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Massachusetts vs Tennessee: Senior Care Cost Comparison (2026)

Side-by-side comparison of nursing home, assisted living, and home care costs.

Massachusetts

$13,992/mo

Nursing home (private room)

Senior population: 17%

Tennessee

$7,452/mo

Nursing home (private room)

Senior population: 16.7%

Which State is More Affordable for Senior Care?

Tennessee has lower nursing home costs by $6,540/month ($78,480/year). Over 5 years, that's a difference of $392,400.

Detailed Cost Comparison

Care TypeMassachusettsTennesseeDifference
Nursing Home (Private)$13,992/mo$7,452/mo+$6,540
Nursing Home (Semi-Private)$12,167/mo$6,692/mo+$5,475
Assisted Living$5,750/mo$4,000/mo+$1,750
Home Health Aide$30.00/hr$22.00/hr+$8.00
Adult Day Care$2,100/mo$1,383/mo+$717
Homemaker Services$28.00/hr$20.50/hr+$7.50

Annual Cost Comparison

Massachusetts Annual Costs

Nursing Home (Private)$167,904/yr
Assisted Living$69,000/yr
Home Health Aide (8hr/day)$63,360/yr
Adult Day Care$25,200/yr

Tennessee Annual Costs

Nursing Home (Private)$89,424/yr
Assisted Living$48,000/yr
Home Health Aide (8hr/day)$46,464/yr
Adult Day Care$16,596/yr

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Frequently Asked Questions

Which state has cheaper nursing homes: Massachusetts or Tennessee?
Tennessee has lower nursing home costs. Massachusetts averages $13,992/month while Tennessee averages $7,452/month, a difference of $6,540/month.
How do assisted living costs compare between Massachusetts and Tennessee?
Assisted living in Massachusetts costs $5,750/month compared to $4,000/month in Tennessee.
What about home health aide costs?
Home health aides charge $30.00/hour in Massachusetts and $22.00/hour in Tennessee.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. Massachusetts: MassHealth covers nursing facility care. Frail Elder waiver and Senior Care Options program available.... Tennessee: TennCare covers nursing home care. CHOICES program provides home and community-based services....

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Data verified March 2026 · Source: Genworth Cost of Care Survey