Nurse-practitioner-led mobile wound care for venous leg ulcer patients in Town & Country — at home, in assisted living, or in skilled nursing. No clinic trip, no transportation burden.
Town & Country patients with venous leg ulcers almost always have established relationships with a primary care physician, a vascular surgeon, and often a dermatologist — and yet the one care element that actually closes a venous ulcer, sustained weekly therapeutic compression, is the hardest service to get through a conventional clinic model. Gateway's nurse practitioners deliver that compression in the Town & Country patient's home, typically within 24 to 48 business hours of a referral, and we do it in a way that matches the concierge-level care expectations that define this community.
Missouri Baptist Medical Center at 3015 N. Ballas Rd is located inside Town & Country itself and is our most common source of post-discharge VLU referrals here. Patients often come home from MoBap after inpatient treatment for cellulitis overlying a chronic venous ulcer, with orders for continued in-home wound care and compression. We also receive referrals from Mercy Hospital St. Louis, St. Luke's Hospital in Chesterfield, and from vascular surgery and primary care practices whose patients live along the Conway Rd, Ladue border, Mason Ridge, and Thornhill corridors.
Many of our Town & Country patients employ private-duty caregivers or concierge caregiving services, and our NPs coordinate directly with those caregivers on daily wound observation and compression garment care between our weekly visits. For patients in senior communities along the Town & Country / Creve Coeur border — The Gatesworth at One McKnight Place, Provision Living at West County — we work alongside facility nursing staff. Our clinical workflow is the same throughout: ABI review before compression initiation, multi-layer short-stretch or four-layer compression applied weekly, wound bed preparation, skin protection, and timely referral for venous ablation or sclerotherapy when indicated. NPWT is initiated for qualifying wounds under Medicare LCD. Benefits verification is complete in writing before the first 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 — 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.