Top Ranked Assisted Living Facilities in Tennessee

There are 231 assisted living facilities in TN and the median cost of care is $4,105. The average rating of assisted living facilities in Tennessee is 4 out of 5 stars and the top ranked facility is Morningside of Gallatin.

Tennessee Assisted Living: Types Of Senior Housing Options

Assisted Living Facilities (ALFs)

When a loved one can no longer live independently, an assisted living provider can be a good option. Assisted living residences are for residents who would like to, and can, maintain some independence but need help with meals, housekeeping and some of the activities of daily living (ADLs), such as showering, getting dressed, or personal hygiene.

Difference Between Assisted Living and Residential Care Home

Residential care homes are very similar to assisted living communities in Tennessee, with a couple of differences.  Residential homes provide room, board, and care to 4 or more persons, while assisted living facilities have no minimum to obtain a license.  A key difference between these two is that the residential homes are not permitted to admit anyone unable to administer their medications, who require professional medical or nursing observation on a continual or daily basis, are unable to safely evacuate the facility within 13 minutes or, lastly, require chemical or physical restraints.  Residential homes are permitted to admin residents in the early stages of Alzheimer’s disease or other dementias if it is determined that care can be provided safely to that individual and all other residents.

Independent Living Communities

Residential care homes mainly refer to smaller providers in residential neighborhoods. They’re often family homes renovated to accommodate a small number of older residents and the staff required to provide care. There’s no difference in licensing or rules for residential care homes in Tennessee. However, small neighborhood facilities are more likely to be licensed for four or more residents. 

Nursing Homes

Nursing homes offer the highest level of care of all senior living options. These communities provide around-the-clock supervision and skilled nursing care, and available medical help. Generally, people in nursing homes have complex medical issues or need more residential care than is offered in an assisted living facility. Tennessee has skilled nursing facilities (SNF) for people who require 24-hour care and intermediate care facilities (ICF) for people who don’t need as much medical care. Theaverage cost of nursing home carein the state is $7,148 for a semiprivate room and $7,665 for a private room. 

Continuing Care Retirement Communities (CCRCs)

Many seniors prefer to choose a community that will continue to meet their needs in the future. Continuing care retirement communities have independent living, assisted living, and nursing home facilities on the same property or owned by the same community. This model allows seniors to stay near their friends in familiar surroundings, even as their needs change. The care provided in the assisted living section of a CCRC is the same as in an assisted living community. The difference is that residents can easily move to a skilled nursing room if required. Often, CCRCs are bigger than ACHs, as they encompass more care options. 

Adult Family Care Homes (AFCHs)

Adult family care homes are also known as adult foster care homes. They offer care for seniors and disabled adults in a family setting. In Tennesse, these are located in private residences called family care homes. They can be licensed to serve 4 or more residents. Building and staff requirements for AFCHs are slightly different, but most of the regulations covering these homes are the same as those governing assisted living communities. AFCHs may be preferred by seniors who want a smaller, home-like environment. 

In-Home Care

There are two types of in-home care available in Tennessee: homemaker services and home healthcare. Homemaker services generally provide personal care and may also help with errands, chores, and housekeeping. Home healthcare can deliver these services and also offer medical care such as skilled nursing and medication management. Unlike assisted living care, in-home care is provided to people in their homes, making it a good choice for those who prefer to age in place. However, it doesn’t give seniors access to social and recreational programming for assisted living communities. The average cost of homemaker services and home healthcare in North Carolina is $4,576 per month.  

Largest Providers Of Assisted Living In Tennessee

There are over 300 assisted living communities in Tennessee. Some of these communities are owned and/or managed by several major providers in the state. The largest provider in the state is Brookdale, which operates 28 communities. Other large providers of assisted living care in the state are Morningside (8 communities), the Courtyards (7 communities) and Dominion Senior Living (3 communities).

Cost Of Assisted Living Care In Tennessee

Theaverage cost of assisted living carein Tennessee is $4,105 per month. This is almost $400 lower than the national average of $4,500. This reflects that thenational consumer price index (CPI)is nearly 10 points higher than theCPI in the South region, including Tennessee. The exact price of care differs depending on where in the state you’re located. Costs in the state range from $4,445 in Kingsport to $3,215 in Clarksville. In Nashville and Memphis, two of the state’s biggest cities, seniors pay $4,100 and $4,200. 

How Costs Compare In Nearby States

If you live close to Tennessee’s borders, you may find assisted living in a neighboring state is an affordable option. Seniors in Kentucky pay around $3,448 per month, while costs in Mississippi and Alabama average $3,500 and $3,503 respectively. North Carolina’s prices are slightly lower, at $4,010. 

Paying For Assisted Living Care In Tennessee

The average cost of assisted living in Tennessee is around $49,000 per year, so you or a family member may be wondering how to pay for care. A range of options is available to fund senior housing in the state. 

Private Funds

Selling a home is a common way for seniors to raise funds for assisted living care. Income from pensions and Social Security may also pay for some care. Other examples of private funds include your retirement accounts, mutual funds, and other investments. 

Long-Term Care Insurance

Long-term care insurance covers personal care, residential care, and other long-term support and services. Each plan is different; however, most offer a daily amount based on the policy that pays for assistance with activities of daily living. Most people buy a policy in their 50s or 60s and access it when required. If you or your family member has a policy, read it carefully to see what care it covers. 

Programs For Veterans

Tennessee hassix Veterans Homesaround the state, in Arlington, Clarksville, Cleveland, Humboldt, Knoxville, and Murfreesboro. These homes provide skilled nursing care to Tennesseans who served in the military. The state’s Department of Military and Veterans Affairs also hasoffices where team members can help people obtain benefits and services. This includes theAid and Attendancebenefit, which can help qualified veterans fund personal care. 

Elderlife Financial can help you understandhow to pay for assisted living.


What Is Included With Assisted Living Care In Tennessee?

The services provided in assisted living communities generally come under three broad categories: personal care, medical care, and amenities. 

Most people move to assisted living communities because they look for easy access to personal care. These services assist with activities of daily living, such as bathing, dressing, walking, and toileting. Communities also provide supervision and can deliver care for unforeseen needs or in cases of emergencies.  

In Tennessee, ACHs must provide care and services in the resident’s care plan. This can include coordinating medical care and appointments. Communities may also deliver health services, with 49% of communities providing skilled nursing. Many have healthcare specialists and on-site services, with 46% of communities offering dental care. In addition, 62% of ACHs have hospice services. 

ACHs may provide specialized care for people diagnosed with Alzheimer's disease or other forms of dementia. These special care units have additional security measures to ensure residents don't wander, a common symptom of Alzheimer's disease. Typically, they also offer programs designed to improve cognitive function and routines that help lower stress.

Mental health issues are a growing consideration for communities, and services to address these concerns are becoming more common. In North Carolina, 82% of communities conduct depression screening, and 58% offer mental health counseling. Social work programs are also found in 54% of ACHs. Social workers can provide counseling, conduct assessments, and help ensure residents access all their resources. 

Amenities refer to other features and services of the community. ACHs offer three meals a day and coordinate activity programs to help residents stay active and connected with families and the community. Tennessee facilities must also provide transportation and laundry services and may offer housekeeping services. 

The Transition Into Assisted Living In Tennessee

The decision to move into an assisted living community can be difficult. Generally, you'll notice changes in your loved ones that suggest they need some assistance. Signs that this environment could be beneficial include increased isolation, loss of mobility, noticeable weight loss or gain, and signs that they’re neglecting household chores. 

Your older family member may be the one to start talking about assisted living. For many seniors, moving into a home where cooking, laundry, and other chores are taken care of is appealing. For seniors who realize they need help with daily tasks, the addition of personal care may come as a relief. In Tennessee, 17% of residents need help with eating. Other commonly used services include bed transfer (21%), toileting (37%), and walking (55%). Caregivers in ACHs help 47% of residents to dress, and 61% of residents need help bathing. 

If you think your family member would benefit from assisted living, start by talking about it openly. Highlight the positives of a move, such as social activities, cooked meals, and easily accessible assistance. Some ACHs provide respite care, which may allow your family member to have a trial run. Remember, this should be a conversation, not a lecture. Stay open to their opinion. If they’re not ready to transition to assisted living, talk about the care they need to stay at home.