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- Starting price for queen: $855
- Trial period: 50 nights
- Sizes available: Twin XL (39″ W x 80″ L), full (54″ W x 75″ L), queen (60″ W x 80″ L), king (76″ W x 80″ L), split king (39″ W x 80″ L, each half)
- Warranty: Three years
8 Best Adjustable Beds for Seniors: Sleep Independently as You Age in Place
Nov 08, 2024
Fact Checked
After 550 hours of research and testing, we selected the eight best adjustable beds for seniors from brands including Saatva, Sealy, and Puffy based on price and the features most helpful to senior sleepers.
Key Takeaways
- Our pick for the top adjustable mattress for seniors is the Nectar Adjustable Bed Frame because it offers many features for an affordable price.
- A great adjustable bed for older adults provides many adjustability settings, like head and foot elevation, and aids in reducing pain and improving sleep quality.
- Adjustable beds typically range in cost from $999 to $2,499.
- 62% of adjustable bed users over age 54 reported purchasing due to joint pain and mobility issues.
- Consider warranty and trial periods when choosing an adjustable bed, as these can significantly impact long-term satisfaction.
When our Reviews Team surveyed 1,000 adjustable bed users, 62% of respondents over age 54 told us they decided to purchase an adjustable bed once they noticed joint pain and mobility issues. [1]NCOA Adviser Adjustable Beds Survey. 1,000 respondents. Conducted using Pollfish. Launched June 2023.
Finding the best adjustable bed for your unique needs isn’t an easy task. When you look past all the features and frills, which adjustable base will truly ease your pain and help you sleep better and age in place successfully?
Adjustable beds can be especially beneficial for seniors, as they can address common issues like arthritis and back pain. They allow for customizable positioning to alleviate pressure points, improve circulation, and enhance comfort. Elevating the head or legs can even provide relief from acid reflux and other conditions.
If you’re considering an adjustable bed, we hope our reviews of these eight brands will help you to make an informed decision.
1
Best Value
Nectar Adjustable Bed Frame
•
In-home delivery and setup available •
50-night sleep trial •
Cost of queen: $1,499.00 Best Overall
The best adjustable bed for seniors in 2024
- Nectar Adjustable Bed Frame: Best Overall
- Saatva Adjustable Base Plus: Best for Arthritis and Safe Mobility
- Helix Adjustable Base: Best Presets
- Dreamcloud Adjustable Bed Frame: Best for Luxury Features
- Puffy Serenity Adjustable Base: Best Trial Period
- Sealy Ease Power Base: Best Budget-Friendly Option
- Tempur-Pedic TEMPUR-Ergo ProSmart Base: Best for Back Pain
- Sleep Number FlexFit 3 Smart Base: Best for Snoring
What we look for in an adjustable bed for seniors
We found several important factors when testing adjustable beds specifically for seniors, including:
Mattress firmness
Contrary to popular belief, you don’t need an extra firm mattress if you suffer from back pain. Medium-firm mattresses are the sweet spot.
Good pressure relief
Find a mattress designed to relieve pressure when your body and joints are pressed against the surface material.
Adjustable base positions
Look for an adjustable base that offers a variety of positions, including flat, head-up, foot-up, and zero gravity. These positions can help with sleep and reduce symptoms of conditions like acid reflux or edema.
A long trial period
A mattress trial of 100 nights or more gives you three full months to test it out and return it if it doesn’t improve your sleep.
Video: Best Adjustable Beds for Seniors
In this video, Nicole Hernandez, a physical therapist and mattress reviewer at NCOA, discusses our top picks for the best adjustable beds for seniors. She discusses which features benefit older adults most, including user-friendly adjustments, under-bed lighting, and white glove delivery. She also examines the cost and affordability of adjustable beds. Then, she reviews our top three picks, examining their unique mobility features.
Nectar Adjustable Bed Frame: Best Overall Adjustable Bed for Seniors
Best Value
✓
We chose the Nectar Adjustable Bed Frame as the best overall because it offers a wide range of features, including adjustable head and foot, presets, massage, USB ports, and more, all at an affordable price. •
Discount: First responders, health care workers, and military can add an extra 5% any current online offers. Best Overall
Our expert take on the Nectar Adjustable Bed Frame
The Nectar Adjustable Bed Frame is a standout choice for adjustable base shoppers. It has adjustable head and foot sections, allowing users to find the perfect position for relaxation or reading. From watching TV to combating snoring, the Nectar Adjustable Bed Frame offers a variety of presets to cater to your specific needs.
Users can even indulge in a relaxing massage with a timed head and foot massage option, helping alleviate tension.
Built-in USB ports make charging your phone a breeze. Our experts were impressed by the effortless setup (which can get quite complicated with many adjustable beds). The remote control and built-in flashlight were nice additions, too.
Our tester on the Nectar Adjustable Bed Frame adjustable bed:
“Easy to set up and use. Simple remote.”
Our mattress expert’s take
Who may love it
- Older adults looking for a budget-friendly adjustable bed
- Those with back pain or another condition benefitting from better positioning
- Anyone seeking massage features in their adjustable bed
Who may want to avoid it
- Those requiring a very firm mattress
- People who prioritize durability over cost-effectiveness
- Those seeking a mattress with a higher weight capacity
Customer reviews
The Nectar adjustable bed frame gets 3.9 stars on Google with more than 4,000 reviews. Many reviewers mention how cost-effective this bed frame is. Others shared the vibration level when using the massage feature is more than they expected.
“I like the Nectar mattress. Comfortable and nice support. Sleeping well with less back and back pain. Assembly was simple with instructions. The price is good for the value, and it was a great investment for my sleep and back.” – Jennifer P., verified buyer in August 2023.
“So far the mattress is super comfortable, and the z gravity, which is why I purchased is definitely helping to eliminate my back pain. I think the only drawback is that the mattress will slide off on the frame daily.” – Renee G., verified buyer in September 2023.
Read our complete review of the Nectar mattress and adjustable beds.
Saatva Adjustable Base Plus: Best Adjustable Bed for Seniors with Arthritis
Best for Arthritis
✓
We chose the Saatva Adjustable Base Plus as the Best for Mobility because it offers features like adjustable height, wireless remote control, and under-bed lighting that make it easy to get in and out of bed. •
Discount: $225 off purchases of more than $1,000 to adults 65 and older, military members and their families, health care professionals, government employees. Our expert take on the Saatva Adjustable Base Plus
We chose the Saatva Adjustable Base Plus as the best for those with arthritis due to its thoughtful design and mobility-enhancing features.
Priced competitively at $1,599 for a queen, this adjustable base offers a range of benefits that cater specifically to the needs of seniors with arthritis. The adjustable height feature allows seniors to easily get in and out of bed without straining their joints. The wireless remote control provides convenient operation from the comfort of the bed, eliminating the need for unnecessary movement.
The adjustable positions offered by the mattress can also help alleviate pain associated with arthritis by providing extra support and reducing pressure on joints.
Our tester on the Saatva Adjustable Base Plus:
“The bed can go all the way up to a comfortable seated position. The Adjustable Base Plus has the wall-hugger feature, but the Adjustable Base does not.”
Our mattress expert’s take
Who may love it
- Seniors with arthritis or mobility limitations
- People who value exceptional customer service and hassle-free delivery
- Those who prioritize convenience and ease of use
Who may want to avoid it
- Those on a tight budget
- Individuals who prefer a significantly softer or firmer mattress
- Those needing a mattress with a higher weight capacity
Customer reviews
The Saatva Adjustable Base Plus mattress gets 4 stars on its website with more than 90 reviews. Many reviewers mention how much they love the massage features. Others shared that the bed was a bit too soft for their preferences.
“I hadn’t planned on ordering the “Plus” with all the extra features, including massage, but I am so glad I did. I have degenerative/osteoarthritis and needed to be able to change position during the night without having to move to a recliner. I LOVE my new bed !! It is so comfortable, easy to raise the head and/or the feet…and the massage feature really helps the “aches” just before getting up each morning.” – Susan G., verified buyer in August 2023
“This is the most comfortable bed I have ever had. When I first laid down on it, I wasn’t like, “Oh my God this is the most comfortable mattress ever!” But let me assure you it really is! Once you get settled in, you don’t have to move at all! ” – Kimberly W., verified buyer on August 2023
Read our complete review of the Saatva mattresses and adjustable beds.
Helix Adjustable Bed Frame: Best Adjustable Bed with Presets
Best Presets
✓
We chose the Helix Adjustable Base as the best adjustable base with presets because of its seamless customization options and advanced technology. It has multiple preset positions, including zero gravity and anti-snore. •
Discount: Military, first responders, students, and teachers receive 30% off and two free pillows. Our expert take on the Helix Adjustable Bed Frame
The Helix adjustable bed frame has multiple preset positions, such as zero gravity and anti-snore, making it great for those who have specific sleeping needs. We particularly liked its wireless remote which makes the process of switch presets very easy.
In addition to comfort, the Helix Adjustable Bed Frame offers a smooth, quiet motor that ensures adjustments won’t disrupt your (or your partner’s) rest. The sturdy construction is built to last, and the whole frame has a 20-year warranty to boot, longer than the industry average according to our research.
Our tester on the Helix Adjustable Bed Frame adjustable bed:
“It’s relatively quiet compared to other bases.”
Our mattress expert’s take
Who may love it
- People seeking customizable comfort with plenty of presets
- Those looking for an easy-to-operate base
- Sleepers who experience back pain or pressure points and need various positions for relief
Who may want to avoid it
- Budget-conscious buyers looking for a more affordable adjustable base
- Individuals who prefer a lighter frame that’s easier to move
- Shoppers who prioritize aesthetic customization
Customer reviews
The Helix Adjustable Base gets 4.3 stars on its website with more than 459 reviews. Many reviewers mention its quality presets. Others shared negative experiences involving the shipping of the product.
“Remote control easy to understand with presets, led lighting and usb charging ports. Vibrates on demand at head and/or foot with variable levels and minimal noise or other distraction. Presets work well for bed position and 3 customizable settings on remote that are easily set.” – Todd P., verified buyer on December 28, 2023
“The main features work great. It appears well-engineered and well-built. We are using two twins in a king-sized bed configuration. The twins have a bracket and cable for attaching and synchronizing the two beds. If the cable is used for the synchronized configuration, both remotes move both beds in sync. Which is OK, but we prefer individual controls most of the time. I wish we could switch between synchronized and individual control directly from the remotes. ” – William N., verified buyer on January 8, 2024
Dreamcloud Adjustable Bed Frame: Best Adjustable Bed for Seniors with Luxury Features
Best for Luxury Features
✓
We chose the Dreamcloud Adjustable Base as the best adjustable base with luxury features because of its premium design and advanced features. It includes features like massage settings, under-bed lighting, and customizable preset positions. •
Discount: First responders, health care workers, and military can add an extra 5% any current online offers. Our expert take on the Dreamcloud Adjustable Bed Frame
The Dreamcloud Adjustable Bed Frame comes with premium features like built-in massage settings and many preset positions, including the ever-popular zero gravity and anti-snore. These options provide an indulgent sleep experience and support for a wide range of sleep needs.
This adjustable frame also has a sleek, modern design that fits in well with more bedroom styles. The whisper-quiet motor allows you to change positions easily without disturbing your partner.
Our mattress expert’s take
Who may love it
- Sleepers looking for a high-end adjustable base
- Those who enjoy a modern design to complement their bedroom aesthetic
- Couples who need individual adjustments for different sleep preferences or health needs
Who may want to avoid it
- Shoppers who just want a basic adjustable frame
- Those who prefer a simpler bed without the advanced technology
- Budget-conscious buyers who are looking for a more affordable base option
Customer reviews
The DreamCloud adjustable bed frame gets 4.4 stars on its website with more than 2,000 reviews. Many reviewers mention this frame is very solidly built and comes with many extra features. Others shared that setup was a challenge because the base is very heavy.
“The massage features are fabulous and we love that the remote presets different positions. My husband prefers to learn by experience so he ended up in a straight sitting position one night instead of zero gravity (our favorite for cuddling up with a movie). The manual however is great at identifying the positions.” – Graeme W., verified buyer on July 11, 2023
“We tried out the zero-gravity mode and my husband was instantly in love.” – Sheena S., verified buyer on June 22, 2023
Learn more about the brand in our DreamCloud review.
Puffy Serenity Adjustable Base: Best Trial Period for an Adjustable Bed for Seniors
Best Trial Period
✓
We chose the Puffy Serenity Adjustable Base as the best bed with a trial period because it offers the longest trial period and warranty, allowing sleepers to try out its features before committing. •
Discount: Healthcare professionals, students, teachers, and military members can save $1,425 when they buy any Puffy mattress. Our expert take on the Puffy Serenity Adjustable Base
The Puffy Serenity Adjustable Base offers the longest trial period and warranty of any option in our review, making it the best option for older adults who are unsure if an adjustable base is the right choice. You can test out its features, like standard foot and head adjustments and under-bed lighting, in the comfort of your own home. Be sure to test its dual massage feature, which targets your head and feet with three different intensities, to see if you enjoy it. If this bed is not a good fit, you may be better off with the more cost-effective Sealy Ease Power Base (described above), which has basic adjustments only.
If you’re unhappy with your base within 101 days of your purchase, you can return it for a full refund. The caveat is you must try it for a full 14 days before initiating a return. After the mandatory 14-day period, you can reach out to customer support and an agent will issue your refund and send someone to pick up the base for free.
Puffy also offers a lifetime manufacturer’s warranty, which covers the cost of parts when there’s a malfunction or defect. You may be liable for shipping and labor costs, though. Even though the warranty covers the lifetime of the product, it is only good for as long as you own the bed; if you transfer ownership, you’ll void the warranty.
The disadvantage of Puffy is it doesn’t offer in-home setup or old mattress removal, not even for a fee. This means you’ll have to assemble this 134-pound base by yourself or hire someone to do it for you, although we recommend the latter. According to our Reviews Team’s survey, many respondents over age 54 reported that in-home setup is a higher priority when searching for an adjustable base than customer reviews, length of trial period, and old mattress and frame removal services.
Our tester on the Puffy Serenity adjustable base:
“The motor is really very quiet.”
Our mattress expert’s take
Who may love it
- Those who are unsure about purchasing an adjustable base
- People who enjoy additional features like massage and under-bed lighting
- Anyone prioritizing a long trial period and warranty
Who may want to avoid it
- Those on a very tight budget
- People who only want basic features
- Individuals who do not require a long trial period
The Puffy Serenity adjustable base gets 4.8 stars on Google with more than 650 reviews. Many reviewers mention that the warranty and customer service are top-notch. Others shared that they wished the king sized wasn’t split.
“My favorite thing about puffy is the lifetime warranty, and the pain relief I have when laying in bed. So ..that’s a lifetime warranty on a very good sleep.” – Tyson, verified buyer on August 2023
“They absolutely stand by their warranty. After a lot of research, I’m so happy I purchased the bed and adjustable base. The free pillows and sheet set are an added bonus. I highly recommend Puffy!” – P.E., verified buyer on June 2023
Read our review of Puffy mattresses and adjustable bed bases.
Sealy Ease Power Base: Most Affordable Adjustable Bed for Seniors
Most Affordable
✓
We chose the Sealy Ease Power Base as the most affordable because it offers basic adjustable features at a lower price point than other options. Our expert take on the Sealy Ease Power Base
Our experts chose the Sealy Ease Power Base as the best budget-friendly option because it offers exceptional value without compromising on essential features.
Priced significantly lower than the industry average of $1,854, the Sealy Ease Power Base is available for just $999 for a queen size, making it an attractive choice for budget-conscious seniors. This price even includes in-home delivery, professional assembly, and a 25-year warranty.
It may not offer all the bells and whistles as some other models, but it does provide reliable head and foot adjustability, allowing seniors to find their best sleeping position.
Our tester on the Sealy Ease Power Base:
“Very basic features, all work as expected.”
Our mattress expert’s take
Who may love it
- Older adults on a tight budget
- Those seeking a basic adjustable bed
- Shoppers who appreciate hassle-free delivery
Who may want to avoid it
- Those who require advanced features like massage
- People who prefer a mattress with more customization options
- Those needing a higher weight capacity
Customer reviews
The Sealy Ease Power Base gets 4.5 stars on Google with more than 1,000 reviews. Many reviewers mention the base’s affordability. Others shared that two remotes cannot be paired with one bed, preventing couples from adjusting the best independently.
“It provides me with the flexibility of a comfortable position during the night when a raised head section provides comfort for easy breathing with the sinus/allergy season already underway due to our mild winter/early spring weather.
Also, relaxing for a bedtime read or view of a movie has been a welcomed experience. Raise the leg section and elevation of the upper body can be very soothing after a long day. (One tap of a button for this “gravity” position.)” – Nancy, verified buyer in September 2023
“We have been using it for 2 weeks now and can say it really lives up to all the claims on TV. We are both sleeping much better and trying out different adjustments to get even more comfort. For anyone complaining about sore backs this bed is a game changer. HIGHLY recommend this product.” – verified buyer in February 2023
Read our full review of the Sealy Adjustable Bed.
Tempur-Pedic TEMPUR-Ergo ProSmart Base: Best Adjustable Bed for Seniors for Back Pain
Best for Back Pain
✓
We chose the Tempur-Pedic TEMPUR-Ergo ProSmart Base as the Best for Back Pain because it offers advanced features like adjustable lower back support, automatic snore response, sleep coaching, under-bed lighting, and integrated massage. Our expert take on the Tempur-Pedic TEMPUR-Ergo ProSmart Base
Our experts chose the Tempur-Pedic TEMPUR-Ergo ProSmart Base due to its advanced features and ability to provide targeted relief for chronic lower back discomfort.
The adjustable head and foot sections allow for personalized positioning, helping to alleviate pressure on the lower back and promote optimal spinal alignment. The integrated massage feature provides targeted relief for tense muscles, reducing discomfort and promoting relaxation. The under-bed lighting can also enhance nighttime comfort and safety, minimizing the risk of falls and strains.
While adjustable beds and mattresses should not be considered a substitute for professional medical care, the Tempur-Pedic TEMPUR-Ergo ProSmart Base offers valuable features that can complement existing treatment plans.
Our tester on the Tempur-Pedic TEMPUR-Ergo ProSmart Base adjustable bed:
“The Power and ProSmart both had lumbar support, which is a bar in the low back area that rises 6”. It doesn’t seem like a lot, but functionally, it is HIGH. I felt most comfortable 1/3-1/2 of the way up, anything more would be a stretch. I don’t think I’d be able to tolerate the full height, but a larger person might. As a PT, I do like the idea of it. It felt nice, and you could even use it for your upper back if you wanted to scoot down the base and get a “backbend” feel.”
Our mattress expert’s take
Who may love it
- Individuals with chronic lower back pain
- Sleepers wanting an adjustable bed with advanced features
- Those who appreciate targeted massage
Who may want to avoid it
- Those on a tight budget
- Individuals who do not require advanced features
- Those wanting an adjustable base with a trial period
Customer reviews
The Tempur-Pedic TEMPUR-Ergo ProSmart Base gets 4.6 out of 5 stars on its website with more than 1,700 reviews. Many reviewers mention the base’s adjustable lumbar support and bed’s overall relief of aches and pains. Others shared that some of the advanced features are overrated or not being used as much as they expected..
“The air that comes up from the base through the mattress is excellent. Plus I love the bed does so many cool things. I get in bed and put my legs up as far as they will go. That feels great after that I put it flat then lumbar all the way up. It feels so good. Then I use the app to play ocean music to go to sleep with. This bed makes going to sleep so wonderful. The app does a lot more things but I haven’t used that yet. I love this bed even though it was a lot more money to buy. It’s worth every cent I payed. Don’t let the price stop you from purchasing it. I love love it.” – Verified buyer on 09/04/2024
“I love my new TEMPUR-Ergo Smart Base, and the Tempur-Pedic mattress I bought to go with it. I fall asleep in minutes with the Zero G setting, but I also like the flexibility that all the options provide. I get a better night’s sleep, I snore less, and I feel less aches and pains the next day. Thank you!” – Better Sleeper, verified buyer on 09/07/2024
Learn more in our Tempur-Pedic adjustable bed review.
Zaidel, Catherine, et al. Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain. Population Health Management. February 2021. Found on the internet at https://www.liebertpub.com/doi/full/10.1089/pop.2019.0165Sleep Number FlexFit 3 Smart Base: Best Adjustable Bed for Seniors for Snoring
Best for Snoring
✓
We chose the Sleep Number FlexFit 3 Smart Base as the best adjustable bed for seniors for snoring because it offers split king and split California king options that allow couples to adjust each side independently, making it easier to address snoring issues. Our expert take on the Sleep Number FlexFit 3 Smart Base
One of the key benefits of the Sleep Number FlexFit3 Smart Base is its split king and California king options, which allows couples to independently adjust each side of the bed. This feature empowers partners to create their ideal sleep environment, ensuring that snoring from one side doesn’t disrupt the other.
The snore-reduction preset is particularly valuable for couples dealing with snoring.This preset gently elevates the head of the snoring partner, which often reduces the severity of the snoring.
Like many of the bases on this list, the Sleep Number FlexFit 3 Smart Base also comes with several other features, like remote control operation and customizable firmness options.
Our tester on the Sleep Number FlexFit 3 Smart Base adjustable bed:
“The app was easy to navigate, and intuitive, offers sleep tracking using sensors in the mattress that pick up on your weight and movement.”
Our mattress expert’s take
Who may love it
- Couples dealing with snoring issues
- Those who appreciate split king options
- Seniors wanting an adjustable bed with customizable settings
Who may want to avoid it
- Those on a tight budget
- Couples without snoring problems
- Those wanting a long trial period
Customer reviews
The Sleep Number FlexFit3 Smart Base gets 4.8 out of 5 stars on its website with more than 2,900 reviews. Many reviewers mention the benefits of the snore option, and how it helps with sleep apnea symptoms. Others shared experiencing some difficulty with the bases’s Bluetooth and app connection.
“No ear plugs needed! It totally helped with my husband’s snoring! I seem to sleep better because with the head elevated, he snores less getting more sleep.” – Dana1960, verified buyer on 09/01/2024.
“I have a curved spine, and haven’t been able to sleep on my back for years. With the ability to adjust the firmness, head and foot of the bed, I can now fall asleep on my back. I also love that I can read or watch TV very comfortably before I go to sleep!” -Nellie1, verified buyer on 07/13/2024]
Check out our review of Sleep Number adjustable bases.
How we test adjustable beds for seniors
Our comprehensive testing process for adjustable beds involves several stages. First, we began researching and comparing various adjustable bases on the market. Then, we surveyed 1,000 adjustable base users, giving us an idea of the most important features and criteria for sleepers. We also interviewed and gained insight from sleep experts, physical therapists, and other health care professionals. We also conducted focus groups to engage in conversations with recent buyers to understand their buying and decision-making processes.
Once we gathered our information and research, we developed scoring criteria, which you can read on our adjustable beds review methodology page.
We initially chose 30 bases out of 103 adjustable base models to test. We prioritized competitive pricing, adjustable base features, brand reputation, and warranties. We also engage in ongoing testing of new models as they become available. While some models are sent to our testing studio, others are trialed in mattress stores and showrooms throughout the U.S.
Here are the factors we evaluate when testing adjustable beds for seniors:
Ease of Use
To determine an adjustable bed’s ease of use, our testers evaluated each base’s remote controls, ensuring they were intuitive, the buttons easy to press, and the base responded as intended. They looked for special features, like motion-activated under bed lighting and charging ports. Additionally, for bases offering a smartphone app, our testers ensure it pairs easily with the base, works as expected, and look for any different features offered on the app.
Presets
Presets and ease of use go hand in hand. Our testers look for common presets, like zero-gravity, TV watching, and anti-snore positions. Are those presets comfortable? How do they position the tester’s body compared to other bases? Is it easy to program your own positions?
Base Adjustment
When evaluating base adjustments, our testers measure how long it takes to shift position, how that shift feels to users, and how noisy the adjustments are. Are the position adjustments smooth or jerky? Does the bed have a large range of motion, or is it limited, reducing overall comfort?
Setup and Design
A well-designed adjustable bed involves many factors, and our testers examine them all. They consider everything from adjustable leg heights to cord lengths, the quality of a bed’s build, how easy it is to put together, whether the brand offers professional setup services, and more.
Customer Service
One of the most important factors we consider when evaluating adjustable beds is the brand’s customer service. Our testers contact customer service with product questions, track their response time, whether they feel pressured to buy, and their overall product knowledge. We also consider the brand’s trial periods, warranty length, delivery options and other overall service-focused features to determine if a brand is worth recommending.
To learn more about our testing and scoring methods, review our sleep methodology.
We’re dedicated to providing you with the most accurate and up-to-date information on adjustable beds. To ensure our recommendations are always relevant, we continuously test new models each month.
Pros and cons of adjustable beds for seniors
Pros of using an adjustable base
- Enhanced comfort and pain relief: An adjustable base allows seniors to find the perfect position for sleep or rest, which can alleviate common issues like back pain and arthritis.
- Improved independence and mobility: For seniors with limited mobility, adjustable bases make it easier to get in and out of bed without assistance. Many adjustable bases also have features like nightlights to prevent falls.
- Customizable: Adjustable beds can be tailored to a range of health conditions, like sleep apnea or acid reflux.
- Better sleep quality: Most importantly, adjustable beds can help older adults sleep better.
Cons of using an adjustable base
- High cost: Adjustable bases are often more expensive than traditional ones, making them a significant investment.
- Complicated operation: While the features can be helpful, some adjustable beds are understandably complicated. Learning how to use them can be confusing.
- Weight and bulk: Adjustable bases are typically heavier and bulkier than standard bed frames, making them difficult to move or rearrange without help. The weight of an adjustable base becomes a bigger issue if regular repositioning is needed.
How to choose an adjustable bed for seniors
Buying an adjustable bed can be a big investment and may also require some significant physical adjustments. Make sure to consider your needs before making a purchase. Think about your health and sleep quality, lifestyle habits, and bedroom setup, to start. And when doing brand comparisons, consider whether each brand offers a sleep trial and how long it is, how long the warranty is and what it covers, any additional shipping costs or fees, and whether white glove delivery and setup is included.
We consulted with Amanda Weeks, an occupational therapist specializing in older adults at B. Well Health in Philadelphia, Pennsylvania, to fully understand common issues that affect older adults and how adjustable beds may be of benefit to them. “Conditions affecting muscles, joints, or the brain can have a significant impact on both mobility and sleep,” said Weeks. She said she frequently encounters patients with breathing problems, chronic pain conditions, and neurological disorders like Parkinson’s disease and multiple sclerosis, and that many of these patients may find adjustable bases helpful.
Here are additional factors to consider.
Mattress compatibility
Make sure to research and confirm whether your existing mattress will be compatible with an adjustable bed frame. Certain materials and styles, like innerspring and hybrid, are not recommended with an adjustable base because they are designed to lay on flat bed frames and platforms and may not be flexible enough for an adjustable base. If you need a new mattress, speak with your adjustable bed company’s customer care representative for recommendations.
Price
The price of an adjustable bed can be significantly higher than a standard bed frame, and keep in mind that more advanced features typically increase the price tag even more. Additionally, if your current mattress is not compatible with the adjustable bed you want to buy, a new mattress will also need to be factored into your budget.
Special features
Are you comfortable with the bare basics or do you prefer an upgraded adjustable bed experience? Luxury features like under-bed lighting, USB ports, dual massage, more adjustability options, and smartphone app compatibility can enhance your sleep experience compared to a basic model that is limited to just a few preset adjustment settings.
Warranty
Some manufacturers, like Nectar, only offer a few years for adjustable bed warranties, while others, like Puffy, offer lifetime warranties. Most adjustable bed frames come with warranties that protect you from factory or workmanship defects, but coverage on mechanical and electrical components is usually limited. For your own peace of mind, review the fine print on all warranty policies before you buy.
How much do adjustable beds for older adults cost?
Basic adjustable base models start at around $500, while premium versions with advanced settings can easily exceed $2,000. For seniors on a fixed income, this upfront investment may feel daunting. While many adjustable bases offer undeniable health benefits, it’s important to weigh those benefits against your budget to ensure you’re not overpaying for features you may not need.
Unfortunately, Medicare and Medicaid typically don’t cover adjustable beds unless deemed medically necessary by a physician. Even then, coverage may be limited to hospital-type beds.
However, those with a health savings account (HSA) or flexible spending account (FSA) can often use these funds to cover the cost, as long as the bed is prescribed for a specific medical condition, such as sleep apnea or chronic pain. Check with your insurance provider to clarify whether or not you’re covered.
To save money on an adjustable base, consider forgoing some of the extra features that drive up the cost. For example, while massage settings and zero-gravity positioning can be nice perks, they aren’t always essential for better sleep or pain relief. Many find comfort with simpler adjustments at the head and feet.
Skipping features like USB ports, Bluetooth connectivity, or under-bed lighting can shave off hundreds of dollars without compromising the bed’s primary functionality.
Health benefits of adjustable beds for older adults
Both older adults and health professionals alike sing the praises of adjustable beds due to the overall health benefits that contribute to improved sleep quality.
Head elevation
Although it varies among individuals, Kadlecek said adjustable beds can help alleviate symptoms of acid reflux, snoring, and sleep apnea by raising the head higher than the rest of the body.
Leg elevation
Adjustable beds can also help improve circulation and reduce swelling in the legs and feet by elevating the legs.
Pain relief
According to our survey of adjustable bed users, more than 46% of respondents above age 54 reported having back pain before their purchase. [1]
Although Kadlecek agreed adjustable beds could lessen back pain by allowing for different sleeping positions, he also warned some users may not feel a difference in pain levels at all. “It’s important to consult with a health care provider about whether an adjustable bed might benefit specific health conditions,” he said.
The mattress you sleep on matters, too. Choosing the best mattress for back pain along with your adjustable bed frame can help you sleep that much better.
Getting in and out of bed safely
The same survey also showed over 44% of respondents in the same age group used the adjustability function to improve their ability to get out of bed. One respondent told our Reviews Team that raising the head of the bed made sitting up and getting out of bed much easier. [1]
Getting out of bed safely isn’t just important in the morning. Weeks added she often sees cases where older adults must urinate frequently due to prostate conditions or an overactive bladder. Nighttime trips to the bathroom pose a serious risk of injury if you’re not able to move through the dark confidently, she explained.
Reduced fall risk
“Home safety factors like low lighting or clutter on the floor, coupled with sleep grogginess and the urgency to use the bathroom, significantly increases falls risk when getting out of bed,” said Weeks. Adjustable bases with under-bed lighting and a built-in flashlight in the remote control can help you get to the bathroom safely when it’s dark. And if you sleep alone, choosing a twin-size adjustable frame can free up walkable space in compact bedrooms, making the path to your bathroom easier to navigate.
To check your falls risk score and find resources for preventing falls, visit our Falls Free CheckUp.
Hospital bed vs. adjustable bed
Although an adjustable bed allows you to customize your position, it doesn’t offer as many medical benefits as a hospital bed.
Occupational therapist Amanda Weeks told us hospital beds may be more appropriate for those with specific conditions like bed sores. This is especially true if you have sensory impairments or mobility challenges that make it difficult for you to detect and manage new or worsening pressure injuries.
According to Weeks, hospital beds have other key differences from adjustable beds that may be more appropriate if you’re receiving regular care:
- Specialized mattresses that assist in pressure distribution
- Handrails that help patients adjust themselves or find stability during movement
- Wheels that allow caregivers to move the bed as needed to change sheets and maneuver the care recipient
- Insurance eligibility for covering the cost of the bed as durable medical equipmentⓘ
“Something else I see when someone is choosing between a hospital or adjustable bed is adjustable beds are available in different sizes, while a hospital bed is typically just a twin size,” said Weeks. “If you want to sleep next to your loved one, this can be a big deciding factor.”
If you need help adjusting your position in bed, but have not been prescribed a hospital bed, consider making different adjustments, such as investing in a better mattress. But consider carefully the firmness of the mattress before settling on one. “Although plush mattresses are commonly associated with comfort, they can be challenging to move on when you have [muscle] weakness,” said Weeks. She recommends a firmer mattress that doesn’t sink as you try to get out of bed. You can also equip your bed with support rails, similar to those on hospital beds. But be aware that adult portable bed rails carry some safety concerns.
Compare the best adjustable beds for seniors, as of 2024
| Trial period (nights) | 50 | No | No | 60 | 101 | No | No | No |
| Warranty (years) | 3 | 25 | 10 | 3 | Lifetime | 25 | 25 | 15 |
| Cost of queen | $1,499 | $1,599 | $1,248 | $1,698 | $1,399 | $999 | $2,499 | $2,399 |
Bottom line
Adjustable beds come with a range of features that can help you age in place safely. For some, they can have life-changing effects on sleep quality and pain relief, but only when used in conjunction with proper clinical guidance. “Regular physical activity, tailored to individual capabilities, can significantly improve sleep, mobility, and overall health,” Kadlecek said.
If you or a care recipient are looking into purchasing an adjustable bed base to address pain, low mobility, or a medical condition, consult with a health care professional first. Ask your doctor for a referral to a sleep specialist to assess your sleep patterns, or to a physical or occupational therapist who can evaluate you and your home to determine a treatment plan. And if an adjustable bed seems like an appropriate purchase for you, these professionals can help guide you toward the right one.
Frequently asked questions
Our picks for the best adjustable bed for seniors are Saatva, Sealy, Puffy, Casper, Tempur-Pedic, Sleep Number, and Reverie. But what’s best for you may not be best for others, which is why this review covers seven brands that are appropriate for different needs among older adults.
Medicare Part B (original Medicare) covers certain adjustable beds that are classified as pressure-reducing support surfaces and hospital beds. You will need a prescription from a doctor to purchase a Medicare-covered adjustable bed from an authorized supplier. [8]Medicare.gov. Durable Medical Equipment (DME) Coverage. Found on the internet at https://www.medicare.gov/coverage/durable-medical-equipment-dme-coverage
The Saatva Adjustable Base Plus offers the most features for older adults with low mobility. These features include wall-hugging adjustability to easily reach your nightstand and under-bed lighting to improve safety. The bed also has a high leg height and massage features.
You can ask your doctor to give you a prescription for an adjustable bed, but your health insurance is still not likely to cover the expense because these types of beds don’t qualify as durable medical equipment.
Unlike adjustable beds, hospital beds offer:
- Specialized mattresses that assist in pressure distribution
- Handrails that help patients adjust themselves in bed or find stability during movement
- Wheels that allow caregivers to move the bed as needed to change sheets and maneuver the bed user
- Insurance eligibility as durable medical equipment that helps cover the cost
No. Innerspring mattresses are typically incompatible with adjustable bases since they are not made to change position, but most foam and hybrid mattresses are OK to use. If you’re purchasing an adjustable base, check the brand’s mattress selection for compatible products. And if you’re planning to use a mattress you already own, contact the adjustable bed manufacturer to ensure it will be compatible with your new base.
The best height for an adjustable bed for seniors depends on individual preferences and needs. Generally, the bed should be proportionate to your height and allow easy entry and exit without excessive bending or strain. It’s essential to consider factors such as mobility limitations, comfort, and safety when determining the right height for you.
Have questions about this review? Email us at reviewsteam@ncoa.org.
Sources
- NCOA Adviser Adjustable Beds Survey. 1,000 respondents. Conducted using Pollfish. Launched June 2023.
- Campani, Daiana, et al. Home and Environmental Hazards Modification for Fall Prevention Among the Elderly. Public Health Nursing. December 2020. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8246567/
- Zaidel, Catherine, et al. Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain. Population Health Management. February 2021. Found on the internet at https://www.liebertpub.com/doi/full/10.1089/pop.2019.0165
- Burgess, Helen J., et al. Associations Between Sleep Disturbance and Chronic Pain Intensity and Function: A Test of Direct and Indirect Pathways. Clinical Journal of Pain. July 2019. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6551250/
- Capezuti, Elizabeth, et al. Systematic Review: Auditory Stimulation and Sleep. Journal of Clinical Sleep Medicine. June 2022. Found on the internet at https://jcsm.aasm.org/doi/full/10.5664/jcsm.9860
- What is Sleep Apnea? National Institute of Health. Found on the internet at https://www.nhlbi.nih.gov/health/sleep-apn
- Gosselin, Nadia, et al. Obstructive Sleep Apnea and the Risk of Cognitive Decline in Older Adults. American Journal of Respiratory and Critical Care Medicine. Jan. 2018. Found on the internet at https://www.atsjournals.org/doi/full/10.1164/rccm.201801-0204PP
- Medicare.gov. Durable Medical Equipment (DME) Coverage. Found on the internet at https://www.medicare.gov/coverage/durable-medical-equipment-dme-coverage