Holy Garden AFH, previously operating in Vancouver, WA, provided residential care home services tailored for older adults living with moderate dementia. The environment was structured to deliver consistent cognitive support alongside customary daily living assistance, allowing residents to remain in a smaller, homelike setting rather than a large institutional building.

Around-the-clock oversight played a central role. A nurse was available on call 24 hours a day, and every employee underwent background checks before working with residents. Overnight, staff remained on site in an asleep-shift capacity and could be summoned quickly through a PERS alert system; the fenced rear yard reduced the risk of wandering. Direct care included full assistance with bathing, dressing, eating, and toileting. Mobility support ranged from standby supervision to hands-on one-person transfers, accommodating walkers and wheelchairs.

Private and semi-private rooms were available, and some came fully furnished while others could be customized; residents who preferred a personal touch were allowed to paint or decorate their space. Cable service was offered in many rooms, and scheduled housekeeping kept living areas clean, though not every accommodation featured each amenity.

Meals followed a set menu designed by staff to meet general nutrition guidelines. Between scheduled meals, snacks were available. Dietary modifications such as mechanical-chop, puree, or thickened liquid textures were prepared as ordered, and staff monitored compliance to ensure nutritional goals were met for residents with swallowing or other diet-related issues.