Mobile wound care and wound care at home in Manchester.

Mobile wound care close to home in Manchester

Manchester is a West County city that grew up along the road that shares its name. Manchester Road runs east and west through the middle of town, Highway 141 crosses it, and Ballwin, Winchester, Des Peres and Town and Country are all a few minutes away. Plenty of households here have been in the same house for decades. Medical offices are close, yet for a person recovering from surgery or living with a leg wound, even a short ride and a walk across a parking lot can be too much. Home and facility visits answer that problem.

Most of Manchester is single-family housing: ranch and split-level homes on quiet subdivision streets, with some newer houses mixed in. Apartments, condominiums and villas sit closer to the main roads, and the wider West County area has many senior living, assisted living, memory care and skilled nursing communities. Gateway arranges visits in all of these settings. We match the request to a partner clinician, set the visit, and work to keep orders and supplies with the patient when the setting changes.

For an overview of how home visits work across the region, see mobile wound care in St. Louis.

Families in Manchester can also start with the overview of wound care in St. Louis, from wound types to what to expect at the first visit.

Home visits in Manchester

A home visit in Manchester starts with one phone call. You tell us where the person lives, what kind of wound it is and who is already involved, such as a surgeon, a primary care office or a home health agency. Gateway then confirms whether a partner clinician is available for that address, asks for recent records and sets a visit time with you. Before the visit we explain what to have ready, including the current dressings and a medication list. Afterward, the clinician’s orders go to whoever is carrying them out, and the next visit goes on the calendar.

Wound care in facilities in Manchester

The visit only helps if the nurse on the next shift knows what changed. For residents of skilled nursing, assisted living and rehabilitation settings in Manchester, the treating clinician’s findings and orders are handed to facility nursing in writing after each visit: what was seen, the measurements, the dressing plan and what should prompt a call. The facility enters the orders in its own record and carries out the daily care. Gateway chases the loose ends, such as a supply that has not arrived, an order that needs clarifying or a consult the clinician requested. The resident’s attending physician is kept informed and remains responsible for overall medical care.

Types of wounds

Not sure which of these describes the wound you are worried about? Sorting that out is the treating clinician’s job, not yours. The list shows the range of wound conditions Gateway helps people in Manchester arrange care for, from pressure injuries to wounds that follow surgery.

• 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.

After a hospital or rehab stay

Three hospitals are within a short drive of Manchester: St. Luke’s Des Peres Hospital, Missouri Baptist Medical Center in Town and Country, and St. Luke’s Hospital in Chesterfield. Gateway is independent of all three. A hospital stay often ends with wound care instructions, new prescriptions and a list of follow-up appointments. Families can call us to ask about arranging that follow-up at home. Discharge planners, social workers and case managers can refer by phone or by fax at 314-786-7966, and we gather the records the treating clinician will need.

Hospitals and senior care near Manchester

These facilities are in or near Manchester. They come from public directories and are listed only to help you get your bearings.

• Hospitals nearby: St. Luke's Des Peres Hospital; Missouri Baptist Medical Center in Town and Country; St. Luke's Hospital in Chesterfield
• Skilled nursing and rehabilitation nearby: Manchester Rehab and Healthcare Center (Ballwin 63021); Aegis Health and Rehabilitation (Wildwood 63021); Ellisville Rehabilitation and Nursing (Ellisville 63021); Lutheran Senior Services at Meramec Bluffs (Ballwin 63021)
• Assisted living and memory care nearby: Family Partners Manchester (Manchester 63021); Autumn View Gardens (Ellisville 63011); The Henry Senior Living (Ballwin 63011)

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

People with long-standing wounds often take many medications ordered by several different offices. Some medicines can affect healing, swelling or the risk of falls, and it may be that no one is looking at the full list. When Gateway arranges primary care follow-up in Manchester, a medication review by the treating clinician is a typical part of it. Do not stop or change anything on your own. Keep an up-to-date list, including over-the-counter products, and have it out at every visit.

Primary care at home in Manchester →

Getting care in Manchester

For a Manchester address, tell us the ZIP code, 63011 or 63021. Both are shared with Ballwin, so the street address matters more than the city name on the mail. Also have a phone number, the regular doctor’s name, the insurance card and any discharge papers. Visit availability is confirmed by location and care setting. Gateway also arranges care in Ballwin, Ellisville, Des Peres, Valley Park and Kirkwood, which is useful when family members live in different West County suburbs.

Visits are confirmed by location and care setting, so call 314-325-0126 with your ZIP code to ask about your address.

Have a few things within reach before you call 314-325-0126 about wound care in Manchester:

• the address where visits would take place, and the facility name if there is one
• the insurance cards
• the names of the primary care clinician and any surgeon or specialist involved
• a medication list
• discharge papers or wound instructions from a recent hospital or clinic visit

Missing some of these is fine. Once you give permission, we can request records from other offices. The call itself is a conversation about what is going on and what you are hoping to arrange.

• County: St. Louis County, Missouri
• ZIP codes: 63011, 63021
• Care settings: Private homes, skilled nursing, assisted living, memory care and rehabilitation

Nearby: Ballwin, Des Peres, Ellisville, Valley Park, Kirkwood

Paying for care

Medicaid questions need a little extra detail because the region spans two states. Missouri’s program (MO HealthNet) and Illinois Medicaid are separate, each with its own plans and rules, and coverage from one state generally does not carry over to the other. Tell us which state issued the coverage, the plan name on the card and whether the patient also has Medicare. The treating provider’s participation and the benefits for the care needed are then checked for that specific plan. Our guide to Medicaid and wound care lists what to ask. Gateway does not decide coverage.

Common questions