About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2026 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2026 Memory Care Winners
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10 Best Assisted Living Facilities in Madison County, KY

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Assisted living costs in Madison County average about $4,707 per month. To find the best assisted living options for your needs and budget, browse through 15 communities in Madison County. Our detailed directory has 115 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Lexington, Nicholasville and Winchester.

Madison County Assisted Living Facilities | 115 Reviews

Showing 14 communities
Last Updated: 2/16/26
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Photo of Arcadian Cove
1515 Photos available
8.5
Review score
24 reviews
8.5
Review score
24 reviews
5 star
75%
4 star
17%
3 star
4%
2 star
4%
1 star
0%
See all reviews
The meals that are served to the residents could be better and when it comes to the care services - it would be good if someone could dress a wound.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Arcadian Cove is a spacious, family-oriented senior-living community nestled between Richmond and Berea Kentucky. We specialize in assisted living and offer 3 beautiful floor plans to choose from; as well as many inviting and senior-accommodating common areas.Each private apartment features a...
Photo of Cedarhurst of Nicholasville
2121 Photos available
9.3
Review score
14 reviews
9.3
Review score
14 reviews
5 star
57%
4 star
43%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Everything is great! The staff is wonderful! They all make all us feel at home. The activities are great and she has already done a number of them even though she is on the shy side! The latest was making...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
At Cedarhurst of Nicholasville, it’s our mission to tailor senior living to you so you can feel loved, valued, and supported each and every day. Our senior living community in Nicholasville, Kentucky, offers assisted living for those who require assistance with activities of daily living and...
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Photo of Boonesboro Trail Senior Living
1414 Photos available
8.9
Review score
3 reviews
8.9
Review score
3 reviews
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
When it comes to the care services, they are not always quick to respond to the call button when someone calls for assistance. It may be several minutes and multiple rings to get a response from a caregiver....
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Dominion Senior Living of Richmond
99 Photos available
44 Floor plans available
7.8
Review score
21 reviews
7.8
Review score
21 reviews
5 star
56%
4 star
24%
3 star
5%
2 star
5%
1 star
10%
See all reviews
First of all, Dominion is more like homey feeling and design of building is very updated. Interiors are nice and the tenants get own private rooms. One negative is no insurance so each resident has to pay...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Our assisted living and memory care community is located in Heritage Place subdivision offering a variety of floorplans including studio, one-bedroom, and two-bedroom apartments. We provide 24/7 nursing, all-inclusive pricing (no care fees), all-day dining and wireless emergency pendants.
Photo of Bridgepointe at Ashgrove Woods
1010 Photos available
33 Floor plans available
Pricing promotion
7.5
Review score
16 reviews
7.5
Review score
16 reviews
5 star
31%
4 star
50%
3 star
6%
2 star
0%
1 star
13%
See all reviews
I'm very pleased with the care my mom is getting, they are a sister memory care to Homeplace in Midway. The location of Bridgepointe works best for me to see my mom more frequently. The staff have all been...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Bridgepointe at Ashgrove Woods was created with one goal in mind: helping families grow closer as loved ones grow older. Our community blends comfort, care, and connection, giving residents the opportunity to enjoy life to the fullest with the reassurance of support when it’s needed.We are proud...
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Photo of Morning Pointe of Richmond
1212 Photos available
5 star
75%
4 star
25%
3 star
0%
2 star
0%
1 star
0%
See all reviews
My Aunt, [name removed], moved to this facility several months ago, and we cant be any happier with the care and service she gets. The team there is very much a team with [name removed] as Executive...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Conveniently located just off the Eastern Bypass on Gibson Bay Drive not far from the Patty A. Clay Hospital, Morning Pointe of Richmond is a single-level state-of-the-art senior living community offering 42 spacious apartments with multiple floor plan choices. Providing Care Preserving Dignity...
Photo of Rose Mary C. Brooks Place a CCRC
22 Photos available
5 star
50%
4 star
33%
3 star
17%
2 star
0%
1 star
0%
See all reviews
My aunt has resided at Rose Mary C. Brooks Place since [date removed]. She calls it "her home". She loves the staff and they love her. The staff is quick to notify me if they have any concerns about her...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
The Rose Mary C. Brooks Place in Winchester, Kentucky has a majestic beauty that is unlike any other assisted living community. We invite residents to dine al fresco on our beautiful patio or simply enjoy the impeccably landscaped 16 acres of campus land by taking a stroll alone or with friends....
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Photo of Legacy Reserve at Fritz Farm
1818 Photos available
77 Floor plans available
6.8
Review score
27 reviews
6.8
Review score
27 reviews
5 star
55%
4 star
15%
3 star
15%
2 star
4%
1 star
11%
See all reviews
Legacy Reserve provides different levels of care for its residents. I am currently in the “independent” level whereas I don’t need personal care; it’s like living at home. I occupy a studio apartment with a...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Legacy Reserve at Fritz Farm is a unique senior living experience for the astute, active senior promoting the freedom to enjoy life. Our Independent Living community promotes a healthy and energetic lifestyle giving residents the opportunity to be as engaged and occupied as they choose to be....
Photo of McCready Manor
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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Photo of Berea Manor
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Rose Terrace Lodge Inc
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Council Oaks Assisted Living
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Cost of assisted living in Madison County, KY

The average cost of senior living in Madison County is $4,707 per month. Cheaper nearby regions include McKee, KY with an average of $3,625 per month.

Assisted living costs in Madison County, KY, vs. nearby counties

Madison County, KY
$4,707/mo
$4,825/mo
$3,883/mo

Assisted living costs in Madison County, KY, vs. state and national averages

Madison County, KY
$4,707/mo
U.S. national average
$4,740/mo

Assisted living costs in Madison County, KY, vs. other senior living options

Assisted Living
$4,707/mo
$4,707/mo

Assisted living costs in Madison County, KY, by floor plan type

Studio
$3,463/mo
1 Bedroom
$4,800/mo
2 Bedroom
$5,663/mo

Senior living costs in Madison County vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Madison County, KY
Column state: Kentucky
Column national: U.S.
Community typeMadison County, KYKentuckyU.S.
Assisted Living$4,707/mo$4,417/mo$4,740/mo
Memory Care$4,707/mo$4,442/mo$5,001/mo
Independent Living$3,383/mo$3,333/mo$4,199/mo
Assisted Living
Madison County, KY:$4,707/mo
Kentucky:$4,417/mo
U.S.:$4,740/mo
Memory Care
Madison County, KY:$4,707/mo
Kentucky:$4,442/mo
U.S.:$5,001/mo
Independent Living
Madison County, KY:$3,383/mo
Kentucky:$3,333/mo
U.S.:$4,199/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Madison County, KY, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Madison County and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Madison County, KYKY stateNational

Assisted living cost trends in Madison County, KY

The table below shows how monthly assisted living costs in Madison County have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Madison County, KY$6,325/mo$2,821/mo+124.2%
Kentucky$3,594/mo$3,509/mo+2.4%
National$4,600/mo$4,541/mo+1.3%
Madison County, KY
2024 average cost:$6,325/mo
2023 average cost:$2,821/mo
Percent change:+124.2%
Kentucky
2024 average cost:$3,594/mo
2023 average cost:$3,509/mo
Percent change:+2.4%
National
2024 average cost:$4,600/mo
2023 average cost:$4,541/mo
Percent change:+1.3%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Madison County, KY

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Madison County.

What families are saying about assisted living in Madison County

Recent reviews for assisted living in Madison County

Morning Pointe of Lexington-East

5.0
I would like to thank the staff and the management for their hard work and compassionate care of my mother. It is never easy to trust someone else to care for your loved ones. They try very hard to make my mother feel at home, make her smile, and tailor her experience to meet her specific ...
Read more

Friendship Towers Assisted Living in Lexington, KY

5.0
It was the best fit for my mother, the physical layout, the activities available, the friendly and caring people, easy communication access, it is close to my home, within our budget. I would recommend to others.

The Willows at Hamburg in Lexington, KY

5.0
This was a great community. I looked like a mini hotel. The staff was great and they did a good job with mom. We loved the staff and the residents that were there. That is why we liked this place so much. The people were great all around.

Madison County review score based on 33 family reviews

8.1
Review score14 facilities33 reviewsWrite a review
This proprietary review score is based on 33 reviews of 14 Madison County assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Madison County review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Madison County review score compared against nearby cities

8.1
Madison County, KY14 facilities
8.3
Richmond, KY19 facilities
8.2
Berea, KY6 facilities

Review subcategories for Madison County assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 33 reviews of 14 Madison County assisted living communities. This chart helps you compare Madison County resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Madison County, KY averageNational average
Cleanliness
4.0
4.0
Friendliness
3.9
4.0
Care services
3.6
3.7
Staff
3.7
3.9
Meals & dining
3.2
3.6
Activities
3.3
3.6
Value for cost*
3.2
3.6
0.01.02.03.04.05.0
*Learn more about cost details

Madison County assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Madison County assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Madison County, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Madison County assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Madison County that offer these care services compared to the percentage of partners that offer them nationally.
Madison County, KYNational
Full medication management
Full medication management
50%
52.6%
Doctor on call
Doctor on call
35.7%
33.9%
24-Hour awake staff
24-Hour awake staff
92.9%
96%
Diabetic care
Diabetic care
92.9%
97.6%
*Visiting health care professionals
*Visiting health care professionals
57.1%
56.8%
Home care agency on-site
Home care agency on-site
21.4%
30%
Non-ambulatory care
Non-ambulatory care
92.9%
96.7%
Respite or short term stays
Respite or short term stays
57.1%
47.6%
Hospice available on-site
Hospice available on-site
42.9%
52.5%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Madison County assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Madison County Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Madison County, KYNational
Dementia behaviors care
Dementia behaviors care
42.9%
51.4%
Specialized memory care training for staff
Specialized memory care training for staff
35.7%
32.7%
Secured community and/or wander guard
Secured community and/or wander guard
35.7%
41.1%
Memory care only community
Memory care only community
14.3%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Madison County assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Madison County partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Madison County, KYNational
Nutritionist / dietician
Nutritionist / dietician
21.4%
27.3%
Low / no sodium
Low / no sodium
42.9%
41.1%
No sugar
No sugar
42.9%
37.7%
Vegetarian
Vegetarian
28.6%
36.4%
Pureed meals
Pureed meals
14.3%
17.8%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Madison County assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Madison County communities that offer dining options to their discerning residents compared to our partners nationally.
Madison County, KYNational
Professional chef
Professional chef
21.4%
31.6%
Restaurant style dining
Restaurant style dining
50%
42.5%
Room service
Room service
42.9%
36.9%
Anytime dining
Anytime dining
35.7%
18.1%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Madison County assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Madison County offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Madison County, KYNational
Activity director
Activity director
50%
46.6%
Pet-focused programs
Pet-focused programs
28.6%
31.1%
Community service programs
Community service programs
21.4%
30.6%
Devotional activities on-site
Devotional activities on-site
57.1%
49.6%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
50%
49.5%
Outings / off-site activities
Outings / off-site activities
57.1%
52.4%
Piano or organ
Piano or organ
42.9%
41.5%
Arts and crafts center
Arts and crafts center
35.7%
35.6%
Educational speakers / life long learning
Educational speakers / life long learning
35.7%
38.2%
Clubs / games / karaoke
Clubs / games / karaoke
50%
47%
Live performances
Live performances
50%
47.1%
Dances
Dances
35.7%
30.7%
Fitness center
Fitness center
50%
24.6%
Fitness classes
Fitness classes
57.1%
46.1%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Madison County

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Kentucky assisted living regulations will help you understand how assisted living communities in Madison County protect seniors.
Learn about Kentucky assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Arcadian Cove, Cedarhurst of Nicholasville and Boonesboro Trail Senior Living are the top-rated assisted living facilities near Madison County, Kentucky. See full list of communities.
There are 15 assisted living facilities near Madison County, Kentucky. See the full list.
The best assisted living facility near you in Madison County, Kentucky is Richmond Place. This assisted living community received the highest ranking based on verified family reviews.
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More questions?

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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