Acacia Home in Federal Way operates as a residential care home that is equipped to manage a wide range of health needs. The team accepts residents who wander during the day or night, those at risk of elopement, individuals with combative or other behavioral challenges, and people who stay up all night. Care is also available for advanced dementia, wound management, oxygen therapy, special diets, and diabetes of all types—including oral medication regimens, insulin injections, and sliding-scale protocols. Younger adults under 60 who need this level of support can also be accommodated.

Around-the-clock oversight is delivered by an on-site RN or LPN, with a registered nurse on call 24 hours a day. A house doctor makes in-home visits, and the property is RN-owned, providing an extra layer of clinical oversight. Full assistance is available for bathing, dressing, eating, and toileting, and the staff can perform walker and wheelchair transfers, standby or supervised transfers, one-person or two-person assists, full-body Hoyer lifts, and care for bed-bound residents. The building is secured with door alarms, a fenced rear area, onsite staff at all hours, and a PERS alert system that immediately notifies caregivers.

Resident rooms can include cable service, and layouts vary from private to companion suites. Some accommodations offer more space or additional features than others, so families are encouraged to verify what is available at the time of move-in. The environment is arranged to remain wheelchair-friendly and free of excessive clutter, allowing residents with mobility aids to navigate safely.

Meals follow a set menu prepared to meet individual nutritional requirements. Staff can modify textures, restrict sodium or sugar, and create specialized diets as ordered by a physician. Snacks are on hand throughout the day for residents who prefer smaller, more frequent servings or who require caloric supplementation.

Community amenities include complete wheelchair accessibility throughout the residence and internet access for keeping in touch with family or streaming favorite programs.