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Tennessee Senior Living Options & Resources

Senior Living in Tennessee: What You Need to Know

Tennessee is home to 1,172,740 residents aged 65 and older, representing 16.8% of the state's total population of nearly 7 million. As the senior population continues to grow, Tennessee has developed a robust network of 119 senior living communities across 29 cities, offering assisted living, memory care, independent living, and skilled nursing options. The state's largest metro areas — Nashville, Knoxville, Memphis, and Chattanooga — provide the highest concentration of senior care facilities, with Knoxville and Nashville each hosting 12 communities.

Tennessee offers significant cost advantages compared to national averages, making it an attractive option for retirees and their families. Assisted living in Tennessee averages $5,015 per month, considerably below the national average of $5,900, while nursing home care costs approximately $7,885 monthly for a semi-private room versus the national average of $9,277. This affordability, combined with the state's median household income of $67,097, makes quality senior care accessible to more Tennessee families.

The state's healthcare infrastructure is anchored by world-renowned institutions including Vanderbilt University Medical Center in Nashville, the University of Tennessee Medical Center in Knoxville, and Baptist Memorial Hospital in Memphis. Tennessee's moderate climate features four distinct seasons without extreme cold, appealing to seniors who want seasonal variety without harsh winters. The state's rich musical heritage, outdoor recreation opportunities in the Great Smoky Mountains, and no state income tax on retirement income further enhance its appeal.

Tennessee's senior care landscape is supported by TennCare, the state's Medicaid program, which offers home and community-based services waivers to help eligible seniors remain in their communities. Communities are distributed throughout Middle Tennessee (Nashville, Franklin, Brentwood), East Tennessee (Knoxville, Chattanooga), and West Tennessee (Memphis, Jackson), providing families with options across diverse urban, suburban, and smaller city environments. With strong growth in cities like Franklin and Brentwood, Tennessee continues to expand its senior living infrastructure to meet increasing demand.

Types of Senior Living Care in Tennessee

Average Cost of Senior Care in Tennessee

Tennessee offers exceptional value for senior care, with costs running approximately 15% below national averages across most care types. Assisted living averages $5,015 monthly compared to the national figure of $5,900, while nursing home care costs $7,885 for a semi-private room versus $9,277 nationally. Home health aide services average $5,313 monthly. Regional variation exists within the state, with Nashville, Franklin, and Brentwood communities typically charging slightly higher rates reflecting those areas' higher costs of living, while Memphis and smaller cities offer the most affordable options. Tennessee's lack of state income tax on retirement income helps offset care costs. Financial assistance is available through TennCare's CHOICES program and Long-Term Care Community program for eligible seniors, and many communities accept veterans benefits and long-term care insurance.

Assisted Living

Community-based residential care

$5,358

per month

$64,290/yr

15% below national avg

Nursing Home (Private Room)

24/7 skilled nursing care

$9,855

per month

$118,260/yr

17% below national avg

Nursing Home (Semi-Private)

Shared room nursing care

$9,125

per month

$109,500/yr

14% below national avg

Home Health Aide

In-home personal care

$5,911

per month

$70,928/yr

11% below national avg

Homemaker Services

In-home housekeeping & meals

$5,720

per month

$68,640/yr

11% below national avg

Adult Day Health Care

Daytime supervision & activities

$1,842

per month

$22,100/yr

33% below national avg

15% below national average

Frequently Asked Questions About Senior Living in Tennessee

How much does senior living cost in Tennessee?
Senior living in Tennessee is considerably more affordable than the national average, with assisted living costing approximately $5,015 per month compared to the national average of $5,900. Nursing home care averages $7,885 monthly for a semi-private room versus $9,277 nationally, representing savings of about 15%. Home health aide services cost around $5,313 monthly. Costs vary by region, with Memphis generally offering the lowest prices and Nashville-area suburbs like Franklin and Brentwood running slightly higher but still below national averages.
How many senior living communities are in Tennessee?
Tennessee has 119 senior living communities distributed across 29 cities throughout the state. The largest concentrations are in major metropolitan areas, with Knoxville and Nashville each offering 12 communities, Memphis with 9, and Chattanooga with 9. Suburban areas like Franklin (8 communities), Brentwood (7), and smaller cities including Clarksville, Gallatin, Hendersonville, and Jackson (4 each) provide additional options, ensuring seniors across Tennessee have access to quality care regardless of their preferred location.
Does Tennessee Medicaid cover assisted living?
Yes, Tennessee's Medicaid program (TennCare) can cover assisted living costs through the CHOICES program for eligible seniors. This Home and Community-Based Services (HCBS) waiver allows qualified individuals who meet nursing home level-of-care criteria to receive services in assisted living facilities instead of nursing homes. Eligibility is based on functional needs, income limits, and asset requirements. The program covers personal care services, and participants typically contribute their income toward the cost of room and board while TennCare pays for care services.
What are the best cities for senior living in Tennessee?
The best cities for senior living in Tennessee include Nashville (12 communities), offering world-class healthcare at Vanderbilt and vibrant cultural amenities; Knoxville (12 communities), combining University of Tennessee Medical Center excellence with mountain beauty and lower costs; Franklin (8 communities), known for historic charm and upscale options; Brentwood (7 communities), offering suburban tranquility near Nashville; Chattanooga (9 communities), featuring scenic riverfront living and outdoor recreation; and Memphis (9 communities), providing the state's most affordable options with rich cultural heritage. Each city offers unique advantages depending on lifestyle preferences and budget.
What is the climate like for seniors in Tennessee?
Tennessee enjoys a moderate four-season climate that appeals to many seniors. Winters are generally mild with occasional snow in higher elevations, while summers are warm and humid. Average temperatures range from the 30s-40s°F in winter to 80s-90s°F in summer. The state avoids extreme winter cold that can be hazardous for seniors, while the seasonal variation provides visual beauty and variety. East Tennessee near the mountains tends to be slightly cooler, while West Tennessee around Memphis experiences warmer, more humid conditions.
Does Tennessee tax retirement income?
No, Tennessee does not tax retirement income, making it a financially attractive state for seniors. The state has no income tax on wages, Social Security benefits, pension income, 401(k) distributions, or IRA withdrawals. Tennessee does have a sales tax and property taxes, but the absence of income tax on retirement income represents significant savings for retirees and helps offset the cost of senior living expenses, stretching retirement dollars further than in many other states.

Major Cities with Senior Living Options in Tennessee

Cities ranked by number of communities.

Knoxville

Population 193,721
Seniors (65+) 14.2 %
Communities 12
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Nashville

Communities 12
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Chattanooga

Population 182,832
Seniors (65+) 17.2 %
Communities 10
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Memphis

Population 629,063
Seniors (65+) 14.0 %
Communities 9
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Franklin

Population 85,575
Seniors (65+) 13.9 %
Communities 8
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Brentwood

Population 45,272
Seniors (65+) 15.1 %
Communities 7
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Clarksville

Population 167,882
Seniors (65+) 8.8 %
Communities 4
Explore Clarksville Senior Living
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Cities in Tennessee

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