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The 10 Best Assisted Living Facilities in Madison, AL for 2024

Madison is a city of almost 57,000 people, with the 65+ age group making up 11.4% of its residents. Niche named it the second-best place to live in the state, calling it the “jewel in North Alabama.” Although its seniors enjoy the benefits afforded by bigger cities due to the proximity of Huntsville, they can also relax within their own city’s small-town feel, rows of independent boutique stores, numerous parks and tree-lined streets. Madison’s seniors also benefit from a below-average cost of living, low crime rates and excellent medical facilities.

The city is also home to many assisted living communities, occupied by seniors who used to struggle with common tasks, such as cooking, but now benefit from the opportunities assisted living brings. These include capable chefs preparing their meals, trained staff managing medications and housekeepers making their rooms clean and comfortable. Costs vary between facilities, with the average in Madison being $2,990 per month, a 5.2% savings on the state average and 35.9% on the national average.

This guide reviews assisted living costs in more detail. It also considers the advantages and disadvantages of living in Madison and lists some free resources for its seniors.

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Assisted Living Facilities in Madison, Alabama

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What to Consider About Assisted Living in Madison

The Department of Public Health, Bureau of Health Provider Standards grants licenses to assisted living facilities that prove compliance with the state’s regulations. To retain their licenses, facilities must pass regular inspections, which the department conducts without warning. Licenses are revoked from facilities that fail inspections and don’t raise their standards within a stipulated time period. 

Benefits and Drawbacks of Assisted Living in Madison

  • According to Sperling’s Best Places, Madison’s average cost of living of 96 is lower than the national average of 100 but above the state average of 82.3. A significant factor is housing costs, which are unlikely to concern seniors considering assisted living. However, health care costs are also above average, which may concern them. Fortunately, these differences don’t appear to apply to assisted living costs, which are lower than the state and national averages.
  • Sadly, instances of property and violent crime in Alabama are above the national averages. Fortunately, Madison’s figures are much more positive. In both cases, the city has less crime than the state and national averages. Another comfort for seniors in many assisted living communities is 24-hour security and attentive staff available round the clock.
  • MARS (Madison Assisted Ride System) is a free paratransit service for qualifying disabled residents of Madison who live within the city limits. It operates on weekdays between 7 a.m. and 5 p.m., with journeys restricted to medical and work purposes only. An alternative for all seniors, including those with disabilities, is CASA of Madison County, a nonprofit United Way organization that uses background-checked volunteers to transport Madison residents to medical appointments for free.
  • Madison Hospital is the primary medical facility in the city, while it only takes about 20 minutes to reach Huntsville Hospital, ranked #2 in the state by U.S. News & World Report. There’s also a significant number of family doctors in the city registered to treat Medicare beneficiaries. 
  • Madison’s average climate is one of its selling points. Temperatures average at around 90 degrees in the middle of summer, remaining comfortable for most of the year (although winter lows can hover at around 30 degrees). A major plus is the lack of snow, which averages two inches annually, meaning Madison’s elders don’t need to be as concerned about slippery sidewalks as their northern cousins. 

Paying for Assisted Living in Madison

The findings of the 2020 Genworth Cost of Care Survey reveal that Madison’s seniors pay approximately $2,990 per month for assisted living, a lower figure than the averages for the state and the nation, which are $3,150 and $4,300, respectively. 

The Cost of Assisted Living in Nearby Cities

Madison’s monthly costs of $2,990 are bettered only by Florence, where seniors consider $2,914 normal. Conversely, a 25-minute journey southwest to Decatur sees costs rise by an additional $563 per month to $3,513. To find significantly lower fees than Madison’s, it’s necessary to travel almost 90 miles southeast to Gadsden, where they average $2,207 per month. 

Madison

$2,990

Alabama

$3,150

The United States

$4,300

Florance

$2,914

Decatur

$3,513

Gadsden

$2,207

The Cost of Other Types of Senior Care

Care costs sometimes surprise, which is the case in Madison. Assisted living includes care and accommodation, yet it only costs $17 per month ($2,773) more than attending an adult day care center. Equally surprising is the comparison with home and home health care, both of which average at $3,813, with the latter including basic medical support. Nursing home fees are the least affordable, with a semiprivate room costing $6,950, while another $616 per month gets a private room for $7,566.

Home care

$3,813

Home health care

$3,813

Adult day health care

$2,773

Assisted living

$2,990

Nursing home (semiprivate room)

$6,950

Nursing home (private room)

$7,566

Financial Assistance for Assisted Living in Madison

There are several programs to help seniors cover the costs of assisted living in Madison. One such program is the Elderly and Disabled Waiver offered through Alabama Medicaid, which may also have other programs for which seniors can apply. 

Learn more about these programs, plus who’s eligible, on our Assisted Living in Alabama page.

Financial Assistance in Alabama

More Ways to Pay for Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Some additional ways to finance assisted living costs include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

For more information about different ways to finance assisted living, visit our Assisted Living in Alabama page.

Free Assisted Living Resources in Madison

Madison’s appeal to seniors includes the many free resources available, some of which are listed here. They include means of covering some care costs, getting help when care quality drops and making friends in the community and improving it through voluntary work.

Resource

Contact

Service

Huntsville VA Clinic

(256) 533-8477

Huntsville VA Clinic is only 15 minutes from Madison. It offers U.S. military veterans primary care services, a pharmacy, optometry services and programs dealing specifically with women's health and mental health. The clinic can also refer seniors to veterans services that may help meet some of their care costs, such as the VA Aid and Attendance benefit.

Madison Senior Center

(256) 772-6242

Madison Senior Center is the hub of the older community, a place where they can spend time with friends, access some medical programs and converse with counselors who can advise them on Medicare and Medicaid issues. For entertainment and well-being, seniors can play billiards and cards, participate in one of the gentle physical fitness programs and join in with line dancing. There's also tennis and water aerobics for those who prefer something more active.

Long-Term Care Ombudsman

(256) 716-2451

The Long-Term Care Ombudsman advocates for seniors in residential care communities, focusing on increasing their quality of care and supporting them in disputes with their facilities. This can include investigating complaints seniors haven't been able to resolve directly with the managers in their communities. Families of seniors in assisted living and third parties can also register complaints. Additional services include helping seniors understand their rights and ensuring they receive all the services they're entitled to.

Volunteer Center of Madison County

(256) 880-7080

RSVP (Retired and Senior Volunteer Program) operates out of the Huntsville-Madison County Senior Center. Its purpose is to connect seniors who want to help their communities with local nonprofits who do just that. Seniors decide how much time they can spare and what their skills are and RSVP makes the link. It can involve admin work at the local police station, delivering meals to housebound seniors or working in the nearest senior center or thrift shop. Seniors can also assist at local events, such as the Alabama Sports Festival and Panoply. 

ResourceContactService
Huntsville VA Clinic(256) 533-8477

Huntsville VA Clinic is only 15 minutes from Madison. It offers U.S. military veterans primary care services, a pharmacy, optometry services and programs dealing specifically with women's health and mental health. The clinic can also refer seniors to veterans services that may help meet some of their care costs, such as the VA Aid and Attendance benefit.


Madison Senior Center(256) 772-6242

Madison Senior Center is the hub of the older community, a place where they can spend time with friends, access some medical programs and converse with counselors who can advise them on Medicare and Medicaid issues. For entertainment and well-being, seniors can play billiards and cards, participate in one of the gentle physical fitness programs and join in with line dancing. There's also tennis and water aerobics for those who prefer something more active.


Long-Term Care Ombudsman(256) 716-2451

The Long-Term Care Ombudsman advocates for seniors in residential care communities, focusing on increasing their quality of care and supporting them in disputes with their facilities. This can include investigating complaints seniors haven't been able to resolve directly with the managers in their communities. Families of seniors in assisted living and third parties can also register complaints. Additional services include helping seniors understand their rights and ensuring they receive all the services they're entitled to.


Volunteer Center of Madison County(256) 880-7080

RSVP (Retired and Senior Volunteer Program) operates out of the Huntsville-Madison County Senior Center. Its purpose is to connect seniors who want to help their communities with local nonprofits who do just that. Seniors decide how much time they can spare and what their skills are and RSVP makes the link. It can involve admin work at the local police station, delivering meals to housebound seniors or working in the nearest senior center or thrift shop. Seniors can also assist at local events, such as the Alabama Sports Festival and Panoply. 


Assisted Living Laws and Regulations in Madison

Madison-area assisted living communities must adhere to the comprehensive set of state laws and regulations that all assisted living communities in Alabama are required to follow. Visit our Assisted Living in Alabama page for more information about these laws.

Assisted Living Laws and Regulations in Alabama

Reviews of Communities Nearby

Assisted Living

Zoila

I am a friend or relative of a current/past resident

Review of The Neighborhood at Madison

My mom moved to The Neighborhood at Madison. The rooms are extra large and it is accessible for people with wheelchairs. They can move around from room to room with no problems. Valerie was...

Provider response

Hello Zoila, thank you; we appreciate your feedback! Hi Zoila, thank you for taking the time to leave a review for us at The Neighborhood at Madison. We're happy we could meet your expectations!

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Assisted Living

Raven

I am a friend or relative of a current/past resident

Review of The Neighborhood at Madison

My mother has moved into The Neighborhood at Madison. It's really open and clean. Everything about it is very inviting and very clean. Every one of the staff has been really helpful, really warm...

Provider response

Thank you for such a great review. We take pride in our residents care, activities, service and food. Please don't hesitate to come share a meal with your loved one.

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Assisted Living

Amanda

I visited this facility

Review of The Neighborhood at Madison

I like the environment at The Neighborhood at Madison. I like the cleanliness, the smell, the personnel, the rooms, and the way they work with us on the pricing. Everything is positive. I think my...

Provider response

Thank you so much for the positive review of our campus. As the Executive Director, I can honestly say we strive everyday to be the best that we can be. Yes we fail, but we learn from our mistakes....

Read more

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Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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