Royal Care House Alf in Gwynn Oak, Maryland, operates as both an assisted-living residence and a residential care home, allowing it to accommodate residents who require varying levels of daily support. The community is equipped to manage wound care, oxygen therapy, special dietary needs, diabetes (whether managed by oral medication or insulin injections), and residents younger than 60 who need assisted-living services. Staff members are trained to work with individuals who have moderate dementia, ensuring that memory-related conditions are monitored and addressed within the care plan.

An RN or LPN is on staff, and a nurse is on call around the clock to respond to changes in condition. All employees undergo background checks, and the building incorporates a fenced rear area and alarmed doors to support resident safety. Assistance with bathing, eating, dressing, and toileting is available for those who require some physical help, and mobility support ranges from standby supervision with a walker to a full one-person transfer.

Private and semi-private rooms are offered furnished, and some include cable service. Housekeeping is provided, and scheduled laundry services help residents maintain clean clothing and linens. Not every room contains every feature, so families should confirm availability of specific accommodations during a tour.

Meals follow a set menu that rotates to cover nutritional requirements, and snacks are available between scheduled dining times. The kitchen can modify textures or ingredients to meet physician-ordered diets, including low-sodium, diabetic, and other special-nutrition plans.

Residents have access to outdoor smoking areas, community-wide internet service, and a stair glide that assists with safe movement between levels of the home.