Little Rock Senior AdvisorWhat types of senior care are available around Little Rock?
In-home care and hospice at home, residential care facilities, Level I and Level II assisted living, Alzheimer's special care units and CMS-certified nursing homes, from least to most care.
Arkansas's July 2026 Bed Need Book lists 31 assisted living facilities with licensed beds in the six-county Little Rock metro: 27 Level II and 4 Level I, with 2,442 licensed beds in all, 18 of the buildings in Pulaski County.
How do we know which type fits?
Match the setting to the care need and the likely course of a parent's health: supervision and meals point to assisted living, daily nursing needs to a nursing home, and a strong wish to stay home to in-home care or PACE.
Each page below explains the Arkansas rules for that setting. The comparisons put two side by side.
How do costs differ across care types in Arkansas?
Using CareScout's 2025 Arkansas medians: adult day health care about $1,647 a month, assisted living about $4,562, full-time home care about $4,767, and a semi-private nursing home room about $7,452.
See what care costs for the full table.
Which care types can Arkansas Medicaid pay for?
Nursing home care, in-home services through ARChoices and PACE, and care services in participating Level II assisted living through Living Choices; not assisted living rent and meals.
See costs and paying.
How many licensed settings are there around Little Rock?
The six counties have 31 assisted living facilities with 2,442 licensed beds and 7 residential care facilities with 369 beds, according to the state's July 2026 Bed Need Book.
CMS lists 44 certified nursing homes in the six counties; it publishes an overall rating for 44 of them, and 24 hold four or five stars (Care Compare data dated October 1, 2026). The directory lists them all.
Care types: every guide
Assisted living
Apartments with meals, supervision and personal care, licensed at Level I or Level II by Arkansas's Office of Long Term Care.
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Memory care
Alzheimer's special care units inside assisted living or nursing homes, with written disclosure, separate staffing census and dementia training.
Open guide →Residential care facilities
Congregate personal care and supervision in shared settings under Arkansas's residential care facility license.
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Nursing homes
Twenty-four-hour skilled nursing and rehab, certified by CMS and licensed by Arkansas, with public star ratings and inspections.
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In-home care
Non-medical home care, Medicare home health and Medicaid ARChoices services that help a parent stay at home.
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Hospice
Comfort-focused care for people with a life expectancy of six months or less, paid by Medicare, wherever the patient lives.
Open guide →