Monticello West offers assisted living as its primary level of support, with care plans that can be adjusted for short-term or respite stays. Residents who need help managing diabetes receive monitoring and medication assistance, and a mental wellness program is in place for those requiring behavioral or emotional support. On-site or on-call physicians are available for routine and urgent needs, and the community is secured to reduce wandering risks and support overall safety.

A range of clinical services is delivered on the property. Licensed nurses are on duty up to 16 hours a day for medication management, wound care, and general health monitoring. Rehabilitation and mobility needs are handled by visiting physical and occupational therapists, while a podiatrist and dentist provide scheduled specialty care. For residents living with memory loss, the building is laid out to minimize confusion and the staff is trained in dementia techniques. Incontinence and ambulatory assistance are available, and hospice services can be coordinated when needed.

Living accommodations vary from studio and efficiency apartments to units with kitchenettes. Select apartments include cable hookups, Wi-Fi, phone lines, wheelchair-accessible showers, and other handicap-friendly features, though not every residence comes with all of these options. Outdoor seating areas, a library and computer lounge, and resident parking are located on site for daily convenience.

The culinary program supplies three daily meals prepared by a professional chef, and guest meals can be arranged. Menus offer a standard selection as well as low- or no-sodium choices for residents with dietary restrictions. Snacks and beverages are available between meals, and staff can assist with special textures or portioning as part of a physician-ordered plan.

Residents have access to an activity center, game room, and swimming pool, along with scheduled fitness classes and broader health and wellness programs. The community organizes social outings, off-site activities, arts and crafts sessions, educational speakers, live performances, trivia games, birthday and holiday celebrations, and interest-based clubs.