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Adjustable bases allow sleepers to raise and lower the head or foot of a bed for personalized comfort. For older adults — especially those who live with chronic pain or other health conditions — this feature can make all the difference to sleep quality.
Sleepers can program the settings of most adjustable bases using a remote control. Some models also include smartphone integration, and many manufacturers incorporate additional features, such as underbed lighting or massage functions.
Shoppers may be surprised to learn that adjustable bases can be paired with many types of mattresses, making them an easy addition to the bedroom. We’ll share our picks for the best adjustable beds for seniors and examine how this technology might be useful for older adults.
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Why It’s Best Overall
The Saatva Lineal Adjustable Bed Base features a durable construction, a wide range of motion, and preset options that make it easy to reach your preferred position.
This popular option from Saatva has an upholstered design made to fit most bed frames and slatted platform beds. Controlled with a remote, sleepers can save their preferred configuration and access these preset options at the touch of a button.
For those who live with chronic pain, the Lineal Adjustable Bed Base also features a zero-gravity setting and a three-speed massage function that can be programmed to target the legs, head, or full body.
How It Performed
The base contains a quiet motor in a sealed case. Adjustable legs can be set between 8 and 13 inches, and thoughtfully placed underbed lighting helps guide the way during nighttime bathroom trips.
The Lineal Adjustable Bed Base can be used with slatted platform beds and most other bed frames. It’s sold in the standard mattress sizes as well as split king and split California king. Saatva also sells an upper-flex option with a fixed foot of the bed that’s designed to be used with the upper-flex version of the Saatva Solaire Mattress.
As with other Saatva products, the base is delivered with free White Glove delivery, in which a team sets up the bed for you. Saatva offers a 25-year limited warranty for the frame and a 5-year limited warranty for the electrical components. Because each adjustable base is made to order, returns or exchanges are not possible.
$599 off! $100 off + $499 in free accessories included.
Sleep partners can individually adjust each side of the bed in the split king model from Nectar.
With an individually controlled head and foot of the bed, the Nectar Adjustable Bed Frame offers full control over your sleep position. This model is available in twin XL, full, queen, and split king sizes. The split king is made up of two twin XL beds, so sleep partners can each control their own side.
How It Performed
This adjustable bed frame comes with all the standard features, including three-zone massage and presets such as zero gravity and TV recline. Users can also program their own settings and store them in the memory of the wireless remote control. USB plugs on either side of the bed allow for easy charging.
Nectar offers free shipping in the contiguous U.S. The frame is relatively easy to set up, but shoppers can also pay an additional fee for White Glove delivery.
Unlike most adjustable bed manufacturers, Nectar also offers a 50-night sleep trial. A 3-year limited warranty covers the frame.
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The DreamCloud Move Adjustable Bed Frame is an adjustable base made with sturdy materials. The quality construction stabilizes your mattress and helps maximize support to your body during sleep.
This model is equipped with a zero gravity position that helps ease pressure off the back. Sleepers may also elevate the head or neck to their desired angle. A massage setting sends soothing vibrations through your body, and charging stations are integrated into the design to power devices overnight. The frame is 15 inches high and is available in twin XL, queen, king, California king, and split king.
How It Performed
The Move Adjustable Bed Frame has all the features that sleepers can expect from a top-notch adjustable bed. The strong steel frame ensures solid support for you and your mattress. Couples will appreciate the split king model, which is designed to accommodate two twin XL mattresses. This size allows each sleeper to adjust their mattress to their own personal settings.
DreamCloud offers a 50-night sleep trial for customers to decide if this frame is a good fit. Beyond this time period, all sales are final. Shipping and returns are free for addresses in the contiguous U.S.
Best for Couples
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With anti-snoring and smart sleep tracker features, the TEMPUR-Ergo Smart Base from Tempur-Pedic strives to offer an all-in-one sleep solution.
The Tempur-Pedic TEMPUER-Ergo Smart Base has a zoned massage function with three levels of intensity, as well as USB ports, underbed lighting, and a zero-gravity setting. Sleepers can control the functions using a wireless remote. The bed also has a quiet mode.
The TEMPUR-Ergo Smart Base is an upgrade to Tempur-Pedic’s TEMPUR-Ergo Power Base. The Smart Base shares all the functionality of the Power Base, but it also includes an app with personalized sleep tips and a smart alarm, as well as an anti-snore function designed to reduce snoring by raising the head of the bed by 12 degrees when needed. It can also be integrated with virtual assistant devices that use Alexa or Google Assistant.
How It Performed
Each leg of the TEMPUR-Ergo Smart Base has four 3-inch segments that can be added or removed as desired to reach a comfortable bed height. The dimensions of the base are purposely designed a little smaller than the mattress so that it can fit inside another bed frame. The base has a 650-pound weight limit, including the mattress.
Tempur-Pedic offers a full range of sizes, including twin XL, full, queen, king, split king, California king, and split California king. The Ergo Smart Base is sold with free White Glove delivery and optional removal of the existing bed.
The company backs the TEMPUR-Ergo Smart Base with a 25-year limited warranty, with coverage of both the parts and metal frame during the first 5 years and limited coverage afterward.
Easiest to Use
$455 of free accessories with every mattress purchase
The Puffy Adjustable Base offers advanced customization like many other beds on this list, but the settings are relatively easy to toggle thanks to its intuitive controls. For example, people with lower back pain who prefer “zero-G” angling with their legs elevated higher than their head will probably enjoy the one-click preset that automatically adjusts the bed to this position.
The wireless remote allows for two position presets, as well as a one-click “flat” option when you want an even sleep surface. Personalized massage is another perk of the base. Thanks to the dual zoning, you and your partner can each enjoy a massage without disrupting the other person. Three speeds are available.
Another nifty feature is the universal mount that makes the base compatible with virtually any headboard on the market. Each side is equipped with USB ports for charging your portable devices at night. Adjustable legs also let you customize the height between 6.5 and 11.5 inches, which may be beneficial for people with mobility issues who have a difficult time getting in and out of bed. Under-bed lighting also helps you avoid stubbed toes during the night.
How It Performed
The Adjustable Base was popular among our testers for a few reasons. We enjoyed the one-click presets, as well as the quick transition between flat and zero-G using the wireless remote. The base’s massage function is also state of the art. Each speed setting is distinct, and should cater to users with different pain levels.
The Puffy Adjustable Base is available in twin XL, full, queen, and split king sizes. Assembling the bed is a fairly straightforward process and shouldn’t take more than a few minutes from start to finish. Shipping is free of charge for customers in the contiguous U.S. and each purchase is backed by a 101-night sleep trial. Should you decide to keep the base, you’ll also receive a lifetime warranty that covers structural defects for as long as you retain full ownership.
Best for Snoring
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The sleek metal Brooklyn Bedding Electric Adjustable Base offers all the typical features of an adjustable base at a competitive price-point.
Designed to work with most non-slatted bed frames, the Electric Adjustable Base has motors at the head and foot of the bed, offering users independent control of each end via the wired remote.
How It Performed
This bed frame has a sturdy build that is engineered to support up to 650 pounds. Although it’s built to be durable, it also weighs less than many competing bed frames. The Electric Adjustable Base sits 12 inches off the ground, leaving approximately 10 inches of storage space beneath the bed. The base is only available in queen size.
Brooklyn Bedding offers a 2-year limited warranty. The adjustable base ships free to customers in the contiguous U.S. All sales are final.
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The GhostBed Adjustable Base is packed with additional features that set it apart from the crowd.
In addition to the standard features, the GhostBed Adjustable Base offers 15 massage settings. The base is equipped with underbed LED lighting and four cleverly placed USB ports that allow users to charge devices overnight without cords getting in the way. A wireless remote control comes with preset options including positions for TV, anti-snoring, and zero gravity. The remote also has a flashlight function.
How It Performed
This gray upholstered base with anti-skid fabric sits on a steel frame designed to fit most bed frames. There are multiple options available for adjusting the head of the bed, the foot of the bed, or both.
The GhostBed Adjustable Base is shipped mostly preassembled, and users can finish attaching the legs and other parts with no tools required. The base comes with six steel legs and is 15 inches tall when assembled.
GhostBed sells the base in twin XL, queen, and split king sizes. The company offers free shipping in the contiguous U.S. and backs the base with a lifetime warranty. Coverage is limited after the first year, though customers can extend the full warranty to a 3-year term for an additional fee.
The Sleep Foundation team has many years of experience testing and reviewing sleep products to help readers make informed choices.
Our recommendations for the best adjustable beds for seniors take into account durability, special features, and how each base performs during our testing process. With a view to tailoring our recommendations to older adults, we also consider factors such as bed height and pressure-relieving settings.
Not only are adjustable beds convenient, but they may also help alleviate symptoms of certain health conditions that are commonly experienced by older adults.
Research suggests that sleeping with your head elevated may have medical benefits for heartburn and obstructive sleep apnea. That said, an adjustable bed should not be considered a replacement for proper medical attention. If you experience symptoms of these conditions, make an appointment with your health care provider to discuss treatment options before purchasing an adjustable bed.
GERD: Gastroesophageal reflux disease (GERD) can cause uncomfortable symptoms such as heartburn when lying down. Studies have shown that elevating the head of the bed can reduce these symptoms.
Sleep Apnea: People with obstructive sleep apnea (OSA) experience multiple lapses in breathing as they sleep due to physical changes in the airway that occur when lying down. Raising the head of your adjustable bed may help keep the airway open and reduce snoring and OSA symptoms.
People who live with edema or frequent nighttime urination may find relief by elevating their legs when sleeping. Be sure to consult with your doctor before integrating an adjustable bed into your sleep routine. They can help you decide if an adjustable base is right for you, and work with you to develop a comprehensive treatment plan.
Edema: When fluid is unable to move freely through the body’s tissues, it can cause swelling. This condition, called edema, occurs most often in the feet and ankles. Adjustable bases that keep the legs elevated may help optimize circulation to reduce swelling.
Nocturia: Nocturia is the medical term for waking up with the urge to urinate. Although many people consider this a normal part of aging, making multiple bathroom trips can cause significant disruptions to your sleep, so it’s important to address the issue if possible. Elevating your legs with an adjustable bed can help balance fluid levels in the body.
It’s common for arthritis and joint pain symptoms to flare up at night, especially if pressure points form where the body makes contact with the mattress. Adjustable beds allow users to adjust their position to take pressure off sore areas where arthritis symptoms occur.
Most adjustable bed models offer options for raising and lowering the head or foot of the bed, or both. If your budget allows, you can also purchase models with additional features such as massage and heat functions that may help alleviate arthritis and joint pain symptoms.
Due to their more complex design, there are several unique factors to consider when purchasing an adjustable bed as opposed to a standard foundation. You’ll have to make sure it is compatible with your mattress and your existing bed frame, if applicable. It’s also a good idea to note the weight of the frame, ease of assembly, warranty and shipping policies, and extra features such as the ability to move both sides independently.
Adjustable bases are somewhat of a specialty item, so before you start your search, it’s helpful to have an idea of what you’re looking for.
Not all mattresses are designed to work with adjustable bed frames. Hybrid and innerspring models, in particular, may become damaged if they are not used with a flat surface. Check with your mattress manufacturer if you’re not sure whether your mattress is compatible with an adjustable base.
Split or Single Base
As they age, sleep partners may have differing needs from an adjustable bed frame. Usually offered in king or California king sizes, a split base offers the ability to adjust each side individually as long as the mattress is also a split model.
Adjustable beds are quite heavy due to their internal mechanisms and metal frames. Most models weigh between 140 and 200 pounds and are not designed to be moved by a single person. Older individuals who anticipate difficulty moving the bed into the desired position may want to ask for help to avoid injuries.
Although most adjustable bed frames are designed to be set up without tools, the assembly process is often complex. Many retailers offer the option of White Glove delivery, in which a delivery team assembles the base for you. This service may come at an additional cost.
The average price for a queen size adjustable bed frame is around $1,500. This price-point is slightly higher than regular bed frames because of the extra machinery. Shoppers can also find more expensive options with additional features, as well as competitively priced models for less than $1,000 that may be appealing if you are retired and living on a fixed income.
In addition to the standard ability to adjust the head and foot of the bed, some adjustable bases offer preset positions, massage functions, underbed lighting, USB ports, and other specialty features.
Most adjustable bases come with a warranty to protect consumers against manufacturing or workmanship defects. The typical warranty length for the frame is 10 years, which may vary from brand to brand. Warranties may also cover replacement or repair of the mechanical and electrical components, but this coverage tends to be limited to just a few years.
Hospital beds and adjustable beds both offer adjustable heights, but hospital beds are generally more utilitarian and may not offer luxury add-ons like massage functions.
|Bed Type||Adjustable Bed||Hospital Bed|
|Benefits||Adjustable beds tend to offer more features, such as massage functions, preset positions, and underbed lighting.||Hospital beds have functional designs that are intended for easy cleaning.|
Adjustable bases offer many benefits for older adults. The ability to raise the head or foot of the bed can be crucial for preventing pressure points from forming or relieving symptoms of chronic health conditions.
Although sleep experts recommend against spending time in bed while you are not sleeping, sometimes this is unavoidable for people recovering from injuries or those who live with chronic pain. Adjustable beds can help you be more comfortable while you read, watch TV, or visit with family while in bed.
Mattress choice is highly personal, and the best mattress for you depends on your body type, your preferred sleep position, and your needs and preferences. Older adults with chronic pain might prefer a pressure-relieving memory foam mattress, whereas those with limited mobility might prefer a hybrid model with reinforced edge support.
Be sure to check if your existing mattress is compatible with an adjustable base before purchasing a new base or mattress.
Hospital beds, as well as certain accessories like bedside rails, qualify for Medicare Part B coverage as durable medical equipment for people who meet certain requirements. Medicare covers 80% of the cost to buy or rent the bed, and you are responsible for the remaining 20% and for meeting your deductible.
To obtain partial coverage for a hospital bed, your doctor must confirm you have a medical condition or severe chronic pain that requires you to adopt certain positions or frequently change positions.
You, your doctor, and the company that provides the bed must all be Medicare participants. Commercial adjustable bases may not be considered durable medical equipment.
The Sleep Foundation editorial team is dedicated to providing content that meets the highest standards for accuracy and objectivity. Our editors and medical experts rigorously evaluate every article and guide to ensure the information is factual, up-to-date, and free of bias.
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At Sleep Foundation, we personally test every product featured in our reviews and guides. This hands-on approach allows us to provide accurate, data-driven recommendations for mattresses, pillows, sheets, and other sleep essentials.
Guidelines for our testing methodology are as follows: