Pricing ranges from
    $2,570 – 3,950/month

    The Neighborhood at Madison

    49 Hughes Rd, Madison, AL, 35758
    4.4 · 49 reviews
    • Assisted living
    AnonymousLoved one of resident
    5.0

    Highly recommended caring, home-like facility

    I moved my mom here and couldn't be happier - the staff are kind, attentive and truly treat residents like family. The facility is clean, nicely decorated and home-like, meals are excellent, and activities are plentiful so she's made friends and thrives. Communication and the administrator's leadership made the transition smooth and reassuring. There have been a few staffing hiccups and rare rude individuals, but overall the care, community, and responsiveness are exceptional - I highly recommend.

    Pricing

    $2,570+/moStudioAssisted Living
    $3,420+/mo1 BedroomAssisted Living
    $3,950+/mo2 BedroomAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    4.43 · 49 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.2
    • Staff

      4.4
    • Meals

      4.1
    • Amenities

      4.3
    • Value

      3.6

    Pros

    • caring and compassionate direct care staff
    • family-centered, home‑like atmosphere
    • responsive nurses and med‑techs
    • on‑site physician services
    • nutritious, well‑balanced meals (many praise the chef)
    • diet‑conscious options (low salt, no sugar)
    • room delivery of meals / accommodating dining
    • 24/7 pendant call system
    • on‑site beauty salon
    • transportation to medical appointments
    • efficient medication management (in many reports)
    • thorough weekly room cleaning and laundry service
    • timely linen changes
    • assistance with bathing and personal care
    • engaging activities director and personalized activity planning
    • wide variety of activities (bingo, singing, church, exercises, crafts)
    • clean, well‑maintained and attractively decorated facility
    • extra‑large / wheelchair‑accessible rooms (reported by some)
    • park‑like grounds and good location
    • high staff‑to‑resident ratio in many shifts
    • supportive communication with families
    • warm, inviting atmosphere with strong sense of community
    • affordable pricing relative to features (mentioned by several)
    • helpful admissions/tour experience
    • amenities like front porch, game room, kitchenette in suites

    Cons

    • management turnover and leadership uncertainty
    • inaccurate billing and administrative errors
    • lost/misplaced documents
    • instances of improper or unprofessional staff behavior (demeaning, cursing)
    • salon services sometimes unavailable or inconsistent
    • medication misunderstandings in some cases
    • alleged breaches of contract and policy by management
    • pending/state investigation mentioned by reviewers
    • reported lack of administrative acknowledgment after adverse events (including death)
    • staff retention problems and variability in staff competency
    • safety hazards in showers / trip hazard at shower rim
    • reported neglect (left in shower, falls)
    • isolation of residents during meals for incontinence issues
    • inconsistent food quality (meals sometimes not hot or less appealing)
    • periods without competent hairdresser leading to poor hygiene
    • some rude or judgmental nurses/aides and dietary staff
    • high cost for highest level of care noted by at least one reviewer
    • promised activities or services not always fulfilled
    • mixed reports on salon/beauty services availability
    • some reviewers strongly advise against trusting the facility

    Summary review

    Overall sentiment across the reviews is mixed but leans positive with important, recurring caveats. Many reviewers highlight genuinely caring, compassionate direct‑care staff who create a family‑like atmosphere and provide individualized attention. Nursing staff, med‑techs, and certain administrators and activities staff receive frequent praise for responsiveness, warmth, and communication with families, and multiple reviewers report that their loved ones improved emotionally and physically after moving in. The facility is repeatedly described as clean, attractively decorated, and well maintained, with pleasant grounds and useful apartment features (one‑bedroom suites, kitchenettes, roll‑in showers). Amenities commonly noted as strengths include on‑site physician access, transportation to medical appointments, a 24/7 pendant call system, weekly housekeeping and laundry, and an active, personalized activities program (bingo, singing, church services, exercises, crafts) that many residents enjoy and help shape.

    Dining is a prominent positive theme for many reviewers: several praise an excellent chef, balanced menus, and diet‑conscious options (low salt, sugar‑free), with some describing the food as a highlight of the community. Many residents appreciate the accommodating dining approach and the variety of meal choices. Physical accessibility and apartment size are noted positively by several families—some specifically mention extra‑large, wheelchair‑accessible rooms and pleasant common spaces like a front porch and game room.

    Contrasting this generally favorable picture, a notable cluster of serious administrative and care concerns appears repeatedly. Several reviewers report problematic leadership changes and staff turnover that coincided with administrative errors (inaccurate billing, lost documents), inconsistent service delivery (salon unavailable, activities unfulfilled), and at least one allegation of contractual breaches around end‑of‑life care. One review describes a pending state investigation and alleges that management failed to appropriately acknowledge a resident's death. These incidents suggest variability in management quality and potential gaps in operational oversight that have materially affected some families.

    There are recurring reports of inconsistent staff competence and isolated but significant safety or dignity issues. While many staff are praised, reviewers also describe "bad apples": rude or judgmental nurses, aides or dietary staff, and at least one account of a resident being left in a shower resulting in a fall. Several reviewers raised concerns about hygiene when salon/hairdressing services were unavailable for extended periods. Another recurring negative is that some residents were isolated at mealtimes due to incontinence, causing both practical and dignity concerns. Food quality also appears inconsistent: while many applaud the chef, others report meals served cold or less appealing (noting a perceived drop in quality after the chef left).

    Taken together, the pattern is one of a community with many strengths—compassionate caregivers, strong social programming, clean and comfortable facilities, and several useful on‑site services—offset by variability tied largely to management stability, staff retention, and occasional lapses in safety, professionalism, or administrative competence. For prospective families, the reviews suggest this facility can be an excellent fit when the experienced, committed staff are present and leadership is stable, but caution is warranted: ask specific questions about recent management turnover, staff turnover rates, incident reporting, past regulatory findings, billing practices, shower safety modifications, and contingency plans for salon and dining continuity. Visiting during mealtimes, observing activity programming, and speaking to current families about recent leadership changes would help gauge whether the positive aspects described by many reviewers are consistently in place at the time of placement.

    Location

    Map showing location of The Neighborhood at Madison

    About The Neighborhood at Madison

    The Neighborhood at Madison sits at 49 Hughes Rd in Madison, Alabama, and offers seniors a safe place to live while giving them as much independence as possible, and the community has different living spaces like studios, one-bedroom, and two-bedroom apartments, each with their own floor plans, nice finishes, and private bathrooms, plus there's walk-in closets and kitchenettes, and if folks like sitting outside, there are relaxing porches with rocking chairs and views of Alabama's rolling hills, with the whole place being designed to give a feeling of family and comfort. Residents can have chef-prepared meals, join in on Bible studies, social groups, and council meetings, or take part in daily activities and outings to nearby parks, restaurants, and entertainment, and with all kinds of community programs, there's always a chance to stay engaged and build friendships, and if anybody likes to read there's a library and plenty of common spaces with puzzles and books. The place does provide more care if it's needed, such as assisted living, memory care, skilled nursing, home health care, adult day care, and respite care, with trained caregivers around 24/7 to help with daily needs, medication, or personal care, aim being to keep folks feeling safe but not take away their independence, and they partner with skilled local agencies for on-site therapy and personal services. The apartments are pet-friendly, and the grounds are well-kept with walking paths, barbecue spots, and nice outdoor views, and the area itself is protected by local laws for LGBTQ residents, which helps everyone feel safe. Rent starts at $2,570 a month, which runs a bit lower than the Madison area average, and the staff, called associates, keep things running smoothly with help always nearby, including emergency call systems in the rooms. The place tries to keep life simple, with housekeeping, transportation, beauty and barber services, laundry, and social outings offered, and if health care's needed, they've got Medicare-certified home health and even hospice care, plus access to local medical centers only a short distance away, so it really lets residents age in place without having to move again if their needs change. All in all, The Neighborhood at Madison leans on creating a strong sense of community, letting folks live in comfort, take part in daily life, and get the care they need, all in a clean and well-appointed setting.

    About Phoenix Senior Living

    The Neighborhood at Madison is managed by Phoenix Senior Living.

    Founded in 2010 and headquartered in Roswell, Georgia, Phoenix Senior Living operates approximately 42-48 communities throughout the Southeast United States. The company provides assisted living, independent living, and memory care services with a personalized approach. Their philosophy centers on the core belief that "when it comes to a loved one, EVERYTHING matters."

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