Little Rock Senior AdvisorWhat senior care is available in Perry County, Arkansas?
Perry County has 0 assisted living facilities with 0 licensed beds, 0 residential care facilities and 1 CMS-certified nursing home with 95 certified beds, by the state's July 2026 Bed Need Book and CMS data.
Perry County, west of Pulaski along the Arkansas River and the edge of the Ouachita Mountains, is the metro's smallest and oldest county, centered on Perryville.
The state's bed records show no assisted living or residential care beds here at all, and one nursing home, so families usually look in Conway, Maumelle or Little Rock.
How many older adults live in Perry County?
About 2,362 Perry County residents were 65 or older on July 1, 2025 (22.9% of 10,309), and 217 were 85 or older, by Census Bureau estimates; the county's median age is 45.3.
| Measure | Perry County | Six-county metro |
|---|---|---|
| Population, 2025 | 10,309 | 777,607 |
| Age 65+ | 2,362 | 141,631 |
| Age 85+ | 217 | 14,355 |
| Assisted living + RCF beds | 0 | 2,811 |
| Beds per 1,000 residents 65+ | 0 | 20 |
Is there enough assisted living in Perry County?
Not by the state's planning numbers: the Health Services Permit Agency projects that Perry County will need 72 assisted living and residential care beds by 2031, and it has 0 today, a gap of about 72.
A projected shortfall does not mean every building is full today, but it does mean waiting lists are more likely, especially for Medicaid-participating Level II apartments. Ask each building about current openings and how its waiting list works.
Which nursing homes serve Perry County?
CMS certifies 1 nursing home in Perry County; CMS rates it 4 of 5 in Care Compare data dated October 1, 2026.
| Facility | CMS overall rating | Licensed beds | Deficiencies cited | Town |
|---|---|---|---|---|
| Perry County Nursing and Rehabilitation Center 1321 Scenic Drive, 72126 | 4 of 5 | 95 | 2 | Perryville |
What do Perry County families usually do when care is needed?
With no assisted living in the county, most rely on help at home, the county's one nursing home, or a move to Conway, Maumelle or Little Rock, each about 30 to 45 minutes away.
Perry County is outside PACE's central region, so ARChoices in Homecare is the main Medicaid program for help at home. The regional area agency on aging office in Russellville covers the county, and the long-term care ombudsman there serves its residents.
Where can Perry County families get free help?
Perry County is served by the regional area agency on aging office in Russellville, which also covers Conway, Johnson, Pope and Yell counties.; the Office of Long Term Care takes complaints at 1-800-582-4887, and Access Arkansas takes Medicaid applications at 1-855-372-1084.
PACE's central Arkansas region does not include this county.
