Office	Address	Email
Division of Provider Services and Quality Assurance	700 Main Street Slot S-427 Little Rock, AR  72203-1437	[email protected]

Staff

Name	Title	Phone	Email
Martina Smith	Division Director	​501-396-6165	Email
Sarah Schmidt	Deputy Director	501-320-6555	Email
Linda White	Assistant Director for the Office of Long Term Care	501-396-6422	Email
Crystal Walton	Assistant Director for the Office of Community Services Licensure/Certification	501-251-6459	Email
Lee Honorable	Assistant Director for the Office of Performance and Engagement	501-320-6385	Email
Rebecca Dixon	Human Resources Manager	​501-320-6002	Email
Jason Callan	Chief Fiscal Officer, DPSQA	​501-683-6411	Email
Rashad Campbell	Information Technology Manager	501-320-3919	Email

Incident and Accident Reports

Contact	ELS I&A Reporting
Incidents and Accidents	Provider Login

Choices In Living Resource Center 

Name	Email	Phone
Toll-Free	Email	866-801-3435

CNA Training & Certification

Name	Email	Phone
NATP Certification Unit	Email
Lori Rose	Email	501-320-6398

CNA Training Reimbursement (Facility-Based Programs)

Name	Email	Phone
NATP Certification Unit	Email
Lori Rose	Email	501-320-6398

Complaints (OLTC)

Name	Email	Phone
Teresa Crowder	Email	800-582-4887
Glenda Cooper	Email	800-582-4887

Complaints (HCBS)

Name	Email
Donald Turner, Nurse Manager	Email

Criminal Background Check

Name	Email	Phone
Ebony Russ	Email	501-371-1351

Discharge Appeals (Long-Term Care Facilities)

Name	Email	Phone
Teresa Crowder	Email	501-320-6244

Employment Clearance Registry (Long-Term Care Facilities)

Name	Email	Phone
Ebony Russ	Email	501-371-1351

Enforcement (Nursing Facilities – Federal) Nursing Facility Survey Review

Name	Email	Phone
Melissa Matthews	Email	501-320-3844

Form 704 – Medical Needs Determination for Nursing Facility Placement/Waiver

Name	Email	Phone
Sandrae Nicholson	Email	501-320-6274
Med Needs Quickbase System	Email

Freedom of Information

Name	Email	Phone
Wanda Goree	Email	501-320-6119
Ebony Russ	Email	501-371-1351

ICF/IID Placement Determinations, Medical Needs Determination / PASRR, TEFRA

Name	Email	Phone
Sandrae Nicholson	Email	501-320-6274
Brenda Faye Garland	Email	501-320-6241

MDS/RAI, Staff Development (Office of Long Term Care)

Name	Email	Phone
Deanna Bryant	Email	501-682-6480

MDS Upload

Name	Email	Phone
Keith Rogers	Email	501-683-0614
Timothy Foshee	Email	501-218-8293

Medicare/Medicaid Bed Certification, Nursing Facility & ICF / IID Licensure

Name	Email	Phone
OLTC Licensure Certification Unit	Email
Kenneth Hanft	Email	501-320-6194
Stacey Williams	Email	501-320-6460
Brenda Faye Garland	Email	501-320-6241

Nursing Facility Administrator Program

Name	Email	Phone
Nursing Home Administrator Licensing Unit	Email

Nursing Facility & ICF/IID DON Changes

Name	Email	Phone
Brenda Faye Garland	Email	501-320-6241

Nursing Facility State Survey

Name	Email	Phone
Brenda Faye Garland	Email	501-320-6241
Stacey Williams	Email	501-320-6460