Birchwood Gardens in Ann Arbor provides three levels of residential care—Assisted Living, Residential Care Home, and Memory Care—so residents can transition between services without moving away from familiar surroundings. The staff is prepared to handle wound care, oxygen management, and a full range of diabetic needs, including oral medications, injections, and sliding-scale regimens. Special diets are routinely accommodated and residents younger than 60 are accepted when clinically appropriate. Individuals with mild dementia conditions are supported within the Memory Care program, which integrates cueing, redirection, and structured daily routines.

Care is delivered by an RN or LPN on staff, backed by a nurse who is on call around the clock. All employees undergo background checks, an awake night shift is maintained, and 24-hour security and PERS alerts help ensure rapid response to any urgent situation. On-site podiatry visits reduce the need for outside appointments. Residents who need full assistance with bathing, eating, dressing, or toileting receive hands-on help, and the community can manage transfers ranging from standby supervision and one-person assists to full Hoyer-lift moves for bed-bound individuals. Walkers and wheelchairs are readily accommodated throughout the building.

Private and companion suites are available furnished, and residents may paint or decorate their rooms to reflect personal tastes. Cable television, housekeeping, and scheduled laundry services are offered, though not every room includes every feature, so families should confirm specific amenities when selecting accommodations.

Meals are served three times daily in a shared dining area, with staff present to provide full assistance for residents who need help with eating. Menus are adjusted for physician-ordered diets such as low-sugar, low-sodium, or other therapeutic plans, and snacks are available between meals for blood-glucose management or general nutrition support.

Common areas throughout Birchwood Gardens are wheelchair accessible, and residents can schedule haircuts or other grooming in the on-site barber and beauty shop. Wi-Fi access allows for video calls and streaming, while communal gardens offer outdoor space for light activity or quiet visits with family and friends.