Nurse-practitioner-led mobile wound care for venous leg ulcer patients in Chesterfield — at home, in assisted living, or in skilled nursing. No clinic trip, no transportation burden.
Venous leg ulcers account for the majority of lower-extremity wounds we see in Chesterfield — and the population most affected is exactly the demographic that dominates West County's affluent senior corridor: older adults with a history of varicose veins, chronic edema, or prior deep vein thrombosis, who have developed an open ulcer on the medial lower leg that simply will not close. The evidence-based treatment is therapeutic multi-layer compression applied weekly by a trained clinician. Gateway's nurse practitioners deliver that compression at Chesterfield homes, assisted-living apartments, and skilled nursing beds — typically within 24 to 48 business hours of a referral.
Why this matters for Chesterfield specifically: weekly compression changes in a clinic setting require transportation, waiting-room time, and a clinician with specific training in multi-layer compression systems. Many of our Chesterfield patients live in senior communities along N. Outer 40 Rd, Olive Blvd, and Wild Horse Creek Rd — Chesterfield Villas, The Westchester House, Sunrise at Chesterfield — where facility nursing staff are skilled at routine care but benefit from specialty-level compression application and assessment. Others live at home in Long Meadow Farm, Wildhorse, Baxter Village, and the Chesterfield Valley, where in-home compression changes eliminate transportation entirely.
Most referrals arrive from vascular surgery practices at Missouri Baptist Medical Center and St. Luke's Hospital, from primary care offices along the Olive Blvd corridor, and directly from Mercy Rehabilitation Hospital St. Louis after inpatient stays. Our NPs review Ankle-Brachial Index before initiating compression to rule out arterial compromise, then apply multi-layer short-stretch or four-layer systems, monitor for edema reduction, manage wound bed tissue at each visit, and coordinate referral to vascular surgery for ablation or sclerotherapy when indicated. Medicare and commercial insurance benefits are verified before your first Chesterfield visit.
Venous leg ulcers account for roughly 70 to 80 percent of all lower-extremity wounds and develop when chronic venous insufficiency causes sustained venous hypertension in the legs. Most appear on the medial lower leg between the ankle and the calf, often with surrounding hemosiderin staining, edema, and weepy exudate. The CEAP classification (Clinical, Etiological, Anatomical, Pathophysiological) is the standard framework for staging the underlying venous disease; the ulcer itself (C6 active ulceration) is only the visible tip. Evidence-based treatment hinges on sustained therapeutic compression — typically multi-layer short-stretch or four-layer systems — combined with wound bed preparation, edema control, and skin protection. Gateway's NPs apply, monitor, and adjust compression systems in the patient's home, which markedly improves adherence compared to twice-weekly clinic visits.
Multi-layer short-stretch or four-layer compression applied, monitored, and reapplied weekly. Ankle-Brachial Index review before initiation to rule out arterial compromise.
Gentle debridement of slough and periwound hyperkeratosis, exudate management, and skin protection with appropriate barriers. See our debridement service.
Referral to vascular surgery for intervention (ablation, sclerotherapy) when indicated. NPWT for qualifying large or heavily exudating wounds.
Missouri Baptist Medical Center, just east in Town & Country on N. Ballas Rd, is the closest major BJC hospital and a frequent source of wound-care discharges into Chesterfield homes and senior communities. St. Luke's Hospital and Mercy Rehabilitation Hospital St. Louis (on N. Outer 40 Rd) also discharge into our Chesterfield patient panel.
Chesterfield is one of the most affluent suburbs in Greater St. Louis, with a large population of active retirees and an unusually high concentration of independent living, assisted living, and memory care communities along Olive Boulevard, Wild Horse Creek Road, and N. Outer 40 Rd.
We also serve patients recovering at home in Chesterfield's neighborhoods — including Long Meadow Farm, Wildhorse, Baxter Village, Wild Horse Creek, Chesterfield Valley.
“Real patient and family testimonials from our Chesterfield service area will be published here once we complete HIPAA-compliant testimonial collection with written patient authorization.”— Gateway Wound Care, Chesterfield
Serving every address in Chesterfield, MO — ZIP codes 63005, 63006, 63017 — and throughout our 50-mile Greater St. Louis service area. View full service area.