ICFs offer support in a family setting to people who may have severe or profound disabilities and may also be medically fragile. Staffing is available 24 hours/day, 365 days/year. Nursing staff are available during waking hours and on weekends as well as on call at night. Residential staff members work with each individual on a daily basis to ensure their individual goals and objectives are being met. Residents may chose to participate in several recreational activities including choir, golf and several clubs as well as various trips and community outings.