Nurse-practitioner-led mobile wound care for diabetic foot ulcer patients in Creve Coeur — at home, in assisted living, or in skilled nursing. No clinic trip, no transportation burden.
Creve Coeur's concentration of endocrinology, podiatry, and vascular surgery practices is second to none in West County — which creates a paradox: diabetic foot ulcer patients here often have excellent specialist access but still cannot get consistent weekly wound follow-up because the specialists' clinics book two to three weeks out. A DFU needs weekly (or more frequent) professional assessment throughout active healing. Gateway fills that gap by visiting Creve Coeur homes, condos, and senior communities directly — typically within 24 to 48 business hours of a referral.
Our Creve Coeur DFU patients tend to be long-established seniors living in the Conway, Ladue Crossing, and Old Creve Coeur single-family neighborhoods, or residents of upscale senior communities like The Gatesworth at One McKnight Place, Brooking Park on S. Woods Mill Rd, and the Parc Provence memory-care households. Many have been under the care of a WashU or BJC endocrinologist for years, and nearly all have an established podiatrist — we coordinate with those physicians directly so our visits complement, rather than duplicate, their clinic care.
Referrals come in from Barnes-Jewish West County Hospital's N. Ballas Rd campus after acute-care or SNF discharge, from BJC WashU podiatry and vascular clinics, and from primary care physicians along the Olive Blvd medical office corridor. Our NPs perform wound assessment, conservative sharp debridement, offloading review (boots, shoes, inserts, total-contact cast coordination when indicated), advanced dressing selection, and NPWT setup for qualifying Wagner Grade 2–3 wounds meeting Medicare LCD criteria. When osteomyelitis, deep infection, or critical perfusion compromise is suspected, we escalate same-day to podiatry or vascular surgery. Benefits verification is complete before your first Creve Coeur visit.
A diabetic foot ulcer is an open wound on the foot that develops as a downstream complication of diabetes — usually through the combined effect of peripheral neuropathy (numbness that allows injury to go unnoticed) and peripheral arterial disease (reduced circulation that impairs healing). The Wagner Ulcer Classification System rates severity from Grade 0 (at-risk foot with intact skin) through Grade 5 (extensive gangrene); most wounds managed at home fall within Grades 1 through 3. Because diabetic patients feel less pain and heal more slowly than non-diabetic patients, missing even a single weekly follow-up visit can mean the difference between a healing wound and a hospital admission — which is why in-home delivery of this care matters so much.
Conservative sharp, enzymatic, and autolytic debridement performed bedside. See the in-home debridement service for detail.
We review footwear, coordinate with podiatry or DME for offloading boots or custom inserts, and train caregivers on pressure relief — a foundation of DFU healing.
Evidence-based dressings matched to exudate and infection status, wound vac therapy for qualifying wounds, and direct coordination with podiatry and vascular surgery when escalation is needed.
Creve Coeur sits in the heart of West County's medical corridor, with Barnes-Jewish West County Hospital on N. Ballas Rd, Mercy Hospital St. Louis campuses along I-270, and an extensive concentration of physician offices clustered around Olive Blvd and Ballas. Many of our Creve Coeur referrals come directly from BJC WashU specialty clinics.
Creve Coeur is a dense medical-office corridor with a long-established senior population — including a large share of residents aging in place in single-family homes along Conway Rd, Ladue Rd, and Olive Blvd, plus several upscale assisted living communities.
We also serve patients recovering at home in Creve Coeur's neighborhoods — including Conway, Ladue Crossing, Bellerive Country Club area, Old Creve Coeur, Westwood Farms.
“Real patient and family testimonials from our Creve Coeur service area will be published here once we complete HIPAA-compliant testimonial collection with written patient authorization.”— Gateway Wound Care, Creve Coeur
Serving every address in Creve Coeur, MO — ZIP codes 63141, 63146 — and throughout our 50-mile Greater St. Louis service area. View full service area.