Blue Horizon in Maple Valley, Washington, operates as a Residential Care Home capable of managing a wide range of medical and behavioral needs. The community admits residents who wander at any time of day, present elopement risk, display combative or other challenging behaviors, stay awake through the night, require wound care, need oxygen therapy, follow physician-ordered special diets, or live with complex diabetic regimes—from oral medications to injections and sliding-scale insulin. Admission is open to adults under 60, and staff have experience supporting advanced dementia conditions as well as less common age-related diagnoses.

An on-site RN or LPN directs care, and a nurse is on call 24 hours a day. Continuous staff coverage, perimeter fencing, door alarms, and a PERS system help maintain security. Personal care services include full assistance with bathing, dressing, eating, and toileting. Transfer support ranges from standby help for walkers to one-person assists, full-body Hoyer lifts, and bed-bound repositioning, ensuring residents can remain in place as mobility changes.

Private bedrooms are available, and some include an en-suite bathroom and cable hookup; availability of these features depends on room selection. Rooms are sized and arranged for ease of wheelchair navigation, and furniture can be rearranged to suit individual preferences.

Meals follow a set menu prepared to meet physician-prescribed diets, including low-sodium, diabetic, or texture-modified options. Snacks are stocked throughout the day so residents have access to food outside scheduled dining hours. Staff provide full assistance at mealtimes when needed, ensuring nutritional goals are met even for residents with advanced physical or cognitive limitations.

Community amenities include outdoor smoking areas, building-wide wheelchair accessibility, and internet access for residents and guests. The residence is RN owned and operated, which can streamline care planning and medical oversight.