Mirador estimate
    $4,750/month
    AnonymousLoved one of resident
    2.0

    Homey atmosphere, serious safety concerns

    I liked the small, homey feel - warm, attentive staff who treated residents like family, welcomed families, offered engaging activities and mostly home-cooked meals that helped my mom age in place. However, repeated problems - high staff turnover, poor staff-family communication, inconsistent medication administration (missed meds, pills on the floor), and incidents that led to hospitalizations or insensitive discharges - seriously undermined our trust. Overall, caring culture and many positives, but weigh the safety and administration concerns before deciding.

    Pricing

    $4,750+/moStudioAssisted 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

    4.36 · 22 reviews

    Overall rating

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

      4.4
    • Staff

      4.5
    • Meals

      4.3
    • Amenities

      5.0
    • Value

      4.4

    Pros

    • Small, tight-knit facility
    • Warm, attentive, and caring staff
    • Residents who form caring relationships with one another
    • Frequent staff-resident interaction and quick recognition of needs
    • Home-cooked, balanced, and plentiful meals
    • Variety of activities and engaging program leaders
    • Welcoming and family-friendly environment and events
    • Supportive and personable administration and nursing leadership
    • Clean, well-maintained, and attractive facility
    • Staff receptive to dietary requests and visiting hours
    • Enables aging in place and helps residents feel at home
    • Staff adaptability during challenging periods (e.g., COVID)

    Cons

    • Inconsistent or deficient staff-family communication
    • Frequent staff turnover
    • Inconsistent medication administration and medication errors
    • Medication left on the floor or other unsafe medication practices
    • Hospitalizations reported for dehydration and after falls
    • Instances of staff indifference or insensitive communications
    • Allegations of financial misconduct (missing funds, heirloom ring)
    • Perception of profit-driven administration
    • Administrative/process issues around discharges and paperwork
    • Some reviewers do not recommend the facility due to safety/administration concerns
    • Limited vegetable variety and carbohydrate-heavy meals
    • Occasional gaps between positive frontline care and management-level issues

    Summary review

    Overall sentiment across the reviews is mixed but leans positive with important and recurring caveats. Many reviewers emphasize strong, compassionate, front-line caregiving in a small, tight-knit setting where residents are treated like family. The facility is repeatedly described as warm, welcoming to families, and well maintained, with staff who take time to know residents, provide frequent interaction, and recognize changes in needs. Activities, program leaders, and family-friendly events are often cited as strengths that keep residents social, engaged, and energized. Several accounts highlight home-cooked, plentiful meals and staff receptivity to dietary requests, and multiple reviewers explicitly recommend the facility and say their loved one is thriving there.

    Care quality and staff behavior are among the most frequently praised elements. Reviews consistently note attentive caregivers, personable nurses and directors, and an atmosphere where residents feel at home. Staff adaptability during COVID and the perception that administrators and caretakers are caring and supportive are repeated themes. For many families the facility enabled aging in place and provided a comfortable, social environment, with staff who made both residents and families feel welcome.

    However, there are significant and specific concerns raised by multiple reviewers that must be weighed alongside the positives. Several reviews report inconsistent medication administration, medication errors, and even pills found on the floor. Serious safety incidents described include hospitalizations for dehydration and hospitalization after falls. These reports suggest lapses in clinical oversight and resident safety for a subset of cases. Compounding clinical concerns are administrative issues: frequent staff turnover, deficient staff-family communication, and at least one report of an insensitive discharge email. Some reviews go further and allege financial misconduct (missing heirloom ring, misappropriated funds) and describe a perception that management is profit-driven. These kinds of allegations, where they appear, contribute to strong negative recommendations from some reviewers despite praise for frontline caregivers.

    Dining and programming receive mostly positive feedback but with a recurring culinary caveat: while meals are home-cooked and plentiful, several reviewers note a limited variety of green vegetables and an overall carbohydrate-heavy menu. Activities and social programming are generally viewed as engaging and beneficial to residents’ wellbeing.

    A notable pattern is the contrast between the quality of frontline caregiving and concerns about management, safety oversight, and communication. Many reviews praise the direct care staff and the relational, family-like culture, yet other reviews point to systemic problems (turnover, medication errors, administrative missteps) that have directly affected resident safety and family trust. This split suggests that experiences can vary significantly depending on the unit, the current staffing, or specific incidents.

    For someone evaluating this facility, the dominant themes are: strong, compassionate day-to-day caregiving in a small, community-oriented setting; attractive facilities and meaningful activities; but also recurring and serious concerns around medication safety, clinical oversight, staff continuity, communication with families, and at least isolated reports of administrative misconduct. Prospective families should weigh the benefits of the warm, home-like environment and engaged staff against the documented safety and management issues. Practical follow-ups when considering placement would include asking about current staff turnover rates, medication administration protocols and oversight, incident reporting and follow-up processes, financial/property safeguards, and recent references from current families to understand how consistent the positive aspects are in the present staffing and leadership environment.

    Location

    Map showing location of Autumn Oaks

    About Autumn Oaks

    Autumn Oaks in Manchester, Tennessee is a welcoming assisted living community designed for individuals who are seeking a supportive environment while maintaining as much independence as possible. The community offers a selection of comfortable private or semi-private suites for its residents, each thoughtfully prepared to provide the familiarity and warmth of home. These suites come equipped with everyday necessities such as a full, private bath and air conditioning, ensuring that every resident enjoys a comfortable living experience. For added peace of mind, each senior apartment includes an emergency call system, allowing residents to feel secure knowing that assistance is always close at hand.

    At Autumn Oaks, personal assistance and care are available around the clock, tailored to the unique needs of each resident. Compassionate staff members are trained to offer help with a variety of daily living activities, including bathing, dressing, and medication management. The community prides itself on offering not just professional care, but also genuine companionship, as the staff see each resident as a valued member of the Autumn Oaks family.

    The atmosphere at Autumn Oaks is inclusive and nurturing, designed to make both residents and their loved ones feel welcome and cared for. The emphasis is on creating a supportive environment where residents can enjoy a high quality of life, participate in daily routines, and receive the assistance they need while still maintaining autonomy and dignity. With a focus on fostering comfort, safety, and happiness, Autumn Oaks stands out as a vibrant and caring community for seniors looking to make life easier and more enjoyable.

    About Americare Senior Living

    Autumn Oaks 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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