About mobile wound care in the City of St. Louis

The City of St. Louis is its own jurisdiction, separate from St. Louis County, and stretches from the Mississippi riverfront west to Forest Park and the county line. Inside it are dozens of distinct neighborhoods, from Downtown and Soulard to the Central West End, The Hill and the north side. The city is dense, old and largely built of brick, and many households do not have a car. For someone managing a wound or several chronic conditions, getting to appointments by bus or by borrowed ride is a recurring struggle that care at home can ease.

Almost every kind of housing is found in the City of St. Louis: single-family brick homes, two-family and four-family flats, downtown lofts, high-rise apartments, senior housing towers and large older homes divided into units. It also has many skilled nursing facilities, assisted living residences and rehabilitation centers. Gateway arranges partner clinician visits in all of these. For a high-rise, we ask about the front desk and where to park. For a flat, we ask which bell to ring. We collect those details so the treating clinician can focus on the patient.

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

For people in the City of St. Louis weighing a clinic against home visits, the St. Louis wound care guide explains how each works.

Towns and communities in the City of St. Louis

Each local page covers ZIP codes, nearby hospitals and facilities, and how to start care in that community.

How wound care at home works in the City of St. Louis

Getting to a wound clinic again and again is hard when walking hurts, when you use a wheelchair or when the person who drives you works days. Wound care at home in the City of St. Louis is meant for those situations. Gateway arranges for a partner clinician to see you where you live, whether that is a house, an apartment or a senior living building. It often suits people who:

  • have a leg, foot or pressure wound that makes travel painful or unsafe
  • are recovering from surgery or a hospital stay
  • depend on a relative or a ride service for every appointment

The treating clinician decides whether home visits fit your wound and what the plan should be.

Skilled nursing, assisted living and rehabilitation

Sending a frail resident out to a wound clinic can mean a wheelchair van, an escort, a missed meal and half a day away from the unit. For many residents of nursing homes and senior living communities in the City of St. Louis, having the wound seen in the building is easier on them and on the staff. Gateway arranges those on-site visits with partner clinicians. Some things still require a trip, such as vascular testing, imaging or a surgical consult. When the treating clinician orders one, we help with the appointment, the transportation arrangements and the paperwork that travels with the resident, and we see that the results come back to the wound care team.

Wound conditions we help with in the City of St. Louis

Different wounds call for different plans. A leg ulcer caused by vein problems is managed differently from a pressure injury or a diabetic foot ulcer, which is why the type of wound matters so much. Gateway helps arrange care in the City of St. Louis for the conditions below.

See every wound condition and all wound care services.

Coming home from the hospital

Barnes-Jewish Hospital, beside Forest Park, and SSM Health Saint Louis University Hospital, on Grand Boulevard, are the two major hospitals in the City of St. Louis. Gateway is not affiliated with either. Both discharge patients to every part of the city, and some go home with wounds that need regular attention. Case managers and social workers can refer by phone at 314-325-0126 or by fax at 314-786-7966. Families can call directly. Once we have the discharge summary and orders, we look for a partner clinician for the patient’s neighborhood and report back.

Hospitals and senior care near the City of St. Louis

Nearby facilities for the City of St. Louis, taken from public directories, are listed here as a reference.

  • Hospitals nearby: Barnes-Jewish Hospital; SSM Health Saint Louis University Hospital
  • Skilled nursing and rehabilitation nearby: Lansdowne Village (St. Louis 63116); Delhaven Manor (St. Louis 63112); Oak Park Care Center (St. Louis 63139); Bernard Care Center (St. Louis 63108)
  • Assisted living and memory care nearby: Silver Spur (St. Louis 63118); St. Elizabeth Hall (St. Louis 63108); St. Louis Hills Assisted Living and Memory Care (St. Louis 63109)

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 at home in the City of St. Louis

Already have a primary care doctor you like? Keep them. Wound care arranged through Gateway in the City of St. Louis does not replace your regular office. With your permission, we send the wound clinician’s visit notes and any order changes to that office and ask it for your recent labs and history. If you have no primary care clinician, or can no longer get to the one you have, tell us when you call. Arranging primary care at home is something we can look into for you.

Primary care at home in the City of St. Louis →

Getting care in the City of St. Louis

An address that says St. Louis can be in the city or the county, so give the ZIP code and neighborhood when you call. Have a reliable phone number, the name of the patient’s doctor or health center, and any discharge papers. Gateway arranges care throughout the City of St. Louis, including Downtown, the Central West End, North St. Louis and South St. Louis, and in Clayton and Central County next door. Building access and parking affect visits here more than distance does, so tell us about entry doors, buzzers and elevators.

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

No referral is needed to ask Gateway about wound care in the City of St. Louis. 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: 63101, 63103, 63104, 63106, 63108, 63109, 63110, 63111, 63112, 63113, 63115, 63116, 63118, 63139, 63147
  • Care settings: Private homes, skilled nursing, assisted living, memory care and rehabilitation

Nearby: Downtown St. Louis, Central West End, North St. Louis, South St. Louis, Clayton and Central County

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 father in the City of St. Louis has both Medicare and Medicaid. Can we still ask about home visits?

Yes. You can ask about Medicare, Medicare Advantage, Medicaid and commercial plans, alone or in combination. Whether a visit is a covered benefit depends on the treating provider, the plan and the care your father needs, so Gateway cannot tell you ahead of time that something is a covered benefit. Have both cards with you when you call 314-325-0126, and we will explain what the treating practice needs to check.

I live in a high-rise apartment building in the City of St. Louis. How do home visits work there?

Much the same as in a house. Give us the building address, your unit number, how visitors check in and where they can park or be dropped off. If the front desk needs advance notice of a visitor, tell us. The partner clinician comes to your apartment, and afterward Gateway coordinates any supplies, orders or follow-up visits the treating clinician decides on.

Can a social worker or community health worker in the City of St. Louis refer someone to Gateway?

Yes. Hospitals, clinics, facilities, social workers and community health workers can refer by calling 314-325-0126 or faxing 314-786-7966. Patients and family members can also call on their own. Please include a phone number where the patient or a relative can be reached, since scheduling depends on making contact. Gateway confirms availability for the patient’s address in the City of St. Louis and updates the person who referred.

Is care in the City of St. Louis arranged differently than in St. Louis County?

The process is the same. The city and county are separate governments, but Gateway arranges care by address and care setting on both sides of the line. What differs is practical: parking, building entry, stairs and whether the patient has a phone that is answered. Sharing those details at the start helps the partner clinician plan a visit in the City of St. Louis.

Does Gateway have a wound clinic I can visit in the City of St. Louis?

No. Gateway does not run a clinic, and our administrative office in Chesterfield, Missouri does not see patients. Care is arranged where it is needed: at home, in a skilled nursing, assisted living, memory care or rehabilitation setting, or in an outpatient or office setting with a clinical partner. To find out which of those options applies to an address in the City of St. Louis, call 314-325-0126.

What if a patient in the City of St. Louis needs a ride to a test or specialist appointment?

Wound visits arranged at home or in a facility need no ride. When the treating clinician orders something that has to be done elsewhere, such as vascular testing, imaging or a specialist visit, we help with transportation arrangements from the City of St. Louis. That can mean working around a family driver’s schedule, a facility’s van or a ride benefit through the patient’s plan, if the plan offers one. Tell us about wheelchairs, oxygen or stairs.

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.