8 Best Adjustable Beds for Seniors: Sleep Independently as You Age in Place

Jun 01, 2024
Fact Checked
After 550 hours of research and testing, we selected eight adjustable beds from brands including Saatva, Sealy, and Puffy based on price and the features most helpful to senior sleepers.
Best Value
Nectar Adjustable Bed Frame
In-home delivery and setup available
50-night sleep trial
Cost of queen: $1,499.00
Best Overall
Best for Arthritis and Safe Mobility
Saatva Adjustable Base Plus
Free delivery and setup
Free mattress and old bed frame removal
Cost of queen: $1,599.00
Best Trial Period
Puffy Serenity Adjustable Base
Lifetime warranty
101-night sleep trial
Cost of queen: $1,399.00

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?

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.

If you’re considering an adjustable bed, we hope our reviews of these eight brands will help you to make an informed decision.

The best adjustable bed for seniors in 2024

Compare the best adjustable bed frames for seniors in May 2024

Nectar Adjustable Bed Frame Visit Site
Saatva Adjustable Base Plus Visit Site
Puffy Serenity Adjustable Base Visit Site
Sealy Ease Power Base Visit Site
Casper Adjustable Base Max Visit Site
Tempur-Pedic TEMPUR-Ergo ProSmart Base Visit Site
Sleep Number FlexFit 3 Smart Base Visit Site
Reverie R650 Adjustable Power Base Visit Site
Trial period 50 No 101 No 30 No No No
Warranty 3 25 Lifetime 25 10 25 15 20
Cost of queen $1,499.00 $1,599.00 $1,399.00 $999.00 $2,495.00 $2,499.00 $2,399.00 $2,299.00

Best adjustable beds for seniors

Best Value: Nectar Adjustable Bed Frame

Best Value
9.3 Excellent
9.3 Excellent
Why we chose

Nectar Adjustable Bed Frame offers a wide array of features for the price, which is why it earns our nod for “Best Value.” This base includes some great highlights, like head and foot adjustability, multiple presets (TV recline, anti-snore, and zero-gravity) and memory buttons, timed head and foot massage options, USB ports for convenient device charging, zero clearance, adjustable legs, and a remote control with a built-in flashlight.

Pros and cons
Pros Adjustable leg height Low price compared to others Generous 50-day trial Cons Bed setup needs to be arranged for separately Three-year warranty
  • Cost of queen: $1,499.00
  • Trial period: 50 nights
  • Sizes available: Twin XL, full, queen, split king
  • Payment options: Master, Discover, American Express, VISA, PayPal, Google Pay, Amazon Pay, Afirm, Splitit, and Acima Leasing
  • Warranty: Three years
  • Weight limit: 750 lbs
Additional information

When buying an adjustable bed, it’s important to consider inclusions beyond the base itself. Nectar offers a lengthy, 50-night trial period, with free returns during the trial window. While the warranty only lasts three years, you can opt for Extend Insurance for an additional fee (up to $199 depending on bed frame size), which adds 10-year accidental damage coverage.

Nectar commonly runs promotions and sales, keeping their beds and frames affordable. Plus, Nectar accepts many different payment methods, including credit cards, third-party payment vendors, and payment plan options.

Delivery is free, but in-home setup is available for $199 only if a new Nectar mattress is purchased with the frame.

Customer service

If you need to contact customer service, you can do so by reaching out via:

  • Phone 888-863-2827 available 24/7
  • Email support@nectarsleep.com
  • Online chat is available on the Nectar website, 24/7

Customer reviews

Nectar earns 2.5 out of 5 stars on BBB and has 256 reviews. The most recent reviews with high marks pertain to Nectar mattresses, while the lower recent reviews reference quality issues like mold and stains. Nectar does actively addresses customer reviews and concerns in a timely manner, though.

On Trustpilot, Nectar receives 4.2 out of 5 stars with 13,280 reviews. Similar issues were reported on both sites, and high marks were received for the mattress materials—though “softening” takes time. Additionally, reviewers seem pleased with Nectar’s seamless ordering and delivery. Like on BBB, Nectar is equally attentive in responding to concerning reviews on Trustpilot.

We did not see any reviews referring to negative quality or experiences with adjustable bed frames.

Best Overall

Best for Arthritis and Safe Mobility: Saatva Adjustable Base Plus

Best for Arthritis and Safe Mobility
9.4 Excellent
9.4 Excellent
Why we chose

Saatva Adjustable Base Plus offers mobility-friendly features that help you move safely and—for those with arthritis—with less pain. At $1,599 for a queen, this base comes with free white-glove delivery, so you don’t have to worry about assembling your adjustable base or hiring someone to do it. Saatva is also one of the few brands that will remove your old mattress and base at no cost. If you’re over age 65, a teacher, or a military veteran, you can also get $225 off purchases of more than $1,000.

Pros and cons
Pros Free white-glove delivery Free mattress and old bed frame removal Wall-hugging adjustability Under-bed and remote lighting 18-inch leg height Full-body massage Offers twin size for compact spaces Cons No trial period or returns
  • Cost of queen: $1,599.00
  • Trial period: No
  • Payment options: VISA, Mastercard, Discover, American Express, PayPalGoogle PayAffirm
  • Sizes available: Twin, twin XL, full, queen, king, California king, split king, split California king
  • Warranty: 25 years
  • Weight limit: 850 pounds (lbs)
Additional information

Saatva Adjustable Base Plus legs are adjustable up to 18 inches, one of the highest in the industry (rivaling the 18.25-inch adjustable legs on the Sleep Number FlexFit 3 Smart Base). Higher bed frames can help taller individuals stand up from bed with less effort, but this feature is an advantage even if you’re not tall. If standing from a seated position is painful for your knees, hips, or lower back due to conditions like arthritis, a taller surface can help reduce stress and pain in those areas as you sit or stand up from your bed. Excessively tall surfaces relative to your height may also be difficult to navigate, though, so consider testing different bed heights at a Saatva location or during the in-home setup before committing to the highest setting.

This adjustable base also helps you to reach your nightstand more easily with its wall-hugging design, keeping the head of the bed against the wall even as it is adjusted to a different position. Beds without this function will move away from the wall and your nightstand as you adjust the bed to sit up, but a wall-hugging bed keeps you in place so you don’t have to reach behind you for your bedside items.

According to research, environmental modifications like decluttering the floor and removing potential tripping hazards like large furniture are one of the most effective ways to reduce falls risk[2] Saatva offers its adjustable base in one of the smallest sizes available, standard twin, which is 38 inches wide by 75 inches long and costs $1,249 without the mattress. Twin-size adjustable beds are a valuable consideration for solo sleepers who want to create more walkable floor space in the bedroom. If you use a cane or a walker, it’s even more important to free up walkways in your home. The under-bed lighting and remote with built-in flashlight may also help reduce the risk of falls.


The Saatva Adjustable Base Plus displayed in a showroom
A Reviews Team member visited a Saatva showroom to test its adjustable bases.

For more information about Saatva features, like its full-body massage to promote relaxation, read our full review on Saatva adjustable bases.

Customer service

Reach Saatva customer service via:

  • Phone (877-672-2882), available 24/7
  • Email (info@saatvamattress.com)
  • 24/7 live chat on the website

You can reach a live agent on the chat feature by selecting “Chat with a Live Sleep Guide,” and you should be in touch with someone quickly.

Customer reviews

Saatva had an impressive reputation on review websites when this article was written. BBB gives this brand an A+ score, with a 4.75 out of 5 star rating from more than 1,600 reviews. On Trustpilot, it has a 4.5 out of 5 star rating with more than 1,000 reviews.

Customers describe Saatva as accommodating and high-quality, and they report positive interactions with customer service. Negative reviewers are few and far between, but the few one-star comments report its products aren’t durable and wear out over time.

Best Trial Period: Puffy Serenity Adjustable Base

Best Trial Period
9.6 Excellent
9.6 Excellent
Why we chose

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.

Pros and cons
Pros Long trial period Lifetime warranty Under-bed lighting Dual massage Cons No white-glove delivery or mattress removal Limited sizes
  • Cost of queen: $1,399.00
  • Trial period: 101 days
  • Sizes available: Twin XL, full, queen, split king
  • Payment options: VISA, Mastercard, Discover, American Express, PayPal, Klarna
  • Warranty: Lifetime
  • Weight limit: 800 lbs
Additional information

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. [1]

Learn more in our Puffy brand review.

Customer service

If you need to contact customer service to get more information or initiate a return, you can do so through one of these methods:

  • Phone (800-430-8380) available 5 a.m. to 8 p.m. PT, Monday through Friday; and 8 a.m. to 5 p.m. PT Saturday and Sunday
  • Email (support@puffy.com)
  • Online chat available on the website from 5 a.m. to 8 p.m. PT, Monday through Friday; and 8 a.m. to 5 p.m. PT Saturday and Sunday
  • Contact form on the website

Live agents are also available over chat during business hours.

Customer Reviews

On BBB, Puffy has a D- grade and 2.79 out of 5 stars with 62 customer reviews. While not all recent reviews are negative, the site penalized Puffy for not responding to the last 22 complaints. Trustpilot shows a different perspective—Puffy has a 3.9 out of 5 star rating with 90 reviews and is active in responding to both positive and negative comments.

Many recent reviews are positive, reporting pleasant experiences with customer service and Puffy products. But some negative reviews report items arrived later than promised, or customer service isn’t as helpful as others claim it to be.

Best Budget-Friendly Option: Sealy Ease Power Base

Best Budget-Friendly Option
8.6 Very Good
8.6 Very Good
Why we chose

Sealy Ease Power Base gets our “Best Budget-Friendly Option” because of its low price compared to other brands in the industry. While the average price of the best adjustable bases is about $1,854, this power base is $999 for a queen size base, which includes in-home delivery, professional assembly, and a lengthy 25-year warranty.

Pros and cons
Pros Low price Free white-glove delivery Offers twin size for compact spaces Cons No trial period or returns No massage feature or custom presets
  • Cost of queen: $999.00
  • Trial period: No
  • Sizes available: Twin, twin long, full, queen, king, California king, split king, split California king
  • Payment options: VISA, Mastercard, Discover, American Express, and Sealy Credit financing
  • Warranty: 25 years
  • Weight limit: 650 lbs
Additional information

Unfortunately, low-cost adjustable bases come with fewer features. This base doesn’t offer a massage feature or customizable settings, but you do get to enjoy standard head and foot adjustability. The wireless remote control offers two one-touch settings: a zero-gravity setting that raises the head and foot of the bed for a cradled position, and a flat setting that returns you to a horizontal position.

This base is a simple option, but sometimes less is more. Many adjustable bases have more features than you need, increasing the cost. Even without all the frills, Sealy Ease Power Base offers comfort to those who sleep well in a reclined bed position, and easier mobility for those who want to use the adjustable head to help them get out of bed.

Customer service

If you need to contact customer service, you can do so by reaching out via:

  • Phone (800-697-3259) available 8 a.m. to 8 p.m. ET, Monday through Friday; 9 a.m. to 6 p.m. ET Saturday; and 10 a.m. to 6 p.m. ET Sunday
  • Email (consumersupport@sealy.com)
  • Live chat on the website
  • Contact form on the website

Customer reviews

Online customer reviews for Sealy are limited, so it’s difficult to determine if customers are satisfied with its products. The brand has a B- grade on BBB, but no reviews. Trustpilot gives it 2.9 out of 5 stars with only two reviews.

Sealy does have a significant presence on Facebook, with more than 469,000 followers. People engage with posts often, asking questions about products and interacting with other followers. Most comments are positive, and Sealy regularly answers questions and inquiries about its products.

Best for Basics: Casper Adjustable Base Max

Best for Basics
9.6 Excellent
9.6 Excellent
Why we chose

Casper Adjustable Base Max earned “Best for Basics” in this review for its wall-hugging feature and in-home setup options—and earned “Best for Older Adults” in our best adjustable bed roundup. Although Puffy offers a longer trial period, it lacks those options, making Casper the safer choice for those with low mobility.

Pros and cons
Pros Offers a trial period Wall-hugging Under-bed lighting Four-zone massage Cons White-glove delivery and old mattress removal costs $199 Short warranty compared to other brands
  • Cost of queen: $2,495.00
  • Trial period: 30 days
  • Payment options: VISA, Mastercard, Discover, American Express, Visa, PayPal, Amazon Pay, Affirm
  • Sizes available: Twin XL, queen, split king, California king
  • Warranty: 10 years
  • Weight limit: 750 lbs
Additional information

Unlike Saatva, you can test out your Casper base to ensure it’s the right choice for you before fully committing. While you might have to pay $199 for in-home setup and old mattress removal, many brands don’t offer this service at all, so it’s nice to have it as an option.

Casper has a few outstanding features besides the wall-hugging feature, like under-bed lighting to help you see at night and isolated neck tilt to fine tune your positioning. Casper Adjustable Base Max also includes a four-zone massage that targets the neck, shoulders, back, and feet.

If you’re trying to decide between Casper and Saatva and other changes to your home, consider contacting a certified aging-in-place specialist who can evaluate your home to determine which modifications are most appropriate for your needs. You can also ask your doctor for a referral to a physical or occupational therapist who can evaluate you and make recommendations based on the results of a mobility and strength assessment.

Customer service

Our Reviews Team found it easy to reach Casper customer support using one of its contact methods:

  • Phone (888-498-0003) available 9 a.m. to 9 p.m. ET, Monday through Friday; and 9 a.m. to 6 p.m. ET Saturday and Sunday
  • Chat on the website available seven days a week from 9 a.m. to 9 p.m. ET

Customer Reviews

The BBB rated Casper an A+ for consistently responding to customer complaints, but customer review scores are 1.1 out of 5 stars with only 30 reviews. Ratings on Trustpilot are higher, with 3.7 out of 5 stars and more than 6,000 customer reviews.

More than 80% of customer reviews on Trustpilot are at least 4-star, reporting improved sleep after their purchase. Unfortunately, Casper has been getting a lot of one-star ratings recently, with many customers citing later deliveries than promised. Some BBB reviews echo the same complaints.

Best for Back Pain: Tempur-Pedic TEMPUR-Ergo ProSmart Base

Best for Back Pain
9.5 Excellent
9.5 Excellent
Why we chose

The Tempur-Pedic TEMPUR-Ergo ProSmart Base is one of the best-equipped adjustable bed frames for those who have chronic pain, particularly in the lower back, which is why we named it “Best for Back Pain.” Although adjustable bases and mattresses should never be the first line of defense when addressing pain, they can help when used alongside proper treatment under clinical guidance.

Pros and cons
Pros Mobile app offers sleep tracking Lumbar support Under-bed lighting Free white-glove delivery Automatic snore response SoundScape mode Two-zone massage Cons May not be appropriate for all back pain No trial period or returns Old mattress removal requires mattress purchase
  • Cost of queen: $2,499.00
  • Trial period: No
  • Payment options: VISA, Mastercard, Discover, American Express, and Tempur-Pedic credit cards
  • Sizes available: Twin long, queen, king, split king, California king, split California king
  • Warranty: 25 years
  • Weight limit: 650 lbs
Additional information

Aside from basic adjustability and preset positions, Tempur-Pedic is one of the few bases that offers adjustable lumbar support. The base comes with a built-in bar that can be raised up to six inches to support your lower back.


A Reviews Team member visited a Tempur-Pedic showroom to test its adjustable bases.

The TEMPUR-Ergo ProSmart Base also offers three unique features to help you fall asleep and stay asleep throughout the night—features that are especially important if your body is recovering from injury or illness. Seven to eight hours of quality sleep in older adults is associated with lower body inflammation (like arthritis), which research has shown can help reduce pain levels. [3]

  • Sleep-Tracker AI: Available in the App Store and Google Play, this mobile app connects with your adjustable base to track your sleep patterns through motion sensors. It can detect your heart rate, breathing rate, and how often you wake at night. Nathan Kadlecek, Doctor of Physical Therapy and owner of Kadalyst Wellness and Physical Therapy in Monterey, California, told us “sleep deprivation can exacerbate pain, while a good night’s sleep can actually help lower pain sensitivity.” This is also supported by research[4] Tracking your sleep quality can help you identify the daily triggers that are disrupting your sleep, like stress or diet, so you and your health care provider can work together to better manage and treat your pain.
  • Automatic snore response: If your snoring disrupts your sleep, automatic snore response can help you stay asleep. When the base detects movement that indicates disrupted sleep, it elevates the head of the bed 12 degrees to prevent further sleep disturbance.
  • SoundScape mode: The TEMPUR-Ergo ProSmart Base base has built-in speakers to play soothing sounds that can help lull you to sleep. Certain frequencies and intensities of sound (like white and pink noise) may help improve sleep quality, according to an academic review published last year, which reported the effects of different types of relaxing sounds on a variety of adult populations. [5]
Screenshots of the Tempur-Pedic Sleep-Tracker AI app on iPhone
The Tempur-Pedic Sleep-Tracker AI app can track your sleeping patterns and display results on dashboards.

It’s important to note Tempur-Pedic does not offer a trial period for its adjustable bases. You can test a Tempur-Pedic adjustable base model at one of its stores, but once your bed frame has been delivered and set up, the sale will be final, with no option for return or refund. Before purchasing any product to address pain, be sure to consult with your doctor or a physical or occupational therapist to determine the best treatment plan.

Learn more in our Tempur-Pedic adjustable bed review.

Customer service

If you need to contact Tempur-Pedic, you can do so using one of these methods:

  • Phone (888-811-5053) available 9 a.m. to 11 p.m. ET Monday; 9 a.m. to 9 p.m. ET, Tuesday through Friday; 9 a.m. to 7 p.m. ET Saturday; and 9 a.m. to 8 p.m. ET Sunday
  • Contact form on the website
  • Online chat on the website, with live agents available from 10 a.m. to 6 p.m. ET and a chatbot available 24/7

Type “Talk to Live Agent” into the online chat box, and you will be given an option to connect with a real person.

Customer Reviews

Tempur-Pedic has an A+ grade and a 1.03 out of 5 star rating with 155 customer reviews on BBB. Similarly, the company has a Trustpilot score of 1.2 out of 5 stars with 116 customer reviews.

Many customers across both review sites report negative experiences interacting with customer service and trouble getting the full repair coverage promised in the warranty. Note the warranty covers full parts and labor for the first three years, then removes labor coverage for the rest of the 25-year term. Some comments reference dissatisfaction with the strict no-returns policy on Tempur-Pedic bases, so be sure to read all terms and conditions before you buy.

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.2019.0165Best for Snoring: Sleep Number FlexFit 3 Smart Base

Best for Snoring
8.9 Very Good
8.9 Very Good
Why we chose

Sleep Number FlexFit 3 Smart Base offers you a way to reduce your partner’s snoring from disrupting your sleep. Split king and split California king bases, which are divided into two smaller bases for individual adjustability, allow you to control your partner’s head position. Select the snore-reduction preset to slightly elevate your partner’s head to open the airway and prevent snoring from impacting their sleep—and yours.

Pros and cons
Pros Mobile app offers sleep tracking Adjust the anti-snore position for your partner Foot-warming function 18.25-inch adjustable leg height Under-bed lighting Free white-glove delivery Cons No twin sizes No trial period or returns Shorter warranty length than most Wireless remote sold separately for $49 Old mattress removal costs $49 (depending on location)
  • Cost of queen: $2,399.00
  • Trial period: No
  • Payment options: VISA, Mastercard, Discover, American Express, Sleep Number Credit Card through Synchrony
  • Sizes available: Full, queen, king, split king, California king, split California king
  • Warranty: 15 years
  • Weight limit: 800 lbs (400 lbs per chamber)
Additional information

Beware of loud snoring, which may need medical attention, as it could indicate a more serious condition called sleep apnea. The National Institute of Health reports this is a common type of sleeping disorder, characterized by breathing difficulties and low oxygen intake. [6] Sleep apnea is most common in older adults and can lead to brain decline if left untreated, according to the American Journal of Respiratory and Critical Care Medicine[7] If you suspect you might have sleep apnea, ask your doctor for a referral to a sleep specialist who can help you determine the treatment that’s right for you. Sleep Number does not offer a trial period or refund, so it’s especially important to confirm an adjustable bed will comply with your doctor’s treatment plan.

Like Tempur-Pedic, Sleep Number offers a sleep tracker. The Sleep IQ mobile app (available in the App Store and Google Play) tracks the same metrics, including sleep quality, to help you understand your sleeping patterns over time. If the tracker shows you’re waking more often, it could be the result of increased snoring. You should seek care from your doctor or ask for further testing to determine whether you have sleep apnea. The app also serves as the bed’s wireless remote control. Sleep Number doesn’t include a traditional wireless remote with your purchase, but you can add one to your order for $49.

Check out our review of Sleep Number adjustable bases.

Customer service

If you need to contact Sleep Number customer service, reach out via:

  • Phone (888-411-2188) available 8 a.m. to 8 p.m. CT, Monday through Friday; 8:30 a.m. to 5 p.m. CT Saturday; and 10 a.m. to 4:30 p.m. CT Sunday
  • Live chat on the bottom right corner of the website

Customer Reviews

Sleep Number has a mixed online reputation. On BBB, it has an A+ grade and a 4.56 out of 5 star rating with more than 3,700 reviews. But on Trustpilot, it has a 1.4 out of 5 star rating with 138 reviews.

Negative reviews report malfunctioning bases, like loud squeaking during base adjustments and frames getting stuck in positions. But happy customers comment on attentive customer service agents and improved sleep after purchasing Sleep Number products.

Best for Caregivers: Reverie R650 Adjustable Power Base

Best for Caregivers
9.0 Very Good
9.0 Very Good
Why we chose

The Reverie R650 Adjustable Power Base offers a unique full-body tilt function that angles the entire bed into a head-up or a head-down position. When you combine head and foot adjustability with full-body tilt, you can fine tune your position to promote circulation and relieve pressure throughout your body. And if massage helps you to relieve pain, this base offers 10 intensity options for a fully customizable massage experience using the remote control included with your bed (which comes equipped with a flashlight for nighttime visibility), or the Nightstand app, which is available in the App Store and Google Play.

Pros and cons
Pros Full-body tilt function Massage feature with 10 intensities Mobile app available as controls Under-bed lighting and back-lit remote Free white-glove delivery Cons Delivery can take up to three weeks No trial period or returns
  • Cost of queen: $2,299.00
  • Trial period: No
  • Payment options: VISA, Mastercard, American Express, Google PayKlarna
  • Sizes available: Twin XL, queen, king, split king, California king, split California king
  • Warranty: 20 years
  • Weight limit: 850 lbs
Additional information

A bed with this type of fine-tuned adjustability can be especially helpful for caregivers who assist with regular self-care and home mobility, since bed positioning can help your caregivers with the physical effort needed to accomplish bed transfers and position changes. But for those who need high-level assistance for advanced medical conditions, a hospital bed may be a more appropriate option to look into before making a non-refundable adjustable bed purchase.

If you’re looking for advanced adjustability but are not a candidate for a hospital bed, the Reverie R650 Adjustable Power Base may be a good alternative. Make sure to test and use the inverted tilt feature safely in a showroom before making your purchase decision. One of the risks of using an inverted bed is that standing up too quickly from an inverted position can make you feel light-headed and faint, so it’s important to take your time getting out of bed.

Customer service

If you need to contact Reverie, you can do so via:

  • Phone (888-888-5990) available 9 a.m. to 6 p.m. ET, Monday through Friday
  • Contact form on the website

When our Reviews Team contacted Reverie over the phone, we were told to leave a voicemail message after a seven-minute hold time. An agent called us back within two business days, but we found a number of customer reviews report being unable to reach customer support at all.

Customer Reviews

On BBB, the company has a D- grade and a 1.12 out of 5 star rating with only 34 customer reviews. Like Puffy, the site penalized Reverie for not responding to recent complaints, many of which cite difficulty reaching customer support about product warranties. Trustpilot doesn’t have an active profile for Reverie.

On Facebook, Reverie has more than 57,000 followers. Reverie actively responds to comments and questions there.

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:

“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.

Health benefits of adjustable beds

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]NCOA Adviser Adjustable Beds Survey. 1,000 respondents. Conducted using Pollfish. Launched June, 2023. 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.

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]NCOA Adviser Adjustable Beds Survey. 1,000 respondents. Conducted using Pollfish. Launched June 2023.

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.

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.

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.


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.


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 we chose the best adjustable beds for seniors

Based on our expert consultations and research, we determined the following factors to be important for our readers when shopping for an adjustable bed:

We had all of our selections medically reviewed by an expert in the field to ensure each brand and model is appropriate for NCOA readers’ needs.

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.


  1. NCOA Adviser Adjustable Beds Survey. 1,000 respondents. Conducted using Pollfish. Launched June 2023.
  2. 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/
  3. 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
  4. 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/
  5. 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
  6. What is Sleep Apnea? National Institute of Health. Found on the internet at https://www.nhlbi.nih.gov/health/sleep-apn
  7. 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
  8. Medicare.gov. Durable Medical Equipment (DME) Coverage. Found on the internet at https://www.medicare.gov/coverage/durable-medical-equipment-dme-coverage
Nicole Hernandez is a writer and physical therapist who empowers people to make informed decisions about their health as a writer and clinician. She has written for NCOA, AginginPlace.org, and physical therapy clinics to educate readers on fall and injury prevention, rehabilitation, home modifications, and other clinical themes including hearing aids and medical alert systems.
Brittany Ferri Headshot
Brittany Ferri Medical Reviewer
Brittany Ferri, PhD, OTR/L is an occupational therapist, author, writer, and business owner. She specializes in mental health, teletherapy, geriatrics, and medical writing. Clinically, she has worked in assisted living facilities, hospitals, and home health agencies. She attended Quinnipiac University for her Master’s and Saybrook University for her PhD in Integrative Mental Health.
Kathleen Cameron
Kathleen Cameron Reviewer
Kathleen Cameron, BSPharm, MPH, has more than 25 years of experience in the health care field as a pharmacist, researcher, and program director focusing on falls prevention, geriatric pharmacotherapy, mental health, long-term services and supports, and caregiving. Cameron is Senior Director of the NCOA Center for Healthy Aging, where she provides subject matter expertise on health care programmatic and policy related issues and oversees the Modernizing Senior Center Resource Center.
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