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Carestone Assisted Living At Rivergate

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Photo of Carestone Assisted Living at Rivergate
Photo via Google · The Carriages of Rivergate
What we can show you for free.
Bed capacity
113
State license
ACL0000000066
Care type
Assisted living
County
Davidson
Facility name
Carestone Assisted Living At Rivergate
Legal entity
Madison Assisted Living, Ltd
Street address
94 TWIN HILLS DR
City / state / ZIP
Madison, TN 37115
Phone
(615) 855-1979
State license #
ACL0000000066

Carestone Assisted Living At Rivergate is a licensed assisted living community in Madison, Tennessee. It is licensed for 113 beds — well above the median for assisted living communities in Tennessee (50 beds).

It is one of 7 senior care facilities in Madison and 406 assisted living communities across Tennessee. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

This listing draws on the federal NPI registry (NPPES), and was last updated on August 30, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Lori Alford
Parent company
Hearthstone Senior Services

Regulatory standing

License status
Licensed

Services & coverage

Licensed beds
113
Licensed as
Assisted Care Living Facility
Memory care
Yes — dedicated memory care (113 secured beds)
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from Federal NPI Registry (NPPES); hours/accessibility via Google · last verified 2026-08-30. Facilities can submit a correction.
What people say on Google.
3.815 ratings on Google
★★★★★Kristi Harris · 2026-06-27 · via Google

“I just wanted to say that our experience with the Carriages of Rivergate was wonderful. My mom was there a little over a year when she passed away. The nurses and caregivers and whole staff were very caring and did a great job taking care of my mom who could be a little difficult at times. They engage with their residents and are good about doing their 2 hour checks. The place is very clean and sm…”

★★★★★Sherry Pulley · 2021-04-30 · via Google

“My mother is a resident at the Cadence of Rivergate. The Executive Director “Bobby Adkins” has a heart for each and everyone that is in the community. He treats them like he would want his loved ones to be treated and the staff is the same way. I appreciate each and everyone who is employed there. They do what they do because they truly care about the people. My sister passed away unexpectedl…”

★★★★★Srm Moore · 2020-10-21 · via Google

“Cadence reminds me of when we went on. Retreats except with an amazing staff to help you with all your needs. A Chef that is creative and amazing. An administrator that is passionate, dedicated to provide the best quality of care and a warm and inviting environment to live in. Many amenities to enjoy and to socialize.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
+ additional citations decoded in your full report.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
Federal NPI Registry (NPPES)
npiregistry.cms.hhs.gov
Last verified 2026-08-30
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered