Nurse-practitioner-led mobile wound care for post-surgical wound patients in Town & Country — at home, in assisted living, or in skilled nursing. No clinic trip, no transportation burden.
Town & Country patients undergoing surgery at Missouri Baptist Medical Center — the hospital sits at 3015 N. Ballas Rd inside the city itself — often leave with orders for in-home post-surgical wound care, particularly when the surgeon anticipates a complicated recovery or when the patient's baseline status (age, diabetes, immunosuppression, obesity, prior radiation) elevates complication risk. Conventional weekly clinic follow-up is simply not the right fit for the Town & Country concierge-care expectation. Gateway's nurse practitioners come to the Town & Country residence directly — typically within 24 to 48 business hours of a referral — and provide the full spectrum of post-surgical wound management at the bedside.
Our Town & Country post-surgical patient panel spans abdominal, orthopedic, cardiac, vascular, and skin-cancer surgical patients recovering at home along the Conway Rd, Ladue border, Mason Ridge, Thornhill, and Clayton Rd corridors, plus residents of senior communities serving the Town & Country / Creve Coeur border — The Gatesworth at One McKnight Place, Provision Living at West County. Most of our referrals come from Missouri Baptist Medical Center, Mercy Hospital St. Louis, and St. Luke's Hospital in Chesterfield, along with the surgical practices whose patients live in Town & Country.
We coordinate directly with the operating surgeon at every visit — fax, HIPAA-email, or phone — documenting wound characteristics in writing and escalating same-day if infection, necrosis, or deterioration is identified. For qualifying dehisced or deep wounds meeting Medicare LCD criteria, we initiate NPWT at the bedside and perform every-other-day dressing changes. Many Town & Country families employ private-duty caregivers or concierge caregiving services, and our NPs coordinate directly with those caregivers on daily wound observation between our visits. Benefits verification is complete in writing before the first visit.
Most surgical incisions heal by primary intention without incident, but a meaningful minority — especially in patients with diabetes, obesity, immunosuppression, or prior radiation — develop complications: wound dehiscence (partial or complete separation of the wound edges), surgical site infection (superficial, deep, or organ/space), seroma formation, or slow healing of a clean wound left to close by secondary intention. These patients often leave the hospital or ambulatory surgical center with an open wound that needs ongoing packing, dressing changes, and assessment — care that a nurse practitioner can deliver in the patient's home without the transportation burden and infection exposure that clinic or ER visits entail. Our NPs communicate directly with the operating surgeon and primary care team at every visit so no one is working in the dark.
Depth, surface area, tunneling, undermining, and tissue composition measured and photographed at every visit; findings faxed or sent via HIPAA-compliant channel to the surgeon of record.
Saline, hydrofera, alginate, or antimicrobial packing matched to wound characteristics. Bedside debridement for slough or devitalized tissue.
Wound vac therapy for qualifying dehisced or deep surgical wounds; prompt escalation to the operating surgeon if infection, necrosis, or deterioration is observed.
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.