Best Adult Day Services in Arkansas

Overview of Woodland Heights

Woodland Heights Senior Living is a 75-bed assisted living, independent living, and memory care community operated by Milestone Retirement Communities, LLC, under Chanta Dedman’s administration, at 8700 Riley Drive in Little Rock, Arkansas. The facility serves the Big Rock Township neighborhood and is licensed as an Assisted Living Facility Level II by the Arkansas Department of Human Services, Office of Long Term Care.

Catering to residents from active independent seniors to those requiring structured memory care, Woodland Heights’ amenity package is broad for its size. It has 13 amenities: a salon, spa, fitness center, pool, billiards room, library, chapel, covered parking, on-site laundry, additional storage, private bus transportation for its walk score of 37, and multiple dining venues including a private dining room for daily meals and special gatherings. Respite stays are handy for families seeking short-term care during caregiver transitions or recovery. Woodland Heights accepts residents through several Arkansas Medicaid assistance pathways. The Living Choices Assisted Living Waiver, designed for Level II assisted living facilities, may cover personal care, medication management, nursing, activities, and transportation for eligible residents aged 65 and older who require nursing home-level care. ARChoices and the Arkansas PACE program offer additional avenues for qualified individuals, while the Arkansas State Plan Personal Care program is for eligible residents of any age.

Woodland Heights Senior Living suits seniors wanting a moderately sized community with strong amenities, multi-level care continuity, and access to Medicaid waiver programs, particularly families seeking longer-term care transitions in one campus. They must confirm current enrollment and waitlist status directly with the community.

Stoneridge Nursing and Rehabilitation Center is a 98-bed skilled nursing facility at 4017 Franklin in College Station, Arkansas, in Pulaski County, roughly 4.5 miles from Little Rock. Operated by StoneRidge Health & Rehab Center, LLC, a for-profit limited liability company, the facility holds dual certification for Medicare and Medicaid (XIX/XVIII), making it accessible to residents funding long-term care. They also broaden access for residents relying on public insurance

CMS ranks the facility 3 to 4 stars for quality and staffing measures, with a weaker health inspection rating of 2 stars. A significant operational concern is then worth noting: the administrator position is currently vacant, with no replacement on record after the prior administrator resigned. Administrative continuity matters for daily oversight and regulatory compliance, so families should inquire about interim leadership arrangements. Third-party data also flags a notable compliance and penalty history in the most recent reporting period: 2 fines totaling approximately $107,000, 12 complaints on record, and 3 total penalties imposed. Families must review the facility’s current inspection reports on Medicare’s Care Compare tool for the full per-inspection breakdown before deciding. CareListings also notes the facility may have undergone a voluntary merger or closure and is possibly operating under a new provider number.

A doctor is listed on staff, and there is 24-hour staffing. The center offers skilled nursing, rehabilitation services, 24/7 nursing and emergency care, on-site therapy and specialty services, and medical oversight for individuals recovering from surgery, illness, or those managing complex long-term medical conditions. The facility is close to Arkansas Children’s Hospital and several drug stores within a mile. The College Station location has a walk score of 25, making it modestly walkable, so families should plan for transportation to nearby services.

Stoneridge Nursing and Rehabilitation Center is best for individuals needing high-level medical support in a facility near the Little Rock metro area and who qualify for Medicare or Medicaid coverage. Given the questions on administrative leadership and current operational status, families must schedule an in-person visit, confirm current staffing levels, and obtain the facility’s most recent state inspection report before enrolling. Confirming the current operational status with the facility or through the Arkansas Department of Human Services is strongly advised.

The Green House Cottages of Homewood is a 138-bed skilled nursing and rehabilitation facility at 215 Homewood Circle in Mena, Arkansas, Polk County. Privately owned and administered by Vicki Hughes through Mena SNF Operations, LLC, the facility holds dual Medicare and Medicaid certification and accepts private pay. Current occupancy is 62.6 percent, below the Arkansas average of 71.3 percent, ranking 111th of 166 and suggesting availability. The facility’s signature is affiliated with The Green House Project, a nationally recognized culture-change model now operating as AgingIN, which restructures nursing home care around person-directed, relationship-rich environments. It incorporates comprehensive dementia education and training into its care philosophy, setting apart Green House Cottages from conventional skilled nursing facilities in the region.

The inspection record spans three standard surveys: December 2022, February 2024, and February 2025, totaling 20 citations. All 20 were moderate in severity. No critical or serious citations were issued, and all have been corrected. No complaint investigations, fines, or immediate jeopardy findings appear in the record. The leading deficiency categories over the seven-year window are Quality of Life & Care (4 deficiencies), Infection Control (3), Resident Rights (2), and Pharmacy Services (2). The February 2024 survey cited Administration, Infection Control, and Nursing Services, while the February 2025 survey cited Infection Control only, a contained pattern with no escalation in severity. CMS place the facility solidly above the Arkansas average across every measured dimension. The overall rating exceeds the state benchmark by 27 percent, with health inspection performance running 38.9 percent above average, staffing 23.1 percent above, and quality measures 8.1 percent above, earning the facility 4 stars from CMS.

Adjusted total nursing hours reach 5 hours 10 minutes per resident per day, ranking 25th among 164 Arkansas SNFs. The staffing model leans heavily on licensed practical nurses at 1 hour 24 minutes per day, LPN hours at 47 percent, above the state average, and certified nursing assistant hours at 3 hours 19 minutes per day, running 22 percent above state. Weekend nursing coverage of 4 hours 29 minutes per day is 29 percent above the Arkansas average, an indicator that staffing levels reach weekends. RN hours, 23 minutes per day, are modestly below the state average of 24 minutes, worth noting for residents with complex clinical needs. Q2 2025 payroll data shows 147 total staff, including 80 CNAs, 22 LPNs, and 6 RNs, with only 5 percent of total hours coming from contractors. The facility primarily serves short-stay rehabilitation residents: 48 percent of admissions are Medicare-funded with typical stays of one to two months, and 44 percent are private-pay with stays of two to three months. Long-term Medicaid residents account for 9 percent of admissions. Annual revenue is $12.3 million with a $1.3 million profit, while payroll costs of $5.4 million amount to 44.2 percent of revenue.

Green House Cottages of Homewood suits individuals recovering from surgery, illness, or a hospital stay who want above-average staffing, a clean severity record, and a care model built on dignity and personal connection. It’s also a strong option for families seeking memory-care-informed skilled nursing in rural southwest Arkansas near Mena.

Overview of Windsor Cottage, LTD.

Windsor Cottage, LTD., is a 42-bed assisted living and memory care facility at 4110 Jefferson Avenue in Downtown Texarkana, Miller County, Arkansas. Owned and operated as a corporation under the entity of Windsor Cottage, Ltd., and administered by Verdo Ryan Powell, the facility is licensed as an Assisted Living Facility Level II by the Arkansas Department of Human Services, Office of Long Term Care. It authorizes the provision of nursing services with personal care, suitable for residents aged 55 and older needing more support than basic assisted living but do not require full skilled nursing.

The care team includes licensed nurses and CNAs with 24-hour staffing. Safety infrastructure has an emergency call system in each unit, 24-hour fire monitoring, medication monitoring, on-site pharmacy delivery, and an emergency response system with handicap-accessible bathrooms with grab bars. Residents occupy private, apartment-style units with a living environment designed around a residential, home-like model, where housekeeping and linen service, laundry facilities, window coverings, and utilities are available. Dining has three chef-prepared meals daily with special diet accommodations, an elegant dining room, and a private dining area for family gatherings. The activity program is coordinated on-site and includes an exercise class, library and reading area, coffee bar, and puzzle area. Outdoor amenities include landscaped gardens, a covered patio, a paved walking path, and handicap parking. A beauty and barber salon and nail care services round out the convenience offerings. The facility holds a walk score of 65, making some errands and services reachable on foot from Jefferson Avenue in central Texarkana. Proximity to Texarkana’s healthcare infrastructure, including CHRISTUS St. Michael Health System just across the state line, adds practical value for residents with ongoing medical needs.

Windsor Cottage, LTD., is a well-suited option for seniors who want a smaller, community-oriented setting with consistent staffing, memory care capability, and a full-service amenity package in central Texarkana. Families should ask about its most recent Arkansas DHS inspection report following the absence of inspection data.

Overview of The Crossing at Malvern

The Crossing at Malvern is an 84-bed assisted and independent living community administered by Jennifer Smith at 720 N. Walco Lane in Malvern, Hot Spring County, Arkansas. A corporation operating for 19 years, the facility is licensed as an Assisted Living Facility Level II by the Arkansas Department of Human Services, Office of Long Term Care. It participates in the Arkansas Medicaid Living Choices Assisted Living Waiver, making it one of the few options in Malvern accessible to income-qualifying residents through Medicaid. VA Aid & Attendance benefits and long-term care insurance are accepted alongside private pay.

The BBB assigns an A+ rating based on complaint history, transparency, and business practices.

At Crossing at Malvern, residents are not asked to relocate when their care needs change. Independent living residents transitioning to assisted living stay with the same staff in the same building, a meaningful continuity commitment in a market with common phased relocation. The facility’s staff brings nearly a century of combined experience. Assisted living services include medication management and administration; coordination of care with physicians, specialists, and pharmacies; healthcare monitoring; and hands-on ADL assistance with bathing, grooming, dressing, and toileting. A pre-screening assessment by the Director of Care is required before placement to allow each resident the appropriate support level from the start. The facility also organizes its service model around three named frameworks: Live Well, Be Well, and Motive8™. Live Well covers dining and lifestyle: three home-style meals prepared daily using fresh ingredients, served like in restaurants, with an alternative menu for residents with different preferences. A wide range of social, recreational, and spiritual activities also brings residents, families, and staff together. Be Well includes personal care and safety needs. Motive8™ is a structured activity program encompassing creative expression through art, crafts, music, and individual hobbies; fitness, health, and beauty programming; cognitive engagement and lifelong learning; resident advocacy and peer mentoring for new arrivals; and social and entertainment programming. Pets are welcome conditionally; dogs and cats under 25 pounds need a $250 non-refundable deposit. The Walco Lane location has a walk score of 58, with some everyday errands reachable on foot from the central Malvern area. Hot Spring County Medical Center is nearby for access to acute care.

The Crossing at Malvern suits seniors in the Hot Spring County area who want a structured, program-rich assisted living environment with Medicaid Waiver access, stable staffing, and the option to age in place without changing floors or facilities. Families should ask about the facility’s most recent AR DHS inspection report.

The Green House Cottages of Belle Meade is a 167-bed skilled nursing, rehabilitation, and long-term care facility privately owned and administered by Pamela Diggs through Paragould GH Operations, LLC, at 2200 Chateau Blvd in Paragould, Arkansas, in Greene County. Occupancy stands at 73.2 percent, modestly exceeding the Arkansas average of 71.3 percent with an average length of stay of 203 days across all residents. The facility accepts private pay and holds dual Medicare and Medicaid certification. Like its sister facility in Mena, it operates under The Green House Project model, now known as AgingIN, which organizes care around dignity, personal choice, privacy, and relationship-rich living in a home-like setting rather than a conventional institutional structure.

The health inspection rating sits 30.6 percent below the Arkansas average, the primary driver of the 3-star overall rating. Across 4 inspections since 2023: February 2023, April 2024, December 2024, and August 2025, the facility accumulated 21 citations, matching the Arkansas average of 21.8. The severity picture requires attention: 1 critical citation was issued at the December 2024 inspection in the Quality of Care category. Critical citations indicate noncompliance that placed or could place residents at risk of serious harm. It has since been corrected. The August 2025 survey cited Abuse/Neglect, Infection Control, and Nutrition at moderate severity and all were corrected. Of the 21 total citations, 19 were moderate, 1 was minor, and 1 was critical. The leading deficiency categories over the inspection window are Infection Control (5 deficiencies, 24 percent) and Quality of Life & Care (5 deficiencies, 24 percent), with one Abuse, Neglect, and Exploitation citation recorded. One inspection was triggered by a complaint investigation. The facility is rated at 3 stars overall, with a mixed performance profile. Staffing is a clear strength: total adjusted nursing hours reach 5 hours 25 minutes per resident per day, 14 percent above the Arkansas average and ranking well within the top tier statewide. CNA hours of 3 hours 26 minutes per day are 26 percent above the state benchmark, and weekend total nursing of 4 hours 18 minutes per day is 23 percent above average, meaningful for families concerned about weekend care consistency. Physical therapist hours are double the state average, supporting the facility’s short-term rehabilitation positioning. RN hours match the state average on weekdays but fall 25 percent below on weekends (12 minutes vs. 16 minutes), a gap worth noting for residents with complex clinical needs. Q2 2025 staffing data shows 221 total staff, including 132 CNAs, 29 LPNs, and 13 RNs, with a staff-to-resident ratio of 1.71:1, 6 percent above the Arkansas average. Quality measures exceed the state benchmark by 35.1 percent, the facility’s strongest CMS dimension. The facility primarily serves short-stay rehabilitation residents: 57 percent of admissions are Medicare-funded with typical stays of one to two months. Private-pay admissions account for 37 percent, with longer average stays of four to five months. Long-term Medicaid residents make up 7 percent of admissions with average stays of approximately five years. Revenue is $16.7 million annually, with a $2.7 million profit and payroll of $7.4 million (44 percent of revenue). The Paragould location has a walk score of 69, with some daily errands reachable on foot.

Amenities are broad: beauty and barber services, library and reading areas, transportation, arts and crafts, music therapy, exercise classes, gardening, cooking and baking, pet therapy, intergenerational programs, cultural and spiritual activities, and special events and celebrations are all within an operating model running 24 hours a day. Meals are made-to-order by a professional chef and described as nutrient-dense, a differentiator reflecting the model’s emphasis on quality of daily life.

The Green House Cottages of Belle Meade suits families seeking a staffing-strong, rehabilitation-focused skilled nursing facility in northeast Arkansas with an elder-centered care philosophy. The now-corrected critical citation from December 2024, along with the Abuse/Neglect citation from August 2025, are meaningful data points that families should investigate further before deciding by reviewing the full inspection reports through the Arkansas DHS Office of Long Term Care.

Sheridan Healthcare and Rehabilitation Center is a 121-bed skilled nursing facility at 113 South Briarwood Drive in Sheridan, Grant County, Arkansas, administered by Jodi C Davis Logan. Owned by Grant SNF Operations, LLC, the facility holds dual Medicare and Medicaid certification and serves Sheridan and the surrounding communities with long-term care, short-term rehabilitation, memory care, respite care, and veteran care services. It provides 24-hour staffing and a doctor on staff.

Inspection reports show four surveys on record: November 3, 2022, January 26, 2024, and two reports dated April 4, 2025, which suggest a standard survey paired with a complaint investigation conducted simultaneously. Per-inspection deficiency counts, findings, and substantiation outcomes should be reviewed on Medicare Care Compare or through the Arkansas DHS Office of Long Term Care before proceeding.

The facility’s programs include a memory care unit and veteran care services, which are uncommon differentiators for a community-based SNF in Grant County. Amenities include satellite TV, high-speed internet, whirlpool baths, a day room, housekeeping, and guest furniture in resident rooms. Dining offers three meals daily plus snacks. Staffing data shows a mixed but meaningful profile. RN hours are 31 minutes per resident per day, 29 percent above the Arkansas state average of 24 minutes, showing a notable strength for a facility of this size and a stronger clinical oversight than most peers in the state. LPN hours at 54 minutes and CNA hours at 2 hours 37 minutes per day are modestly below state averages by 5 percent and 4 percent respectively, while weekend total nursing hours match the Arkansas average exactly at 3 hours 29 minutes per day. Physical therapist hours double the state average, reinforcing the facility’s short-term rehabilitation positioning. Weekend RN coverage at 10 minutes per day runs 37 percent below the state average of 16 minutes. Families of residents with complex clinical needs should ask about weekend supervision arrangements. Note that quality measure performance is the facility’s clearest strength. Long-stay residents perform significantly above average on two critical metrics: hospitalizations run 23 percent below the Arkansas average, while emergency department visits run 26 percent below, indicating that residents’ day-to-day health needs are being managed effectively and proactively. More mixed are short-stay outcomes. Successful return to home or community (54.8 percent) and self-care ability at discharge (61.3 percent) both exceed the Arkansas average, and short-stay ED visit rates are 23 percent better than average, signaling positively for post-acute rehabilitation residents. However, the re-hospitalization rate after SNF admission is 20 percent above the state average, and the falls-with-major-injury rate for short-stay residents is substantially elevated at 3.9 percent against a state average of 0.8 percent. This fall rate warrants a direct conversation with the facility about fall prevention protocols before placing a short-stay rehabilitation resident.

Sheridan Healthcare and Rehabilitation Center is best for long-stay residents in Grant County who benefit from strong RN oversight and well-managed chronic care, veterans seeking a facility with dedicated support, and families looking for memory care in a smaller, community-focused setting. Short-stay rehabilitation residents should review the fall rate data and re-hospitalization figures carefully before proceeding. Families of residents with complex clinical needs must also ask about weekend supervision arrangements. Deficiency counts, findings, and substantiation outcomes per inspection should likewise be reviewed on Medicare Care Compare or through the Arkansas DHS Office of Long Term Care before continuing.

Overview of The Caring Place of Hot Springs, INC.

The Caring Place of Hot Springs, Inc., is a non-profit adult day care center specializing exclusively in individuals living with Alzheimer’s disease and other forms of dementia at 101 Quapaw Avenue in Hot Springs, Arkansas, in Garland County. Founded in 1992 as a ministry of First United Methodist Church and a coalition of interfaith volunteers, the facility is the only dementia adult day care program serving the Hot Springs area. Licensed by the Arkansas Department of Human Services for up to 50 daily participants, it operates Monday to Thursday from 9 AM to 3 PM and is registered as a 501(c)3 non-profit corporation. Administrator Lynn Reeves oversees the program.

The facility’s mission is dual-purpose: providing structured, compassionate supervision for participants living with dementia, and giving family caregivers meaningful respite time. Research consistently shows that regular caregiver respite delays burnout and keeps loved ones at home longer, a key differentiator from residential placement options. All staff are certified and trained specifically in dementia care. Individualized care plans are developed at intake based on each participant’s history, abilities, and personality, reflecting the understanding that Alzheimer’s and dementia affect each person differently. For continuous cognitive and sensory stimulation, the daily program exists. Activities include cognitive aerobics, arts and crafts, music therapy and sing-alongs, ball and balloon games, exercise, outdoor activities in the renovated fenced patio area, chapel and daily devotionals, and special guest entertainment. Hourly movement breaks including a structured conga line keep participants active throughout the day. A men’s social group and holiday celebrations are also on the calendar. Plus, there are home-cooked lunches and snacks daily. Caregiver support groups run concurrently, offering families a facilitated outlet for connection and shared experience while their loved ones are in care. The facility’s secured perimeter ensures participant safety. The physical space, purpose-built with a large activity room, kitchen and dining rooms, library and resource room, sick room, chapel, quiet room, and fenced outdoor patio, is designed entirely around the population it serves. Medicaid coverage through the Arkansas ARChoices program applies at the adult day services rate. Grants from the Area Agency on Aging and the Arkansas Alzheimer’s Association are also available, as are limited in-house caregiver respite grants. Pre-enrollment is required to assess participant needs and discuss payment options.

The Caring Place of Hot Springs, Inc., is the right fit for Garland County families navigating an Alzheimer’s or dementia diagnosis who want to keep their loved one at home while ensuring consistent, specialized daytime supervision and care. It is not a residential facility and does not provide overnight or 24/7 services. Families interested in enrollment should contact the program directly to schedule a pre-enrollment appointment.