About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Spruce Pine, TN

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Assisted living costs in Spruce Pine average about $4,361 per month. To find the best assisted living options for your needs and budget, browse through 57 communities in Spruce Pine. Our detailed directory has 950 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Jefferson City, Morristown and Rogersville.

Spruce Pine Assisted Living Facilities | 950 Reviews

Showing 56 communities
Last Updated: 12/10/25
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Photo of Life Care Center of Gray
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Nhc Healthcare Assisted Living
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of The Courtyards at Johnson City - The Meadows
44 Photos available
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Nestled in the Blue Ridge Mountains of Tennessee, The Courtyards at Johnson City Lakeside 2 is that retirement home in the mountains that lots of people have waited for their whole life. This assisted living community offers safety and security in a mountain setting. A place where peace and...
Photo of The Courtyards at Knoxville - The Gardens
5 star
80%
4 star
20%
3 star
0%
2 star
0%
1 star
0%
See all reviews
My aunt lives at The Courtyards in Knoxville. Every time I call and talk with her. She goes on about how amazing the food tastes. She says it's homecooked, always fresh and hot, and how amazing the staff is.
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
We are a secured community that specializes in caring for those with dementia.  Our premises are safe and secure with keypads designed for safe entry and more importantly, safe exits.   We have private and semi-private rooms.  Our rooms are approximately 245 square feet...
Photo of Renaissance Terrace
5 star
33%
4 star
33%
3 star
34%
2 star
0%
1 star
0%
See all reviews
What I like about Renaissance Terrace is it's relatively small, so the residents get a lot of individualized attention. It's also a non-profit, so they're driven by their mission statement as opposed to a...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of The Courtyards at Knoxville - The Meadows
77 Photos available
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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Cost of assisted living in Spruce Pine, TN

The average cost of senior living in Spruce Pine is $4,361 per month. Cheaper nearby regions include Bean Station, TN with an average of $3,005 per month.

Assisted living costs in Spruce Pine, TN, vs. nearby cities

Spruce Pine, TN
$4,361/mo

Assisted living costs in Spruce Pine, TN, vs. state and national averages

Spruce Pine, TN
$4,361/mo
U.S. national average
$4,705/mo

Assisted living costs in Spruce Pine, TN, vs. other senior living options

Assisted Living
$4,361/mo
$4,361/mo

Assisted living costs in Spruce Pine, TN, by floor plan type

Semi-Private
$4,342/mo
Studio
$4,839/mo
1 Bedroom
$5,486/mo
2 Bedroom
$6,264/mo
Detached Cottage/Bungalow
$3,478/mo

Senior living costs in Spruce Pine vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Spruce Pine, TN
Column state: Tennessee
Column national: U.S.
Community typeSpruce Pine, TNTennesseeU.S.
Assisted Living$4,361/mo$4,273/mo$4,705/mo
Memory Care$4,361/mo$4,365/mo$4,955/mo
Independent Living$3,619/mo$3,789/mo$4,161/mo
Assisted Living
Spruce Pine, TN:$4,361/mo
Tennessee:$4,273/mo
U.S.:$4,705/mo
Memory Care
Spruce Pine, TN:$4,361/mo
Tennessee:$4,365/mo
U.S.:$4,955/mo
Independent Living
Spruce Pine, TN:$3,619/mo
Tennessee:$3,789/mo
U.S.:$4,161/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Spruce Pine, TN, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Spruce Pine and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Spruce Pine, TNTN stateNational

Assisted living cost trends in Spruce Pine, TN

The table below shows how monthly assisted living costs in Spruce Pine have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Spruce Pine, TN$4,378/mo$4,438/mo-1.4%
Tennessee$4,552/mo$4,433/mo+2.7%
National$5,375/mo$5,129/mo+4.8%
Spruce Pine, TN
2024 average cost:$4,378/mo
2023 average cost:$4,438/mo
Percent change:-1.4%
Tennessee
2024 average cost:$4,552/mo
2023 average cost:$4,433/mo
Percent change:+2.7%
National
2024 average cost:$5,375/mo
2023 average cost:$5,129/mo
Percent change:+4.8%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Spruce Pine, TN

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Spruce Pine.

What families are saying about assisted living in Spruce Pine

Recent reviews for assisted living in Spruce Pine

The Village At Allandale in Kingsport, TN

5.0
Everyone at the community is very helpful. The staff seem to really care about the residents. They are interactive and engaging with the residents. The community tries to accommodate the residents with their restrictions and preferences for food.

Princeton Transitional Care and Assisted Living in Johnson City, TN

4.0
I would recommend it. Of the facilities in our area, this one is the best value for the money. I picked it because it is a clean, updated facility, all on one level. They have suites with doors open to a courtyard. The staff is friendly and helpful. They allow residents to have meals in their ...
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Heritage Assisted Living Fountain City Knoxville TN

5.0
Overall it has been a very positive experience for my Mom at Heritage Assisted Living Fountain City. The facility is reasonably clean and the staff is very friendly. I believe the care has and continues to be as well as could be received in any assisted living facility. The meals are provided ...
Read more

Reviews mention these favorite features of communities

Friendly and caring staff. Several reviews mention the warm and welcoming nature of the staff at their community. At American House Kingsport, they are described as attentive and caring for residents, with Brookdale Rock Springs staff going above and beyond to help families and their loved ones feel at ease during the t ...
Read more
Diverse and engaging activities. Throughout the reviews, residents and their families praise the wide range of activities offered at various communities. At Brookdale Johnson City, family members appreciate the numerous opportunities for socialization and engagement, such as daily activities, outings, and group events.At Tri ...
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Home-like atmosphere and cleanliness. Reviews often highlight the cleanliness and homelike atmosphere of different communities. At The Pointe at Lifespring Senior Living, residents and their families are pleased with the cleanliness of the facility and the warm, welcoming atmosphere, making it feel like a home away from home.At D ...
Read more
Customized care plans. Several reviews mention the individualized attention and customized care plans provided at various communities. At Windsor Ridge, Windsor Ridge works closely with residents and their families to create personalized care plans that cater to their unique needs and preferences.At The Blake at Ki ...
Read more
Delicious meals and dining experiences. Throughout the reviews, quality food and pleasant dining experiences are frequently mentioned as significant factors in residents' overall satisfaction with their community. At Heritage Assisted Living Fountain City Knoxville TN, Heritage Assisted Living Fountain City offers delicious and nutr ...
Read more
Supportive and helpful community. Reviews consistently mention the supportive and helpful nature of the communities, with staff members going out of their way to make residents and their families feel welcome and comfortable. At Wellington Manor Knoxville, the compassionate and patient staff at Wellington Manor Newport TN make ...
Read more
AI generated from the text of family reviews

Spruce Pine review score based on 268 family reviews

8.8
Review score56 facilities268 reviewsWrite a review
This proprietary review score is based on 268 reviews of 56 Spruce Pine assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Spruce Pine review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Spruce Pine review score compared against nearby cities

8.8
Spruce Pine, TN56 facilities
8.2
Bean Station, TN6 facilities
8.4
Sneedville, TN5 facilities

Review subcategories for Spruce Pine assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 268 reviews of 56 Spruce Pine assisted living communities. This chart helps you compare Spruce Pine resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Spruce Pine, TN averageNational average
Cleanliness
4.1
4.1
Friendliness
4.1
4.2
Care services
3.9
3.8
Staff
4.0
4.0
Meals & dining
3.7
3.7
Activities
3.7
3.7
Value for cost*
3.8
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Spruce Pine assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Spruce Pine assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Spruce Pine, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Spruce Pine assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Spruce Pine that offer these care services compared to the percentage of partners that offer them nationally.
Spruce Pine, TNNational
Full medication management
Full medication management
69.6%
52.5%
Doctor on call
Doctor on call
48.2%
33.8%
24-Hour awake staff
24-Hour awake staff
98.2%
96.1%
Diabetic care
Diabetic care
100%
97.6%
*Visiting health care professionals
*Visiting health care professionals
73.2%
56.7%
Home care agency on-site
Home care agency on-site
35.7%
30%
Non-ambulatory care
Non-ambulatory care
100%
96.7%
Respite or short term stays
Respite or short term stays
67.9%
47.6%
Hospice available on-site
Hospice available on-site
71.4%
52.4%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Spruce Pine assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Spruce Pine Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Spruce Pine, TNNational
Dementia behaviors care
Dementia behaviors care
75%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
41.1%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
57.1%
41.1%
Memory care only community
Memory care only community
19.6%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Spruce Pine assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Spruce Pine partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Spruce Pine, TNNational
Nutritionist / dietician
Nutritionist / dietician
37.5%
27.2%
Low / no sodium
Low / no sodium
53.6%
40.9%
No sugar
No sugar
51.8%
37.5%
Vegetarian
Vegetarian
50%
36.2%
Pureed meals
Pureed meals
23.2%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Spruce Pine assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Spruce Pine communities that offer dining options to their discerning residents compared to our partners nationally.
Spruce Pine, TNNational
Professional chef
Professional chef
26.8%
31.5%
Restaurant style dining
Restaurant style dining
46.4%
42.3%
Room service
Room service
44.6%
36.7%
Anytime dining
Anytime dining
12.5%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Spruce Pine assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Spruce Pine offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Spruce Pine, TNNational
Activity director
Activity director
57.1%
46.4%
Pet-focused programs
Pet-focused programs
50%
31%
Community service programs
Community service programs
39.3%
30.4%
Devotional activities on-site
Devotional activities on-site
71.4%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
58.9%
49.3%
Outings / off-site activities
Outings / off-site activities
78.6%
52.3%
Piano or organ
Piano or organ
57.1%
41.3%
Arts and crafts center
Arts and crafts center
39.3%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
51.8%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
64.3%
46.8%
Live performances
Live performances
58.9%
46.9%
Dances
Dances
42.9%
30.5%
Fitness center
Fitness center
21.4%
24.6%
Fitness classes
Fitness classes
62.5%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Spruce Pine

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Tennessee assisted living regulations will help you understand how assisted living communities in Spruce Pine protect seniors.
Learn about Tennessee assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports
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