Two settings. One connected plan.
Gateway provides wound care through home visits and appointments in partner clinics. Primary care can be part of the same plan, addressing the health conditions, medications and follow-up that affect recovery.
Mobile wound care supports patients where they live. Partner-clinic appointments provide an office setting for care. For skilled nursing and senior living teams, wound rounds connect the clinician’s assessment with daily care.
When a visit takes place away from home, we can help arrange transportation.
Assessment comes first
Every plan begins with the treating clinician looking closely at the wound and at the person. A wound assessment and measurement visit records the wound’s size, depth, tissue, drainage and surrounding skin, so later visits can show whether it is improving.
The clinician also considers what is affecting healing: circulation, blood sugar, swelling, pressure, nutrition and medications. Gateway’s part is getting the relevant records and questions in front of that clinician before the visit.
Treatment guided by the clinician
Treatment depends on the type of wound and what the assessment shows. Depending on the individual plan, it may include debridement to remove tissue that is slowing healing, compression therapy for leg wounds linked to swelling, offloading for foot wounds, negative pressure wound therapy or follow-up after a skin graft.
Not every option suits every wound. Compression, for example, usually calls for a check of circulation first. The treating clinician makes each decision and writes the orders. Advanced options such as skin substitutes also involve a coverage review, which depends on the plan and the provider.
Coordination that holds the plan together
A sound plan can still fail on logistics: a supply order that never arrives, discharge instructions no one received, two offices each assuming the other is following up. Care coordination is the work of closing those gaps.
Gateway handles requests, scheduling, records, clinician orders, supplies, transportation arrangements and communication among the care team, including home health agencies, facility nurses and the person’s own physicians. Patients and families can request care directly, and hospitals, facilities and practices can refer a patient. Each service in this section has its own page with more detail.
Common questions
How do I know which wound care service I need?
You do not have to choose. Tell us where the person lives, what you know about the wound and what is making care difficult. The treating clinician determines the type of wound and the treatment after an assessment. The service pages are there to explain terms you may hear, not to make you pick from a menu.
Who decides which treatment is used?
The treating clinician does. That clinician examines the wound, makes the diagnosis and writes the orders, and can change the plan as the wound changes. Gateway’s coordination team follows through on the clinician’s plan, including supply orders, records and the next appointment.
Are all of these services available throughout the St. Louis area?
Gateway’s region covers Greater St. Louis in Missouri and the Metro East in Illinois, but availability varies by location, care setting and the service involved. Some treatments also depend on what a health plan allows and on the treating provider. We confirm what is available for a specific address or facility before scheduling.
Can these services work alongside home health or facility nursing?
Yes. Home health nurses and facility nurses often carry out daily or weekly wound care under a clinician’s orders. The wound care clinician assesses the wound, sets or adjusts the plan and writes those orders. Gateway helps notes and orders move between the teams, so everyone is following the same instructions.
