Little Rock Senior AdvisorHow much does assisted living cost in Little Rock?
No Little Rock-only median is published; CareScout's 2025 Arkansas median for assisted living is $54,744 a year, about $4,562 a month, down 3% from the year before.
| Arkansas care type, 2025 | Annual median | Per month (approx.) | One-year change |
|---|---|---|---|
| Assisted living (private one-bedroom) | $54,744 | $4,562 | -3% |
| Home care, non-medical caregiver | $57,200 | $4,767 | -4% |
| Adult day health care | $19,760 | $1,647 | n/a |
| Nursing home, semi-private room | $89,425 | $7,452 | +4% |
| Nursing home, private room | $96,725 | $8,060 | +5% |
CareScout 2025 Cost of Care Survey, Arkansas results (released March 2, 2026). Monthly, hourly and daily figures are our arithmetic from CareScout's published annual medians (annual / 12; home care annual / 2,288 hours; adult day annual / 260 days; nursing home annual / 365).
Newer Level II buildings in west Little Rock, Maumelle and Conway often quote above the state median, while older buildings and residential care facilities often quote below it. Treat the median as a starting point for a budget, not a quote.
How much does a nursing home cost in Arkansas?
About $245 a day for a semi-private room and $265 a day for a private room, using CareScout's 2025 Arkansas medians of $89,425 and $96,725 a year; both rose 4% to 5% from 2024.
Medicare covers up to 100 days of skilled nursing after a qualifying hospital stay, with full coverage only for the first 20 days. After that, long-stay care is paid privately, by long-term care insurance, or by Arkansas Medicaid for people who qualify.
Is home care cheaper than assisted living in Arkansas?
Only up to a point: at CareScout's Arkansas home care median of about $25 an hour, care for fewer than about 40 hours a week costs less than the assisted living median, but round-the-clock home care costs several times as much.
| Paid home care hours a week | Monthly cost at $25 an hour | Compared with the $4,562 assisted living median |
|---|---|---|
| 8 | $867 | cheaper |
| 16 | $1,733 | cheaper |
| 24 | $2,600 | cheaper |
| 32 | $3,467 | cheaper |
| 40 | $4,333 | cheaper |
| 44 | $4,767 | more expensive |
| 56 | $6,067 | more expensive |
| 84 | $9,100 | more expensive |
| 168 | $18,200 | more expensive |
Many families combine a few hours of paid help with family care, adult day care or a medical alert system. ARChoices in Homecare can pay for in-home help for people who meet nursing home level of care and Medicaid's financial rules.
What does memory care cost around Little Rock?
No memory care median is published for Arkansas; CareScout does not survey memory care separately, so families should expect buildings to quote a monthly premium on top of their assisted living rate and should compare written price sheets.
Ask whether memory care is priced as one all-inclusive rate or as a base rate plus care levels, and what the price would be in a year if needs grow.
What hidden costs should we ask about?
Ask about community or entrance fees, care-level fees after reassessment, medication management, incontinence supplies, second-person fees for couples, transportation and escorts to appointments, and how much notice the building gives before increases.
Arkansas requires 30 days' written notice of general rate changes. Ask for three years of rate history in writing; how a building has raised rates in the past is the best predictor of what it will do next.
Side by side
| These figures are | These figures are not | |
|---|---|---|
| Source | CareScout's 2025 Arkansas medians | A Little Rock-only survey |
| Memory care | Folded into assisted living pricing | A published median |
| Monthly figures | Our arithmetic from annual medians | Quotes from any building |
| Use | A budgeting starting point | A promise of what you will pay |
Sources: Arkansas Office of Long Term Care assisted living rules, the Health Services Permit Agency's Bed Need Book, Arkansas DHS waiver and PACE fact sheets, CMS, CareScout and VA rate tables, each cited in the text. Our editorial standards explain how we check them.
