Nurse-practitioner-led mobile wound care for pressure ulcer patients in Town & Country — at home, in assisted living, or in skilled nursing. No clinic trip, no transportation burden.
Town & Country residents expect concierge-level medical service, and pressure-ulcer care is one of the clearest cases where the conventional clinic model fails that expectation. A Stage 2 or 3 pressure injury needs weekly — sometimes twice-weekly — specialty assessment for two to four months. Sending an older adult from a Mason Ridge estate, a Conway Rd home, or a Thornhill residence to a wound clinic waiting room, and then to a second clinic for DME, and then back for a follow-up, is neither dignified nor practical. Gateway brings the wound-care specialist to the residence instead — typically within 24 to 48 business hours of a referral.
Town & Country's default hospital is Missouri Baptist Medical Center — MoBap — at 3015 N. Ballas Rd, located inside the city itself. A substantial share of our Town & Country referrals come directly from MoBap discharge planners for patients leaving acute care with a sacral, heel, or ischial pressure injury. We also receive post-discharge referrals from Mercy Hospital St. Louis and St. Luke's Hospital, both of which count Town & Country residents among their core patient base.
The patient population here is unusually well-served by wraparound caregiving: many Town & Country families employ private-duty caregivers or engage concierge caregiving services, and our NPs coordinate directly with those caregivers alongside the patient's primary care physician. For residents of senior communities serving the Town & Country / Creve Coeur border — The Gatesworth at One McKnight Place, Provision Living at West County, and similar assisted-living addresses — we work alongside facility nursing staff to provide specialty-level staging, debridement, and NPWT setup while routine dressing changes stay with facility teams. Benefits verification and coverage confirmation are handled in writing before the 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.
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.