MYB Facility-based limb preservation & complex wound care · Westchester County & NYC

Limb salvage and complex wound care, delivered at the bedside.

A surgeon-led wound and limb-salvage service line that lives inside your skilled nursing and assisted living facilities — intervening early to prevent avoidable transfers.

SNF · ALFFacility-based only
On-siteProcedures at bedside
EN · ESBilingual care
The care continuum One physician, every setting
1

In your facility

Early bedside intervention — debridement, wound VAC, biologics, limb-salvage decisions.

2

Surgery & admission

When the OR or hospital is needed, the physician provides surgical and inpatient care at hospitals where they hold privileges.

3

Back to post-acute

Wound rounds resume immediately on return, closing the loop on the healing trajectory.

Patients we manage Diabetic foot ulcers Pressure injuries Venous leg ulcers Surgical wound complications Osteomyelitis Peripheral arterial disease Limb-threatening infections
Why it matters

The most expensive wound is the one that leaves the building.

Avoidable ED transfers for wound deterioration strain nursing staff, disrupt residents, and carry readmission penalties. MYB is built to intervene before that happens — and to protect continuity when it can't.

Early
Bedside intervention
Complex wounds treated on-site before they escalate to the ED.
Fewer
Avoidable transfers
Reduced transport logistics and lower nursing burden for complex wounds.
Seamless
Continuity of care
One physician follows the patient across facility, hospital, and return.
Clinical scope

Specialty wound expertise, without transporting the patient.

On-site advanced wound management performed within the facility, coordinated with your primary and specialty teams.

Surgical & sharp debridement

Bedside debridement of complex, non-healing, and deteriorating wounds.

Diabetic foot ulcers

Management of moderate-to-severe and Wagner grade 2+ diabetic ulcers.

Pressure injury management

Stage II–IV pressure injuries and decubitus ulcers, on-site.

Negative pressure therapy

Wound VAC application and ongoing management at bedside.

Biologics & skin substitutes

Advanced biologic application when clinically indicated — never by default.

Limb salvage evaluation

At-risk extremity assessment, escalation planning, and vascular coordination.

A limb-preservation strategy

The wound and limb-salvage hub for your residents.

Saving a limb is rarely a solo effort. MYB coordinates the specialists your residents need — at your facility and at the hospitals where the physician holds privileges — so care moves as one plan instead of a series of disconnected consults.

Vascular Surgery Infectious Disease Internal Medicine Endocrinology Plastic Surgery (when appropriate) Physical Therapy Facility Nursing
Surgery & inpatient continuity

When the wound needs the OR or the hospital, the surgeon goes too.

Most facility wound providers hand the patient off at the door. As a foot & ankle surgeon, the physician carries the case into the operating room and the inpatient setting at hospitals where they hold privileges — then resumes wound rounds the moment the resident returns.

Operative management
Surgical debridement, incision & drainage, infection control, and amputation as needed for limb salvage when bedside care is no longer enough.
Inpatient co-management
Continued involvement in wound and limb decisions during admission at hospitals where the physician holds privileges — no handoff, no restart.
Closed-loop return
On discharge back to your facility, wound rounds resume immediately so the healing trajectory never breaks.
A focused service line

Specialty escalation — not routine care.

A deliberately narrow scope keeps MYB fast, predictable to schedule, and easy for facilities to credential.

What MYB provides

  • Complex & non-healing wound management
  • Surgical and sharp debridement at bedside
  • Wound VAC, biologics, infection support
  • Limb salvage evaluation & escalation
  • Post-operative wound complications

Outside our scope

  • Home or private-residence visits
  • Routine nail and callus care
  • General diabetic foot maintenance
  • Outpatient office-based care
  • Non-wound podiatric visits
Clinical value to facilities

Why directors of nursing partner with MYB.

MYB functions as wound-care infrastructure for your building — not a visiting provider who disappears between rounds.

Reduce avoidable ED transfers

Early advanced intervention for wound-related deterioration, on-site.

Lower nursing burden

Complex wound management handled by a surgeon, not added to floor staff.

Protect against readmission penalties

Coordinated escalation and immediate post-discharge follow-up.

Documentation built for compliance

Wound documentation aligned with Medicare and facility standards.

Ideal patient profile

The residents MYB is built for.

  • Non-healing wounds persisting beyond 2–4 weeks
  • Diabetic foot ulcers at Wagner grade 2 or higher
  • Stage II–IV pressure injuries requiring escalation
  • Venous stasis ulcers showing deterioration
  • Post-surgical wound complications
  • Ischemic, limb-threatening wounds (with vascular coordination)
YB

Dr. Yolisept Bencosme, DPM, MBS

Board Qualified Foot & Ankle Surgeon
Podiatric Medicine & Surgery
Surgical & advanced wound care training
Bilingual care · English & Español
Serving Westchester County, NY
The provider

A surgeon's eye, at the bedside.

MYB is led by a board qualified foot and ankle surgeon with the training to escalate, debride, operate, and make limb-salvage decisions most bedside providers cannot. That depth lets your residents receive specialty-level wound care in place — and, when surgery or admission is unavoidable, surgical and inpatient management at hospitals where the physician holds privileges.

The model is intentionally narrow and intentionally continuous: complex wounds, managed early in the facility, and followed across every setting the patient passes through.

"Treat the wound early, in the building — and stay with the patient wherever the wound takes them."

Facility value & ROI

What complex wounds cost your facility — and where MYB changes the math.

Adjust the assumptions to match your building. Defaults use published national averages; these are planning estimates of cost exposure you can influence, not guarantees. Actual results depend on your payer mix, baseline rates, and case mix.

Your facility

Wound burden
Pressure injuries
MYB impact (your assumptions)

Estimated annual picture

Residents with wounds
Residents with diabetes
~1 in 3 residents; DFU is the #1 cause of non-traumatic amputation.
Estimated annual exposure MYB helps address
Transfers + pressure-injury cost + risk-adjusted litigation, before MYB impact.
$0
Added cost to the facility for wound-care professional services. MYB bills its clinical services under Medicare Part B as the rendering provider — specialty wound coverage doesn't add to your nursing payroll or wound-supply budget.
Estimated value MYB can influence / year
Avoided transfers
Avoided Stage 3–4 cost
Reduced litigation risk
Total influenceable / yr
SNF VBP at risk (2% Part A)
Performance-linked. Readmissions and infection-driven hospitalizations are 2 of the 4 scored measures — both wound-sensitive.
Wound lawsuits / yr (US)
~17,000
Pressure-injury claims are the most common nursing-home suit; wins frequently exceed $1M.
Sources & method
  • Avoidable transfers: ~25% of nursing-home residents transferred to hospital ≥1×/yr (~$14.3B to Medicare); CMS estimates ~45% of LTC admissions potentially avoidable. Per-event cost defaulted to $12,000 (planning estimate).
  • SNF VBP: CMS withholds 2% of Medicare FFS Part A payments, redistributing 50–70% on performance; FY2026 measures include all-cause readmissions and infection-related hospitalizations (CMS FY2026 SNF PPS Final Rule).
  • Pressure injuries: US cost ~$26.8B/yr; ~$11,000 average, $20,900–$151,700 per case, ~59% from Stage 3–4 (Padula & Delarmente, Int Wound J 2019; AHRQ).
  • Litigation: ~17,000 bedsore suits/yr; average ~$400K; Stage 4 commonly $600K–$7.75M; ~35% plaintiff trial win rate. The litigation line is a risk-adjusted expected value (Stage 3–4 × 3% claim probability × $400K average award).
  • Diabetes / amputation: ~1/3 of residents have diabetes; Medicare ~$33K/yr per DFU patient, ~$52K/yr with amputation; coordinated limb-salvage care reduces amputation rates (AHRQ; J Vasc Surg 2010).
Actionable referral criteria

When should your staff call MYB?

Give your nurses a simple rule set. If any of these is true, it's time to call — earlier is always better for the limb.

A diabetic foot ulcer isn't improving after two weeks
There is exposed tendon or bone
A pressure injury is worsening
A wound appears infected
A wound VAC is being considered
There is any concern for limb loss
The resident might otherwise be sent to the ED
914-525-7189 Call or text · same-day or next-day evaluation for urgent wounds
Between rounds · MYB Wound Watch

Eyes on the wound between visits.

Rounds are weekly — but wounds don't wait. MYB Wound Watch lets your nursing staff send a wound photo the moment something looks different, so a change is caught in hours, not at the next scheduled visit.

  • A photo in secondsStaff photograph the wound and add a quick note — location, what changed, and how urgent it looks.
  • Urgent consults, triggered earlyConcerning wounds are flagged for prompt review, so MYB can come in before a small change becomes an avoidable ED transfer.
  • A history for every woundEach wound's photos and notes are tracked over time, so the healing trajectory — or a decline — is clear at a glance.
Offered to MYB partner facilities as part of the wound-care service, rolling out alongside each partnership.
Start with PRN coverage

Bring a wound & limb-salvage service line into your facility.

MYB can begin PRN wound consults within one to two weeks, then convert to scheduled weekly rounds as the relationship establishes.