Services
Gateway provides mobile wound care services designed for skilled nursing facilities, assisted living communities, independent living communities, private residences, home health partners, and discharge teams across Greater St. Louis.
GatewayWound Care
Referral desk
Share where the patient is, what kind of wound it is, and who is coordinating care. Gateway routes the next step across homes, facilities, and referral partners.
Conditions we treat
Gateway supports common wound types seen by families, facilities, home health agencies, and referring providers across the St. Louis region.
Diabetic foot ulcers need more than a dressing change. They need measurements, offloading, vascular awareness, infection vigilance, glucose context, footwear communication, and quick escalation when the wound stops moving.
Learn morePressure injuries sit at the center of nutrition, turning schedules, support surfaces, moisture, incontinence, staffing pressure, and family worry. Gateway helps make the plan visible and repeatable.
Learn moreVenous leg ulcers require compression, edema control, drainage management, skin protection, and consistent follow-up. The plan has to work in real life, not just on paper.
Learn moreNPWT support depends on seal integrity, dressing cadence, drainage monitoring, supplies, caregiver confidence, and fast escalation when the device is no longer helping.
Learn morePost-surgical wounds need timely follow-up, surgeon-aware communication, infection monitoring, dehiscence watch, and a clear line back to the operating team when something changes.
Learn moreSkin graft aftercare is a narrow window: protect the graft, monitor adherence, manage drainage, watch donor sites, document change, and keep the surgeon informed.
Learn moreArterial and mixed wounds require caution, vascular awareness, tissue assessment, realistic goals, and referral discipline. Compression and debridement decisions must fit the vascular picture.
Learn moreSkin tears and traumatic wounds can look small but destabilize quickly in older adults. Good care protects fragile skin, prevents infection, and respects the patient's mobility and dignity.
Learn moreServices provided
The specific care plan depends on medical necessity, payer rules, documentation, patient setting, and clinician judgment.
Wound measurement, tissue assessment, drainage, periwound review, pain, odor, infection concern, and risk-factor context.
Learn moreClinician-directed debridement when medically appropriate, documented, and consistent with the patient's condition and setting.
Learn moreDressing selection and cadence designed around drainage, tissue, wound depth, caregiver capacity, and the care setting.
Learn moreCompression-aware care for venous disease, edema, drainage, and leg wounds when clinically appropriate.
Learn moreWound VAC / NPWT support, dressing cadence, seal troubleshooting, drainage monitoring, and care-team communication.
Learn moreAdvanced biologic or skin substitute discussions only when clinically appropriate, documented, and aligned with payer rules.
Learn moreEscalation awareness for redness, odor, fever, drainage changes, pain, systemic symptoms, or deterioration.
Learn moreCommunication across the patient, family, home health, facility, physician, discharge team, and referral partner.
Learn moreSupport for homebound or mobility-limited patients whose wound-care plan needs primary care, home health, specialist, and family communication.
Learn moreMobile medical and wound-care coordination for patients after Barnes-Jewish, BJC, Mercy, SSM, Missouri Baptist, St. Luke's, rehab, or facility discharge.
Learn moreCare settings
The point is access: wound care should not fail because a patient cannot easily travel to a clinic.
Wound rounds, wound-list review, resident follow-up, and facility care-team communication.
Learn moreBedside wound support and coordination for residents, wellness teams, families, and providers.
Learn moreMobile follow-up for residents who need wound care but struggle with transport or continuity.
Learn moreIn-home wound care for patients and families managing chronic, complex, post-discharge, or mobility-limited cases.
Learn moreService area
Gateway is continually evaluating opportunities to expand access to specialty wound care throughout underserved communities across Missouri and Illinois through strategic partnerships, care coordination initiatives, and innovative care delivery models.
Service geography
Gateway provides mobile wound care throughout the Greater St. Louis metropolitan area, bringing advanced wound care directly to patients in skilled nursing facilities, assisted living communities, and private residences.
Hospital discharge, home health, social work, and complex wound follow-up inside the city.
Learn moreChesterfield, Creve Coeur, Ballwin, Town and Country, Florissant, Fenton, and surrounding communities.
Learn moreSt. Charles, St. Peters, O'Fallon, Lake St. Louis, Wentzville, and growing west metro referral corridors.
Learn moreSouth and southwest regional access where transportation barriers and follow-up gaps can become serious.
Learn moreDo not see your community listed? Contact Gateway to discuss service availability.
FAQ
Gateway provides mobile wound care when the case, geography, payer fit, and clinical need are appropriate.
Families may contact Gateway directly, and referral partners may refer patients. Some payer or clinical situations may require provider documentation or coordination.
Coverage depends on plan, medical necessity, documentation, setting, and provider enrollment. Gateway verifies benefits and keeps referral sources informed.
Timing depends on geography, urgency, clinical information, and scheduling capacity. Start with a request or referral so Gateway can review the next step.