Hickory Gardens

    527 W Old Hickory Blvd, Madison, TN 37115
    • Assisted Living

    Attentive staff and clean apartments

    I placed my brother here and am very pleased: a small, homey community with friendly, professional staff (RN on staff) who provide attentive 24/7 care, clean well-kept apartments with walk-in showers, and good food. The all-inclusive rate and helpful, caring administration made the transition easy and gave me real peace of mind; I'd recommend it to families seeking a caring, family-oriented setting.

    Loved one of resident
    Jul 2026

    Pricing

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

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    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

    Reviews

    3.88·(16)

    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

    • Compassionate, attentive caregiving staff
    • Clean, well-maintained interior and common areas
    • Home-like, family-oriented small-community atmosphere
    • Private, nicely decorated apartments
    • Walk-in showers and ample closet space
    • 24/7 nursing coverage with an RN on staff
    • Improved and generally well-received dining
    • All-inclusive or competitive pricing options
    • Friendly staff–resident social interaction
    • Smooth transition and move-in experience

    Cons

    • Inconsistent administrative responsiveness and communication
    • Variable staffing levels affecting security and resident monitoring
    • Gaps in access control and door-locking procedures
    • Intermittent or limited daytime activity programming
    • Occasional lapses in utilities and facility maintenance management
    • Mixed perceptions of affordability compared with peers

    Summary of reviews

    Overall impression: Hickory Gardens is described by many families as a small, home-like assisted living community with a strong emphasis on personal relationships between staff and residents. Positive comments focus on attentive caregiving, a clean and well-kept environment, private apartments that are comfortably decorated, and conveniences such as walk-in showers and ample closet space. Several accounts highlight 24/7 clinical coverage, including an on-site RN, which contributes to family perceptions of safety and peace of mind.

    Care and staff: Most observations emphasize compassionate and engaged staff who take time to build rapport with residents; staff are characterized as friendly, helpful, and willing to go above and beyond. The presence of nursing staff around the clock is cited as a clinical strength. That said, there are clear inconsistencies in how administrative staff and some nursing personnel handle communication and timeliness. These administrative concerns have led some families to question responsiveness and professional follow-through in specific situations.

    Dining and activities: Dining quality is generally viewed positively, with at least one note that food quality has improved. Pricing is often presented as all-inclusive and competitively priced, and some families describe good value. Activity programming appears mixed: several reviewers found the community quiet or that residents were not interested in activities, while others reported a lack of daytime activities or inconsistent scheduling. Prospective residents who prioritize a busy activity calendar should verify current programming availability.

    Facilities and safety: Physical facilities are frequently praised for cleanliness and a home-like ambiance. Apartment features such as walk-in showers and closets are appreciated. However, there are operational concerns tied to building maintenance and utilities management (for example, outages and heating issues were mentioned), and at least one reviewer raised access-control issues, citing doors that cannot be locked and limited staffing to monitor entrances. These items point to potential gaps in security procedures and maintenance responsiveness that families should review during a tour.

    Management and notable patterns: Reviews show a mix of satisfaction and frustration with management. Many families express gratitude for compassionate administration and smooth move-ins, while others report inconsistent communication, scheduling problems, and handling of admissions or room reservations. Cost perceptions also vary: some describe the community as affordable or offering an excellent price, while at least one comparison identified higher costs relative to nearby peers. The small size of the community is a clear trade-off: it fosters a family atmosphere and close staff–resident relationships but may also correspond with limited programming and sensitivity to individual staffing or administrative lapses.

    Recommendation for prospective residents and families: Hickory Gardens may be a strong fit for those seeking a small, family-oriented assisted living setting with attentive caregiving and on-site nursing. Visitors should verify current activity schedules, inquire about access-control and entrance-monitoring practices, review how the community handles maintenance and utility issues, and clarify pricing and admissions procedures to ensure expectations around communication and staffing align with their needs.

    Reviews written on Mirador

    We have no reviews to show about Hickory Gardens.

    Help other families by writing a review about your experience with this community.

    Location

    Map showing location of Hickory Gardens

    Hickory Gardens is located at 527 W Old Hickory Blvd, Madison, TN, 37115.

    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.

    People often ask...

    Hickory Gardens offers competitive pricing, with rates starting at a cost of $3,538 per month.

    Hickory Gardens offers assisted living.

    There are 49 photos of Hickory Gardens on Mirador.

    The full address for this community is 527 W Old Hickory Blvd, Madison, TN 37115.

    No, Hickory Gardens 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 Tennessee, the Department of Health licenses long-term care facilities and publishes board actions and disciplinary records, including consent orders and civil penalties.

    License number0537-00000248
    StatusLicensed
    Facility typeAssisted Care Living Facility
    License classLicensed
    Capacity42 residents
    LicenseeMarcus McKnight
    EffectiveNovember 17th, 2005
    ExpiresApril 28th, 2027

    Disclaimer

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

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 55 facilities$4,828/mo
    2. 29 facilities$4,406/mo
    3. 46 facilities$4,644/mo
    4. 67 facilities$5,427/mo
    5. 46 facilities$4,906/mo
    6. 39 facilities$5,623/mo
    7. 57 facilities$4,996/mo
    8. 15 facilities$5,834/mo
    9. 35 facilities$4,953/mo
    10. 2 facilities
    11. 75 facilities$4,894/mo
    12. 2 facilities
    © 2026 Mirador Living