Families reach Medicaid-accepting care in Spanish Fork through two homes on the east side of town: BeeHive Homes, a 16-bed setting on 100 South, and the larger Hearthstone Manor on 1700 East, which runs a secured memory-care wing alongside its assisted living. Both of the city's 2 matching communities take the New Choices Waiver, the program a qualifying resident uses to put Medicaid toward assisted living or memory care rather than paying the whole bill privately.
Most families come to this point once private-pay care has stretched a budget further than planned, and the waiver is how a family keeps a resident in Spanish Fork instead of moving them away from the town and the people around them. Two homes is a short list, but it is a real one, and the two differ enough in size and setting that a resident usually fits one better than the other.
What Waiver-Funded Care Looks Like at Spanish Fork's Two Homes
At both Spanish Fork homes, the care itself does not change with the payment source. Assisted living at either home covers bathing, dressing, medication help, and meals; memory care adds a secured, more structured day for residents living with dementia, which at Hearthstone Manor fills a dedicated wing of about 20 beds. BeeHive Homes, at 16 beds, is the house-scale setting of the two, where a small team knows each resident closely; Hearthstone, at 48, carries more residents, more activity, and a larger staff on each shift.
What the New Choices Waiver does is absorb the cost of that care for a resident who qualifies, not hand over a free room. The waiver pays for the care within an assisted-living or memory-care stay once a resident's needs reach the nursing-facility threshold and the income and asset rules are met; the room-and-board share, the housing and meals, stays with the resident and comes out of income. Because both Spanish Fork homes run assisted living and memory care rather than independent living, every resident here needs daily care, the kind a waiver is built to reach. Sorting out which tier a resident needs, and whether the budget clears once room and board is counted, is the work worth doing before a tour.
Spanish Fork Care Costs and the Room-and-Board Gap
Spanish Fork's two homes list starting rates of about $4,300 at BeeHive Homes and $5,400 at Hearthstone Manor, figures that usually cover a base care level or a shared room rather than the top private charge. Set against the wider market, those are modest: the latest national cost-of-care data for 2026 puts Utah assisted living near $5,475 a month and the national median at $6,200, with memory care above each of those. The local rates land comfortably under those benchmarks, which is part of why a family rarely needs to leave the area to find an affordable option.
The New Choices Waiver is what bridges the rest in Spanish Fork for a qualifying resident. The 2026 limits put a single applicant at roughly $2,982 of monthly income and $2,000 in countable assets, no higher, plus the medical test of needing nursing-facility-level care. Meet all three, and Medicaid covers the care charges at either home, and the resident keeps the housing-and-meals side, paid from income. That gap between sticker price and what Medicaid actually covers is the thing Spanish Fork families most often misjudge, so it is worth pinning down early rather than at move-in.
How Growth Outpaces Senior Demand in Spanish Fork
Spanish Fork is one of Utah County's faster-growing cities, near 44,000 residents and still climbing, with young families driving much of that growth. Only about one in 12 residents is past 65, a smaller senior share than older towns to the north, so the demand for Medicaid-accepting care here is real but modest, which fits a market of two homes. As the city keeps growing, that older population will grow with it, but for now an open waiver-funded room at BeeHive Homes or Hearthstone is something a family tracks closely, since two homes leave little slack when a bed is needed soon.
Why a Local Setting Matters as Spanish Fork Grows
Spanish Fork has changed fast, but both Medicaid-accepting homes sit on the long-settled east side, easy for working family to reach on a weeknight and a few minutes from the city's own Spanish Fork Hospital, so a resident keeps the same physicians and pharmacy through the move. A person who has watched the town grow does not have to leave it to find covered care, and the familiar streets and congregation stay part of an ordinary week. Some families assume a waiver move means chasing a cheaper market elsewhere, but with two affordable homes in town, Spanish Fork itself is usually the answer, and the value of staying near the people who visit is hard to overstate.
What a Local Advisor Knows About Spanish Fork's Waiver Beds
With two homes, the advisor's edge in Spanish Fork is knowing the live picture: whether BeeHive Homes or Hearthstone Manor has a waiver-funded room open this month, whether a resident needs the secured memory-care wing at Hearthstone or the quieter house-scale setting at BeeHive, and which home takes a resident on Medicaid from the start. The advisor also reads where each home's waitlist really stands, which a phone call rarely reveals.
That narrows the choice quickly: two homes become the one that fits a resident's care tier, budget, and timing. Have a quick conversation about Medicaid-accepting senior living in Spanish Fork, or look through the homes we've reviewed whenever the time is right.
