Nurse-practitioner-led mobile wound care for pressure ulcer patients in Creve Coeur — at home, in assisted living, or in skilled nursing. No clinic trip, no transportation burden.
Creve Coeur sits at the center of West County's medical corridor, but that density of physicians and hospitals paradoxically creates a gap in chronic wound care: specialty-clinic wound appointments at Barnes-Jewish West County, Mercy, or a hospital-affiliated outpatient center often book out two to three weeks in advance. A Stage 2 or 3 pressure injury on the sacrum or heel of a homebound Creve Coeur patient simply cannot wait that long between debridement and dressing changes. Gateway fills that gap by bringing nurse-practitioner-level wound care directly to Creve Coeur homes, condominiums, and senior communities — typically within 24 to 48 business hours of a referral.
Our Creve Coeur patient panel skews toward long-settled seniors aging in place along Conway Rd, Ladue Rd, and the Old Creve Coeur single-family neighborhoods, plus residents of upscale senior communities like The Gatesworth at One McKnight Place, Brooking Park on S. Woods Mill Rd, and Parc Provence's memory-care households on Coeur De Ville Dr. We also see a steady flow of post-discharge patients from Barnes-Jewish West County Hospital's N. Ballas Rd campus and from BJC WashU specialty clinics where the attending physician has ordered home wound care rather than a clinic follow-up.
Pressure injuries in this population tend to fall into two patterns: the post-acute dehisced or heel ulcer following a hospital stay, and the slow-accumulating sacral wound in a patient whose mobility has declined faster than family realized. Both respond to the same intervention — consistent weekly assessment, offloading review, appropriate dressing selection, and timely escalation when needed. Our NPs document wound depth, surface area, and photos at every visit, fax or HIPAA-email findings to the physician of record, and coordinate Stage 3/4 wounds for NPWT initiation when Medicare LCD criteria are met. Benefits verification is handled before your first visit.
Pressure injuries develop when sustained pressure, shear, or friction over a bony prominence cuts off perfusion to the underlying tissue. Most occur over the sacrum, ischium, heels, or greater trochanters in patients who spend extended time in bed or in a chair. The NPUAP/EPUAP system stages these wounds from Stage 1 (intact skin with non-blanchable redness) through Stage 4 (full-thickness loss exposing bone, tendon, or muscle), with additional categories for unstageable and deep tissue pressure injury. Once a Stage 2 or deeper wound is present, it will not heal without consistent pressure offloading, appropriate dressing selection, nutritional support, and ongoing clinical evaluation — interventions that Gateway's nurse practitioners coordinate at the bedside alongside the patient's facility or caregiver team.
We evaluate the sleep surface, seating posture, and turning schedule. When a support surface upgrade is indicated, we document medical necessity and coordinate DME orders with the physician of record.
Sharp, enzymatic, or autolytic debridement is performed at the bedside depending on wound bed tissue. See our in-home debridement page for clinical detail.
Foam, alginate, hydrocolloid, hydrogel, and antimicrobial dressings are matched to exudate, depth, and infection risk. For deep Stage 3 and 4 wounds meeting LCD criteria we initiate wound vac therapy.
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.