Elder Care Cost: Nashville, TN vs Fresno, CA (2026)
Nashville, TN assisted living runs $4,400/month — $800/month less than Fresno, CA's $5,200/month. That's $9,600/year.
Nashville, TN, TN
$4,400
assisted living/month
-$100 vs national avg
Fresno, CA, CA
$5,200
assisted living/month
+$700 vs national avg
Nashville, TN vs Fresno, CA — All Care Types
Monthly costs. Green = lower cost. National average shown for context.
| Care Type | Nashville, TN | Fresno, CA |
|---|---|---|
| Assisted Living | $4,400/mo ✓ | $5,200/mo |
| Nursing Home (Private) | $8,200/mo ✓ | $10,200/mo |
| In-Home Aide | $4,600/mo ✓ | $6,200/mo |
| Memory Care | $6,100/mo ✓ | $7,100/mo |
| Adult Day Care | $1,350/mo ✓ | $1,750/mo |
Source: Genworth/CareScout Cost of Care Survey. 2026 estimates.
Annual Cost Impact
For assisted living, Nashville, TN costs $52,800/year vs Fresno, CA's $62,400/year.
Monthly savings
$800
Annual savings
$9,600
2-year total savings
$19,200
% difference
18%
Savings = Fresno, CA cost minus Nashville, TN cost. Assisted living only.
Overall, Nashville, TN is more affordable — lower cost on 5 of 5 care types.
Frequently Asked Questions
Is elder care cheaper in Nashville, TN or Fresno, CA?
Nashville, TN has lower assisted living costs at $4,400/month vs. $5,200/month in Fresno, CA — a difference of $800/month ($9,600/year).
What types of elder care are compared here?
This page compares five common senior care types: assisted living, nursing home (private room), in-home aide (44 hrs/week), memory care, and adult day care. These cover the full range from part-time supervision to full residential skilled nursing care.
How do these cities compare to the national average?
The national average for assisted living is $4,500/month. Nashville, TN is $100 below the national average. Fresno, CA is $700 above the national average.