A Serenity AFH in Auburn, WA operates as a Residential Care Home equipped to manage a wide range of medical needs. The team can support residents who wander at any hour, present elopement risk, show combative or other behavioral issues, remain awake all night, require wound care, oxygen therapy, special diets, or diabetes management using oral medications, injections, or sliding-scale protocols. Advanced dementia conditions are accepted, and the residence offers a memory-care-only environment designed to meet cognitive challenges. On-site medical services include a nurse, hospice care, medication management, ambulatory and incontinence care, occupational and physical therapy, podiatry, and dental visits.

Care features extend beyond clinical services. A Serenity AFH maintains 24-hour security with staff on site, an awake night shift, and a nurse on call at all times. Personal emergency response systems alert staff immediately. Full assistance is available for bathing, eating, dressing, and toileting. Transfer help ranges from standby supervision to one- or two-person assists, full Hoyer lift support, and accommodation of residents who are bed bound. Walker and wheelchair users are supported.

Accommodations include rooms that may offer a private bathroom, furnishings, cable service, and the option to paint or decorate; not every room contains every feature. The environment is set up to be wheelchair accessible.

Dining follows a set menu with snacks available throughout the day. Staff can modify meals to meet physician-ordered diets or resident preferences, including specialized diabetic and texture-modified plans.

The community provides internet access for residents and visitors, and all common areas are wheelchair accessible.