Mobile wound care close to home in Lafayette Square
Lafayette Square surrounds Lafayette Park, a Victorian-era green space of lawns, paths and old trees just south of downtown and west of Soulard. Park Avenue, Mississippi Avenue and Chouteau Avenue are among the streets nearby, and Interstate 44 is a short distance south. The blocks are known for large historic brick houses and a quiet, village-like feel. Many residents have restored their homes over years and plan to stay. When a wound makes the stairs harder, care at home helps them do that.
Houses in Lafayette Square are often tall, three-story brick townhouses and mansions, with a front stoop, a high first floor and a grand stair inside. Some have been converted to flats or condominiums, and there are newer apartment buildings and loft conversions nearby. Ceilings are high and rooms are large, but the stairs can be steep. Gateway arranges partner clinician visits in these homes and in nearby senior housing, so the clinician comes up the stairs instead of the patient going down.
For an overview of how home visits work across the region, see mobile wound care in St. Louis.
For people in Lafayette Square weighing a clinic against home visits, the St. Louis wound care guide explains how each works.
When the visit comes to the home
Dressings, wraps and other supplies are part of what Gateway coordinates for patients at home in Lafayette Square. Once the treating clinician decides what the wound needs, the order goes to a supplier, and we follow up on delivery and on what your plan requires. Supplies usually arrive in amounts meant to last a set period, so tell us before you run low, not after. Store them dry, in one spot, away from heat and pets. If a product irritates your skin or will not stay in place, say so. The clinician can change the order, and our supply coordination follows up with the supplier.
Skilled nursing, assisted living and rehabilitation
Assisted living is not a nursing home, and that matters for wounds. Assisted living communities in Lafayette Square differ in how much nursing they have on site and in what their staff are permitted to do, so the first question is who will change the dressing between clinician visits. Sometimes it is the community’s nurse. Often it is a home health nurse who comes in, and sometimes a family member. For wound care in assisted living, Gateway arranges for a partner clinician to see the resident in their own apartment. We then make sure the orders reach whoever does the daily care and that staff know what to watch for and whom to call.
Wounds you can call about
Wounds that are slow to heal usually have a cause behind them, such as pressure, swelling, poor circulation or diabetes. Finding that cause is where the treating clinician begins. These are the wound types Gateway helps arrange care for in Lafayette Square, at home and in facilities.
- Diabetic foot ulcers
- Venous leg ulcers
- Pressure injuries and bed sores
- Arterial and mixed wounds
- Non-healing wounds
- Post-surgical wounds
- Reopened (dehisced) surgical wounds
- Surgical site infections
- Skin tears and traumatic wounds
- Wounds with lymphedema
- Skin graft aftercare
- Wound VAC (NPWT) follow-up
See every wound condition and all wound care services.
Hospitals and discharge planning near Lafayette Square
Lafayette Square patients are commonly discharged from SSM Health Saint Louis University Hospital or Barnes-Jewish Hospital. Gateway is not affiliated with either. A hospital case manager can send a referral, or family can call once the date for going home is set. We request the discharge summary and wound orders, ask who will help at home, and confirm whether a partner clinician is available for the address.
Hospitals and senior care near Lafayette Square
These facilities are in or near Lafayette Square. They come from public directories and are listed only to help you get your bearings.
- Hospitals nearby: SSM Health Saint Louis University Hospital; Barnes-Jewish Hospital
- Skilled nursing and rehabilitation nearby: Lansdowne Village (St. Louis 63116); Oak Park Care Center (St. Louis 63139); Life Care Center of St. Louis (St. Louis 63103); Carrie Elligson Gietner Health Care Center (St. Louis 63111)
- Assisted living and memory care nearby: Silver Spur (St. Louis 63118); St. Louis Hills Assisted Living and Memory Care (St. Louis 63109); Chateau Ann Marie (St. Louis 63111)
Gateway is not affiliated with any facility listed here, and a listing does not mean a partnership or referral relationship. If the patient lives in one of them, tell us its name when you call so we can contact the right nurse or front desk.
Sources: Medicare Care Compare nursing home data (CMS) and the Missouri DHSS long-term care directory.
Primary care alongside wound care
Closing a wound is one goal. Keeping the next one from opening is another, and that work belongs largely to primary care. Regular skin and foot checks, attention to swelling and blood sugar, and a plan for staying mobile all lower the chance that a healed wound comes back. For patients in Lafayette Square, Gateway can arrange for primary care follow-up to continue after wound visits end, so a clinician is still watching the things that led to the wound.
Gateway also arranges primary care at home across St. Louis.
Getting care in Lafayette Square
For a visit near Lafayette Park, give us the full address and tell us which door to use, since converted houses can have several mailboxes and doorbells. Say if the entrance is up a stoop or on a side street. Parking is usually on the street. Have a phone number that will be answered, the regular doctor’s name and any hospital dates ready when you call 314-325-0126. Soulard, Benton Park and downtown St. Louis are covered too.
Visits are confirmed by location and care setting, so call 314-325-0126 with your ZIP code to ask about your street.
No referral is needed to ask Gateway about wound care in Lafayette Square. Patients and families can call 314-325-0126 themselves. If a doctor, hospital or home health agency is already involved, tell us, and we will contact them for records and keep them updated. Physician offices and facilities can start a request from our refer a patient page or by calling the same number. Some health plans have their own referral or authorization rules. We check on those with the treating provider before the first visit, so they do not come as a surprise later.
- County: City of St. Louis, Missouri (an independent city)
- ZIP codes: 63104
- Care settings: Private homes, skilled nursing, assisted living, memory care and rehabilitation
Nearby: Soulard, Benton Park, Downtown St. Louis, Tower Grove, South St. Louis
Insurance and coverage
Employer and individual health plans vary widely, so the most reliable source is the member services number on the back of your card. Useful things to ask the plan: whether visits at home are a benefit, whether a referral or prior authorization is required, and where your deductible stands this year. Share what you learn with Gateway. We pass plan details to the treating provider’s office, which checks its own participation. Coverage under a commercial plan is never something we can promise.
Common questions
My Lafayette Square house has three floors and no elevator. Can I be seen at home?
Yes, you can ask. Tell us which floor you use for sleeping and sitting and whether you can come to the ground floor. The visit takes place where you are comfortable and where there is good light. The treating clinician decides what care you need, and Gateway coordinates supplies and records afterward.
I live in a loft building near Lafayette Park with a key fob and an intercom. How does a visit work?
Tell us the building name, the unit number and how guests are admitted, whether by a buzzer, a front desk or a resident coming down. We pass that to the partner clinician. A phone number that will be answered the day of the visit is the most helpful detail you can share.
Is Lafayette Square part of the area Gateway covers in the city?
Yes. Lafayette Square, in ZIP code 63104, is within the area where Gateway arranges care, along with Soulard, Benton Park and other South City neighborhoods. Availability is confirmed for each address and care setting. Call 314-325-0126 with the street address, and we will tell you what is possible there.
My husband was in the hospital for a foot wound. How do we continue care in Lafayette Square?
Call with the discharge date, the hospital name and your address. Gateway is not part of the hospital, so we ask for the discharge paperwork and current wound orders. A partner clinician, which may be a podiatrist or a nurse practitioner depending on his needs, then confirms whether a visit is available for your address.
Can a wound care clinician come to a private home in Lafayette Square?
Yes. Gateway arranges visits from partner clinicians to houses, apartments, condos and senior apartments in Lafayette Square. The clinician assesses the wound where the person lives and leaves orders for the care between visits. Whether a home visit can be set up depends on the exact address, the care needed and the treating provider, so we confirm it when you call 314-325-0126.
Will my insurance cover wound care visits in Lafayette Square?
It depends on your plan, the treating provider and the care that is needed, so there is no general yes or no. You can ask us about Medicare, Medicare Advantage, Medicaid and commercial plans. Have your insurance cards ready when you call. Gateway and the treating provider’s office check participation and benefits for your specific plan, and you can ask what you may owe before the first visit takes place.
General information to help you talk with your own clinician. It is not medical advice, and the treating clinician makes every clinical decision. For a medical emergency, call 911.