River View Afh Care, Amanuel Sima is a residential care home in Columbia City, Oregon that is structured for residents who need daily clinical oversight. The community manages wandering behaviors at all hours, addresses complex behavioral issues, and supports persons living with advanced dementia. Oxygen therapy is available, and staff monitor residents who are on special diets or oral diabetic medications to maintain physician-ordered care plans.

The facility maintains a 24-hour nurse on call, conducts background checks on employees, and runs an asleep night shift to monitor safety while minimizing disruptions. Caregivers provide full assistance with bathing, eating, dressing, and toileting. Mobility support ranges from supervision for walker users to one-person transfers, full Hoyer lifts, and care for residents who are bed-bound, expanding admission options for a variety of physical conditions.

Private and shared rooms are offered; each comes furnished, and residents can request paint or bring décor to personalize the space, although not every unit includes all of these features. Cable service is available in select rooms, while routine housekeeping and scheduled laundry are part of the base service package to keep living areas clean and organized.

Meals are prepared on a set menu, with an on-order option for those who want more choice. Snacks are stocked throughout the day, and staff coordinate diet modifications for medical or cultural reasons, ensuring residents who need diabetic, low-sodium, or other specialized diets receive appropriate meals.

The building is fully wheelchair accessible and has community internet access so residents can stay in touch with family, stream entertainment, or handle online tasks.