Symphony Assisted Living and Memory Support

    1020 Harmony Hills Dr, Franklin, TN, 37064
    4.4 · 47 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Bright clean facility, helpful staff

    I moved my mom into Harmony Hills and overall I'm pleased - the facility is bright, clean and home-like, with friendly, caring staff and excellent communication; Lisa and Bailey were especially helpful. Move-in was easy, rooms and courtyard are lovely, meals and activities are generally thoughtful, and my mom is cheerful and engaged. My concerns: frequent leadership turnover, occasional staffing shortages and inconsistent nursing/management responsiveness, and a strict billing/notice policy. I recommend it with reservations - visit, ask about current staffing and contract terms before deciding.

    Pricing

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    Amenities

    4.36 · 47 reviews

    Overall rating

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

      3.9
    • Staff

      4.3
    • Meals

      3.2
    • Amenities

      4.1
    • Value

      4.5

    Pros

    • Caring, friendly, and compassionate staff
    • Responsive and professional administration
    • Transparent and accessible leadership (when present)
    • Excellent family communication
    • Easy and smooth move-in process
    • Clean, bright, and well-maintained facility
    • Home-like, hotel-like, and welcoming atmosphere
    • Thoughtful facility design with courtyard/outdoor access
    • Rooms arranged around a central outdoor space
    • Quiet and attractive common areas
    • Daily clinical checks by LPNs and 24-hour nursing available
    • Generous portion sizes and generally thoughtful meals
    • Designated family dining area and family-friendly visiting
    • Strong memory care transition and supportive staff in memory unit
    • Engaging activity/recreation leadership (several mentions of Lisa)
    • Specific staff members praised (Bailey, Lisa, Recreation Director)
    • Affordable and reasonable pricing for many families
    • Smooth paperwork and intake processes
    • Small, intimate community size that feels family-like
    • Secure care and peace of mind for many families

    Cons

    • Inconsistent or poor management and leadership turnover
    • Understaffing and not enough caregivers on duty at times
    • Reports of staff neglect (not checking on residents, sleeping on sofas)
    • Complaints ignored or not acknowledged by management
    • Property damage or loss reported without reimbursement
    • Incomplete or improperly handled paperwork
    • Dining shortcomings for residents unable to attend meals (leftovers)
    • Some reports of poor meal quality described as 'prison-like'
    • Negative billing policy (30-day non-prorated notice, full-month charge)
    • Smell complaints in lobby (soiled diapers) and cleanliness lapses reported
    • Vacant/empty rooms and concerns about the community's financial viability
    • Reports of residents being overmedicated or confined to public areas
    • Activity program inconsistencies—some minimal activity or passive residents
    • Limited staff visibility in common areas at times
    • Mixed or unclear opening/transition information for not-yet-open units

    Summary review

    Overall sentiment across the reviews is mixed but leans positive with several recurring strengths and notable recurring concerns. Many family members and residents praise the staff for being caring, compassionate, and personable. Specific frontline staff and leaders receive individualized praise—Sales Director Bailey and Recreation Director Lisa are frequently cited as major assets. The facility is repeatedly described as clean, bright, attractive, and home-like, with a hotel-like ambiance and an appealing layout (rooms around a central outdoor courtyard and year-round outdoor access). Families commonly report smooth move-ins, excellent communication from staff, daily nursing checks by LPNs, 24-hour nursing availability in some accounts, and a strong sense of security and peace of mind, particularly for memory care residents. The small community size and family-like atmosphere are highlighted as important positives that help residents feel welcomed and engaged.

    Facility design and amenities receive consistent compliments. Reviewers describe the grounds as sunny and landscaped, with courtyard-access apartments, shaded front areas with rocking chairs, and thoughtfully designed common and family dining areas. Multiple reviews note generous food portions and thoughtfully planned meals, though there is not universal agreement on food quality. Dining service and staff attentiveness are often praised, and there are remarks about helpful front-desk and administrative staff who make paperwork and admissions easier. Memory care transitions are described as smooth in several accounts, with families reporting peace of mind and that their loved ones were well cared for. The combination of clinical oversight (LPN checks, 24-hour nursing in some reports) and warm caregiving is a recurring theme that many families cite when recommending the community.

    Despite the many positives, there are several significant negative themes that appear across reviews and warrant careful consideration. Leadership and management consistency are a frequent pain point: some reviewers praise transparent and responsive leadership while others describe terrible management lacking integrity, leadership turnover, and leaders bringing in loyal staff to the detriment of care. Staffing levels and staff behavior are inconsistent in reports—while many families praise attentive caregivers, others report understaffing, caregivers who do not check on residents, sleeping on sofas, or generally poor engagement. Several reviews mention that complaints have been ignored or not properly acknowledged, and there are instances of paperwork not being completed and property damage or loss not being reimbursed, which raises operational and trust issues. Additional specific operational concerns include reports of lobby odors (soiled diapers), vacant rooms and worries about the community's financial stability, and claims that residents were overmedicated or kept confined to public areas.

    Dining and activities show mixed feedback. Some reviewers find meals generous and thoughtful, with a pleasant dining environment and family dining accommodations. Conversely, a number of reviews criticize meal quality—one described meals as "prison-like"—and others note that residents who cannot attend meal times sometimes receive leftovers, which families view negatively. Activities programming is similarly mixed: several reviews praise the recreation director and note increased engagement and well-run activities, whereas others describe minimal activity offerings and residents who are passive or spending most of the day in their rooms watching TV. Multiple reviewers specifically recommend asking about recent changes in activity leadership and staffing because improvements have been credited to new or strong directors in several accounts.

    Billing and policy transparency are additional areas of concern. One recurring complaint is a strict 30-day notice policy that does not prorate charges, meaning families can be charged for a full month even if a resident leaves mid-month. This fine-print billing policy has prompted dissatisfaction and should be confirmed in writing before committing. Other administrative red flags include reports of incomplete paperwork during admissions and concerns about insurance payments or billing disputes mentioned by some families.

    In summary, the dominant pattern across the reviews is that Symphony Assisted Living and Memory Support offers a clean, well-designed, and welcoming environment with many caregivers and managers who go above and beyond. When leadership is present and stable (and with staff like Bailey and Lisa in place), families report excellent care, smooth transitions, good communication, and a meaningful quality of life for residents. However, there is a non-trivial minority of reviews reporting serious problems: management inconsistency or misconduct, understaffing, ignored complaints, operational lapses (property loss, paperwork errors), and issues with meal quality and activity levels. These contrasting accounts point to variability over time or between shifts/teams.

    If you are considering this community, visit in person during multiple times of the day (including meal times and late-afternoon/evening shifts), speak with current families, ask directly about staffing ratios and turnover, request written clarification of billing and damage/loss policies, and confirm recent or planned changes in leadership and activity programming. That approach will help determine whether your prospective experience will align with the many positive reports or whether the community is currently experiencing the operational problems described in the negative reviews.

    Location

    Map showing location of Symphony Assisted Living and Memory Support

    About Symphony Assisted Living and Memory Support

    Symphony Assisted Living and Memory Support sits at 1020 Harmony Hills Dr in Franklin, TN, and offers a full mix of care, including independent living, assisted living, memory care, skilled nursing, and respite care, so residents can move between different support levels as their needs change, and what you'll find here is a family-owned community with a home-like feel, where residents can keep their pets, have their own suite or share a room, and relax knowing helpful staff are available around the clock. The campus is all one level with wide, wheelchair accessible halls and showers, private bathrooms, kitchenettes, and rooms that span from 384 to 573 square feet, and you'll see lots of indoor common areas for socializing, a fitness room, game room, library, dining room, activity spaces, a salon and barbershop, and a courtyard along with gardens and well-kept walking paths outside. The staff include licensed nurses on-site 24 hours a day to provide medication management and health monitoring, especially important for their memory care residents who have tailored care plans for dementia or Alzheimer's, and there's always a call system in place for emergencies.

    Residents get three meals a day with organic ingredients made by a professional chef, and folks can pick from restaurant-style dining or all-day dining to fit their schedule, with special diets like diabetes-friendly options for anyone who needs them, and help with eating if required. Housekeeping, laundry services, linen care, and maintenance are covered, and there's plenty of support for daily tasks-bathing, dressing, moving about, and managing medication-plus there's personal care assistants, incontinence care, diabetic care, and even high-acuity care when needed, with specialized memory support programming focused on safety, structure, and helping prevent wandering in a secure environment. The activity list is long, with movie nights, fitness classes, arts and crafts, educational programs, devotional services off-site, music, social events, and even resident-run activities, and those who want a haircut or styling can see the beautician right there in the salon. Family support services, transportation to appointments, Wi-Fi, cable, air conditioning, individual temperature controls, washers and dryers, and emergency alert systems are all provided, and residents can join in outdoor programs and enjoy the covered porch, courtyards, and green space.

    This community emphasizes independence and wants residents to feel comfortable, respected, and as independent as possible while still getting the help needed from kind and knowledgeable staff who are always around, keeping a close eye on health and safety through regular training, and who go out of their way to know each resident by name. There's long-term and short-term options, easy move-in coordination, and a maintenance-free lifestyle so nobody has to stress about chores or upkeep, and folks can focus on friendship, hobbies, and enjoying daily life. Symphony Assisted Living and Memory Support is known for high standards in care, a welcoming Tennessee hospitality, and has picked up awards for memory care and assisted living, and while the Better Business Bureau gave them an A+ rating, they aren't currently BBB accredited. If you want a place that blends independence, personal attention, and a range of care, from therapy to entertainment, from secure memory care to active senior living, with a real sense of community and comfort, then this could be the sort of place you're looking at.

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