Brandywine Reflections at Colts Neck is structured exclusively for memory care, admitting residents who live with mild to advanced dementia. The community accepts individuals who wander during the day or night, have a history of elopement, exhibit behavioral issues, stay up all night, or require wound management, oxygen, or diabetic care—whether oral medication, injections, or sliding-scale insulin. Younger adults under 60 with memory impairment are also considered. A registered nurse or licensed practical nurse is on staff, with a nurse on call 24 hours a day to monitor changing conditions and coordinate outside providers as needed.

Daily support extends to full assistance with bathing, dressing, eating, and toileting. Residents who use walkers, wheelchairs, or need standby, one-person, two-person, or bed-bound transfers are accommodated. Security features include background-checked employees, awake night staff, door alarms, front and rear fencing, WanderGuard technology, 24-hour staffing, and a personal emergency response system that alerts caregivers. On-site podiatry rounds reduce the need for off-campus trips, and the activities director structures programs that meet cognitive and physical needs while upholding safety protocols.

Living quarters range from suites with private bathrooms, small kitchenettes, independent climate controls, and cable hookups to more basic rooms; not every unit includes every feature, so confirming specifics during a tour is advisable. Layouts are designed for easy navigation, minimizing confusion and supporting residents with memory loss.

Meals follow a set menu that rotates regularly, with snacks offered between dining periods and the kitchen prepared to manage physician-ordered diet modifications such as low-sugar, low-salt, or mechanical-soft plans. Tableside assistance is available for anyone who needs cues or full help with eating, and staff monitor intake to ensure nutritional goals are met.

Residents have access to outdoor smoking areas, wheelchair-friendly common spaces, an on-site barber and beauty shop, a fitness room, high-speed internet, landscaped communal gardens, and regularly scheduled religious services on campus.