The only thing keeping this review from being single-starred is the staff. I've stayed here 3 times (company thing), each time for a week or more and every staff member, from the receptionists to the shuttle drivers to the restaurant staff, has been exceptionally friendly and helpful.
Outside of that, I'm not at all impressed with the Madison Radisson. The breakfast is scanty with bad coffee from an instant coffee machine. The windows at the back of the hotel look directly at an in-construction Carmax buildling. At one point it looked as if someone had puked on the main stairs leading to the second floor, it smelled bad, and it stayed there for a good four days. I resorted to to taking the elevator to avoid it and, when they did clean it, the hallway was muggy and badly ventilated and still stank. Also, I woke up one morning with NO HOT WATER! Unacceptable, especially when here for work. Unlike what someone said in a previous review, the bath items (shampoo, conditioner) are low quality - my hair isn't entirely long and I have to use the entire contents of each bottle to fully cover it. Additionally, I bought a couple of packs of herbal tea, drank one of each, left them next to the coffee maker and when I came back in the evening after maid service had been through both of them were gone! They obviously weren't empty...very frustrating, especially when here in winter without a car.
Also, the restaurant has the tendency to close for private events. This really got me. They know that a lot of their guests are here without transportation so I don't know how this could stand. Twice I've been forced to wander out in the cold to find dinner. This is something that a hotel guest should NEVER have to worry about.