Silverbell Homestead in Fletcher, NC operates as a residential care home. Licensed staff members monitor residents’ vital signs, manage medications, and coordinate directly with outside physicians and pharmacies. A registered nurse is on call, and caregivers are on site around the clock to address urgent medical needs or changes in condition. The community can arrange laboratory work, therapy services, and short-term skilled nursing visits when a physician orders them, reducing the need for frequent outside appointments.

Beyond basic medical oversight, the team develops individual service plans that outline how each resident will receive help with bathing, dressing, mobility, and continence care. Safety checks are performed throughout the day, and emergency response systems are in place in both common areas and resident rooms. Scheduled transportation can be arranged for specialist appointments, and family members receive regular health updates. The community also works with hospice and home-health agencies for those who require enhanced support.

Accommodations include a mix of private and shared rooms, each designed with step-free entryways and lever-style door handles to support residents with limited mobility. Some rooms have in-suite baths, while others rely on nearby shared bathrooms; not all accommodations have every feature, so prospective residents should verify specific layouts during a tour. Housekeeping, laundry, and maintenance services are provided, and residents have access to common living areas, a secured outdoor patio, and a small activity room for therapy exercises or recreational programs.

Meals are prepared on site three times daily and served in a communal dining room where staff are available to assist anyone who needs help with seating, utensil use, or portion control. Menus are written by a dietitian to meet general nutritional guidelines and can be modified for low-sodium, diabetic, or other physician-ordered diets. Snacks and beverages are stocked throughout the day, and room-service trays are available for residents who are recovering from illness or prefer private dining. Not every accommodation includes space for in-room dining setups, so families should confirm specific arrangements in advance.