Blog - Assisted Living in Little Rock and Benton, Arkansas

Living Arrangements/Accomodations
Staying Active
Amenities
About Us
Go To Little Rock Community

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e-Brochure

Living Arrangements/Accomodations
Staying Active
Amenities
About Us
Go To Little Rock Community

The Manor Benton

501-316-4100
4727 Boone Rd
Bryant, AR 72022

Fax number:
501-316-4103

The Manor Little Rock

501-444-2390
1401 Labelle Dr
Little Rock, AR 72204

Fax number:
501-916-2980

© 2023 The Manor. All Rights Reserved.

Request Information

Schedule a Tour

I am taking this questionnaire for:
- Myself
- Parent
- Spouse
- A Patient
- Someone Else

Does your loved one require in-home support 24 hours a day?
- Yes
- No

Is your loved one experiencing any of the following? (check all that apply)
- Trouble Hearing / Hearing Loss
- Low Vision / Difficulty Seeing
- Difficulty Walking
- Difficulty Eating
- Depression
- Falling

If your loved one has stayed at any of the following in the last 6 months: hospital, skilled nursing facility, assisted living facility, inpatient stay, are they still under a doctor's prescribed regime/care plan?
- Yes
- No

Does your loved one need someone to help them with any of the following (check all that apply):
- Getting Dressed
- Bathing
- Using the bathroom
- Preparing meals
- Taking medications
- Going to the doctor

Is your loved one having difficulty remembering to pay their bills each month?
- Yes
- No

Has your loved one been diagnosed with dementia?
- Yes
- No

Has your loved one ever wandered away or felt disoriented or lost?
- Yes
- No

Any additional information to share?

Would you like to receive an email with your questionnaire results?
- Yes
- No
Please provide your email in the below field