What’s the Best Mattress For Adjustable Beds?

What's the Best mattress For Adjustable Beds?

Finding the best mattress for adjustable bed bases is an important part of getting a sleep system you will be happy with and comfortable on. In our last article, we discussed how owners’ adjustable bed satisfaction averaged around 85%.  However, average mattress satisfaction is much lower, around 65-75% depending on the source. This means choosing a good mattress proves more difficult, something that many a shopper is familiar with. When looking for an adjustable bed mattress, you also have additional considerations, as it must be able flexible and durable in addition to comfortable and supportive. So, in this article we will look at the different types of mattresses used on adjustable beds and which offers the best prospects for comfort.

Adjustable Bed Mattress Options

The mattresses available for adjustable bases comprise the standard range, including foam, and spring beds. Memory foam remains the highest rated mattress overall in consumer surveys, with latex a close second and innersprings a distant fourth or fifth. Thus, mattress comfort with adjustable beds is likely to be fairly similar, compounded by the natural flexibility of foam mattresses.

Here is how we rank the types, from best to worst:

  1. Memory Foam
  2. Latex
  3. Innerspring

What Makes Memory Foam the Best Mattress for Adjustable Beds?

The best mattresses for withstanding the rigors of adjustable bases will be flexible and durable. Memory foam mattresses and latex mattresses are ideal for adjustable beds, as their cellular structure is able to bend to fit the contours of the frame, and resilient enough to withstand repeated compressions. Additionally, these types of beds offer support regardless of position, whereas springs were designed with horizontal sleep in mind.

The advantages and benefits of combining a memory foam mattress with an adjustable bed are numerous. This setup grants users the pressureless, contouring benefits of memory foam and the positioning, pressure reducing benefits of adjustables, with the benefits of both products complementing each other.

Latex mattresses offer another good, spring-free alternative. This type of mattress offers a different feel than memory foam, while still offering highly durable, pressure free support.

Most people buy adjustable beds in an effort to reduce pain, however when used with innerspring beds, users will still experience pressure points and less than optimal support. While spring mattresses can be cheaper, another issue, especially with bases that have attached mattresses, is durability as the pillowtop compresses and the springs wear, meaning they will need to replaced more often than high-quality foam.

How to Choose the Best Mattress for Adjustable Beds

  • Opt for a mattress depth less than 12 inches. Memory foam and latex of 8″ should offer sufficient support for back sleepers and lighter individuals. Side sleepers or heavier individuals may prefer 10″-14″ beds, but keep in mind, the thicker the mattress the less flexibility you will have.
  • Make sure the bed is spring-free: memory foam beds have a poly foam core, however latex mattresses should be all latex and nothing else.
  • Most adjustable bases are non returnable, but the mattress should have a return or exchange period (whether bought separate or as a set).
  • Compare many models, shop online for the best deals.

Our Recommendation

Overall, to get the most of your adjustable sleep system and enjoy optimal comfort, we recommend a memory foam mattress. In a previous articles, we have compared leading brands of memory foam. Based on those comparisons, we  suggest Amerisleep’s memory foam mattresses for adjustable beds, as they offer a good value and generous return period. Additionally, the plant-based material does not contain the toxic VOCs and flame retardant chemicals found in some other brands, and sleeps cooler avoiding the heat issue. For mattresses only, prices start at $649. Adjustable packages start at $1399.

Adjustable beds continue growing in popularity as they provide more comfort than traditional beds while fitting into even the most modern of bedrooms. From sleeping horizontal, to lounging in zero gravity, these beds offer the pinnacle of sleep comfort for all ages and abilities. Whether you are looking to replace an old adjustable mattress or considering a new set, it is important to research and choose an optimal mattress, as this is the component that actually supports your body. By choosing memory foam, the best mattress for adjustable beds, you can ensure comfort and quality rest for years to come.

66 thoughts on “What’s the Best Mattress For Adjustable Beds?

  1. We previously had a Beauty Rest for 10 years and had no problem with motion transfer. We bought a Serta adjustable base with a Serta mattress. With this expensive new bed I could feel every movement of my husband! We went back to Mattress Firm and were able to trade up to a Beauty Rest, thinking the Serta mattress was at fault. Nope…same result with the Beauty Rest so my conclusion is that it’s the adjustable base’s fault. When it’s kept flat, I don’t feel him move quite as much. However, we don’t sleep with the base in the flat position! I’m very disappointed because I now wake up every time he does…which is at least twice a night (he goes to the toilet).

  2. I currently have a Queen interspring with headboard and footboard and want to replace it with a Queen adjustable. My bed has wooden side boards where the slats which hold the box spring are placed across the inside lip. The dimensions of the adjustable frame is 60 x 80; the same as dimensions of a Queen bed. How will the frame fit within the open space? I am ready to purchase but am afraid because the base is non-returnable.

  3. I’m 70 years old and have to sleep on a memory foam mattress when at my daughters. It is uncomfortable and difficult for heavier older people to get out of a memory foam bed. I actually have to grab onto something and pull myself out, regardless if I’ve slept on my side or back. Personally, I hate them. After being in bed a while I also get too warm and actually sweat.

  4. Memory foam is a petroleum product and if you look at the warranties it excludes the natural “softening” of the foam. Depending on the user a typical memory foam bed will begin to soften and cause back problems after 4 or 5 years. Pure natural latex, while more expensive, has similar support and pressure relief of memory foam but does not “soften” over time. It’s not uncommon for a 6 or 8 inch pure natural latex mattress to last 30 years or more without forming body impressions and losing support. I’ve had inner spring, memory foam and latex mattresses. I will never buy anything but latex. Also, latex mattresses do not have the allergic issues because the vulcanization (baking) process to solidify the liquid latex kills the protein that causes the allergies. A good manufacturer also triple washes the slab of latex to remove the soaps used in the Dunlop and Talalay process.

  5. Will a sleep number twin mattress work on any other adjustable bed frames? I am trying to convert a regular sleep number twin bed to an adjustable twin.

  6. I miss my normal pocket sprung mattress
    I love the adjustability of my new bed
    I hate the mattresses designed to go with it.
    Why- no matter which combination of mattress one gets for these beds they are HOT – HOT- HOT Sleeping in the tropics but zero degrees outside ??! forever trying to cool off – not a great sleep+colds/flu due to poor body temperature control caused by mattress
    Bet the sales team didn’t tell you that one

  7. will a standard pillow top mattress work with a adjustable bed? We have been using a warming mattress cover and would like to keep using it. I am leery about using the warming mattress cover with a foam or latex mattress.

    Please advise.

    Jo

  8. My husband is a heavy man. He has breathing problems also. We bought an adjustable memory foam from Bob’s. Mattress lasted less than a year and a half. There is no movement allowed on the mattress and I have a hard time rolling over and getting out of bed. I was always uncomfortable. You can really sit on side of bed to get dressed or whatever, because it sinks in. It was comfortable for him, but would shift from side to side at night – in morning mattress on his side would be hanging off by 4 or 6 inches and be unsupported. Too heavy of a mattress to maneuver also, so hard to us to get back in place. Have to say that Bob’s stood by their warranty and gave us full replacement price. We went back there and bought an upgraded spring mattress that they said could be used on the adjustable frame. Three weeks later it is sagging where it the bend is when head is up… now I am afraid they will say it is our fault for being overweight… not sure what to do… anyone have any suggestions as to the best type of mattress for heavy people? I think, unfortunately, that the foam is better for the adjustable bed but…

  9. Thank you for providing info. I have a 12 yr old natural expressions mattress and would like to replace it with another latex king size. I am in my early eighties and budget is a problem. I prefer latex as I have a Leggett and Platt adjustable base and I love it. Any suggestions would be appreciated. Thank you.

  10. I have spina bifida and use a motorized chair..I just recently got an adjustable bed and besides the mattress being to soft for me, I love it. It makes it hard for me to get in and out of bed..since I’m only using my upper body to move around, I think I need a firmer mattress and by the recent comments I don’t think my old pillow top mattress will work..so please help me out with some ideas..thank you

    1. I just got rid of my hospital bed and purchased a Sealy adjustable bed which I’m very happy with. Your mattress won’t quite fit it’s going to be about 4 inches wider than the hospital bed itself. At least I have discovered this through 3 different mattresses.

  11. I paid way too much for a Serta Perfect Sleep, adjustable bed with a memory foam mattress. It lasted about one year, and now I SINK into the divets. It’s a miserable mattress, and the company has done everything it can to not honor the warranty. Their so-called warranty is full of loopholes so as to not replace a mattress.

    Buyer beware. I wake up each morning in extreme pain, and get out of bed like an old lady, and I am miserable, not to mention, I’m out almost three thousand dollars.

    I never had theses kinds of problems with the traditional box spring mattress, but I got the hard sell at the mattress store and thought memory foam would be an upgrade. Please, heed my words of warning.

    1. You are so right. I have a bad back and was talked into memory foam. It doesn’t have enough lumbar support for me. Felt ok in the store but is home now….worst bed I have ever slept on!! Most people seem to like them. Some say that they are good for bad backs,they contour. I got a firm one,but feel like I’m in a hammock. I hate mine and am stuck with it!! I’m out a couple thousand dollars! I now can’t afford a new one 🙁 If you need support…Stay far away from Memory Foam!!!

    2. I agree 100%. I have had nothing but trouble since I bought mine. I sink into the middle and it is hard to get back out of it. Now looking for an a boxspring mattress.

    1. Yes, Memory foam mattresses are compatible with pretty much all adjustable beds, solid foundations, and closely spaced slats.

      Thanks for reading!

  12. I have a reaction to latex, but by using a nice thick mattress protector pad, I am able to sleep on a 100% latex foam mattress.
    I bought a Serta Motion Essentials queen mattress and a Legget and Platt adjustable base…the mattress seems to bulge in the middle…and it is only 6 months old. I am thinking of putting my queen latex mattress on the base. Latex mattresses do not come in different supports, but are naturally firm, you can use a topper to make them feel softer if you want.
    I find the adjustable beds are great for acid reflux!

  13. Will an all cotton futon work on an adjustable bed frame. Do latex mattresses come in firm support. I don’t like the sinking feeling of memory foam. Thank you.

    1. I forgot to ask how important is it to have the bar at the end as the Beauty Rest Frame I’m looking at doesn’t have one so will the mattress start to slip forward? Also, I’m curious what happens to my pillows if you don’t have a bed board behind the frame? Will they fall on the floor? I also can’t get a clear answer from the sales person if this frame hugs the wall. It looks like it sits out about two inches in the store. She says that any bed board in the store can be attached to the bed as this seems like it would help. Sears has good price but terrible customer service.

    2. If the frame you purchase is one of the modern that are solid pieces covered with a material. That cotton futon would not work well on hospital-style bed with the Springs underneath.

    3. I do not have a headboard. Never did. Just got adjustable frame from Art Van Pure Sleep. Not happy with my bed and worry the regular matress will wear out faster due to the movement of the adjustable frame. The bed is too high. I spent two nights adjusting and adjusting and adjusting to try to get comfortable. Want my old bed back. That old is still fine after 12 years. Bought a memory foam excellent topper at Better Back Store and it lasted 7 years before leaving my butt side sleeping indentation. I could not sleep on new i comfort Spring combo bed until I topped it with my topper. Day three. For 1700 bucks, I wish I never did this. They want 147 back for my matress, and don’t take back their over 600 adjustable frame typically. They are charging me 15 % of cost just to take it BACK.
      Had two hips replaced this spring and summer at age 57. Beds cost a fortune. I don’t like the feel of memory foam or the smell of gas coming out of plastic pillows and materials.

  14. There are mattresses now made by Bodyease that have 50mm of memory foam on a base of latex. I was thinking of having one of these until I read your comments.

  15. I have a 10 year old Leggett and Platt adjustable bed frame that came with an innerspring mattress. After five years the mattress was sinking in the middle. No one ever mentioned a memory foam mattress to me at the time so I replaced the mattress with another innerspring. Now five years later this mattress is doing the same thing. I wonder if I could buy a Tempur-Pedic memory foam mattress topper to put on top of the existing innerspring to solve the issue?

    1. Hello!

      Toppers can be helpful for adding softness/pressure relief on top an existing mattress, so long as the bed beneath is still supportive. If you have deep impressions or feel the springs seem weak in some spots, a topper likely won’t be enough to correct the issue (and spending on a high-end one can often be almost as much as replacing the mattress).

  16. These comments are very interesting and helpful. I just bought a Kingsdown Mattress from Rooms to go and was told it works well with the adjustable base. But after reading comments above, I’m beginning to wonder. It is part memory foam and springs. Should I be concerned?

  17. Hello,
    I have a client who has Parkinsons Disease. I think he is ready for an adjustable bed.
    I understand that an innerspring mattress not good. How about a Gel Foam Mattress? Would the gel cause the mattress to fail quicker?

  18. I have a temperpedic mattress on my adjustable bed. I used to love it but now it seems to be too soft and my body doesn’t like it anymore. Can you suggest a firm mattress for an adjustable bed? I was wondering if the sleep number bed would work, this way I can adjust firmness or softness to what my body wants. My mothers bed used to feel like a brick to me and I couldn’t lay on it without my hips hurting. Now I’ve taken a few naps on it and slept very well. Can arthritis suddenly not like the sinking in of the Temperpedic and wants hard and firm for support???

  19. Hi Have just bought a adjustable bed is a king size in 2 single 2ft 6inch units. My problem is that the matress’s do not fit the base there is a almost 4inch gap in the middle if yoy place the matress’s on the side of the bed and if you put the 2 matress’s together there is a gap on both sides of the bed. Am I being unreasonable to expect the matress’s to cover the base? Was told that the matresss’s would ‘stretch’ to fit the base ……eventually feel like I am going mad??!!

  20. Stay away from Kingsdown mattresses on adjustable bed frames! They bulge in the middle and tend to sink. Salesman swore up and down it would be fine! Over 4 grand and lasted six months! Go figure! Tempurpedic has shortened their warranty to ten years! Now, let me ask you; Are you going to purchase a Tempurpedic mattress and pay thousands only to have it sink in a few years, or less? Just read the online complaints, it is unbelievable! “Sorry Charlie!” You really didn’t tell us anything! I know from surfing and reading the “Net” that most mattresses only last four years! Yes, 4 years! Go to “Sleep Like the Dean” and read their summations. It used to be seven, and now it’s down to four! It’s time for a mattress revolution with all the manufacturers that sell us this crap, take our money, and make the warranties so constricting, they are impossible to prove! Write your congressman, States Atty’s Office and US Atty’s office and get this ball rolling!

    1. I just went to my fourth tempurpedic ..they suck unless you get the hardest one. They fail by collapsing like yor in a hammock. I work on a tugboat so i am in my bed less than 6 months a year. The raphsody model i had they dont make anymore. Go figure…now i am on a contor supreme. Hardest one they make…there warranty specs are a scam. They suck…

        1. The new Queens seems to be 57.5 inches, not the full 60 of my last Sealy Posturpaedic. The sealy has lasted. I put a foam topper on it that is high quality and that extends the mattress. I got sucked into the sales pitch at Art Van.

  21. I have a full size Temper-Pedic Ergo adjustable bed with a Temper-Pedic 8″ or 9″ firm memory foam mattress. We are considering replacing the mattress in the near future. Is it possible to increase the mattress size to a queen while using the full size adjustable base?
    Thank you

    1. Hi there! Queen mattresses are about 5 inches longer and 6 inches wider than a standard full, so basically your bed will hang off a few inches on the head and either side. These additional areas would be unsupported, meaning they likely wouldn’t provide any more useable sleep space than the full, and it could cause your mattress to wear oddly. It may also slide around more and make getting out of bed awkward. Unfortunately I don’t think this would be an ideal situation. Maybe other users can chime in if they’ve tried something similar.

      Thanks for reading!

  22. I had an old adjustable bed and I was looking for a new mattress so you article is pretty good and help me to know what kind of mattress i need. Thank you.

  23. I have seen some mattress makers claim that their conventional mattresses are fine for use on an adjustable bed but my firsthand experience, especially with thicker mattresses of 9+ inches, is that unless specifically designed for an adjustable bed, these standard mattresses will buckle and bulge when you raise the head of the bead up, thus making the mattress totally unsuitable contrary to what Leggett and Platt claim. It’s very disappointing for this company to deceive consumers who are investing hundreds of dollars in a mattress.

    1. I use mine with a standard mattress at least I think it’d be considered standard pillow top with the individually wrapped coil springs and as long as I’m in the bed when I raise the back it’s fine with no buckle or bulge.

  24. My mom is getting up there in years and wants to elevate her head but loves her bed and frame and was wondering if there was a mattress that she could adjust without getting rid of her bed.

    1. Hi Tracie,

      Many adjustable beds can be used within regular wood bed frame furniture (and then you would just use the mattress of choice on top). The “wall-hugging” feature means that the base moves within it’s footprint (not beyond), so it won’t affect headboards/footboards. You would want a model that has stationary legs (not casters), and would just need to measure the internal dimensions and the overall height of the bed frame to determine how high the adjustable bed would need to be to fit in. Several models have different leg heights to accommodate different beds. When shopping, you’d just need to confirm with the manufacturer that the base is designed for use within bedframes. Thanks for reading!

  25. We are looking for 2 xl king beds with gel memory foam mattress and adjustable beds would like to no what doctors would recommend

  26. I have an old adjustable bed that is still in working order (so far). The mattress is attached to the base with a metal piece in the center under the mattress. The base does not have a retainer bar at the foot of the base. The mattress needs to be replaced. What mattress can replace it?

    1. Hello,

      If the base is the type that requires a specific type of attachment, check replacement options with the manufacturer or you could also see if they offer an attachable retainer bar that would allow you to use a mattress of your choosing.

  27. How can the tempur foam mattress be kept from shifing out of place? This is causing quite a problem for a freind with serious back issues. Any help will be greatly appreciated.

    1. Hello,

      If the adjustable base came with a retainer bar at the bottom, make sure it is installed properly and the mattress is pushed close to it before adjusting the bed. Another helpful solution is to place a non-slip pad (the kind designed for rugs) between the mattress and base, especially if either has a slicker surface. Hope this helps!

      1. We bought a memory foam adjustable bed. Mattress didn’t last a year and a half. Kept shifting like this though – from side to side. They are too heavy to handle and readjust each night. Husband would be laying off unsupported like 6 inches by morning! I thought about the pad, but then we had the bed replaced. Hope the pad works for you.

  28. I have an very old adjustable bed whose mechanism seems to still be working. However, I had to put a memory foam topper on the current mattress to improve comfort. Can I remove the old (spring) mattress and the topper and get a whole new memory foam mattress as replacement?
    Will the foam mattress bend in the right place(s) when the motor raises head or foot of bed? A family friend seemed to think this could be a solution vs. purchasing a whole new bed.

    1. Hi there!

      If your base is the type with a separate mattress and adjustable base, you can certainly replace the mattress. The ones where the mattress and base are physically connected as one unit might be a little tricker to separate (but not necessarily impossible). Memory foam and latex mattresses usually work great with adjustable frames, and don’t have a problem flexing. A mattress under 12 inches thick would give you the best flexibility. Just be sure to check with the retailer to make sure the warranty is adjustable-compatible (regardless of mattress type). Thanks for reading!

  29. Can anyone tell me whether an adjustable base will fit with the bed I already have? I like my headboard and footboard.

    1. Hi there! You will want to look for an adjustable bed that has the “wall-hugger” design, which means that the head of the bed stays towards the nightstands, and that the bed will adjust within the footprint of the frame. If your current bed has a headboard and footboard that attaches to the metal frame, you’ll also want to ask the retailer to include both headboard and footboard brackets to attach them to the new base. If you have an all-in-one bed frame (where the headboard/footboard are attached to wood rails and the metal frame sits inside) than you would just use the adjustable bed within the current frame, and would want to ensure the dimensions are compatible.

  30. I have laid on a memory foam topper and I couldn’t move! I am also allergic to latex and have an adjustable base! I currently have a new mattress I will be returning. What can I do about memory foam and sinking I problem?
    Help!
    Jane Ackerman

    1. Hi sorry we didn’t see your comment sooner! The “sinking effect” is a trait that can turn some people off of memory foam, but not all memory foams feel the same. Some brands use faster response or temperature neutral memory foams which minimize this sensation. You may also want to try a bed with a thinner layer of memory foam, just enough to provide cushioning but not so much that you feel trapped. If you prefer the way spring mattresses feel, there are some that are designed to work with adjustable bases, but make sure they specifically say so and know that they may need to replaced sooner. Let us know if you have any other questions!

  31. I cannot tolerate foam mattresses. I have tried one with an innerspring
    that suited me perfectly but it was much too expensive and had too many
    accessories for which I have no use. Where can I find one with innerspring?

    1. Hello,

      Memory foam material is polyurethane-based, and should be latex-free unless the mattress states it contains layers of latex foam as well.

      The article at the URL below has a section explaining the basics of memory foam ingredients, and Wikipedia also has an overview. If you have a specific bed in mind, I’d suggest calling the company and verifying ingredients. Thanks for reading!

      http://www.consumermattressreports.org/whats-in-my-bed-guide-to-common-mattress-materials/
      http://en.wikipedia.org/wiki/Memory_foam

  32. Your article, “What’s the Best Mattress For Adjustable Beds?” is followed by a link to a comparison of non-adjustable mattresses, the Amerisleep Liberty vs Tempur-Cloud Supreme Breeze.

    A comparison of adjustable foam and latex mattresses would be more helpful for those of us who came to the article specifically for adjustable bed information.

    1. Hello! This article was focusing on mattress options for adjustable bed bases (the ones that are sold separate from mattresses, which can be used with a mattress of the buyer’s choosing), rather than the adjustable beds with the mattresses attached or packaged with the base. For these types of bases, most memory foam (like Tempur and Amerisleep) and latex mattresses will make a good team. But I see your point, and will make a note to include comparisons of adjustable bed+mattress sets for an upcoming post. Thanks for stopping by!

    2. Put a thin wooden board under the matertss. it can be in two halves to store easily after, then put a quilt on top of the matertss as extra padding. Works a treat. You’ll be sleeping on it yourself.

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