Ashton Place Manor

Nursing Home · Fort Smith, AR

CMS overall rating

Ashton Place Manor

Nursing Home · Fort Smith, AR

CMS overall rating

318 Strozier Ln, Barling, AR 72923 View map

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Ashton Place Manor accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Ashton Place Manor accepts Medicare, Medicaid, and private pay.

Overview of Ashton Place Manor

Ashton Place Health and Rehabilitation is a highly rated nursing home in Barling, AR, that focuses on rehabilitation and long-term care. Here, older adults find luxurious hotel-like accommodations with home-like atmosphere. Alongside its naturally lit spaces, the community provides exceptional services dedicated to residents’ welfare, including 24-hour care, respite care, and rehabilitative services. The community strives to accommodate up to 45 residents, providing them with personalized care plans.

Cooking, art classes, and exercise programs provide residents with more opportunities for leisure and interactions. A state-of-the-art rehabilitation gym, a private dining room for events, and beautiful outdoors also ensures residents can relax and remain active. The area is also surrounded by grocery stores, restaurants, churches, and schools, ensuring residents have easy access to their leisure and necessities. As one of the finest options for senior living in Arkansas, this nursing home has a wide range of care options dedicated to older adults’ well-being.

(479) 452-8181

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Arkansas state averages

Total nursing care / resident

5h 7m per day

This facility Arkansas avg (4h 45m per day)

vs Arkansas avg

+8%

3 of 6 metrics below state avg

Standout metric Nurse Aide is +25% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	16m per day	▼ 33% State avg: 24m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 8m per day	▲ 19% State avg: 57m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	3h 25m per day	▲ 25% State avg: 2h 44m per day · National avg: 2h 21m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 44m per day	▲ 7% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 50% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	8m per day	▼ 50% State avg: 16m per day · National avg: 29m per day

Capacity and availability

135 days

122-bed community

A larger shared setting that may offer more common spaces and organized community services.

20 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 19 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

77%

Higher than the Arkansas average: 71.3%

Occupied beds

94 / 122

Average occupied beds in Arkansas homes 77 beds

Facility TypeSkilled Nursing Facility With Dual Certified Beds (medicaid / Medicare)

CountySebastian

Business TypeLimited Liability Company

CMS Certification Number45419

Certification TypeMedicaid/Medicare

Accreditation StatusXIX/VIII

Ashton Place Manor is legally operated by Ashton Place Health and Rehab, LLC, and administrated by Kristi Terry.

Medicaid and Medicare

122 units

Total beds

122 units

Staffing

Key information about the people who lead and staff this community.

ContactMs. Kristi Terry, Administrator

Fax479-452-8183

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2022 · 4 years of data 31 deficiencies

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Arkansas state average

Overall vs. AR average

Latest Inspection March 27, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	AR Average	vs. AR Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	31	21	This facility has 48% more total deficiencies than a typical Arkansas nursing home (31 vs. AR avg 21).↑ 48% worse
Deficiencies per year Average deficiencies per year since 2022.	7.8	5.3	This facility has 47% more deficiencies per year than a typical Arkansas nursing home (7.8 vs. AR avg 5.3).↑ 47% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

March 27, 2025 inspection found 4 deficiencies including failure to provide ordered splint treatment, food safety violations, and inadequate infection control practices.
Complaint investigation in March 2025 confirmed repeated failures in splint care, food handling, and infection prevention, all related to Resident #103.
January 5, 2024 inspection cited 7 deficiencies including medication errors, expired meds, privacy breaches, unsafe wheelchair equipment, and poor infection control for COVID-19.

Show Inspection Reports

Inspections since 2022

Total health inspections 4

Arkansas average 4.2

Last Health inspection on Mar 2025

Total health citations

Arkansas average 21.8

Citations per inspection

4.25

Arkansas average 5.32

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

16 of 17 citations resulted from standard inspections; and 1 of 17 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)

Critical health citations

100% better than Arkansas average

Arkansas average: 0.4

Serious health citations

100% better than Arkansas average

Arkansas average: 0.2

0 critical citations Arkansas average: 0.4

0 serious citations Arkansas average: 0.2

16 moderate citations Arkansas average: 20.9

1 minor citation Arkansas average: 0.4

Citations history (last 4 years)

Infection Control moderate citation Mar 27, 2025

Corrected

Nutrition moderate citation Mar 27, 2025

Corrected

Quality of Care moderate citation Mar 27, 2025

Corrected

Environmental moderate citation Jan 05, 2024

Corrected

Top deficiency categories

Quality of Life & Care 5 deficiencies (29%)

Infection Control 3 deficiencies (18%)

Pharmacy Services 2 deficiencies (12%)

Resident Rights 1 deficiency (6%)

Administration 1 deficiency (6%)

Environmental 1 deficiency (6%)

Total staff 193

Employees 177

Contractors 16

Staff to resident ratio 1.74:1

10% better than Arkansas average

Avg staff/day 73

Average shift 8.2 hours

0% compared with Arkansas average

Total staff hours (quarter) 55,347

Nursing staff breakdown

8.4 hours

9.7 hours

8 hours

Contractor staffing

2,443 contractor hours this quarter

Physical Therapy Aide: 4 Speech Language Pathologist: 4 Qualified Social Worker: 2 Respiratory Therapy Technician: 2 Clinical Nurse Specialist: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	92	0	92	26,046	92	100%	8
Licensed Practical Nurse	35	0	35	10,672	92	100%	9.7
Medication Aide/Technician	20	0	20	8,015	92	100%	9.2
Clinical Nurse Specialist	4	1	5	2,000	92	100%	8.5
Nurse Aide in Training	7	0	7	1,312	82	89%	7.9
RN Director of Nursing	3	0	3	1,120	71	77%	7.6
Registered Nurse	8	0	8	1,001	67	73%	8.4
Speech Language Pathologist	0	4	4	790	67	73%	4.9
Occupational Therapy Aide	1	1	2	745	68	74%	9.1
Dental Services Staff	1	0	1	541	63	68%	8.6
Other Dietary Services Staff	1	0	1	507	62	67%	8.2
Administrator	1	0	1	432	54	59%	8
Nurse Practitioner	2	0	2	388	49	53%	7.9
Physical Therapy Aide	0	4	4	386	66	72%	5.7
Dietitian	1	0	1	376	46	50%	8.2
Physical Therapy Assistant	0	1	1	276	63	68%	4.4
Mental Health Service Worker	1	0	1	261	30	33%	8.7
Respiratory Therapy Technician	0	2	2	245	57	62%	4.3
Qualified Social Worker	0	2	2	215	59	64%	3.6
Occupational Therapy Assistant	0	1	1	23	3	3%	7.5

92 Certified Nursing Assistant

% of Days 100%

35 Licensed Practical Nurse

% of Days 100%

20 Medication Aide/Technician

% of Days 100%

5 Clinical Nurse Specialist

% of Days 100%

7 Nurse Aide in Training

% of Days 89%

3 RN Director of Nursing

% of Days 77%

8 Registered Nurse

% of Days 73%

4 Speech Language Pathologist

% of Days 73%

2 Occupational Therapy Aide

% of Days 74%

1 Dental Services Staff

% of Days 68%

1 Other Dietary Services Staff

% of Days 67%

1 Administrator

% of Days 59%

2 Nurse Practitioner

% of Days 53%

4 Physical Therapy Aide

% of Days 72%

1 Dietitian

% of Days 50%

1 Physical Therapy Assistant

% of Days 68%

1 Mental Health Service Worker

% of Days 33%

2 Respiratory Therapy Technician

% of Days 62%

2 Qualified Social Worker

% of Days 64%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data in Fort Smith

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.9

10% better than Arkansas average

Arkansas average: 7.7

Functional decline score 11.9

11% better than Arkansas average

Arkansas average: 13.3

Long-stay resident measures

Significantly above average Arkansas avg: 4.2

Need for Help with Daily Activities Increased 7.2%

37% better than Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened 15.8%

18% worse than Arkansas average

Arkansas average: 13.4%

Low Risk Residents with Bowel/Bladder Incontinence 12.6%

17% better than Arkansas average

Arkansas average: 15.1%

Falls with Major Injury 2.8%

29% better than Arkansas average

Arkansas average: 3.9%

High Risk Residents with Pressure Ulcers 5.2%

9% worse than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection 0.0%

100% better than Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight 3.5%

30% better than Arkansas average

Arkansas average: 5.0%

Depressive Symptoms 0.0%

100% better than Arkansas average

Arkansas average: 1.5%

Antipsychotic Use 3.2%

70% better than Arkansas average

Arkansas average: 10.5%

Pneumococcal Vaccine 100.0%

6% better than Arkansas average

Arkansas average: 94.4%

Influenza Vaccine 100.0%

In line with Arkansas average

Arkansas average: 96.2%

Hospitalizations per 1,000 days 2.02

In line with Arkansas average

Arkansas average: 1.97

ED visits per 1,000 days 2.18

In line with Arkansas average

Arkansas average: 2.18

Short-stay resident measures

Below average Arkansas avg: 2.7

Pneumococcal Vaccine 99.8%

23% better than Arkansas average

Arkansas average: 80.9%

Antipsychotic medication increase 0.0%

100% better than Arkansas average

Arkansas average: 1.5%

Influenza Vaccine 98.9%

27% better than Arkansas average

Arkansas average: 77.7%

Re-hospitalized after SNF stay 28.1%

12% worse than Arkansas average

Arkansas average: 25.2%

Emergency department visits 16.4%

19% worse than Arkansas average

Arkansas average: 13.8%

Falls with major injury 0.0%

100% better than Arkansas average

Arkansas average: 0.8%

Ability to care for self at discharge 54.4%

In line with Arkansas average

Arkansas average: 53.7%

Successful return to home or community 49.0%

In line with Arkansas average

Arkansas average: 50.6%

Breakdown by payment type

Medicare

46% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

44% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 3 years

Total residents 111

Medicare

16.2% of residents

Medicaid

48.6% of residents

Private pay or other

35.1% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Ashton Place Manor based on CMS SNF Cost Reports.

Occupancy Rate 93.0% ↑ 9.8pp vs 2022

Net Income $838.0K ↑ ~$540.5K vs 2022

Total Payroll $8.1M ↑ ~$1.3M vs 2022

Profit Margin 4.3% ↑ 2.6pp vs 2022

Financial Performance

Gross Revenue Operating Expenses Net Income

Salaries Contract Labor Wage Costs

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	56.0%	73.7%	89.0%	86.9%	87.5%	90.0%	92.0%	90.4%	89.0%	80.8%	74.3%	83.1%	93.0%
Beds	122	122	122	122	122	122	122	122	122	122	122	122	122
Net Income	$421,661	$175,010	$803,966	$926,608	$1,343,924	$629,277	$951,958	-$130,099	-$929,116	-$483,878	-$509,356	$297,509	$837,968
Gross Revenue	$5,203,833	$8,726,608	$11,799,646	$12,066,761	$12,677,887	$12,900,498	$15,472,078	$14,884,361	$14,518,361	$11,975,535	$14,782,718	$16,995,697	$19,332,498
Operating Expenses	$4,453,706	$7,460,885	$9,434,303	$9,580,188	$9,743,692	$10,475,087	$10,635,787	$11,289,888	$11,966,486	$11,984,229	$11,855,387	$12,630,784	$14,470,835
Net Patient Revenue	$4,861,915	$7,621,110	$10,218,592	$10,488,824	$11,084,161	$11,100,018	$11,585,833	$11,153,146	$11,054,599	$10,225,366	$10,067,160	$12,713,777	$15,306,992
Total Payroll	$2,383,294	$4,144,863	$5,684,816	$5,810,167	$5,693,601	$6,107,228	$6,297,328	$6,454,274	$6,174,231	$5,981,100	$6,122,529	$6,774,682	$8,074,147
Profit Margin %	8.1%	2.0%	6.8%	7.7%	10.6%	4.9%	6.2%	-0.9%	-6.4%	-4.0%	-3.5%	1.8%	4.3%
Medicare %	21.3%	23.7%	25.4%	24.3%	22.5%	21.5%	18.9%	18.4%	17.7%	15.0%	21.9%	20.6%	16.3%
Medicaid %	54.9%	47.0%	45.1%	49.5%	43.2%	49.7%	47.5%	49.9%	57.6%	66.8%	64.3%	60.7%	63.9%
Private %	23.7%	29.3%	29.5%	26.2%	34.3%	28.8%	33.7%	31.7%	24.7%	18.2%	13.9%	18.7%	19.9%
Revenue/Day	$241	$232	$258	$271	$284	$276	$283	$277	$279	$283	$304	$344	$370
Cost/Day	$221	$227	$238	$247	$250	$261	$260	$280	$302	$332	$358	$341	$350
Avg Length of Stay	75.4 days	62.0 days	60.2 days	62.0 days	60.9 days	63.0 days	68.7 days	63.5 days	77.7 days	129.4 days	105.4 days	129.0 days	135.3 days

Finances and operations

Home revenue

$19.3M

Profit

$838.0K

Privately-owned community

Home revenue

$19.3M

Profit

$838.0K

Payroll costs

$8.1M

41.8% of revenue

Other operating costs

$10.4M

Total costs $18.5M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

How we assess these insights Show admissions and discharges

0.7 miles from city center Estimated distance in miles from Barling's city center to Ashton Place Manor's address, calculated via Google Maps. — 2.86 miles to nearest hospital (Mercy Emergency Department - Fort Smith)

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Financial Assistance for
Nursing Home in Arkansas

Ashton Place Manor is located in Barling, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.

Get Financial aid guidance

ARChoices

Arkansas Medicaid ARChoices

Age 65+ or 21+ with disability

General Arkansas resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

Rural focus; possible waitlists.

Benefits

Personal care (5-7 hours/day) Meals ($7/meal) Respite care (240 hours/year) Adult day services ($60/day)

Choices in Living Resource Center

Arkansas Choices in Living

Age 60+

General Arkansas resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Limited direct funding; mostly referral-based.

Benefits

Care coordination Limited respite (up to 5 days/year) Transportation assistance (~5 trips/month)

Living Choices Assisted Living Waiver

Arkansas Medicaid Living Choices Assisted Living Waiver

Age 65+

General Arkansas resident, requires nursing home-level care, lives in a Level II assisted living facility.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple); spousal rules apply.

Limited provider network; excludes Level I facilities (no nursing services).

Benefits

Personal care (~5 hours/day) Medication management Nursing Activities Transportation

Program of All-Inclusive Care for the Elderly (PACE)

Arkansas Medicaid PACE

Age 55+

General Arkansas resident, nursing home-level care, safe with PACE support.

Income Limits (2025) ~$2,829/month 300% FBR

Asset Limits $2,000 (individual), $3,000 (couple).

Limited geographic availability.

Benefits

Primary/preventive care Personal care (5-7 hours/day) Meals Transportation Therapy

Arkansas State Plan Personal Care

Arkansas Medicaid Personal Care Program

Age —

General Any age, Arkansas resident, needs ADL/IADL help, Medicaid-eligible.

Income Limits (2025) ~$1,004/month individual

Asset Limits $9,660 (individual), $14,470 (couple).

No nursing home-level care requirement.

Benefits

Personal care (~4-6 hours/day) Homemaker services (e.g., meal prep)

Compare Nursing Home around Fort Smith

The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.

2 facilities compared · CMS & AR Dept. of Health data

Filter by care type


Ashton Place Manor		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Barling	122	77.0%	+8%	5.12				-25%	+10%	$0	17	4.3	-	94	19	Jennifer Bush	$19.3M	$8.1M	41.8%	45419
Methodist Village Inc.		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.	Fort Smith	45	100.0%	+40%	6.23				-47%	+33%	$0	24	8.0	-	113	16	Terri Kimble	$13.7M	$7.6M	55.8%	45413

Nursing Home Explorer

What neighborhood is Ashton Place Manor in?

Ashton Place Manor is in the Barling neighborhood of Barling.

Who is the owner of Ashton Place Manor?

The legal owner and operator of Ashton Place Manor is Ashton Place Health and Rehab, LLC.

Is Ashton Place Manor in a walkable area?

Ashton Place Manor has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Ashton Place Manor?

Ashton Place Manor's occupancy is 77%.

Who is the administrator of Ashton Place Manor?

Kristi Terry is the administrator of Ashton Place Manor.

How many beds does Ashton Place Manor have?

Ashton Place Manor has 122 beds.

Are there photos of Ashton Place Manor?

Yes — there are 6 photos of Ashton Place Manor in the photo gallery on this page.

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Ashton Place Manor

Overview of Ashton Place Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Contact Information

Contact Ashton Place Manor

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

92 Certified Nursing Assistant

35 Licensed Practical Nurse

20 Medication Aide/Technician

5 Clinical Nurse Specialist

7 Nurse Aide in Training

3 RN Director of Nursing

8 Registered Nurse

4 Speech Language Pathologist

2 Occupational Therapy Aide

1 Dental Services Staff

1 Other Dietary Services Staff

1 Administrator

2 Nurse Practitioner

4 Physical Therapy Aide

1 Dietitian

1 Physical Therapy Assistant

1 Mental Health Service Worker

2 Respiratory Therapy Technician

2 Qualified Social Worker

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Places of interest near Ashton Place Manor

Calculate Travel Distance to Ashton Place Manor

Financial Assistance for Nursing Home in Arkansas

ARChoices

Choices in Living Resource Center

Living Choices Assisted Living Waiver

Program of All-Inclusive Care for the Elderly (PACE)

Arkansas State Plan Personal Care

Compare Nursing Home around Fort Smith

Guides for Better Senior Living

Contact Us

Financial Assistance for
Nursing Home in Arkansas