24-hour supervision & personal care
Awake staffing, day and night.
Care & services
Personal support, with the time to notice
Daily care, medication support, meals, activities and family communication come together around one individual plan — in a home small enough for changes not to disappear in a crowd.
Assistance with daily living
Bathing, dressing, grooming, toileting, transferring and eating — at whatever level each person actually needs.
Medication administration
By a licensed nurse or a Registered Medication Aide certified by the Virginia Board of Nursing, recorded on a Medication Administration Record at every pass.
Health monitoring & physician coordination
Direct coordination with each resident's own primary care physician.
Three meals + two snacks daily
On a dietitian-reviewed menu.
Laundry & housekeeping
Personal laundry and housekeeping, weekly at minimum.
Daily activity programming
Including therapeutic memory-care activities.
Medical transportation coordination
One round trip per month included.
All utilities
Electricity, gas, water, internet and basic cable.
Emergency call system
In every resident bedroom and bathroom.
Wellness checks & care-plan review
Regular wellness checks and documented care-plan review.
Who provides the care
Every direct-care staff member completes pre-service training in first aid, CPR, infection control, dementia care, abuse and neglect reporting, medication administration and resident rights before any unsupervised contact with a resident.
All staff clear Virginia State Police criminal background checks and Adult and Child Protective Services registry checks before they are hired, and hold a current negative TB screening.
Direct-care staff complete a minimum of fourteen hours of continuing education a year. Staff working in the memory care environment complete six hours of dementia-specific training before unsupervised resident contact, and four hours more each year.
Final service scope for each resident is set by a Uniform Assessment Instrument (UAI) evaluation and by our licensing parameters.
Staffing
Around the clock, not on call
The house is staffed continuously. Specific staffing levels for each shift are confirmed with families during a consultation, once a resident's assessed needs are known.
Day
7:00am – 3:00pm
The busiest hours — personal care, breakfast and lunch, and the morning and afternoon programmes.
Evening
3:00pm – 11:00pm
Dinner at one table, the evening activity, and settling for the night at each resident's own pace.
Overnight
11:00pm – 7:00am
Awake overnight coverage, with checks and assistance available at any hour.
The team
Our proposed staffing plan includes five caregivers, a part-time cook and housekeeper, and an activity coordinator role within the caregiving team. Day-to-day operations and clinical responsibilities will be assigned to appropriately licensed staff before opening.
Someone is always here
Our operating plan provides for a care-team member on site twenty-four hours a day, seven days a week, with awake coverage overnight. Final staffing is subject to licensure, assessed resident needs and required approvals.
Medication
How medication is handled
Medication is the single most common source of avoidable harm in residential care. Here is exactly how it is handled.
- Who may give it
- Only a licensed nurse, a Registered Medication Aide certified by the Virginia Board of Nursing, or the resident themselves where assessed as capable.
- How it is stored
- A locked medication cabinet. Controlled substances under a second lock. Refrigerated medications in a dedicated medication refrigerator, never alongside food.
- How it is recorded
- A Medication Administration Record per resident: every drug, dose, route and time, the initials of whoever gave it, and any refusal, missed dose or adverse reaction.
- Physician orders
- Every medication is backed by a current written physician order. Verbal orders are signed by the prescriber within seven days.
- Packaging
- Unit-dose packaging wherever the pharmacy can supply it, because it makes an error easier to catch.
- If something goes wrong
- Our proposed policy requires prompt escalation to the responsible licensed clinician, physician and family, with required incident reporting to VDSS.
If things change
What happens when something changes
Needs rarely stay still. This is the sequence, and where your family sits in it.
Familiar caregivers
A small household helps caregivers get to know individual routines and recognise changes.
A clinical review follows
The responsible licensed clinician reviews a meaningful change in condition and coordinates next steps with the resident's physician and family.
The physician is brought in
We coordinate directly with the resident's own primary care physician.
The care plan is rewritten
The Individualised Service Plan is updated on any significant change — not held until the annual review.
You are part of it
Family partnership is a stated core value, and the plan carries a resident or family signature.
If needs outgrow our licence
We say so, give written notice, help identify a suitable setting, and transfer records, medication and belongings.
Staying connected
You should not have to wonder how they are doing
In a home this size, family communication is not a newsletter. It is the same handful of people, reachable.
- You help write the care plan
- An Individualised Service Plan is drawn up within seven days of admission and carries a resident or family signature. It is reviewed at least annually and on any significant change.
- Clinical questions reach the right person
- The responsible licensed clinician will coordinate care planning with each resident's physician, specialists and family.
- Medication errors are disclosed to you
- Written into the policy, not left to discretion.
- Emergencies within four hours
- For any significant emergency.
- Complaints run on a clock
- Acknowledged within 24 hours, investigated within five business days, answered in writing within ten. Retaliation against anyone who complains is grounds for termination.
- The month ahead, in advance
- A monthly activity calendar is posted and given to every resident and family.
Visiting
- Residents have the right to receive visitors of their choosing.
- Recommended visiting hours are 9:00am to 8:00pm; outside those hours with a little notice.
- Children are welcome. Under-12s stay with an adult.
- Visitors sign in and out, so we always know who is in the house.
Questions about a specific need?
Describe your situation in your own words. We will tell you plainly whether we can help.