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Page Reviewed / Updated – November 04, 2020

The 10 Best Assisted Living Facilities in Nashville, TN

Nicknamed the Music City, Nashville is known for its heart and grit. The vibrant city was voted the third best city in the south by Southern Living and the number one best leisure destination by Global Traveler. Active seniors who want to explore will enjoy the lively undercurrent of the city and the fact that live music accompanies every meal, drink or park excursion in the city. Seniors who just want to relax will enjoy the mild climate and the gentle sounds of the blues wafting out taverns where everyone is welcome to sit down and unload.

One perk of retirement is free time, and retired foodies often refer to Nashville as a southern paradise with its many classic dining spots offering every type of barbecue meat under the moon at affordable prices. In fact, Nashville’s cost of living is 3.3% lower than the national average, which makes it a very affordable place for seniors on a fixed income to live.

Take a look at our list of the top 10 assisted living facilities in Nashville to discover the perfect match for you or a loved one. Additionally, find out more about the cost of assisted living in Nashville and what financial assistance programs are available.

Morningside of Belmont

Situated just a few minutes from 21st Avenue in the historic district of Nashville, the Morningside of Belmont is an assisted living apartment complex that offers stress-free living for seniors who want to concentrate on life and not chores. Seniors have the option to choose between studio, one-bedroom and two-bedroom apartments with balconies/patios and are able to have overnight guests. During the day residents enjoy the sunshine in the landscaped courtyard, chat over restaurant-style dining in the community dining area and enjoy scheduled transportation for appointments and errands. We included Morningside of Belmont on our list for its urban location and the great reputation of its compassionate staff members.

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Belmont Village Green Hills

Tucked into the notable Green Hills district a few blocks away from the world-famous Bluebird Cafe is the upscale Belmont Village Green Hills. The assisted living community allows couples to age in place regardless of their various levels of care and offers personalized care to every resident. Caregivers and a licensed nurse are available 24/7 and medication management is available. The luxury apartment complex is housed in a stately building with breathtaking architecture and modern indoor decor and furnishings. Seniors enjoy daily visits to the bistro, three chef-prepared meals, access to a learning center, an onsite salon and free scheduled transportation. Belmont Village earned a spot on our list for its ability to cater to all needs of care and its luxury accommodations.

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The Lodge at Natchez Trace

The Lodge at Natchez Trace is located just outside of downtown Nashville allowing residents the thrill of an urban location, but the fresh air of the countryside. The luxury complex features chandeliers, vaulted ceilings and private apartments that allow seniors to remain independent with just enough support to make life stress-free. Assisted living residents enjoy assistance with the activities of daily living, concierge services, housekeeping and salon services. The Lodge features lush, manicured gardens and courtyards where you can often find seniors basking in the warm Tennessee sun. Chef-prepared meals are served three times a day or residents can catch up with friends and family at the bistro.

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  • Private dining rooms available for special occasions 
  • All rooms equipped with an emergency call and response system

Brookdale Green Hills Cumberland

Brookdale Green Hills Cumberland is an assisted living and memory care community that allows seniors to remain their independence just outside of the city in the scenic and coveted Green Hills region. The upscale facility offers seniors over 29 floor plans to choose from that are fully furnished with plenty of room to add their own home decor items. Assisted living residents have 24/7 access to caregivers and licensed nurses and enjoy personalized care plans suited to their required level of care. Seniors spend their day practicing their short game on the putting green, enjoying the sun out on the landscaped grounds or shooting a game of pool in the billiards room.

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Brookdale Belle Meade

Brookdale Belle Meade is an assisted living community located just a few minutes outside of downtown Nashville designed to meet the needs of active seniors who simply need a little help to enjoy carefree lives. The luxury facility features 11 floor plans to accommodate the needs of all residents and offers 24/7 access to caregivers and emergency care if necessary. The facility believes that full schedules equal full lives and provides an array of changing activities to seniors to help create daily engagement including shuffleboard in the common lobby area, a community fitness area, fireside chats in the living room and walking paths in a lush courtyard area. 

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Elmcroft of Brentwood

Elmcroft of Brentwood offers a cozy, quiet senior living environment for seniors looking at assisted living accommodations. The facility is located outside of Nashville in Brentwood and is known for its friendly staff and cozy atmosphere. Assisted living residents have access to 24-hour care staff and their customized care plan that includes medical coordination with health care providers. The single-story community is fully secured and offers the Second Wind Dreams program to encourage residents to finally fulfill their lifelong goals or dreams. Chef-prepared meals and menus are created based on the preferences of residents which are gleaned from regular meetings with residents to ensure everyone is satisfied.

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  • Three daily restaurant-style meals crafted from locally sourced ingredients 
  • Studio, suite, one-bedroom and two-bedroom floor plans available

Clarendale at Bellevue Place

The upscale Clarendale at Bellevue Place combines modern luxury with the old-time charm and heart that Nashville is known for to create elegant living conditions for seniors. Situated in a walkable neighborhood within the city, Clarendale offers independent, assisted living and memory care accommodations allowing seniors to age in place. Assisted living residents receive help with the activities of daily living as needed and enjoy carefree living with housekeeping, linen and meal services provided. Seniors often wander out in the community on their own or as part of scheduled trips, receive manicures in the salon, enjoy the full-service bistro with friends and are welcome to have a nightcap in the Club Room. We included the Clarendale for its luxury amenities and its prime city location. 

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Grace Manor Assisted Living

Locally owned and operated, Grace Manor Assisted Living is nestled into the residential White Creek neighborhood along Old Hickory Boulevard. Its central location in Nashville allows for regularly scheduled group excursions to Opry Mills Stadium, the Rivergate Mall and Cedar Hill Park for picnics. Assisted living residents receive help with daily activities and general housekeeping tasks. Seniors have access to licensed nursing around-the-clock if necessary and retain their privacy and independence within their individual suites. Throughout the day seniors are invited to take part in scheduled activities, enjoy the sun in the community garden or get their hair done at the on-site salon.

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  • Pharmacy services are available 
  • Live musical entertainment and guest lectures regularly scheduled

The Opal at Music City

The Opal at Music City is a one-story assisted living community that offers residents the daily support they need to flourish in a family-like residence. Residents have access to the Joyful Moments Program which encourages activities that promote physical wellness. The Joyful Moments Program also encourages meaningful cognitive and cultural engagement which is provided via the onsite ice cream parlor, landscaped outdoor courtyards and movie theater. Assisted living residents also enjoy shopping at the general store for treats and three hand-crafted meals in the community dining room.

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Richland Place

Situated in the coveted West End area of Nashville, Richland Place is a luxury senior living community that allows active seniors to indulge in the finer things in life after retirement. The assisted living arm of the community accommodates seniors who could use some assistance with the activities of daily living but are still able to live independently. Residents have access to over a dozen resident-led clubs and are welcome to spend their free time lounging by the indoor swimming pool, enjoying gourmet meals or finding a new story in the decadent library. From the lush landscaped grounds to the majestic entryway fountains to sleek and modern living accommodations, Richland Place is on our top 10 list because it embodies stately senior living.

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The Cost of Senior Living and Care in Nashville

Senior living options like assisted living, home care, and nursing home care in Nashville range from about $46 – $600 more expensive than the average cost in the rest of the state, according to the 2018 Genworth Cost of Care Survey. Adult day care is the only type of care that costs less in Nashville than the Tennessee average, but the difference is only $44 a month. 

How much does Assisted Living Cost in Nashville?

Assisted living in Nashville costs an average of $4,500 a month. This is significantly more than the average cost for assisted living in the state of Tennessee, which averages $3,920. Nashville leads the state in costs for assisted living by a wide margin, with second-place Knoxville averaging $4,033 a month. Of all the Tennessee cities surveyed, Chattanooga has the lowest average costs for assisted living, at $3,018 a month.

How much does Home Care Cost in Nashville?

Home care in Nashville costs an average of $3,621 a month. This is somewhat more expensive than the average cost of home care in Tennessee, which is $3,575. Costs in other Tennessee cities stay close to the state average, such as in Knoxville, where home care costs $3,613 a month, and Memphis, where the average monthly cost is $3,432. Morristown reports some of the highest costs in the state, at $4,004 a month for home care.

How much does Adult Day Care Cost in Nashville?

Adult day care in Nashville costs an average of $1,408 a month, while the same care in the rest of the state of Tennessee averages $1,452. This is close to the cost for several cities in the state, such as Knoxville, Memphis and Clarksville, where costs are $1,430, $1,452 and $1,354 a month, respectively. Jackson has some of the highest costs in the state for adult day care, with a monthly average of $2,600. The lowest costs in the state are found in Johnson City and Morristown, with costs of $1,083 and $1,029 a month, respectively.

How much does Nursing Home Costs in Nashville?

Nursing home care in Nashville averages $6,692 a month. This is somewhat higher than the average for the state of Tennessee, where the average monthly cost is $6,388. Tennessee’s highest costs are reported in Knoxville, which averages $7,026 a month, while Jackson is at the low end, at $6,053 a month for nursing home care.

Financial Assistance Programs in Nashville

Medicaid Program in Nashville

Seniors in Nashville who need help paying some of the costs of senior care may be able to sign up for coverage through Medicaid, which is known as TennCare in the state of Tennessee. TennCare provides health insurance that pays for some coverage for low-income seniors throughout the state. Seniors who need assistance from TennCare can get help paying for basic medical assistance, some medications and residential care.

Many seniors in Nashville are both financially and medically eligible for coverage through TennCare, which is structured as an entitlement program that covers all eligible applicants with no waiting period or enrollment caps. To qualify for coverage, Nashville seniors must earn less than 300% of the Federal Benefits Rate (FBR) from all sources of income combined. The threshold is periodically adjusted upward, but in 2018 the maximum a qualifying senior can earn when applying alone for TennCare is $2,250 a month, or $27,000 a year.

Seniors who earn more than this amount may still be able to get TennCare coverage by banking their surplus income in a Miller Trust, also known as a Qualified Income Trust (QIT). The rules relating to these trusts can get complicated, and so seniors in Nashville may wish to meet with a certified senior adviser before committing to a trust. Seniors who apply for TennCare are also limited to a maximum of $2,000 in assets. This exclusion doesn’t apply to the first $572,000 of value in a privately owned home, nor to the list value of a single car the senior owns for personal use. 

Seniors in Nashville may be able to accelerate approval of their claims by showing they are already approved for another means-tested government benefit. Seniors who receive SSI, for example, are considered to have already demonstrated that they meet the less strict income requirements of Tennessee’s Medicaid intake process. Seniors may also be automatically eligible for TennCare coverage of their residential care if they have previously resided in a different residential care program TennCare pays for.

Nashville seniors who are interested in applying for TennCare have several options for submitting their application. Many seniors choose to apply online, at the TennCare Connect website, while others apply by phone at (855) 259-0701. Seniors may also apply in person or by mail at a local Nashville benefits office.

Medicaid Waivers in Nashville

As of 2018, the state of Tennessee has gathered all of its former Medicaid waivers together under a single benefit, known as the TennCare CHOICES in Long-Term Care Program, which is frequently known just as “CHOICES.” CHOICES pays some of the cost of nursing home care, along with several less-medically intensive types of senior care, including:

  • Personal care at home or in assisted living
  • Homemaker services
  • Respite care
  • Meal delivery
  • Adult day care at nearby facilities
  • Minor home modifications to improve safety and accessibility

CHOICES caregiver services are recipient directed, which means seniors in Nashville can use the payment voucher to hire and manage a caregiver themselves. Caregivers may be anyone the senior trusts, including spouses, family members and other loved ones. CHOICES benefits are open to seniors who live in their own homes, the homes of loved ones, adult foster homes and assisted living facilities.

Seniors who are interested in applying for a CHOICES waiver can apply through the Greater Nashville Area Agency on Aging and Disability (AAAD). This can be done by phone, at (866) 836-6678, or by a mail-in application downloaded from the AAAD website.

Other Financial Assistance Programs in Nashville

Tennessee Adult Day Care Services Program

The Tennessee Adult Day Care Services Program allows Medicaid-eligible seniors in Nashville to remain in their own homes safely and in the comfort they’re used to. This program, which is provided by the Tennessee Department of Human Services, provides eligible seniors with meal delivery, regular medication reminders and some community activities with other local seniors. Respite care may also be provided, if necessary. Seniors may apply by phone with the project coordinator at (615) 532-6250.

Tennessee OPTIONS for Community Living

Tennessee OPTIONS for Community Living helps seniors live at home by paying for personal care, homemaker services, meal deliveries and the installation of Personal Emergency Response Systems (PERS). Eligible seniors must be residents of Tennessee and limited in their ability to perform daily activities without assistance. Seniors in Nashville can apply for OPTIONS through the local Area Agency on Aging, or by calling (866) 836-6678.

More Senior Living Resources in Nashville

Resource Phone Number Description
Tennessee Housing Development Agency (THDA) (615) 815-2200 The Tennessee Housing Development Agency (THDA) maintains a registry of assisted rental housing for low-income seniors. To apply, seniors in Nashville must meet program eligibility guidelines, which include eligibility for the federal Section 8 housing choice voucher program. Applications may be made online or by phone, though seniors may have to spend time on a waiting list until a unit becomes available for them.
Low-Income Home Energy Assistance Program (LIHEAP)  (865) 546-3500 The Tennessee Low-Income Home Energy Assistance Program (LIHEAP) helps seniors in Nashville who need financial assistance with some of the cost of their monthly energy bills. Seniors who wish to apply must meet income requirements for the program, which are similar to TennCare financial requirements and vary based on the number of people in the household.

For additional information and planning, please read our comprehensive guide to paying for senior care in Tennessee.