Wound and Injury In-Home Care 

Maryland, Washington DC, and Northern Virginia

24/7 Nurse Availability

Free In-Home Assessments

Over 25 Years of Experience

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Professional Wound and Injury Home Care Services

Our Wound & Injury In-Home Care Program can help you heal safely and comfortably at home. Our skilled caregivers provide personalized treatments, daily support, and compassionate care! 


Our skilled in-home nurses provide personalized care and customized care plans to help you or your loved one heal from painful or persistent wounds & injuries.  As we age, our body’s ability to heal wounds and injuries decreases. Many seniors, especially those with chronic illnesses, find that they are both at a higher risk of developing injuries [1] and need extra medical care to heal injuries and wounds properly. [2]  


Who Uses Our Wound and Injury Home Care

Our in-home Wound & Injury Home Care program is built for:  


  • Elderly adults and seniors – whose injuries heal more slowly and who are prone to pressure injuries because of their limited mobility.  
  • People living with chronic illnesses who are more likely to be wounded or injured,  including:  
  • Diabetes  
  • Neuropathy  
  • Vascular disease  
  • Spinal-cord injuries  
  • Multiple sclerosis  
  • Parkinson’s  
  • COPD  
  • Cancer  
  • Chronic Venous Insufficiency  
  • Lymphedema  
  • Adults with disabilities or are paralyzed who face barriers getting to outpatient wound clinics.  
  • Immunocompromised clients (chemo, steroid use, autoimmune disorders) whose wounds infect easily.  
  • Post-operative patients discharged early from area hospitals or surgery centers who need injury treatments, daily dressing changes, and monitoring to avoid infection.  

  

The Wounds and Injuries We Treat:  

  • Diabetic foot ulcers and Charcot wounds (off-loading, debridement, NPWT)  
  • Post-surgical incisions (joint replacements, abdominal surgery, C-sections)  
  • Post-surgical injuries  (Colorectal surgeries, Spinal fusion & complex spine surgeries, hip replacements, knee replacements)  
  • Pressure injuries (bedsores)  
  • Traumatic lacerations & complex skin tears  
  • Skin Burns & radiation-therapy wounds  
  • Leg ulcers  


This data explains why skilled, home-based wound care is a frontline public-health need for our region’s aging and chronically-ill populations.  

  

How We Treat Wounds and Injuries at Home: 

  • We start with a Comprehensive assessment to determine what areas are damaged, what treatments and specialists are required, and the optimal frequency of care.  
  • Advanced dressing protocols to reduce and prevent further injury.  
  • Compression and edema control  
  • Point-of-care diagnostics  
  • Medication management, reminders, and administration, including IV Therapy at Home  
  • Catheter Care at Home  
  • Collaborative care with other specialized healthcare professionals  
  • Client and family coaching on continued care, effective treatments, prevention strategies, nutrition, off-loading, pressure-relief positioning, and more.  

  

Where We Provide In-Home Wound and Injury Care  

  • Maryland: Montgomery County, Prince George’s County, Howard County & Frederick County.  
  • District of Columbia: All eight wards and neighborhoods  
  • Northern Virginia: Fairfax & Arlington Counties  


We serve Maryland, Washington D.C., and Northern Virginia Areas Because: 


  • In Prince George’s County, 12.4 % of adults have diabetes - the highest burden in Maryland. [3] Of these, an estimated 33,000 Prince George’s residents live with neuropathy, yet only a fraction receive expert in-home care. [4] [5]  
  • Montgomery County reports 11.3 % adult diabetes prevalence - translating to roughly 121,000 residents at ongoing risk for hard-to-heal wounds. [6] [7]  
  • District of Columbia tops 42,900 adults (≈ 7.8 %) living with diagnosed diabetes. [8]  
  • National clinical reviews estimate 2 – 3 % of all adults—up to 8 % of seniors—live with peripheral neuropathy, a major cause diabetic foot ulcers. [9]When you compare that with the local 2025 census projections, you get around 111,000 individuals with neuropathy across Prince George’s County MD, Montgomery County MD, Howard County MD, Washington D.C., and Fairfax County VA. [10]  
  • Pressure ulcers now rank as the #5 primary diagnosis on U.S. home-health claims, accounting for 3.7 % of all 2023 Medicare home-health episodes. [11]   

  

These statistics mirror what we at Specialty Care Services see every week with our clients across Montgomery, Prince George’s and Fairfax Counties as well as Washington DC.  

  

In-Home Wound and Injury Care vs. Outpatient Clinic Visits

Benefit  In-Home Nursing Care  Outpatient Wound Clinic 
Infection control  Single-patient environment reduces cross-contamination, leading to greater healing and client outcomes.  Shared waiting areas and procedure rooms, often leading to greater risk of spreading disease and infection while immunocompromised. 
Travel  Zero travel stress: our nurses and caregivers come to you.  Large transportation time, costs, and stress. 
Scheduling  Visits are scheduled around client’s schedule, picking times that works best for our clients.  Only offers fixed appointment slots. 
Continuity of Care  Same nurse or CNA sees the wound daily, spots subtle changes fast and can take actions to heal the injury immediately.  Often visits are weekly; changes to the injury’s severity can go unnoticed. 
Whole-person support  In-home caregivers can assist with Bathing & Grooming, Shopping, Mobility & Transfer Assistance, Light Housekeeping & Laundry, Transportation & Appointment Escort, Post-Rehab Support & In-Home Exercises and more.  Limited to only focusing on wound intervention. 

How Our Wound and Injury Home-Care Program Works (Step-by-Step Guide):  

  1. Initial RN Assessment (Day 1)  
    Comprehensive wound assessment, vitals, medication, nutrition, and lifestyle review.  
  2. Personalized Care Plan & Family Briefing (Day 1-2)  
    Written plan details that include treatments, frequency, financial costs, explanation of individualized insurance coverage, off-loading instructions, red-flag symptoms, re-evaluation dates.  
  3. Flexible Scheduling  
    We work with our clients to schedule appointments that work best for them.  
  4. Skilled Nursing Visits (Between 3x/week to 24/7 Care Depending on Wound/Injury Severity)  
  5. Certified Nursing Assistant (CNA) Home Care & Support  
    Protecting the wound and providing necessary at-home support and care, including Bathing & Grooming, Shopping, Mobility & Transfer Assistance, Light Housekeeping & Laundry, Transportation & Appointment Escort, Post-Rehab Support & In-Home Exercises, and more.  
  6. Prevent-and-Protect Protocols (During Care)  
  7. Ongoing Re-assessment & Physician/Provider Updates  
    Progress photos, push-rate measurements, and plan tweaks emailed to PCPs, surgeons, or wound specialists.  
  8. Graduation or Transition Care  
    Once healed, we perform a reassessment to determine if there is a necessity or requirement for continued care, or for planned transference to a different care provider.  

 

Sources 

  1. National Institute on Aging. Home Health Care. 
    https://www.nia.nih.gov/health/home-health-care     
    Accessed September 2025. 
  2. National Institutes of Health. Aging Changes in Wound Healing. 
    https://medlineplus.gov/ency/article/004014.htm     
    Accessed September 2025. 
  3. Maryland Department of Health. Maryland Diabetes Data and Statistics – Prince George’s County. 
    https://health.maryland.gov/phpa/ohpetup/Pages/diabetes-data.aspx     
    Accessed September 2025. 
  4. Centers for Disease Control and Prevention (CDC). Neuropathy and Diabetes. 
    https://www.cdc.gov/diabetes/library/features/diabetic-neuropathy.html     
    Accessed September 2025. 
  5. National Institute of Neurological Disorders and Stroke. Peripheral Neuropathy Fact Sheet. 
    https://www.ninds.nih.gov/health-information/disorders/peripheral-neuropathy     
    Accessed September 2025. 
  6. Maryland Department of Health. Diabetes Burden in Montgomery County. 
    https://health.maryland.gov/phpa/ohpetup/Pages/diabetes-data.aspx     
    Accessed September 2025. 
  7. County Health Rankings. Montgomery County Health Data. 
    https://www.countyhealthrankings.org/     
    Accessed September 2025. 
  8. DC Health. Diabetes Surveillance in the District of Columbia. 
    https://dchealth.dc.gov/page/diabetes-program     
    Accessed September 2025. 
  9. National Center for Biotechnology Information (NCBI). Epidemiology of Peripheral Neuropathy. 
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4208100/     
    Accessed September 2025. 
  10. U.S. Census Bureau. Population Estimates – Maryland, Washington DC, and Virginia Counties. 
    https://www.census.gov/     
    Accessed September 2025. 
  11. Centers for Medicare & Medicaid Services (CMS). 2023 Medicare Home Health Utilization and Payment Public Use File. 
    https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-provider-charge-data/home-health     
    Accessed September 2025. 

 


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  • What types of wounds does SCS treat at home?

    SCS provides comprehensive home care for a wide range of wounds and injuries, including surgical wounds, pressure ulcers, diabetic foot ulcers, burns, and traumatic injuries. Our experienced nurses are trained to handle various wound types and can develop personalized treatment plans to promote optimal healing.

  • How often will a nurse visit for wound care?

    The frequency of nurse visits for wound care depends on the individual patient's needs and the complexity of the wound. After an initial assessment, our team will create a customized care plan that may include daily, weekly, or as-needed visits. We ensure that each patient receives the appropriate level of care for their specific situation.

  • Does SCS provide wound care supplies?

    Yes, SCS can provide necessary wound care supplies as part of our comprehensive home care services. Our nurses are equipped with advanced dressings, wound cleansing solutions, and other essential materials needed for proper wound management. We work closely with patients and their healthcare providers to ensure all required supplies are available for effective treatment.

  • What’s the cost of home wound & injury care in DC, Maryland, and Northern Virginia?

    In cases where wound care is not covered by the clients’ health plan – the client would have to pay our Wound Care RN rate which would be an out-of-pocket expense to the client.

  • How quickly can I start post-surgical home care after knee or hip replacement?

    Homecare services for post surgery knee and hip replacements can start within 2 – 3 days.

  • How often will a nurse visit for home wound & injury care, and can I schedule evenings or weekends?

    Our wound care home visits depend on the severity of the wound and doctor's order for the frequency of home visits.

  • Do you provide pressure-injury prevention (off-loading, repositioning, cushions) for bed- or wheelchair-bound seniors at home?

    Yes, we do offer this service.

  • Can you coordinate with my surgeon, podiatrist, or PCP for follow-up wound management at home?

    Yes, our wound care nurse can provide this service at our regular hourly wound care rate.

  • Do you supply wound-care dressings and bandage supplies, or should families purchase them?

    Generally, our wound care nurse recommends the type of supplies needed, and the family would collect the supplies, or our wound care nurse would collect the supplies are the family would reimburse the nurse.

  • Do you offer 24/7 in-home care or on-call support for urgent wound or injury issues?

    Yes, we do.

  • Does insurance cover any wound & injury home care?

    Yes, Medicare usually pays for wound care with a doctor’s order and so does traditional health plans. However, there are occasional situations where the client may not be Medicare eligible and may not be enrolled in a health plan.

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