Pricing ranges from
    $4,460 – 5,798/month

    The Carriages of Rivergate

    94 Twin Hills Dr, Madison, TN 37115
    • Independent Living
    • Assisted Living

    Warm staff, clean, engaging community

    I'm very pleased with this community. The staff are warm, attentive, and welcoming, the building feels clean and home-like with roomy apartments, and there are plenty of activities, outings, and dining options that keep residents engaged. My loved one is happy, management has been easy to work with, and I'd recommend this as a solid, good-value choice for families.

    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
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Pet friendly
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.93·(94)

    Overall rating

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

      3.6
    • Staff

      4.0
    • Meals

      3.5
    • Amenities

      4.2
    • Value

      3.7

    Pros

    • Compassionate, resident-focused staff
    • Engaging activities program (games, music, outings)
    • Spacious, recently remodeled apartments
    • Accessible bathrooms and zero-entry showers
    • Secure, locked community with central courtyard
    • Budget-friendly pricing and perceived good value
    • On-site dining with social dining spaces
    • Menu accommodations for dentures and special diets
    • Regular transportation and scheduled van outings
    • Housekeeping and laundry services available
    • Welcoming admission and transition support
    • Clean, well-maintained grounds and interiors
    • Variety of apartment sizes and layouts
    • Active outdoor programs (picnics, bible study, duck feeding)
    • Friendly and helpful front-desk staff
    • Creative chef and occasional special meals
    • Flexible visitation practices during infection-control periods
    • Activities that promote socialization and routine

    Cons

    • Inconsistent staffing levels and frequent turnover
    • Delays in personal-care assistance and bathing schedules
    • Unreliable emergency-call/response systems
    • Variable meal quality and inconsistent food preparation
    • Irregular housekeeping and linen-change practices
    • Gaps in communication with families and between departments
    • Inconsistent billing practices and unexpected charge increases
    • Security and personal-belongings management weaknesses
    • Gaps in clinical capability for higher-acuity or memory needs
    • Management instability and uneven follow-through on commitments
    • Insufficient coordination for hospital transfers and notifications
    • Sanitation concerns in some common and resident areas
    • Employee conduct and trustworthiness concerns
    • Inconsistent adherence to advertised age-in-place services

    Summary of reviews

    The Carriages of Rivergate elicits strongly mixed experiences. Many reviewers praise the community’s social environment, physical plant, and frontline staff: residents and families frequently cite a welcoming atmosphere, engaging activities (music, outings, Bingo, arts and regular social events), a well-maintained and recently remodeled facility, and apartments with accessible bathrooms and comfortable layouts. The property’s secured design, central courtyard, transportation services, and a dining room organized for communal meals are recurring strengths. Several families found the pricing attractive for the level of amenities offered and described useful transition support from admissions staff.

    Care-quality impressions are variable. Positive accounts describe attentive aides and nurses, routine showers and laundry service, and staff who remember residents’ names and needs. Conversely, a substantial pattern of concern centers on staffing reliability: reviewers describe frequent turnover and apparent understaffing that correlate with delays in assistance, inconsistent bathing schedules, and occasional lapses in supervision. Related themes include inconsistent medication/clinical coordination for residents whose needs escalate past standard assisted-living levels, and questions about whether the community can sustain higher-acuity or memory-care needs over time.

    Dining and housekeeping receive mixed evaluations. Some families commend the chef, menu accommodations for dentures, social dining environment, and special meals; others describe inconsistent meal quality, limited daily options at times, and occasions when menu execution felt substandard. Housekeeping and laundry are offered, but several reviewers reported irregular timing for sheet changes and cleaning tasks. Sanitation concerns are mentioned in some accounts, typically tied to variability in housekeeping thoroughness rather than a uniform facility condition.

    Management, communication, and safety are the most frequently cited operational concerns. Families report uneven communication from leadership, inconsistent follow-through on promises made at admission, and surprising billing changes. There are also descriptions suggesting weaknesses in security and personal-belongings controls, plus at least one account alleging employee financial misconduct. Emergency systems and response procedures were questioned in multiple narratives, including instances that reviewers framed as fall-risk or wandering-safety issues; these point to gaps in transfer-safety practices and call-system reliability. Some reviewers noted improvements after leadership changes (new director of nursing or administrator), indicating that management transitions can materially affect operations.

    Taken together, the pattern is one of a property with clear strengths in social programming, facility amenities, and affordability, paired with operational inconsistencies that affect day-to-day care and family communication. Prospective residents and families should weigh the community’s physical environment and activity offerings against the variability in clinical staffing, emergency-response reliability, and management stability. If care continuity or higher-acuity support is a priority, visitors should ask for written details about staffing ratios, emergency-response protocols, housekeeping schedules, billing practices, and how the community manages transitions when a resident’s care needs increase. Touring during a meal service and meeting current clinical leaders can also help assess whether recent management changes have addressed the operational issues noted by families.

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    Location

    Map showing location of The Carriages of Rivergate

    The Carriages of Rivergate is located at 94 Twin Hills Dr, Madison, TN, 37115.

    About The Carriages of Rivergate

    The Carriages of Rivergate offers care and support for adults 55 and older who want to live in comfortable, well-designed apartments with options like studio, one-bedroom, two-bedroom, or semi-private rooms. The staff is friendly and provides support day and night, helping with things like bathing, grooming, dressing, medicine, and moving around if needed, with special care plans for each person. There are services for assisted living, hospice care, respite care for short stays after a hospital visit, and memory care for those with Alzheimer's or other memory conditions, which helps keep people safe and comforted. Meals come fresh in a restaurant-style dining room with tall windows and chandeliers, and the common areas, like spaces with fireplaces, a large-screen TV, and a "Cinema" sign, make it easy to socialize, play games, or join in music events.

    Residents get maintenance-free living, with housekeeping, laundry, and linen services handled by staff, and there's also in-house salon, barber, medical, and dental help, plus transportation to shopping and appointments. Folks can join group outings, field trips, onsite religious services, and planned activities, or relax in the fitness center, gardens, courtyards with trees, and patios. The Carriages of Rivergate is pet-friendly and has Wi-Fi and easy access for wheelchairs or walkers. The facility uses a clear, all-inclusive pricing setup, aiming to take away worry about extra bills. The staff is known for being attentive and working to build trust, always treating residents with respect and a focus on dignity. State license ACL0000000066 covers its operations, and the community fits people who like both privacy in their homes and activities in shared spaces. This place tries to give older adults a way to stay as independent as possible while getting the help they need, all in a safe and welcoming environment.

    About Cadence Living

    The Carriages of Rivergate is managed by Cadence Living.

    Founded in 2016 by Rob Leinbach and Eric Gruber in Scottsdale, Arizona, Cadence Living operates around 34 senior living communities across nine states. The company provides independent living, assisted living, and memory care services with a philosophy centered on social interaction programming and "age-in-place" care.

    People often ask...

    The Carriages of Rivergate offers competitive pricing, with rates starting at a cost of $4,460 per month.

    The Carriages of Rivergate offers independent living and assisted living.

    There are 45 photos of The Carriages of Rivergate on Mirador.

    The full address for this community is 94 Twin Hills Dr, Madison, TN 37115.

    No, The Carriages of Rivergate 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 number0537-00000066
    StatusLicensed
    Facility typeAssisted Care Living Facility
    License classLicensed
    Capacity113 residents
    LicenseeHeather Baker
    EffectiveDecember 10th, 1999
    ExpiresJune 21st, 2026

    Disclaimer

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

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