Nurse-practitioner-led mobile wound care for diabetic foot ulcer patients in Town & Country — at home, in assisted living, or in skilled nursing. No clinic trip, no transportation burden.
Town & Country residents with diabetic foot ulcers typically have excellent specialist access — a Washington University endocrinologist, a long-established podiatrist, and often a vascular surgeon already on the care team — and yet the same logistical problem affects them as every other patient population: a DFU needs weekly professional wound care for 8 to 16 weeks, and no combination of specialist clinic visits delivers that cadence. Gateway closes that gap by bringing nurse-practitioner-level wound care directly to Town & Country homes, estates, and senior communities — typically within 24 to 48 business hours of a referral.
Missouri Baptist Medical Center at 3015 N. Ballas Rd is located inside Town & Country itself, and is the dominant source of our post-discharge DFU referrals here. Patients often come home from MoBap after treatment for cellulitis, osteomyelitis, or a complex DFU admission, with orders for continued in-home wound care. We also receive referrals from Mercy Hospital St. Louis, St. Luke's Hospital in Chesterfield, and from a network of Town & Country-based primary care and podiatry practices. Our patient panel here skews toward older adults living in single-family homes along the Conway Rd, Ladue border, and Thornhill corridors — many with private-duty caregivers or concierge caregiving services our NPs coordinate with directly.
Our clinical approach for Town & Country DFU patients mirrors what we do elsewhere in West County: wound assessment with photo documentation at every visit, conservative sharp debridement at the bedside, offloading review with coordination of DME or podiatry for therapeutic footwear, advanced dressing selection, and NPWT setup for qualifying Wagner Grade 2–3 wounds. When osteomyelitis, deep infection, or critical limb ischemia is suspected, we escalate same-day to vascular surgery or podiatry. Benefits verification is complete before the first Town & Country visit, with all coverage confirmations sent in writing to the patient and family.
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.
Missouri Baptist Medical Center — known locally as MoBap — sits at 3015 N. Ballas Rd within Town & Country itself, making it the default hospital for essentially every Town & Country wound-care discharge. Mercy Hospital St. Louis and St. Luke's Hospital also serve residents here, and many patients have physicians with admitting privileges across the major BJC and Mercy systems.
Town & Country is among the most affluent municipalities in Missouri, with an older owner-occupied housing stock and a patient population that expects — and is accustomed to — concierge-level medical service. Home-based wound care is an especially good fit for this community: patients and families prefer the privacy and convenience of in-home care over clinic waiting rooms.
We also serve patients recovering at home in Town & Country's neighborhoods — including Mason Ridge, Thornhill, Conway Rd corridor, Clayton Rd estates, Ladue border.
“Real patient and family testimonials from our Town & Country service area will be published here once we complete HIPAA-compliant testimonial collection with written patient authorization.”— Gateway Wound Care, Town & Country
Serving every address in Town & Country, MO — ZIP codes 63017, 63131, 63141 — and throughout our 50-mile Greater St. Louis service area. View full service area.