The Madison
Orange, VA
"Gracious lodging since 1928"
Frequently Asked Questions
What is assisted living?
Assisted living is a long-term care option that combines guest-centered care in a residential and cozy. Assisted living promotes independence and freedom of choice while providing assistance and care in a warm, home-like residential setting with 24- hour staffing available to meet both scheduled and unscheduled needs.
Who would benefit from assisted living care?
Assisted Living is designed for those who are at a point in their life where it has become too difficult to live alone. These individuals may require some assistance but do not need to be in an institutional setting such as a nursing home. Individuals needing assistance with Activities of Daily Living (ADLs) such as bathing, dressing and medication management, meals, and are typically the type of guest that would benefit from assisted living.
What services are provided?
Services and care are provided in a way that promotes maximum independence and dignity for guests. Personal care services such as assistance with bathing, dressing and medication management are available in the privacy of one's own room or suite. Assistance is given in response to each guest's individual needs in order to improve quality of life. For more detailed information on the types of care and services please see the About Assisted Living section.
How much does assisted living cost at The Madison?
While costs vary widely in the industry, assisted living generally costs less than home health services or nursing home care. The following factors should be considered: types of services, size of accommodation, location of community, etc. Most assisted living facilities charge monthly rates and many also have daily rates for short-term stays (respite care). Many assisted living facilities charge a room rate but add to that extra charges which result in a total room cost that far exceeds their published base room rate.
When evaluating assisted living facilities for yourself or a love one, always add up all costs of services and add this amount to the base room rate. Then, compare this amount to other facilities with the same services.
How do I select an assisted living facility?
If you decide that assisted living is the best solution, consider the following when evaluating the assisted living choices in your area:
- Are the owners directly involved in the business on a daily basis to assure a friendly and hospitable atmosphere?
- Is management experienced and how long have they been in business?
- Do they have genuine concern and respect for the guests?
- Are the guests and families happy and satisfied?
- Is staff friendly and caring?
- What is the staff to resident ratio?
- Is the property clean and comfortable?
- Is this a place children would like to visit?
- Are meals appealing and well balanced?
- What health and wellness services are available?
- Is the location convenient to friends and family?
- What activities are planned for guests?
- Will the prospective guests like these activities?
- Will the prospective guest enjoy the daily life as compared to the other options?
- Do services and quality of living meet your standards?
- Is the value comparable to cost?
- What are the residency criteria for admissions?
- Considering all...will assisted living improve the quality of life for a guest?
What kind of services does The Madison provide?
We offer both assisted Living and retirement living. Our levels of care allow guests to stay at The Madison until acute care is required. For more information please see sections about assisted living and services provided. Many of our guests do not require assisted living services when they first move in. They are independent and some even work jobs. The magic of residency at The Madison is that should the need ever arise for assisted living services, they are provided to our guests without having to relocate.
What are the levels of care?
We offer three levels of care in assisted living. Each level of care in assisted living is determined by an individualized assessment and is based on a guests need to perform certain tasks such as dressing, toileting, bathing, and more. All levels of care are provided for the same charge at a daily bed rate of $40.00 to $65.00.
Does The Madison have an entrance or membership fee?
No. We only require a deposit of one month's rent to be placed on our wait list. This deposit guarantees the prospective guest the next available room according to their position on the list. Up to 30 days before move in, a prospective guest may ask to remove their name from the wait list and a full refund is allowed. Less than 30 days notice results in forfeiture of the deposit.
Can I put a room on hold?
Yes. A deposit will hold your room reservation and will become part of your payment at the time of move-in.
Can I be on a wait list?
We do have a wait list for our property. If you would like to be on our wait list we ask for a deposit of one months rent to ensure your spot. Guests and families are notified in the order their deposits were received.
How often do you raise your monthly fees?
We generally raise our fees once a year but never within the first 12 months of a new guest moving into our property. Generally, rate increases are tied to cost of living increase indexes.
What are the rooms like?
Guest accommodations range from studios to suites and vary in size. All guest rooms are fully furnished, however we welcome the prospective to bring his/her own furnishings and personal items.
Are the guest accommodations safe and quiet?
We utilized fire resistant construction throughout our property. The communities are fully equipped with a sprinkler system, a closed-circuit television security system and fire and smoke detection system. We have an emergency generator for any potential power outages.
Are there kitchens in each room?
Some guest rooms have a tea kitchen equipped with a sink and a refrigerator/freezer. However, we serve three delicious meals a day which are included in the monthly fees so we encourage all guests to dine in our dining rooms to enjoy the companionship and great food at The Madison.
Does The Madison offer laundry service?
Yes, weekly linen changes are included in the monthly fee. Additionally, if you wish, we will do your personal laundry at no additional cost.
Do you have storage areas for guests?
Due to fire codes, we have very limited storage space in our building.
Is housekeeping service offered?
Weekly housekeeping services are included in the monthly fee at The Madison. This includes vacuuming, dusting and cleaning of the bathroom and kitchen, plus a change of bed linens.
Do you have cable TV?
Yes, our property is cable ready.
Do you have guest rooms?
No, unfortunately we do not. However, we can recommend a number of local hotels that are located close to our property.
Are visitors permitted to eat in the dining room?
Yes, family and friends are welcome to dine with our guests at The Madison. We ask that our guests, families or friends give a 24 hour advance notice. There is no charge for guest meals.
Is there assigned seating in the dining room?
No. Seating arrangements are determined by our staff to make sure there is a good fit at the table. We only offer one seating option as we like to have guests interact with each other.
How are the meals served?
Our meals are served restaurant style in our gracious dining room by our professional, friendly wait staff. A variety of entrees are available at each meal.
If I am away for a period of time, will I get a food credit?
No, if a guest is away for a period of time they will not receive a credit on their monthly bill.
If I am ill, will my meals be brought to my room/suite?
We will be happy to deliver trays to a guest’s room if they are ill for up to three days. We do encourage residents to take their meals in the dining room.
Is there public transportation nearby?
Town Of Orange Transportation (TOOT) is available with 24 hours advanced notice. They offer door-to-door service to certain locations. Their buses drop off and pick up in our parking lot.
Are there recreation and exercise rooms?
Activities are held on our campus and off-site. We have planned exercise programs to suit the needs of our guests. We offer a variety of activities to appeal to many different tastes and interests.
Do you have a personl trainer?
We work closely with ACAC to offer our guests physical training programs. We do not have a certified personal trainer on our campus.
What other kind of activities do you have?
Our activities coordinators plan socials, happy hours, book and author presentations, concerts by local musicians, intergenerational activities, current events, special trips and many more events.
Does The Madison provide its guests with scheduled tours, trips and other outings?
Yes. We take mountain trips and trips to the museums, local wineries, etc. We attend sporting events, theater and concerts. All day trips are planned in accordance with the guests' wishes. Please see our Event Schedule section on this website.
Are there staff on dury at night?
We have personal care professionals on duty every night to respond to guests needing assistance. We provide room checks as well.
How do you coordinate health care services for each guest?
An Individualized Service Plan (ISP) will be developed for each guest upon move-in. This plan will specify the services that will be provided to the guest and how they will be delivered. Also, this plan will be customized to reflect the personal requirements and preferences of the guest and will be updated annually or as needed. Our guest care coordinators will oversee each plan. They will also oversee communication with the staff about any special needs and wants.
Do you provide medical services?
All guests must have a personal care physician at the time they move into our property. These personal physicians will oversee the medical care and take care of any medical needs a guest may have. Our guest care coordinator will act as a liaison with the medical community and advocate for our guests for the medical care they require.
Do you allow wheelchairs, walkers and electric carts?
Yes, many of our guests have wheelchairs, walkers and electric carts. However, we do not supply medical equipment; this must be purchased separately.
Do you have a beauty salon or barber?
Yes, we have salon services for both men and women at a specially designed, centrally located salon within our property. All services are by appointment.
Who pays for utilities?
All utilities, except for telephone and cable services, are included in the monthly fees.
Do I need to bring a telephone?
Yes, you will need to bring your own personal phone for your room/suite. However, we provide a FREE phone for local calls at no charge.
Are young children allowed to visit?
This is your home. Your family and friends are always welcome. In fact, we have special children’s programs for members of our guest families. We also encourage families to attend daily in-house activities as well as off-site events. Please see the Event Schedule section of this website.
Is there an age limit?
There is no minimum or maximum age limit. Moving in and staying at The Madison is solely based on the needs and desires of our guests.
Is smoking permitted?
Smoking is permitted in outside-designated smoking areas only.
Are pets allowed?
Yes, guests may keep certain pets including cats and most small breeds of dogs. However, a guest must be able to care for their pets independently.
Are there individual heating and air conditioning controls in each apartment?
Yes, each room or suite is equipped with individual controls.
Do you have respite care?
We do offer respite care for a minimum of a two weeks stay and up to six weeks. This care is designed to be temporary so that caregivers can have some "time off" from caring for their loved ones.
Do you offer medication administration?
Yes, we work directly with our guest’s physician to procure and administer medications to our guests. Our medication program is directed by our nurses. Administration is performed by our nursing staff and/or our state certified Med Aides. There is no extra charge to procure and administer medications. We order the medications from our contracted pharmacy so that they are packaged according to state regulations. Often times our high purchase volumes result in significant discounts for our guests. We coordinate with medicare part D and our pharmacy to assure the lowest costs for our guests.
Do I need a medical assessment before I come to The Madison?
Yes. We will do an assessment before a guest can move in to make sure that we can meet a potential guests individualized needs. A medical assessment will also determine the level of care required by the guest. State regulations also require a history, physical, and T.B. test before the guest is admitted to The Madison.
Suppose I am admitted to The Madison as a private payor but later run out of money, will I be discharged?
The Madison never discharges a guest because he or she “outlives” their resources. We work with the guest and family to assure this unfortunate circumstance is avoided.
How do I gain adminission to The Madison?
You should contact our admissions coordinator and express your interest in The Madison. Please see our Contact Us page on this website for more information. The coordinator will advise and guide you through this process.
Do your accomodations allow for spouses and/or family members?
Yes, to continue promotion of a home-like environment, The Madison has suites and large rooms designed with the families in mind.
Are weekend and holiday move-ins possible? If so, are there extra charges?
Yes and no! We do provide holiday and weekend move-ins and at no extra charge.
Suppose I want to purchase my medicines through a pharmacy other than yours. Is there an extra charge?
No, we only require your pharmacy to deliver your medications on time for proper administration by our staff. Also, your pharmacy must meet certain other guidelines mandated by Virginia’s Regulatory Standards.
Does The Madison provide processed meals or home-cooked meals?
For many years now, The Madison cooks all meals from scratch. We do not use any processed foods for our guests. Additionally, our on-site Certified Dietary Manager (CDM) does not permit the use of trans-fats, monosodium glutamate, artificial sweeteners or partially hydrogenated products on our property. All guests meals are home-cooked using only natural and organic products. Many of our guests are require special diets. These are arranged through our dietary program.
May I bring my own car to The Madison?
Yes, our property contains free, safe and secure parking for our guests. Each guest has his/her own private parking space.
Are there religious services available?
Yes, Chaplain and pastoral counseling and services are available on site. Additionally, most church services are available within walking distance of our campus. Several churches have bus service to our property.
Is The Madison equipped with emergency call services?
Yes, we have equipped each guest room with an emergency call system, should an emergency arise. Furthermore, our staff does room checks during the day and night to assure our guests’ safety and well being.