Blueberry Gardens 4 in Bothell operates as a residential care home that is structured to handle residents with complex medical profiles. The community accepts individuals who wander day or night, present elopement risks, display combative or other behavioral issues, stay up all night, or require ongoing wound care, oxygen therapy, and advanced diabetic management—including oral medications, injections, and sliding-scale coverage. The staff is trained to support advanced dementia conditions, and an on-site nurse practitioner owns and oversees medical services. An RN or LPN is on duty, a nurse is on call 24 hours a day, and security staffing is continuous, with door alarms and a personal emergency response system that alerts caregivers immediately.

Hands-on assistance is available for all activities of daily living. Caregivers provide full help with bathing, dressing, eating, and toileting, and night-shift staff remain awake to respond to needs. Transfer help ranges from standby support for walker users to full Hoyer-lift transfers for bed-bound residents; one-person and two-person transfers are also covered. The building maintains 24-hour security, and every entrance is monitored to prevent unsupervised exits.

Accommodations include private and shared rooms equipped with cable service, although not every room offers the same features. Residents can personalize their spaces within safety guidelines, and housekeeping is provided to keep units orderly.

Dining follows a set menu prepared in-house, but the kitchen can adjust meals for diabetic, low-sodium, or other physician-ordered diets. Snacks are available between meals so residents have access to additional nutrition throughout the day.

The property is wheelchair accessible, offers community-wide internet access, and uses an all-inclusive flat-rate pricing structure to simplify budgeting. Public transportation stops are nearby, making visits and outings more convenient for families and staff.