Harmonie Home in Almaden is licensed as a residential care home, and its care plan is built around residents who need hands-on medical oversight. The staff is trained to manage individuals who wander during the day or night, have a history of elopement, display combative or other behavioral challenges, require oxygen support, or manage diabetes with oral medications. The community also accepts residents living with advanced dementia and provides on-site podiatry visits to address foot health without a trip outside the building.

Around-the-clock staffing includes an awake night shift, and every employee completes background checks before hire. The building uses door alarms, a fenced rear area, and a PERS system that routes emergency calls directly to staff, providing multiple layers of security. Full assistance is available for bathing, dressing, eating, and toileting. Transfer help ranges from standby supervision to two-person or mechanical Hoyer lifts, supporting residents who use walkers, wheelchairs, or who are fully bed-bound.

Private and semiprivate rooms come furnished, and families may paint or decorate to make the space feel familiar. Cable television access is offered in many rooms, but not every accommodation includes every feature, so it is best to confirm availability during a tour.

Meals follow a set menu prepared in-house, and staff can adjust textures or ingredients to accommodate most physician-ordered diets. Snacks are available between meals, and caregivers remain on hand to provide full eating assistance for anyone who needs it.

Amenities include wheelchair-accessible common areas, internet access throughout the property, landscaped communal gardens, and scheduled on-site religious services. Pets are allowed; it’s a good idea to check with the community during your visit to see if your pet will be allowed.