Bethany Living in Gaithersburg operates as both an assisted-living residence and a residential care home, which allows the team to work with a wide medical range. Care staff are prepared to support residents who wander during the day or night, elopement risks, combative or other behavioral concerns, wound care needs, oxygen therapy, special diet requirements, and diabetes management whether controlled by oral medication, injections, or sliding scale insulin. The home is also equipped to serve adults under 60 years old and residents living with advanced dementia, ensuring continuity of care as needs progress.

Registered nurses and licensed practical nurses are on staff, and a nurse is on call around the clock. All employees undergo background checks, and the community maintains awake night-shift coverage, 24-hour security, alarmed doors, and a fenced rear area. Podiatry is provided on site, limiting the need for outside appointments. Direct care includes full-assistance with bathing, dressing, eating, and toileting. Transfer capabilities cover the range from standby support to one- or two-person assists, wheelchair and walker aid, Hoyer lift use, and bed-bound care, allowing residents to remain in place even as mobility decreases.

Accommodations include furnished rooms with the option for private bathrooms, and residents may paint or otherwise personalize their spaces; availability of these features can vary by room. This setup lets residents bring familiar items while still having essential furniture in place.

Dining follows a set menu prepared to meet clinical guidelines, and snacks are available between meals. The kitchen team manages physician-ordered diet modifications, including low-sodium plans, diabetic diets, and other special restrictions so residents receive meals compatible with medical needs.

Common-area amenities include outdoor smoking areas, full wheelchair accessibility, community internet access, and a stair glide to assist residents who have difficulty with steps.