Birch Gardens in Staunton, VA delivers two primary levels of care—Assisted Living and Memory Care—so residents can remain on campus even as their needs change. The community is staffed to manage a wide range of medical situations, including residents who wander day or night, display exit-seeking behavior, or present combative or other challenging behaviors. Clinical oversight is available for complex conditions such as advanced dementia, wound management, oxygen therapy, and special dietary requirements. Younger adults who need care, along with diabetics on oral medications, injections, or sliding-scale insulin, are also supported. On-site incontinence and ambulatory services aim to reduce outside appointments and keep care coordinated.

Round-the-clock assistance is offered with daily living tasks at the level each resident requires. Caregivers can provide full help with bathing, eating, dressing, and toileting, and they are trained to handle a variety of transfer methods, from simple standby assistance and walker support to one-person or two-person transfers, full Hoyer lifts, or bed-bound repositioning. This range allows residents with fluctuating mobility to remain safely in place without having to move to another setting.

Housing options include both private and shared suites, and each space is designed with accessibility in mind. Some rooms have direct access to secure outdoor areas where residents can enjoy fresh air under staff supervision, although not all accommodations include every feature. Emergency call systems and safety fixtures are present in select rooms based on layout and availability.

Meals are prepared on site and served three times daily, with menus that can be adapted for physician-ordered or preference-based special diets such as diabetic, low-sodium, or texture-modified plans. Staff are available in the dining area to provide cueing or full feeding assistance, ensuring residents with physical limitations or cognitive decline receive proper nutrition. Snacks and hydration are monitored throughout the day to support overall health.

Residents have access to an activity center that hosts programs designed to maintain cognitive function, encourage social interaction, and support physical mobility. Participation is optional, and schedules are adapted to the varying energy levels and interests typical of both assisted living and memory care populations.