Sierra Hills in Cheyenne offers assisted living as its primary level of care, with options for both long-term residency and respite or short-term stays. The staff is experienced in diabetes management, ensuring routine glucose monitoring, medication administration, and dietary coordination for residents who need it. While the community does not specialize in dementia care, it maintains consistent protocols to keep residents safe and engaged.

The community staffs an awake night shift to provide immediate support at any hour. On-site medical services include a licensed nurse for routine assessments, hospice coordination for end-of-life support, ambulatory care for residents who walk independently or with equipment, and incontinence management plans. Suites are equipped for some physical assistance with bathing, dressing, eating, and toileting, allowing residents to maintain as much independence as possible while still receiving help when required. Certain areas of the residence are designed to accommodate memory loss, offering clear sightlines and reduced confusion for residents who benefit from that layout.

Residences at Sierra Hills vary by size and layout. Some offer pet-friendly policies, outdoor access, and wheelchair-accessible showers, though not every suite includes all three features. Prospective residents should confirm specific accommodations during a tour to ensure individual needs are met.

Daily meals are provided and prepared to meet general nutritional guidelines, with modifications available for diabetic requirements or other physician-directed diets. The dining schedule is structured, but staff can supply snacks or alternative options upon request.

On-site amenities include a wellness center for exercise or therapy sessions, reliable internet access for staying connected, a library stocked with a range of reading materials, and organized special-interest clubs that encourage social interaction and mental stimulation.