Pricing ranges from
    $3,538 – 4,245/month
    AnonymousCurrent/former resident
    4.0

    Clean homey community, excellent nursing

    I found this small, homey community clean and well-kept, with nicely decorated apartments (walk-in shower and closet), good food, and a true family atmosphere. The staff were friendly, caring, and attentive - excellent 24/7 nursing care that gave me peace of mind. My caveats: management can be disorganized or rude, and there have been maintenance/security and administrative lapses, so check policies, staffing, and costs before committing.

    Pricing

    $3,538+/moSemi-privateAssisted Living
    $4,245+/mo1 BedroomAssisted Living

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    Amenities

    Healthcare services

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

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

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

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

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

    3.88 · 16 reviews

    Overall rating

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

      4.1
    • Staff

      3.8
    • Meals

      4.0
    • Amenities

      3.0
    • Value

      4.0

    Pros

    • Small, home-like community
    • Clean and well-kept facility
    • Nicely decorated, homey rooms
    • Walk-in showers and closets
    • Caring, attentive staff who build relationships
    • Helpful and friendly nurses and aides
    • 24/7 care with RN on staff (reported)
    • Good to excellent quality of care
    • Peace of mind for families
    • Good or improved food/dining
    • All-inclusive or affordable pricing (reported)
    • Easy transition for new residents
    • Family-oriented, friendly atmosphere
    • Staff who go above and beyond
    • Positive customer service experiences

    Cons

    • Inconsistent or poor management/administration (rude, not punctual)
    • Staffing problems — nurse unavailable or insufficient staff at times
    • Security/safety concerns: doors cannot be locked and entrances not monitored
    • Poor handling of room/reservation commitments (staff backed out)
    • Facility maintenance issues (reported no heat in apartment)
    • Limited or no scheduled daytime activities reported
    • Communication problems (e.g., cable outage, slow response)
    • Conflicting reports about cost (some say cheaper, one said higher than peers)
    • Some residents uninterested in available activities

    Summary review

    Overall sentiment in the reviews is mixed but leans positive in areas directly related to resident care and the living environment. Many reviewers emphasize that Hickory Gardens is a small, home-like community that is clean, well-kept, and has nicely decorated apartments with practical features such as walk-in showers and closets. Several reviewers praised the food (including comments that food has improved) and noted that the transition into the community was easy. Pricing was cited positively by multiple reviewers who described the community as affordable or all-inclusive, though there is at least one comment indicating higher cost relative to peers.

    Care quality and staff are the most commonly praised aspects. Numerous reviews describe the staff as loving, caring, attentive, friendly, and willing to go above and beyond. Both aides and nurses are mentioned positively; one review specifically highlights 24/7 care and the presence of an RN on staff. Families reported peace of mind and that residents were well cared for, with staff who build relationships and even joke and socialize with residents. These consistent, warm reports about direct care suggest that day-to-day resident interactions and basic care needs are generally handled well.

    Facilities and atmosphere receive strong positive remarks as well. Multiple reviewers call the place "homey" and "family-oriented," noting that apartments are kept clean and decorated in a welcoming way. The small size of the community is often framed as a benefit, producing a quieter environment and a sense of closeness among staff and residents. Practical amenities (walk-in showers/closets) and a generally safe environment are reported in several reviews, contributing to family comfort and satisfaction.

    However, there are notable and recurring concerns around management, operations, and safety that should not be overlooked. Several reviewers report inconsistent or poor administration — descriptors include rude, not punctual, or unavailable. Specific operational failures are mentioned: a staff member backing out of a room commitment that caused a family to lose a placement elsewhere, a prolonged cable outage, and one serious report that there was no heat in an apartment and management failed to act. These incidents point to weaknesses in reliability, communication, and responsiveness at the administrative level.

    Safety and staffing issues appear in multiple reviews and merit attention. One reviewer said doors cannot be locked and there was insufficient staff to monitor entrances, which raises security concerns. Other comments mention nurse unavailability or insufficient staffing at times. While direct care staff are often praised, the pattern of staffing/availability problems suggests variability in coverage or responsiveness. Activities are another mixed area: some residents are not interested in activities, and one review explicitly says there were no activities during the day. That indicates either limited programming or uneven activity offerings depending on the day or staffing.

    Cost and value show conflicting perceptions. Several reviewers highlight affordable, all-inclusive pricing and "awesome price" or customer service, while at least one reviewer stated the community was higher cost compared to peers. This suggests pricing and perceived value may vary by unit, contract, or over time; prospective residents should verify current pricing and what is included.

    In summary, Hickory Gardens presents many strengths: a small, clean, home-like environment with caring, relationship-focused staff and generally good care and dining. These positives make it an attractive option for families seeking a close-knit community where residents are treated warmly. At the same time, there are meaningful red flags around administrative consistency, operational reliability, safety protocols (locked doors/entrance monitoring), and occasional maintenance issues. If you are considering Hickory Gardens, weigh the strong reports about frontline caregiving and the welcoming atmosphere against the reported management and safety concerns. Recommended next steps would be an in-person visit to observe staffing levels, ask about security and lock policies, review incident/maintenance handling procedures, and get a written guarantee for room reservations and heat/maintenance response times before committing.

    Location

    Map showing location of Hickory Gardens

    About Hickory Gardens

    Hickory Gardens Senior Living sits at 527 W Old Hickory Blvd and offers assisted living, independent living, memory care, rehabilitation, skilled nursing, and respite care, all aimed to give seniors a place where they can thrive and feel at home, so you'll find living spaces that are roomy and easy to get around in, plenty of amenities-like Wi-Fi, air conditioning, and kitchenettes-that help with comfort and accessibility, and the rooms work well for both folks who need a little help and those who want to live mostly on their own. The care team, called care partners, stays friendly and is always around, day or night, because the support goes 24 hours a day for residents who might need help with things such as medication, meal prep, and personal care, and to meet unique needs, they offer customized care plans that change as residents' needs shift, whether it's for chronic conditions, recovering from illness, or just occasional support after an injury or surgery. There's a focus on healthy meals, some served restaurant style and some brought to rooms if needed, with options for special diets, like meals with no sugar or for guests, so even if residents don't want to come to the dining room they still get cared for. Along with care there's a full calendar of activities and events meant to keep mind and body active, with spaces set up for socializing or quiet time, and the community tries to keep a welcoming and warm feeling so new residents can settle in and find friends if they want to. The facility's got therapy and home health solutions that can bring expert care right into private rooms for residents who might be recovering from surgery or handling long-term health issues, and staff coordinate with doctors and providers to keep care consistent. Residents with memory care needs can get help from staff who know how to respond to dementia and related challenges in a way that keeps dignity and safety in mind. The user rating is high, with 4.9 out of 7 reviews, and people tend to mention the helpful staff, clean spaces, and the sense of community that's been built up over time. Services run all day and all week, and the place uses CloudFront technology that helps with managing online requests for things like family who visit the community's website at americareusa.net/senior-living/tn/madison/hickory-gardens, so even folks far away can get updates or learn more. There are no claims to perfection here, but Hickory Gardens does offer a range of care and personal comfort features for seniors at different stages in life, and the staff focus on supporting residents' health, comfort, and peace of mind in ways that fit each one's needs.

    About Americare Senior Living

    Hickory Gardens is managed by Americare Senior Living.

    Americare Senior Living, founded in 1985 and headquartered in Sikeston, Missouri, has grown from its first assisted living community to operate more than 100 senior living communities across Illinois, Kansas, Missouri, Mississippi, and Tennessee. With over four decades of experience serving seniors, Americare has distinguished itself by bringing upscale assisted living products to rural markets throughout the Midwest and South, providing comprehensive care options including independent living, assisted living, memory care, skilled nursing, rehabilitation, and adult day services.

    The company's philosophy centers on their signature "Hometown Hospitality™" culture and F.A.M.I.L.Y. values: First Impressions Go a Long Way, Address People by Name, Make Visitors Feel Welcome, Individuals Deserve Respect, Leave with Graciousness, and Yes! Find a Way to be Positive. This person-first model of care prioritizes the interests and preferences of each individual resident, creating welcoming, family-like atmospheres throughout their communities. Their mission to enrich the well-being and health of individuals while providing peace of mind for families drives every aspect of their operations.

    Americare's comprehensive "Live Well" program exemplifies their holistic approach to senior care, featuring personalized fitness programs, engaging group exercises, on-site therapy, and nutritious chef-prepared meals. The company fosters vibrant, supportive environments through community events, shared meals, stimulating games, group outings, and purpose-driven programs including volunteer opportunities, spiritual services, creative projects, and nature walks. Notable innovations include TigerPlace in Columbia, Missouri, developed in partnership with the University of Missouri Sinclair School of Nursing, which serves as a site for groundbreaking research in senior care.

    The company's commitment to excellence has earned remarkable recognition, including being rated among the Best Senior Living providers based on surveys of nearly 450,000 residents and family members. With 65 communities receiving "High Performing" ratings, Americare ranks third among all senior living organizations in the Top 10 nationally. Additional accolades include the prestigious Argentum Best of the Best Award, the 2019 NRC Customer Approved Award (one of only twenty organizations nationally to earn this distinction), and ranking #15 on the 2021 Best Workplaces in Aging Services list by Great Place to Work®. With 84% of team members believing Americare is a great place to work and 91% finding special meaning in their roles, the company continues to make a meaningful difference in the lives of residents, families, and team members across their communities.

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