Montgomery Eldercare II operates as both an Assisted Living residence and a Residential Care Home, allowing it to serve residents who need varying levels of daily support. The community manages complex medical profiles, including individuals who wander, live with behavioral challenges, require oxygen, follow physician-ordered special diets, or are under age 60. Diabetes care is comprehensive, covering oral medication oversight, insulin injections and sliding-scale protocols. For residents with advancing dementia, the team supplies specialized supervision aimed at maintaining safety and minimizing agitation. Podiatry visits are available on site, reducing the need for outside appointments.

Additional care features reinforce that medical focus. An RN or LPN is on staff, a nurse is on call 24 hours a day, and an awake night shift monitors residents throughout the evening. All staff undergo background checks, exterior doors are alarmed, and security personnel remain on site around the clock. The community provides full assistance with bathing, dressing, eating and toileting, and it can accommodate transfers ranging from standby help to one- or two-person lifts. Walkers and wheelchairs are routinely managed.

Resident rooms may come fully furnished, and some can be personalized with paint or décor choices; cable service is available in select units, but not every accommodation includes each feature. A set menu is served daily with the ability to modify meals for physician-ordered diets, and snacks are accessible between meals. Independent-living participants can enroll in medication-management monitoring, weekly housekeeping, personal laundry service and a monthly meal plan, creating a lighter level of support that still promotes daily oversight.

Dining takes place in a communal setting where staff monitor nutritional intake and document any changes in appetite or weight. Consistent hydration rounds and between-meal snack options help maintain calorie and fluid targets. Therapeutic diets such as low-sodium, diabetic or mechanical-soft are prepared under kitchen guidelines, and residents needing total assistance with eating receive direct support at each meal.

The property is wheelchair accessible, offers internet access throughout common areas and hosts on-site religious services for those who wish to participate. Scheduled transportation is available for medical appointments, shopping and local outings, helping residents stay connected to the broader Silver Spring community.