5 Best Adjustable Beds for Seniors: Expert Tested and Reviewed

The Saatva Adjustable Base Plus is the most reputable choice for older adults because it offers the most important considerations identified by our survey respondents, including price, white glove delivery, available discounts, and mobility-friendly features.

• Trial period: No.
• Warranty: One-year full warranty followed by a nine-year limited warranty for the Adjustable Base, five-year full warranty followed by a 20-year limited for the Adjustable Base Plus.
• Sizes: Twin, twin XL, full, queen, king, split king, California king, split California king, upper-flex queen, upper-flex king.
• Weight capacity: 850 pounds.
• Standout: Offers a diverse range of sizes, styles, and features that assist bed mobility and address common sleep-impacting issues, like acid reflux or snoring.

• Adjustable Base: Head and foot adjustability, wireless remote with a built-in flashlight, removable legs, adjustable leg heights between 13–18 inches.
• Adjustable Base Plus: Additional massage features, wall-aligning design, custom and pre-programmed presets, upper-flex options, under-bed lighting.

Saatva earned our “Best Overall” pick in our best adjustable beds roundup, and the result is the same for older adults. No other brand we’ve tested consistently meets consumers’ needs, offering adjustable beds at a below-average price and at a significant discount for people 65 and older.

This brand doesn’t skimp on sought-after features and services, like free white glove delivery.

When we tested both Saatva models, the Adjustable Base Plus stood out as having the most practical features, especially for older adults with mobility issues. Here’s what we thought of each one:

• Quiet head elevation: We could elevate the head of the bed to a fully seated position, which helped us pivot out of bed easily. The Plus’s whisper-quiet motor was barely noticeable during the adjustment, so if you’re sleeping with a partner, you won’t wake them when you need to get up.
• Wall alignment: This advanced feature shifts the head of the bed closer to the wall as it elevates to improve nightstand accessibility. Beds without this feature positioned us farther away from the nightstand, which made it harder to reach bedside items. While the wall alignment allowed us to grab items on the nightstand with less effort, our shorter testers still had to reach behind them. It’ll only make a difference for people with a longer reach.
• Adjustable leg height: Both Saatva models offer 13- to 18-inch leg heights to accommodate people who feel safer standing and sitting from a particular height. Many people with painful joints or leg weakness find it easier to stand from a higher surface, so we like that Saatva offers one of the tallest leg heights in the industry.
• Built-in lighting: Our testers thought the under-bed lighting was bright enough to illuminate the bed’s immediate surroundings and reveal tripping hazards but dim enough not to wake a sleeping partner. If you get up throughout the night, we recommend you purchase movement-activated night lights along your walkway to maximize safety or take advantage of the remote’s built-in flashlight. And if you decide to place your adjustable base in a decorative bed frame, choose a thinner one that doesn’t block the bed’s lighting.

The Saatva Adjustable Base Plus can elevate the head to a near-seated position.

Many people in our survey didn’t have any particular issues to address when they bought their adjustable base. They were just looking for a comfortable bed that promotes better sleep, prioritizing presets to conveniently change positions as needed. The Plus model offers one customizable preset button and four preprogrammed positions (zero gravity, anti-snore, flat, and head up), but if you’re looking for more, you should check out Nectar.

Nectar has the most presets of any model, making it a convenient choice for people who spend time reading and lounging in bed.

• Trial period: 50 nights.
• Warranty: Three-year limited, can extend to 10-year full coverage at checkout.
• Sizes: Twin XL, full, queen, split king.
• Weight capacity: 750 pounds.
• Standout: Includes the most sought-after pre-programmed presets, including TV and reading modes, and a custom preset for convenient positioning.

• Nectar Adjustable Frame: Head and foot adjustability, remote or app controls, zero gravity, anti-snore, TV recline position, reading position, massage, USB-A ports, built-in remote flashlight, removable legs, adjustable leg heights between 3–8 inches with 2-inch extenders.

Older adults in our survey prioritized presets when buying an adjustable bed for convenient one-touch positioning without fussing with pillows. The Nectar Adjustable Frame offers the most comprehensive lineup of presets, including TV and reading settings (which are more uncommon) that elevate the head of the bed.

Your Nectar Adjustable Frame will come with the following positions:

• Zero gravity: Elevates your head and feet into a cradled position.
• Anti-snore: Raises the head to alleviate snoring or acid reflux for many people.
• TV: Elevates the head of the bed to a near-seated position for watching television.
• Reading: Adjusts you to a chaise lounge position ideal for reading.
• Flat: Returns you to a fully flat position.
• Custom: Allows you to set your own favorite position.

Despite Nectar’s number of presets, the remote design is uncrowded and easy to decipher. We also like that every preset is one touch, meaning you can press the button once for an adjustment. Some brands’ models, like the BedTech BTX5, required us to hold the button down during the entire adjustment, which we think defeated the purpose of a preset.

Our team also deems Nectar as a good option for older adults who receive caregiver assistance because the various one-touch presets make transfers and position adjustments easier. However, for those at risk of pressure injuries (like bedsores) and who require more assistance, a hospital bed would offer more adjustability and may be covered by Medicare.

Puffy offers a 101-night trial period while many other brands we’ve tested are final sale, making this base the least risky option for those who are nervous to commit.

• Trial period: 101 nights.
• Warranty: Limited lifetime.
• Sizes: Twin XL, full, queen, split king.
• Weight capacity: 800 pounds.
• Standout: Offers a generous 101-night trial period.

• Puffy Serenity Adjustable Base: Head and foot adjustability, two-zone massage, 10–20 minute massage timer, zero-gravity preset, USB-A charging, under-bed lighting, built-in remote flashlight, removable legs, adjustable leg height between 5.75–15 inches.

The Puffy Serenity Adjustable Base stood out to our team because the brand lets you try your adjustable bed at home for 101 nights while many other brands we’ve tested don’t offer a trial period at all. We also liked that most sizes fell within the $1,500–$1,999 budget of many older adults in our survey, and frequent promotions lower costs by up to $300.

Many focus group participants expressed how it took several months to commit to an adjustable bed—despite doctor recommendations and ongoing medical issues—because they were nervous about the cost and adapting to the change. Finding an affordable adjustable base with financing options, a long trial period, and a money-back guarantee could have encouraged them to make the purchase sooner. Waiting so long to commit to a new bed was a regret across the board.

Our team spotlights brands with trial periods because it’s important to address poor sleep patterns as soon as possible. Otherwise, it can result in worsening physical and mental health. Long-term sleep deprivation can increase inflammation, leaving you more vulnerable to age-related conditions like heart disease, osteoporosis, or dementia.

As you search for solutions like adjustable beds, start addressing other factors that are within your control now. Sean Ormond, an interventional pain management doctor at Atlas Pain Specialists, recommends sticking to a regular sleep schedule, creating a relaxing bedtime routine, creating a cool and dark sleeping environment, avoiding caffeine and alcohol before bed, and getting regular exercise during the day.

Puffy’s long trial period and low price aren’t the brand’s only appealing factors. Our testers liked that this base offers two custom preset buttons on the clearly labeled remote to set more of your favorite positions versus some other brands offering just one custom preset or none at all. We also noticed that Puffy has one of the quietest motors of all the adjustable bases tested, including Saatva, which is important for smooth adjustments that don’t wake your partner.

Despite lacking a TV/reading mode, Puffy can adjust to a near-seated position, similar to Nectar and Saatva.

But we don’t like that Puffy doesn’t offer white glove delivery. Unless you or a friend are comfortable lifting Puffy’s heavy platform (135 pounds for a queen), you’ll need to hire someone else to do the job.

If that’s a deal-breaker, you can consider Nectar’s 50-night trial period and white glove delivery. Unfortunately, Nectar’s white glove delivery options change often, so you’ll need to confirm the service at checkout.

The Sealy Ease adjustable bed is the most budget-friendly option for people who need free in-home setup and simple adjustability without extra features that increase the price.

• Trial period: None.
• Warranty: 25-year limited.
• Sizes: Twin, twin long, full, queen, king, split king, California king, split California king.
• Weight capacity: 650 pounds.
• Standout: Queen sizes (and smaller) cost under $1,000, which is well below most people’s budget of $1,500–$1,999.

• Ease: Head and foot adjustment, wireless remotes, zero-gravity preset, removable legs, adjustable leg height between 3–12 inches.

We chose Sealy as the most affordable adjustable bed because it starts at $899, which is about $150–$500 below the other beds on our list. This brand also includes in-home setup while many other brands charge for this service or don’t include it at all, like Puffy. According to older adults in our survey, not having white glove delivery could be a deal-breaker because adjustable bases are heavy to carry.

Our team likes how Sealy’s base offers no-nonsense features and an uncomplicated remote. The Ease was one of the easiest adjustable bases to test because of its user-friendly controls, large buttons, and smooth adjustments.

The Ease’s hand-size remote has easy-to-use buttons, featuring head and foot adjustability, a one-touch flat button, and zero-gravity mode.

This base is best for people who just require basic head and foot adjustability to get comfortable or address a specific medical issue, like acid reflux, snoring, or low back pain.
We noticed that the head of the bed doesn’t rise to a near-seated position like Nectar, but you still get up to 57 degrees of head adjustability, which is more than enough to ease breathing and alleviate snoring or heartburn.

One of our focus group participants said that simple adjustable bases are important to consider but often hard to find, stating that the “bells and whistles” are attractive at first but don’t always address the primary reason you need an adjustable bed. They shared that finding a simple bed within their budget and with free white glove delivery was extremely challenging, taking up to nine months to finally find and commit to the right option. If you can relate, Sealy may be your best choice

The TEMPUR-Ergo Smart Base offers more features that address pain, snoring, and overall sleep quality than any other adjustable bed on the market. But this model comes at a higher price range than other brands ($1,899–$3,798).

• Trial period: No.
• Warranty: 25-year limited.
• Sizes: Twin long (XL), queen, king, split king, California king, split California king.
• Weight capacity: 650–850 pounds.
• Standout: Lumbar support provides additional adjustability at the lower back, and sleep tracking helps identify settings or daily factors that impact sleep quality over time.

• Ease Power Base: Head and foot adjustment, wireless remotes, zero-gravity preset, removable legs, adjustable leg height between 3–12 inches. Same model as Sealy.
• TEMPUR-Ergo Power Base: Additional lumbar support adjustment, QuietMode anti-snore position, massage, under-bed lighting, USB-A and USB-C ports.
• TEMPUR-Ergo Smart Base: All of the above plus Snore Response, sleep coaching, and smart alarm.
• TEMPUR-Ergo ProSmart Base: Additional SoundScape Mode and WindDown Programs.

More than 80 percent of older adults in the United States have at least one chronic disease, like cardiovascular issues, respiratory conditions, and dementia. While chronic diseases negatively affect sleep, poor sleep quality can also accelerate their progression, creating a vicious cycle. If you have a chronic condition, it’s important to work with your doctor and find a way to prevent the onset or worsening of certain medical issues. Sometimes, a new sleeping surface can help, like a Tempur-Pedic adjustable bed.

Of the older adults with chronic medical issues in our survey (including pain and sleep apnea), 100 percent agreed that they slept better after purchasing an adjustable bed, and Tempur-Pedic was the most popular choice. Our team recommends the TEMPUR-Ergo Smart Base because it’s the best-equipped adjustable bed to accommodate chronic medical conditions, like low back pain, and improve sleep quality over time.

Survey respondents with chronic conditions identified the following features as most important: Adjustable lumbar support, preset positions, adjustable leg height, custom presets, and low noise level during use. The TEMPUR-Ergo Smart Base checks off each one, and here’s what our testers documented:

• Adjustable lumbar support: This base has an adjustable bar situated toward the upper third of the platform, which raises up to 6 inches for extra reinforcement at the low back. This is ideal for people with low back pain who feel relief when the spine’s natural curvature is supported. But you don’t have to elevate it fully to feel the support. One of our testers has a smaller build and felt most comfortable when the bar was set lower, but larger builds may need higher settings to feel a difference.
• Preset positions: Rivalling Nectar’s preset selection, the TEMPUR-Ergo Smart Base offers zero-gravity, anti-snore, TV, and flat positions. Transitions between adjustments felt smooth, and we liked that full head elevation took less than 20 seconds. This is conveniently quick for those who use head elevation as a mobility aid while getting out of bed. We also like the Partner Snore feature, which activates your or your partner’s anti-snore preset when the bed’s sensors detect snore-related vibrations.
• Adjustable leg height: When you set up your Tempur-Pedic bed, you can choose between 3–12 inch leg heights or completely remove them to place the base on an existing frame. While we appreciate the range of heights, it can still be hard for taller individuals who have difficulty standing from low surfaces.
• Custom presets: Similar to Puffy, the TEMPUR-Ergo Smart Base has two custom preset buttons to assign your most comfortable positions. We like that this base has two custom buttons for chronic conditions, because 59 percent of survey respondents frequently use custom preset positions to find relief. Our testers used preset positions as a starting point, but the most comfortable positions were the ones we set ourselves.
• Noise level: If you’re getting an adjustable bed to help you sleep and feel better, you don’t want your partner’s adjustments to wake you as you slumber. Our team barely detected this base’s motor during testing.

Our team noticed that Tempur-Pedic’s under-bed lighting was bright, which can help you walk safely through your room at night.

We think one of the most valuable features Tempur-Pedic’s smart base has to offer is its sleep-tracking system. This base has built-in sensors that detect your heart rate, breathing rate, snoring frequency, and movement throughout the night. You can see all your sleep data on the Sleeptracker-AI app, which displays your patterns in a dashboard on your mobile phone. We appreciated the level of detail the app provided, although the amount of information felt overwhelming at first.

This advanced feature can also be a tool for you and your doctor. “Sleep tracking helps understand sleep patterns, identify potential disruptions, and gauge the effectiveness of interventions,” says Dr. Trenkle. But don’t forget to keep an eye on daytime patterns and behaviors, like your mood or what you eat, to see if there are correlations to how you sleep and feel the next day.

We don’t like that Tempur-Pedic doesn’t offer a trial period, so purchasing this base can feel risky. If you’re unsure if it’ll help, our team recommends testing different positions at home first. Elevate your head or feet with pillows or wedges, or mimic the lumbar support by using a small rolled towel under your back. If you notice relief and an adjustable base fits in your doctor’s treatment plan, it’s likely a safe investment.