St. Mary's Home provides specialized care within a home-like environment for children ages 6 years to 21 and adults with severe intellectual and physical disabilities. Most children depend on wheelchairs for mobility and rely on methods other than speech to communicate their wants and needs. Many use feeding tubes to provide some or all of their nourishment. A few have tracheotomies, and almost all require regularly administered medication. Nursing staff provide professional, 24-hour clinical care, and nearly 20 specialists from Children's Hospital of The King's Daughters and Eastern Virginia Medical School routinely come to the Home to see the children. The children have regular physical therapy, and occupational therapy staff fit the children for splints to keep their limbs in alignment and customize and maintain their wheelchairs and other equipment. The dietary service department prepares and delivers all meals based on physician-approved diets overseen by a registered dietitian. Support coordinators meet with the children, parents or guardians and staff to make sure the children receive appropriate services based on their individual needs.