2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

2026 Senior Living & Nursing Home Costs in Tennessee

Compare monthly care rates across 548 cities and 303 CMS-certified nursing facilities in Tennessee.

2026 Medicaid Income Cap: $2,901/mo CMS Certified Facilities: 303 Avg. Home Value: $206,753
Assisted Living🏠
$5,070/mo
$60,840/year
-18% vs U.S. avg
Memory Care🧠
$6,190/mo
$74,280/year
-18% vs U.S. avg
Home Care (44h/wk)🤝
$5,460/mo
$28.64 per hour
-18% vs U.S. avg
Nursing Home (Semi)🏥
$7,840/mo
Private room: $8,830/mo
-18% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$5,070/mo
Memory Care$6,190/mo
Home Care$28.64/hr
Nursing Semi$7,840/mo
Nursing Priv$8,830/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $192k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Tennessee

40.9 hrs/wk Break-even threshold

At Tennessee's average caregiver rate of $28.64/hr, hiring in-home care equals the $5,070/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$2,482/mo

Saves $2,588/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$5,460 vs. $5,070/mo

Full-time home care costs $390/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$9,928/mo

Assisted Living saves $4,858/mo; Memory Care averages $6,190/mo.

Major Cities in Tennessee

Sorted by number of Medicare-certified care facilities and local market size.

City County Assisted Living Memory Care Nursing Home (Semi) Median Home Value CMS Facilities
Memphis Shelby $5,030/mo $6,140/mo $7,780/mo $229,700 15
Knoxville Knox $5,340/mo $6,510/mo $8,250/mo $279,700 13
Nashville Davidson $6,280/mo $7,660/mo $9,710/mo $386,600 12
Chattanooga Hamilton $5,320/mo $6,490/mo $8,230/mo $282,100 6
Jackson Madison $4,650/mo $5,670/mo $7,190/mo $189,700 6
Johnson City Washington $4,400/mo $5,370/mo $6,810/mo $231,700 6
Murfreesboro Rutherford $6,280/mo $7,660/mo $9,700/mo $346,400 6
Clarksville Montgomery $5,470/mo $6,670/mo $8,450/mo $248,300 5
Elizabethton Carter $4,340/mo $5,290/mo $6,710/mo $157,200 5
Kingsport Sullivan $4,340/mo $5,290/mo $6,710/mo $190,800 5
Maryville Blount $5,060/mo $6,170/mo $7,820/mo $275,700 5
Savannah Hardin $4,340/mo $5,290/mo $6,710/mo $154,000 5
Cleveland Bradley $4,510/mo $5,500/mo $6,970/mo $230,800 4
Columbia Maury $5,490/mo $6,700/mo $8,480/mo $307,500 4
Franklin Williamson $9,060/mo $11,050/mo $14,010/mo $673,700 4
Cookeville Putnam $4,340/mo $5,290/mo $6,710/mo $246,800 3
Cordova Shelby $5,030/mo $6,140/mo $7,780/mo $229,700 3
Crossville Cumberland $4,340/mo $5,290/mo $6,710/mo $228,000 3
Dyersburg Dyer $4,340/mo $5,290/mo $6,710/mo $159,500 3
Erwin Unicoi $4,340/mo $5,290/mo $6,710/mo $168,200 3
Gallatin Sumner $6,200/mo $7,560/mo $9,580/mo $364,000 3
Greeneville Greene $4,340/mo $5,290/mo $6,710/mo $186,400 3
Lawrenceburg Lawrence $4,340/mo $5,290/mo $6,710/mo $176,700 3
Lebanon Wilson $6,530/mo $7,970/mo $10,090/mo $397,000 3
Union City Obion $4,340/mo $5,290/mo $6,710/mo $122,700 3
Winchester Franklin $4,340/mo $5,290/mo $6,710/mo $215,700 3
Antioch Davidson $6,280/mo $7,660/mo $9,710/mo $386,600 2
Ashland City Cheatham $5,910/mo $7,210/mo $9,130/mo $291,400 2
Athens Mcminn $4,340/mo $5,290/mo $6,710/mo $190,400 2
Blountville Sullivan $4,340/mo $5,290/mo $6,710/mo $190,800 2
Bolivar Hardeman $4,340/mo $5,290/mo $6,710/mo $116,800 2
Collierville Shelby $5,030/mo $6,140/mo $7,780/mo $229,700 2
Covington Tipton $4,880/mo $5,950/mo $7,540/mo $220,100 2
Dayton Rhea $4,340/mo $5,290/mo $6,710/mo $178,500 2
Dickson Dickson $4,830/mo $5,890/mo $7,460/mo $272,700 2
Dresden Weakley $4,340/mo $5,290/mo $6,710/mo $136,300 2
Etowah Mcminn $4,340/mo $5,290/mo $6,710/mo $190,400 2
Fayetteville Lincoln $4,340/mo $5,290/mo $6,710/mo $209,100 2
Goodlettsville Davidson $6,280/mo $7,660/mo $9,710/mo $386,600 2
Humboldt Gibson $4,340/mo $5,290/mo $6,710/mo $149,700 2
Jefferson City Jefferson $4,340/mo $5,290/mo $6,710/mo $210,000 2
Lewisburg Marshall $4,630/mo $5,650/mo $7,150/mo $246,100 2
Lexington Henderson $4,340/mo $5,290/mo $6,710/mo $156,000 2
Manchester Coffee $4,340/mo $5,290/mo $6,710/mo $227,300 2
Martin Weakley $4,340/mo $5,290/mo $6,710/mo $136,300 2
Mc Kenzie Carroll $4,340/mo $5,290/mo $6,710/mo $122,100 2
Morristown Hamblen $4,340/mo $5,290/mo $6,710/mo $188,800 2
Newport Cocke $4,340/mo $5,290/mo $6,710/mo $141,800 2
Oak Ridge Anderson $4,490/mo $5,480/mo $6,940/mo $215,800 2
Paris Henry $4,340/mo $5,290/mo $6,710/mo $145,200 2
Pulaski Giles $4,340/mo $5,290/mo $6,710/mo $204,100 2
Ripley Lauderdale $4,340/mo $5,290/mo $6,710/mo $122,100 2
Smyrna Rutherford $6,280/mo $7,660/mo $9,700/mo $346,400 2
Sparta White $4,340/mo $5,290/mo $6,710/mo $190,200 2
Springfield Robertson $5,530/mo $6,750/mo $8,550/mo $296,700 2
Sweetwater Monroe $4,340/mo $5,290/mo $6,710/mo $199,700 2
Tullahoma Coffee $4,340/mo $5,290/mo $6,710/mo $227,300 2
Waverly Humphreys $4,340/mo $5,290/mo $6,710/mo $186,900 2
Adamsville Mcnairy $4,340/mo $5,290/mo $6,710/mo $151,100 1
Alamo Crockett $4,340/mo $5,290/mo $6,710/mo $134,100 1
Andersonville Anderson $4,490/mo $5,480/mo $6,940/mo $215,800 1
Ardmore Giles $4,340/mo $5,290/mo $6,710/mo $204,100 1
Bells Crockett $4,340/mo $5,290/mo $6,710/mo $134,100 1
Brentwood Williamson $9,060/mo $11,050/mo $14,010/mo $673,700 1
Brownsville Haywood $4,340/mo $5,290/mo $6,710/mo $119,600 1
Bruceton Carroll $4,340/mo $5,290/mo $6,710/mo $122,100 1
Byrdstown Pickett $4,340/mo $5,290/mo $6,710/mo $162,200 1
Camden Benton $4,340/mo $5,290/mo $6,710/mo $123,400 1
Carthage Smith $4,340/mo $5,290/mo $6,710/mo $224,500 1
Celina Clay $4,340/mo $5,290/mo $6,710/mo $136,900 1
Centerville Hickman $4,340/mo $5,290/mo $6,710/mo $192,000 1
Chuckey Greene $4,340/mo $5,290/mo $6,710/mo $186,400 1
Church Hill Hawkins $4,340/mo $5,290/mo $6,710/mo $166,900 1
Clinton Anderson $4,490/mo $5,480/mo $6,940/mo $215,800 1
Collegedale Hamilton $5,320/mo $6,490/mo $8,230/mo $282,100 1
Copperhill Polk $4,340/mo $5,290/mo $6,710/mo $136,400 1
Dandridge Jefferson $4,340/mo $5,290/mo $6,710/mo $210,000 1
Decatur Meigs $4,340/mo $5,290/mo $6,710/mo $185,500 1
Decaturville Decatur $4,340/mo $5,290/mo $6,710/mo $133,900 1
Dover Stewart $4,340/mo $5,290/mo $6,710/mo $182,700 1

Tennessee Senior Care FAQ (2026)

The statewide average for assisted living in Tennessee is $5,070 per month ($60,840 per year), compared to the U.S. national median of $6,200 per month.
In Tennessee, a semi-private room in a CMS-certified nursing home averages $7,840 per month, while a private room averages $8,830 per month.
For 2026, the standard individual monthly income limit for long-term care Medicaid in Tennessee is $2,901 per month.