Silver Leaf – Appalachian is a residential care home that concentrates on meeting complex medical needs. The community is equipped to manage residents who wander, attempt elopement, display combative or other behavioral issues, remain awake through the night, require wound care or oxygen therapy, follow special diets, or are under 60 years of age. Diabetes care is available at every level, including oral medications, injections, and sliding-scale management. Staff members have experience supporting advanced dementia, so memory-related challenges are accommodated without requiring a move to another setting.

An RN or LPN is on staff, all employees undergo background checks, exterior areas are fenced, and exit doors are alarmed for safety. On-site clinical resources include memory care services, incontinence and ambulatory support, optometry, dentistry, podiatry, occupational and physical therapy, medication management, and hospice coordination. Caregivers provide full assistance with bathing, dressing, eating, and toileting. Transfer help ranges from standby support for walker users to two-person and Hoyer lift transfers for bed-bound residents.

Private and shared rooms are available, and each has access to cable service so residents can keep up with television programs. Some rooms may include additional features such as varied layouts or bathroom configurations, but these details differ by unit and availability.

Meals are prepared daily, with both set menus and made-to-order options. Staff can modify textures, portion sizes, and ingredients to match physician-ordered diets, and snacks are offered between meals to help maintain energy and blood-sugar levels.

The building is fully wheelchair accessible, and residents can take advantage of community-wide internet access to stay in touch with relatives, stream entertainment, or manage personal business online.