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Assisted Living in Nashville, TN: Costs & TennCare (2026)

Nashville assisted living costs, TennCare CHOICES basics, and license lookup.

6 min readUpdated 2026-07-06

Nashville's explosive growth has driven significant senior living construction across Davidson, Williamson, and Rutherford counties. Communities range from urban Nashville neighborhoods near Vanderbilt University Medical Center to newer suburban campuses in Brentwood, Franklin, and Murfreesboro.

Tennessee's no-income-tax environment attracts retirees from high-tax states, creating strong demand for premium senior living. Budget $4,000–$5,200/month for standard assisted living, with Brentwood and Franklin communities often pricing at the higher end.

Nashville Assisted Living Costs (2026)

  • Studio with basic ADL help: $3,800–$4,600/month
  • One-bedroom with Level 2 care: $4,400–$5,200/month
  • Memory care unit: $5,200–$6,800/month
  • Brentwood/Franklin premium: add 10–20% above Nashville average

Verifying Tennessee ALF Licenses

Tennessee licenses assisted living facilities through the Department of Health, Division of Health Care Facilities. Before touring, verify license status and request the most recent inspection report. Ask about Level 1 vs Level 2 care designation — Level 2 facilities can provide more intensive personal care for residents with greater functional needs.

TennCare CHOICES Program

TennCare CHOICES is Tennessee's Medicaid long-term care program that may cover personal care and supportive services in participating assisted-living facilities for eligible residents. Room and board remains private pay. CHOICES has two enrollment groups; eligible residents must meet nursing facility level of care criteria. Contact your regional CHOICES enrollment broker or use our Tennessee Medicaid screener.

Frequently Asked Questions

How much does assisted living cost in Nashville, Tennessee?
Nashville assisted living averages $4,000–$5,200/month. Brentwood and Franklin communities are typically 10–20% above the metro average. Urban Nashville locations near Vanderbilt offer excellent hospital proximity. Memory care averages $5,200–$6,800/month.
Does TennCare cover assisted living in Nashville?
TennCare CHOICES may cover personal care services inside participating Nashville-area assisted-living facilities for eligible low-income residents who meet nursing facility level of care criteria. Room and board is always private pay. Contact TennCare or your regional enrollment broker to apply.
Why is Nashville assisted living growing so fast?
Nashville's growth is driven by Tennessee's no-income-tax status attracting retirees from higher-tax states, combined with a strong healthcare system anchored by Vanderbilt University Medical Center and Saint Thomas Health. New luxury senior living communities have opened across Davidson, Williamson, and Rutherford counties since 2022.

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