Hamilton House operates as a residential care home, so residents receive around-the-clock supervision and support in a smaller, more home-like environment than a large assisted-living center. Staff members are on duty 24 hours a day to handle medication administration, glucose monitoring, blood-pressure checks, and basic wound care. The team coordinates directly with local physicians, pharmacies, and rehabilitation providers to keep each care plan current and to arrange on-site visits from physical, occupational, and speech therapists as needed. An emergency call system links every resident room to staff stations, and a registered nurse is on call to respond to urgent medical concerns.

Beyond medical oversight, Hamilton House assists with activities of daily living such as bathing, dressing, mobility, and continence management. Housekeepers maintain resident rooms and common areas, while laundry service is handled by staff. Transportation to medical appointments, religious services, and local shopping is scheduled several times a week. Residents have access to planned social activities, including light exercise classes and craft sessions, and short-term respite stays are accepted when space allows.

Accommodations at Hamilton House include a mix of private and companion rooms. Each room is furnished, and most have individual climate controls, cable connections, and an in-room emergency call button, though not all accommodations have all of these features. Bathrooms are designed for safety with grab bars and walk-in showers, and maintenance staff handle repairs promptly. Residents are encouraged to personalize their spaces with familiar belongings, and weekly linen and housekeeping services are provided.

Meals are prepared in the community kitchen and served three times daily in a shared dining area. Menus are reviewed by a dietitian to meet varied nutritional needs, including low-sodium, diabetic, and mechanical-soft diets. Residents who prefer to eat in their rooms can request tray service, and snacks and beverages are available throughout the day. The culinary team welcomes family feedback and can adjust portions or seasonings to accommodate individual preferences, ensuring that dietary recommendations from physicians are followed closely.