Skilled Nursing Facility • Discharge Wound Follow-Up

PERRY HOME WOUND CARE • MIDDLE GEORGIA

When the patient leaves the SNF, the wound plan should not disappear.

Perry Home Wound Care supports the transition home with wound-focused assessment, dressing follow-up, caregiver education, documentation, and clinical coordination between discharge and the patient’s next provider or wound-center visit.

Send a Discharge Referral Speak With Intake

PHWC supports the post-discharge plan and coordinates with the referring team as appropriate. This page is not for emergencies.

Wound-Focused RN Visits

Structured assessment, wound narrative, dressing follow-up, and patient/caregiver education after discharge.

Clinical Oversight

A clear escalation pathway when wound changes require provider review or additional follow-up.

Transition Into the Home

We see the real environment: caregiver readiness, supplies, positioning, mobility, and daily routine.

Coordinated Updates

Organized documentation and communication for appropriate members of the patient’s care team.

THE POST-DISCHARGE GAP

A wound-care transition partner built for what happens after the facility.

A discharge plan may be clinically sound, but the home environment introduces new variables: caregiver confidence, supply access, adherence, mobility limitations, pressure relief, transportation, and uncertainty about which changes should be reported.

Reinforce discharge instructions

Translate the wound plan into practical routines the patient and caregiver can follow at home.

Identify important changes early

Monitor drainage, surrounding skin, pain, odor, wound appearance, and other clinically relevant changes.

Close communication gaps

Document the home follow-up and coordinate the next step when the wound plan needs clarification or escalation.

Home wound care clinician supporting a patient

From facility to homeContinuity • Education • Follow-up

FOR DONs & DISCHARGE PLANNERS

A practical role in the SNF discharge workflow.

PHWC is positioned after discharge—not as a replacement for the facility’s internal wound program or wound vendor.

Support a safer handoff

Give the patient a defined wound-care follow-up resource when the discharge plan continues into the home environment.

Improve caregiver readiness

Teach-back and practical reinforcement can help families understand dressing schedules, pressure relief, supplies, and reporting triggers.

Create cleaner continuity

Structured home-visit documentation can support the next provider, wound center, home health team, or other authorized care partner.

LOCAL SNF DISCHARGE COVERAGE

Middle Georgia follow-up, anchored in Perry.

PHWC serves patients from our Perry base across nearby Middle Georgia communities. Intake can review patient location, discharge timing, referral requirements, and visit availability.

Perry Warner Robins Fort Valley Macon

Check Referral Availability

MaconMiddle Georgia

Fort ValleyPeach County

Warner RobinsHouston County

PerryPHWC Home Base

THE SNF → HOME WORKFLOW

One referral. A clear next step.

Discharge Referral

The facility sends contact information and the non-PHI intake details needed to start coordination.

Clinical & Coverage Review

PHWC reviews available wound orders, service needs, payer considerations, location, and scheduling requirements.

Home Follow-Up

The clinician evaluates the wound and the practical home conditions that may affect the plan.

Caregiver Education

The patient and caregiver receive clear reinforcement around the authorized wound-care plan and red flags.

Documentation & Coordination

Relevant findings and changes are documented and communicated through the appropriate care pathway.

COMMON POST-DISCHARGE WOUNDS

Wound types that often need structured follow-up at home.

Diabetic Foot Wounds

Support for wound monitoring, offloading adherence, surrounding skin checks, education, and escalation when additional evaluation is needed.

Follow-up aligned with the authorized plan of care.

Pressure Injuries

Monitoring, moisture and skin protection, caregiver teaching, repositioning support, and pressure-redistribution education.

Stage and treatment decisions remain based on clinical assessment and orders.

Venous Leg Wounds

Edema and skin monitoring, dressing support, education, and reinforcement of ordered compression or elevation strategies when appropriate.

Vascular concerns are coordinated with the treating team.

Post-Surgical & Complex Wounds

Incision and drainage monitoring, dressing support, education, and communication when concerning changes appear after discharge.

Emergency symptoms require the appropriate emergency pathway.

FOR FACILITY LEADERSHIP

We are not replacing your wound vendor. We are extending the discharge plan into the home.

That distinction matters. PHWC is designed as a community follow-up resource after the resident leaves the skilled nursing facility, helping bridge the space between discharge instructions and the realities of home care.

Scope clarity: PHWC does not replace the facility’s internal wound program, attending provider, or contracted wound vendor. Services depend on referral requirements, patient eligibility, clinical need, and applicable scope and payer rules.

Start a Referral Call Intake

THE PHWC TEAM

Local clinical leadership. Direct accountability.

A focused team supporting clinical care, operations, referrals, and compliance.

Willy A. Yougang Tchoutang

Family Nurse Practitioner • Clinical Oversight

Jepthe Nkwanmen

Administrator • Registered Nurse • Wound Care

Yolande Makougang

Compliance & Human Resources

SNF DISCHARGE REFERRAL

Give the patient a wound-care next step before they leave.

Use this form for facility contact and coordination information only. Avoid entering detailed sensitive patient information into this public form.

(478) 310-4446

REQUEST COORDINATION

SNF discharge referral

Share the facility contact information and basic coordination details. PHWC can then review the next step.

Facility name *

Contact name & title *

Phone *

Email *

Discharge timeline *

Wound type *

Brief coordination note

Please avoid sending sensitive medical details through this public web form. For emergencies, call 911. Clinical coordination can occur through the appropriate secure pathway after intake.

FREQUENTLY ASKED QUESTIONS

What facility teams usually want to know.

Call intake if you need to discuss a discharge workflow or determine what documentation is needed.

(478) 310-4446

No. This page positions PHWC as a post-discharge home wound-care follow-up resource. The facility’s internal wound program and contracted vendors remain separate.

Early referral can help with intake, location review, documentation requirements, and scheduling. Availability depends on the patient’s situation and service area.

Use the public form only for facility contact and basic coordination information. Patient-specific clinical records should be sent through the appropriate secure referral/documentation pathway.

The page highlights Perry, Warner Robins, Fort Valley, and Macon as the core Middle Georgia service area. Intake should confirm actual visit availability for the patient’s location.

The service model is designed to support coordination with existing providers and care teams when appropriate to the patient’s plan and authorized communication pathway.

BUILD A BETTER DISCHARGE HANDOFF

Give your wound patients a local follow-up option.

Connect with Perry Home Wound Care about SNF discharge coordination, referral workflow, or a facility partnership.

Send Referral Call Intake