The Neighborhood at Madison

    49 Hughes Rd, Madison, AL 35758
    • Assisted Living

    Clean comfortable facility excellent staff

    I placed my mother here for a seven-month stay and was very pleased - the facility is clean, tastefully decorated, well-maintained with lovely grounds and comfortable, accessible apartments. The staff are warm, responsive and family-oriented, activities are plentiful, dining is excellent (great chef and balanced meals), and helpful services like salon, transportation, weekly housekeeping and a 24/7 pendant made the transition smooth; I would recommend it.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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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

    Reviews

    4.50·(56)

    Overall rating

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

      4.3
    • Staff

      4.5
    • Meals

      4.1
    • Amenities

      4.3
    • Value

      3.6

    Pros

    • Compassionate caregiving staff
    • Family-centered care approach
    • Responsive nursing and med-tech services
    • On-site physician availability
    • Nutritious hot meals with room delivery
    • Diet-conscious menu options
    • Engaging, personalized activities program
    • High staff-to-resident ratio
    • Weekly housekeeping and linen service
    • Weekly laundry service
    • Assistance with bathing and personal care
    • 24/7 pendant call system
    • On-site salon and grooming services
    • Transportation to medical appointments
    • Spacious wheelchair-accessible apartments
    • Clean, well-maintained interior and grounds
    • One-bedroom suites with kitchenettes
    • Proactive communication with families
    • Welcoming, community-oriented atmosphere
    • Convenient location and pleasant surroundings

    Cons

    • Leadership instability and staff turnover
    • Inconsistent staff conduct and communication tone
    • Variable caregiving responsiveness and bathing schedules
    • Inconsistent hair-care and salon availability
    • Food-quality and meal-temperature inconsistency
    • Billing and administrative documentation weaknesses
    • Medication-administration and communication gaps
    • Safety hazards in bathing facilities and accessibility features
    • Uneven staff competency across departments
    • Gaps in end-of-life care coordination and family communication
    • Regulatory and contract compliance weaknesses

    Summary of reviews

    Overall impression: Reviews paint a largely positive picture of daily life at the neighborhood: many families emphasize a family-like atmosphere, clean and attractive facilities, accessible apartment layouts, and a robust activities program. Staff members in nursing and support roles are frequently described as kind, responsive, and willing to go beyond basic duties; named staff and administrators receive specific praise for communication and personal attention. The physical environment, including park-like grounds, one-bedroom suites with kitchenettes, and wheelchair-accessible rooms, is consistently characterized as well-maintained and comfortable.

    Care quality and staff: Clinical care elements receive mixed but often favorable comments. Nursing and med-tech responsiveness, 24/7 pendant availability, assistance with bathing, and on-site physician access are cited as strengths. At the same time, reviewers describe variability in staff conduct and competency across departments: some aides and dietary personnel are praised, while others are described as having poor communication tone or inconsistent follow-through. Staffing instability and turnover are recurrent themes, which reviewers link to uneven service quality from day to day.

    Dining and personal services: Dining is a prominent strength for many residents — reviewers often point to nutritious, balanced menus, diet-conscious options (low-salt, no-sugar), and an attentive chef. Room-service delivery and family-friendly events around food are noted positively. Conversely, there is a pattern of inconsistent meal quality and temperature for some residents, and several reviewers linked declines in kitchen performance to staff changes. The facility offers on-site salon and grooming services and transportation to medical appointments; however, availability and stylist competency are described as inconsistent, creating gaps in routine personal-care needs.

    Activities and social life: The activities program is widely praised as varied, resident-centered, and engaging. Morning exercise, crafts, religious services, music, group presentations, and social outings are frequently mentioned. Residents who enjoy an active schedule report strong social integration and improvements in mood and mobility. Some families commented that certain programming is better suited to more active residents, so prospective residents should inquire about individualized activity plans when touring.

    Facilities, safety, and housekeeping: Housekeeping, weekly laundry, and linen service are commonly listed as reliable, and the facility’s cleanliness and décor receive positive remarks. Accessibility features such as roll-in showers and extra-large rooms are strengths where present. At the same time, there are operational safety concerns noted around bathing facilities — specifically trip hazards and older shower configurations — that merit inspection during a visit. Reviewers also pointed to inconsistent grooming schedules and occasional lapses in personal-care routines.

    Management, billing, and regulatory matters: Management performance appears mixed. Some families describe proactive, communicative leadership and helpful transitions; others report leadership turnover and administrative problems that affected billing, documentation, and contract compliance. A small number of reviewers described serious administrative and clinical concerns following a resident’s death and referenced regulatory attention; these accounts stand out from the broader pattern and suggest prospective families should ask directly about complaint resolution processes, contract terms, and any recent regulatory findings during their evaluation.

    Patterns and practical advice: The prevailing pattern is a facility that offers a caring, community-oriented environment with strong programming and generally attentive clinical services, but with variability tied to staffing changes and administrative processes. When considering this community, families should prioritize an in-person tour, ask for current staffing ratios and turnover statistics, review medication- and billing-procedures, inspect bathing areas for trip hazards and accessibility, and confirm salon/service scheduling. Doing so will help determine whether the facility’s strengths align with a prospective resident’s clinical needs and expectations for consistency and oversight.

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    Location

    Map showing location of The Neighborhood at Madison

    The Neighborhood at Madison is located at 49 Hughes Rd, Madison, AL, 35758.

    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."

    People often ask...

    The Neighborhood at Madison offers competitive pricing, with rates starting at a cost of $2,570 per month.

    The Neighborhood at Madison offers assisted living.

    There are 39 photos of The Neighborhood at Madison on Mirador.

    The full address for this community is 49 Hughes Rd, Madison, AL 35758.

    No, The Neighborhood at Madison does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Alabama, the Department of Public Health licenses assisted living and specialty care facilities and publishes the statements of deficiency from its inspections.

    License numberD4521
    Facility typeAssisted Living Facility

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Neighborhood at Madison. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Neighborhood at Madison directly. There is no cost for this service. We are compensated by the community you select.

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