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Other Senior care options in Madison County:

Best Assisted Living in Madison County, AL

Reviewed by Dr. Jordan Weiss
Updated Apr 2026

Sources: CMS Centers for Medicare and Medicaid Services, and Alabama Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Madison County, Alabama.

Watch this Video to see Madison County's Top-rated Senior Communities

Compare Assisted Living around Madison County

The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.

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Madison at The Range
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Madison
82Yes 19 Studio / 1 Bed / 2 BedDaniel Chattom
Regency Retirement Village of Huntsville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Huntsville (Greenhill)
104Yes 44 Special Care (104)Vicki Nesmith
The Madison Village
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Madison
60No 34 Studio / 1 Bed / 2 BedAngie Tate
Fleming Farms Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Huntsville
33No 40 1 Bed / 2 BedAmanda Hamilton
Overview of Madison at the Range

Madison at the Range is a senior living community in Madison, Alabama committed to delivering unparalleled standards of care. As an assisted living community with memory care services, they strive to provide a beautiful environment where seniors receive attentive and compassionate support.

Madison at the Range offers expert care tailored for individuals with Alzheimer’s and/or dementia, enriching their lives through engaging activities such as gardening and music, along with nutritious and delectable dining options. The care team at Madison is dedicated to enhancing the well-being and happiness of their memory care residents every day. 

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Single-story

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Fitness and Recreation

Contact Madison at The Range

Overview of Regency Retirement Village of Huntsville

Regency Retirement Village of Huntsville is a senior home that offers a multitude of choices, ranging from assisted living to memory care services. Their exceptional caregivers, the backbone of their amazing service, ensure a supportive community and a secure environment for all residents. For those seeking personalized care and attention, memory care private homes are available within this remarkable facility. The building remains smoke-free, promoting a healthy and enjoyable living experience.

Alongside the 24-hour emergency response system, transportation services, and chef-prepared meals, this community also provides specialized memory care day programs, catering to the unique needs of individuals with memory-related challenges. Daily social activities and events also keep seniors engaged and connected, embracing the digital age while also enjoying outdoor relaxation areas. Most importantly, residents and their families can take comfort in knowing that Regency Retirement Village of Huntsville maintains stringent memory care qualifications to ensure the highest level of care and support.

What does this home offer?

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Pets Allowed

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Building Type: Mid-rise

Contact Regency Retirement Village of Huntsville

Overview of The Madison Village

Nestled on 10 acres of picturesque land in Madison, Alabama, The Madison Village is a premier assisted living community that provides a warm and welcoming environment for seniors. This care community boasts charming studios, one-, and two-bedroom apartments, creating a cozy and comfortable atmosphere for residents to call home. With caregivers available 24/7, seniors receive the support they need whenever it’s required. To ensure peace of mind, the community has call systems for all senior residents, allowing immediate response in case of emergency.

At The Madison Village, seniors find a compassionate and caring community to enhance their quality of life. Conveniently located near Madison Hospital and shopping centers, residents enjoy easy access to various amenities. The community offers a range of living options, including independent living, assisted living, and respite care services, ensuring each resident’s unique needs are met.

What does this home offer?

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Single-story

Contact The Madison Village

Overview of Fleming Farms Senior Living

Take in the warmth of Bellewood Drive SE, Huntsville, AL, with the renowned senior living community of Fleming Farms Senior Living that provides assisted living, independent living, and memory care. With specially designed and sophisticated ranging from one-bedroom to three-bedroom residences, seniors experience unrivaled comfort and security. The community takes pride in a team of kind and reliable professionals tending to seniors’ needs and preferences.

Discover new interests and rekindle old hobbies through fun activities and enjoyable events. Have a delightful dining experience with exquisite and healthy cuisine that caters to dietary needs and tastes. Filled with amazing amenities and a lively environment, Fleming Farms Senior Living is ideal for seniors seeking to cherish every moment of their best years.

What does this home offer?

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Room Sizes: 724 / 735 / 803 / 1049 / 1099 / 1172 / 1518 / 1520 sq. ft

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Housing Options: 1 Bed / 2 Bed

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Building Type: Mid-rise

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Dining Services

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Security Systems

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Housekeeping Services

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Transportation Services

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Beauty Services

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Recreational Activities

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Exercise Programs

Contact Fleming Farms Senior Living

Ranking Methodology

How we rank these assisted living communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

Weighting overview

35%
Resident Experience
25%
Regulatory
15%
Visual Media
10%
Website
10%
Stability
5%
Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

Includes Review Sentiment Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

Includes State Inspections Citations/Inspection % Inspections w/ Citations Complaint Visits Accreditations BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

Includes Video Tours Virtual Walkthroughs Photo Quantity Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

Includes Website Content Mobile Usability Staff Info Available Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

Includes Occupancy Rate Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

Includes Walk Score Pricing Transparency
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Frequently Asked Questions about Assisted Living in Madison County, AL

What's the difference between assisted living and memory care in Alabama?

Assisted living in Alabama supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Alabama?

Assisted living in Alabama is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Alabama Medicaid cover assisted living?

Alabama Medicaid does not directly pay room-and-board for assisted living, but most states (including Alabama) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 4 assisted living facilities in Madison County, AL. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Madison County, AL?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Madison County, AL, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Madison County, AL?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.