Tell us what has changed.
Share the city where care is needed, any recent discharge plans, and the skilled services your provider has recommended.
Skilled Nursing
Nursing assessment, care education, and support for your physician’s plan in the comfort of home.

A new diagnosis or change in health can leave you with instructions that are difficult to manage alone. Skilled nursing visits offer an opportunity to review the care plan, discuss changes, and learn which concerns to share with your physician. The focus is on the skilled need identified by your provider, not continuous supervision.
Vanguard works with patients, families, and referring providers to clarify the requested skilled services. We review your location, referral, and coverage before planning visits. You can call to understand the process even if you are still gathering paperwork.

These details help the team understand the referral and avoid asking you to repeat information.
Also have the patient’s city or ZIP code and insurance information nearby. Please share medical documents directly with the care team through the process they provide, rather than through the general website form.
We help you understand what comes next, before services begin.
Share the city where care is needed, any recent discharge plans, and the skilled services your provider has recommended.
We discuss the referral, service availability, and Medicare, insurance, or private-pay arrangements. Specific benefits and costs need individual review.
Our team explains what information is still needed and how provider-ordered care can be coordinated when appropriate.
Care is personal. These answers offer a starting point for a conversation about your needs.
Discuss coverage and eligibilityHome health nursing is generally provided through scheduled skilled visits. Visit frequency depends on your needs, provider orders, and coverage. Tell us if you are also looking for ongoing personal assistance so expectations are clear.
We accept most major insurance plans and private pay. Participation, benefits, authorization requirements, and patient costs vary by plan and service. We review these details before services begin.
Please have a current medication list, including recent changes; the name of the provider managing your care; discharge paperwork and any home health orders. You can call before every document is available.
Vanguard serves Los Angeles, Orange, Kern, and Ventura Counties. Call with the exact patient location and care needs to discuss service availability. Our office is in Burbank.
A conversation is a good place to begin.