Frequently Asked Questions

Professional wound care directly impacts your CMS Five-Star Quality Rating through multiple quality measures:

• Reduced pressure ulcer rates: Stage 2-4 pressure ulcers are weighted heavily in star calculations. Our specialized treatment dramatically reduces these preventable wounds.
• Lower hospitalization rates: By treating wounds on-site, we help you avoid costly hospital transfers that negatively impact your quality measures.
• Improved resident outcomes: Faster healing times mean better ADL scores and overall resident satisfaction.
• Superior documentation: Our comprehensive MDS-compliant documentation ensures accurate reporting and defensibility during state surveys.

F-tag 686 compliance is critical for skilled nursing facilities. We support your facility through:

• Preventive care protocols: Expert assessment of high-risk residents before pressure ulcers develop
• Evidence-based treatment: When pressure ulcers do occur, our advanced amniotic membrane graft technology accelerates healing and demonstrates clinical progress
• Comprehensive documentation: Detailed wound assessments, photographs, measurements, and treatment plans that satisfy surveyor requirements
• Staff education: Training your nursing staff on proper wound identification, staging, and prevention strategies
• Surveyorready records: All documentation is audit-ready and demonstrates your facility's commitment to preventing unavoidable pressure ulcers

We provide MDS 3.0-compliant documentation that includes:

• Detailed wound assessments with accurate staging per NPUAP guidelines
• Measurements (length, width, depth, undermining, tunneling)
• High-quality digital photographs with proper labeling and dates
• Treatment plans with clinical rationale
• Progress notes documenting healing trajectory
• Risk assessment and prevention plans
• Communication with your interdisciplinary care team

All documentation integrates seamlessly with your facility's medical records and supports accurate Section M coding for quality measure reporting.

The financial benefits are substantial and measurable:

• Eliminate transport costs: Save $400-$1,200 per ambulance transfer to wound care centers
• Reduce hospital readmissions: Avoid Medicare penalties associated with 30-day readmissions
• Lower supply costs: More efficient wound care reduces dressing changes and supply waste
• Minimize nursing burden: Our specialists handle complex wound care, freeing your staff for other resident needs
• Prevent litigation: Expert care and documentation reduce liability exposure from pressure ulcer claims
• Improve census: Higher star ratings attract more referrals and private-pay residents

Hospital transfers for wound-related complications are costly and disruptive. We keep residents in your facility through:

• On-site advanced treatment: Our amniotic membrane grafts and regenerative therapies rival what's available in hospital wound centers
• Rapid intervention: Weekly visits (or more frequently if needed) catch problems before they escalate
• 24/7 consultation: Your nursing staff can reach our providers for guidance on wound concerns
• Infection management: Early identification and treatment of wound infections prevents sepsis and hospitalization

Lower hospitalization rates directly improve your short-stay quality measures and Medicare reimbursement under value-based purchasing programs.

Yes, we are Medicare Part B certified and bill Medicare directly for wound care physician services. This means:

• No cost to your facility: Medicare reimburses our professional services directly
• No impact on Part A days: Our services are billed separately under Part B
• Medicaid coverage: We work with Medicaid managed care plans and can discuss coverage for your Medicaid residents
• Private pay options: Available for residents without Medicare/Medicaid coverage

Our board-certified Family Nurse Practitioner specializes in comprehensive chronic and acute wound management:

• Pressure ulcers (bed sores): All stages, including deep tissue injury
• Diabetic foot ulcers: Neuropathic and ischemic wounds
• Venous leg ulcers: Chronic venous insufficiency wounds
• Arterial ulcers: Ischemic wounds requiring vascular assessment
• Surgical wounds: Dehiscence, infection, slow-healing incisions
• Traumatic wounds: Skin tears, lacerations requiring advanced closure
• Infected wounds: MRSA, osteomyelitis, and complex infections
• Burns: Thermal, chemical, and radiation injuries

Amniotic membrane grafts represent a quantum leap in wound healing technology:

• Natural growth factors: Rich in cytokines and proteins that kickstart healing
• Anti-inflammatory properties: Reduces wound bed inflammation that prevents healing
• Antimicrobial effects: Natural infection resistance
• Reduced scarring: Better cosmetic and functional outcomes

Faster healing means reduced nursing burden, lower infection risk, improved resident comfort, and better quality measure scores.

We understand that wound care needs don't follow a schedule:

• Initial consultation: Typically within 3-5 business days of referral
• Urgent cases: Same-day or next-day response for serious wounds requiring immediate intervention
• Weekly routine visits: Scheduled visits to monitor and treat all residents under our care
• PRN visits: Additional visits as needed for wound deterioration or complications

Holly Mansur, FNP-C, brings world-class credentials to West Texas:

• Johns Hopkins University BSN: Graduate of the world's #1 ranked nursing program
• Board-certified Family Nurse Practitioner: Advanced practice registered nurse with prescriptive authority
• Wound care specialization: Advanced training in chronic wound management and biologic graft application
• Based in Abilene, TX: Local provider who understands West Texas healthcare challenges

This level of expertise—typically found only in major metropolitan wound care centers—is now accessible to your facility through our mobile service model.

We make partnership simple and seamless:

1. Initial consultation: We meet with your DON and administrator to discuss your facility's needs
2. Staff education: Training session for your nursing staff on wound identification and our referral process
3. Documentation setup: We integrate with your medical records system and establish communication protocols
4. Resident assessment: Initial review of existing wounds and high-risk residents
5. Ongoing partnership: Weekly visits, regular communication, and continuous quality improvement

The entire onboarding typically takes less than two weeks from first contact to first patient visit.

Seamless communication is essential for optimal resident care:

• Weekly visit reports: Detailed written notes after each visit
• Direct nurse communication: Available by phone for urgent questions
• Treatment orders: Clear, specific orders for your nursing staff to implement
• Interdisciplinary team meetings: Available to attend care plan meetings as needed
• Physician collaboration: We coordinate with residents' primary physicians and specialists

We respect existing physician relationships and can:

• Collaborate with current providers as consultants
• Provide specialized services (like amniotic grafts) in coordination with primary wound care
• Take over complete wound care management with physician and family consent

Our goal is to provide the best care for residents while working within your facility's established care relationships.

Yes, we coordinate seamlessly with Home Health:

• Complementary care: We focus on advanced wound management while Home Health continues skilled nursing services
• Clear communication: Treatment plans and progress shared with Home Health nurses
• No duplication: We coordinate visit schedules to ensure comprehensive care without redundancy

We provide mobile wound care services throughout West Texas, including:

• Abilene and Taylor County
• Midland and the Permian Basin
• Lubbock and South Plains region
• Wichita Falls and surrounding areas
• Additional communities: Odessa, San Angelo, Big Spring, Sweetwater, and more

If your facility is outside these areas, contact us—we're continually expanding our service territory.