Gadsden is a city in Etowah County, built along the winding Coosa River. Around 18% of its almost 34,000 residents are aged 65 and older. Gadsden’s very low cost of living clearly appeals to this age group, as does its low-cost transportation options, excellent water quality and wonderful climate. Seniors who enjoy the outdoors can be found at Noccalula Falls, which, as its name suggests, is home to an impressive waterfall. Another attraction is the Gadsden Variety Antique Mall, where visitors go as much for the atmosphere as for the eclectic mix of antiques and bric-a-brac.  

Seniors struggling with common tasks, such as house cleaning, may want to consider assisted living in Gadsden. The city’s average fees of $2,207 per month are well below the state average of $3,150 and the lowest in Alabama. For the fee, seniors typically get comfortable and safe accommodation, with housekeepers to handle cleaning and laundry duties and chefs to prepare their meals. This frees up the seniors’ time to spend as they wish.

The remainder of this guide deals with the pros and cons of living in Gadsden and the area’s senior living costs. It also lists some senior-friendly resources.

Directory of Assisted Living Facilities in Gadsden, AL

Mountain Cove Assisted Living

6330 U.S. Highway 411, Gadsden, AL, 35901

Mountain Cove was the one I would have considered for Mom. The whole place and the rooms looked nice, and there was enough space in the room for what Mom needed. It was an OK place.
Mountain Cove was the one I would have considered for Mom. The whole place and the rooms looked nice, and there was enough space in the room for what Mom needed. It was an OK place.

The Magnolia Gardens Assisted Living

520 Lasalle St, Gadsden, AL, 35906

The Meadows of Rainbow City is located in Gadsden, Alabama, moments from a variety of shopping opportunities and just down the road from Paradise Bowling Lanes. According to family members, this facil … (read more)
The Meadows of Rainbow City is located in Gadsden, Alabama, moments from a variety of shopping opportunities and just down the road from Paradise Bowling Lanes. According to family members, this facil … (read more)

Paden Ridge

255 Murray Dr, Gadsden, AL, 35903

My brother was in Paden Ridge at one point. The rooms were small but the bathrooms were really large; that didn’t really make sense to me. It was really clean. They had activities on different days, t … (read more)
My brother was in Paden Ridge at one point. The rooms were small but the bathrooms were really large; that didn’t really make sense to me. It was really clean. They had activities on different days, t … (read more)

Silver Lake Senior Living

509 Pineview Ave., Glencoe, AL, 35905

My mother is in the Dementia unit & they treat her like they would their grand mother. Very clean facility with no odor-or if there is one due to incontinence it is cleaned and smells good moments … (read more)
My mother is in the Dementia unit & they treat her like they would their grand mother. Very clean facility with no odor-or if there is one due to incontinence it is cleaned and smells good moments … (read more)

Regency Pointe

510 East Grand Avenue, Rainbow City, AL, 35906


Oak Landing Facilities

616 Gaines St SW, Attalla, AL, 35954

My mother is in Oak Landing. From what we’ve experienced, the care has been pretty good. The staff members are all sweet and nice, and they’re good to her, and that’s all I care about.
My mother is in Oak Landing. From what we’ve experienced, the care has been pretty good. The staff members are all sweet and nice, and they’re good to her, and that’s all I care about.

Woodland Place – CLOSED

2225 Hwy. 77, Southside, AL, 35907

Woodland Place is conveniently located along State Route 77 in Southside, Alabama, not far from the Coosa River and within driving distance of Silver Lakes Golf Course. Loved ones say that Woodland Pl … (read more)
Woodland Place is conveniently located along State Route 77 in Southside, Alabama, not far from the Coosa River and within driving distance of Silver Lakes Golf Course. Loved ones say that Woodland Pl … (read more)

What to Consider About Assisted Living in Gadsden

The Bureau of Health Provider Standards, which is part of the Alabama Department of Public Health, regulates assisted living facilities and issues licenses to providers that meet its conditions. Applications are processed by the Division of Provider Services, and certification to participate in Medicare and Medicaid programs is managed by the Division of Health Care Facilities.

Benefits and Drawbacks of Assisted Living in Gadsden

  • According to Sperling’s Best Places, the health cost index for Gadsden is 103.8, which is slightly above the state and national averages. However, this cost is more than offset by below-average costs in most other categories. Consequently, the city boasts an overall cost of living of 72.5, which is significantly lower than the average for Alabama and the United States.
  • Gadsden’s climate is ideal for seniors, with low temperatures averaging 30 degrees F in winter and highs settling at around 90 degrees F in summer. Snowfall is nonexistent,  so seniors don’t need to worry about slippery sidewalks. The rainfall, although 15 inches more than the national average of 38, is the reason the landscape is so green, despite 205 sunny days per year.
  • There are several medical facilities in the city, ensuring seniors have a choice when deciding where they receive their health care. They include Gadsden Regional Medical Center, Riverview Regional Medical Center and Mountain View Hospital. Medicare beneficiaries can also choose from 53 internal medicine doctors and many other types of physicians registered to treat them.
  • The crime statistics for Gadsden published by Neighborhood Scout don’t reflect well on the city. Property and violent crime are significantly more common than average. However, seniors concerned about safety may care to know that assisted living facilities often include 24/7 security and one or more members of staff always on-site. Also, many of Gadsden’s neighborhoods, such as Clubview Heights and Turkeytown, experience lower levels of crime.
  • The trolley service operated by Gadsden Transit Services is a low-cost way to get around the city and Etowah County. The service is available Mondays to Saturdays (excluding public holidays), with fares for seniors and the disabled costing $0.25.
  • Gadsden’s air quality is rated 39 out of 100, which may be an issue for seniors with respiratory issues. The city’s water quality, however, is much higher, rated as 85 out of 100, far above the national average of 55.

Paying for Assisted Living in Gadsden

Gadsden’s monthly average fee for assisted living, according to the 2020 Genworth Cost of Care Survey, is the most affordable in Alabama, at $2,207. It’s very competitive when compared to the state average of $3,150 and the national average of $4,300.

The Cost of Assisted Living in Nearby Cities

Of the nearest cities surveyed by Genworth, Huntsville comes closest in cost to Gadsden, with fees of $2,990. Birmingham’s seniors pay a little above average, at $3,156, and their peers in Anniston pay significantly more per month, at $4,135.

$2207

Gadsden

$3150

Alabama

$4300

The United States

$4135

Anniston

$3156

Birmingham

$2990

Huntsville

The Cost of Other Types of Senior Care

Assisted living is a very affordable option for seniors in Gadsden, particularly when compared to home and home health care, both of which have average fees of $3,527 (this is despite the latter providing basic medical support in addition to home care services). The survey doesn’t reveal the cost for adult day care in Gadsden, but the national average of $655 should give some indication of possible costs. Seniors who need nursing home care pay the highest fees due to the intensive nature of the care provided. They can expect to pay around $6,570 for a private room. However, they can usually get a semiprivate room for around $304 less per month.

$3527

Home care

$3527

Home health care

$

Adult day health care

$2207

Assisted living

$6266

Nursing home (semiprivate room)

$6570

Nursing home (private room)

Financial Assistance for Assisted Living in Gadsden

There are several programs to help seniors cover the costs of assisted living in Gadsden. One such program is the Elderly and Disabled Waiver offered through Alabama Medicaid, which may also have other programs for which seniors can apply. 

Learn more about these programs, plus who’s eligible, on our Assisted Living in Alabama page.

Financial Assistance for Assisted Living in Alabama

More Ways to Pay for Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Some additional ways to finance assisted living costs include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

For more information about different ways to finance assisted living, visit our Assisted Living in Alabama page.

Free Assisted Living Resources in Gadsden

Free and subsidized resources can enhance the lives of the seniors who use them. The following examples show just some of what’s available in Gadsden and Etowah County. As a starting point, seniors should contact the Area Agency on Aging, as its advisors can refer them to other nonprofits dedicated to helping the community’s older residents.

Resource

Contact

Service

(256) 413-7154

Rainbow City VA Clinic is part of the Birmingham, Alabama, VA Health Care System. It attends to the medical needs of U.S. military veterans and their families, specializing in primary care and mental health services. Vets in need of treatments not delivered at the clinic are transferred to nearby clinics within the VA health care system or to Birmingham VAMC, which is just over an hour away. 

(256) 543-3616

The Council on Aging of Etowah County is a nonprofit organization that manages some resources for seniors and refers them to others in the community if it can't help directly. Much of its work involves educating seniors on matters concerning Medicare and fraud targeted at the elderly. It also manages physical fitness programs and can assist with transportation. Although the organization's services are free, some agencies it refers seniors to may charge for their services. 

(256) 549-8147

RSVP is a national organization with a branch in Gadsden that helps adults aged 55+ connect with nonprofit organizations that rely on the help of volunteers. Seniors with life skills and experience can use their spare time to support others in the community. Examples include knitting clothes for babies, working in thrift stores and offices, mentoring Gadsden's younger residents and delivering meals to homebound seniors.

(800) 243-5463

The Long-Term Care Ombudsman is on the side of seniors living in residential care facilities. The ombudsman's services are free of charge and include educating seniors about their rights within their facilities, mediating on their behalf during disputes with the facility's owners, and investigating complaints made by them, their families and third parties. The ombudsman can also provide information about facilities, such as inspection reports, for seniors considering assisted living.

Assisted Living Laws and Regulations in Gadsden

Gadsden-area assisted living communities must adhere to the comprehensive set of state laws and regulations that all assisted living communities in Alabama are required to follow. Visit our Assisted Living in Alabama page for more information about these laws.

Assisted Living Laws and Regulations in Alabama