Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
Previous Comment     Next Comment     Back to List of Comments
9/6/26  12:57 pm
Commenter: Katherine Salvant

Addressing Vanguard rebuttals to DMAS concerns
 

Regarding VGL's rebuttals to DMAS concerns, recollections may vary.

Based on documented phone and text records, there was not regular and clear communication with us during the period our daughter was in residence that was not positive and along the lines of " this is just the transition" and prayer, clapping hands and hearts emojis.  We were told she was crying and hitting, noncompliant and resistant to leaving the cottage but were reassured that it was all "part of the transition".  The VGL rebuttal descriptions of our daughter's behavior are significantly exaggerated in comparison to the information that was conveyed to me during conversations with VGL leadership.

On the day of her doctor's appointment when she was unclean, I was told we needed to pay an additional $5,000/month fee for one-on-one care during the transition period and agreed.  I offered at that same meeting to be present any and every day to help if needed during the transition.

For factual accuracy, at no time prior to getting a call on the day of discharge when I was told "she needs to not be here" was there an "emergency request for family assistance".  We did not "elect to remove her".  There was no "failure to disclose" information about our daughter. We had multiple in-person meetings with our daughter present prior to admission and VGL leadership was given written copies of her behavior plan and ISP at our in-person meeting on 1/29/26. A signed 2-way release of information was also provided to VGL administration for the behavior consultant as well as the CSB case manager.  Neither entity was contacted by VGL prior to or during residence.

We were not notified of multiple missed medications on multiple days. 

Regarding the hygiene concerns, I found my daughter to be unclean within 15 minutes of leaving VGL when we reached the doctor's office less than 2 miles from VGL.  She only had a meal after I took her home and bathed her before returning to VGL. 

The statement that residents may eat in the cottage is somewhat misleading as our daughter is not able to procure food or prepare a meal independently. Nor is she able to voice her wishes regarding where she wants to eat.  We were told breakfast was brought into the cottage for her one morning because she wouldn't leave the cottage, but she was not given the option of having all of her meals in the cottage. 

When our daughter returned home on the day of discharge she had multiple large bruises where were not present on admission.  

Vanguard Landing is a wonderful concept for an intentional community. However, it appears that it is currently only prepared and willing to serve a narrow range of the disabled population and as such should remain private pay without state funding consistent with many other intentional communities.

CommentID: 241121