division of the Department of Human Services in Arkansas. The DAAS keeps an Adult Protective Services hotline open where it fields reports of elder abuse. Any type of abuse, whether physical, emotional, or financial, is worthy of being reported and should be taken seriously.

• Visit humanservices.arkansas.gov.
• Call (800) 482-8049.

Arkansas COVID-19 Rules for Assisted Living Facilities

Note: The following information was compiled and most recently updated on 2/22/22. Since COVID-19 is a rapidly evolving crisis, be sure to contact your assisted living facility or local Area Agency on Aging for the most up-to-date information.

Source: www.healthy.arkansas.gov

*Note: This information was not available for this state, contact your local area agency on aging or senior living facility for more information.