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, treating residents right at the bedside — intervening early to prevent avoidable transfers.
In your facility
Early bedside intervention — debridement, wound VAC, biologics, limb-salvage decisions.
Surgery & admission
When the OR or hospital is needed, one of our surgeons provides surgical and inpatient care at hospitals where they hold privileges.
Back to post-acute
Wound rounds resume immediately on return, closing the loop on the healing trajectory.
Specialty wound expertise, without transporting the patient.
Advanced wound management delivered at the resident’s bedside, inside your facility. MYB is not an outpatient wound-care center your residents are transported to — one of our doctors comes to them, coordinating with your primary and specialty teams.
Surgical & sharp debridement
Bedside debridement of complex, non-healing, and deteriorating wounds.
Non-healing ulcers
Management of moderate-to-severe and Wagner grade 2+ diabetic ulcers, venous ulcers, arterial ulcers, and osteomyelitis.
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.
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
When the wound needs the OR or the hospital, one of our surgeons goes too.
Most facility wound providers hand the patient off at the door. As foot & ankle surgeons, our doctors carry 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.
Limb salvage is rarely a solo effort. MYB coordinates the specialists your residents need — at your facility and at the hospitals where our doctors hold privileges — as one plan, not a series of disconnected consults.
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.
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
Estimated annual picture
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).
Dr. Yolisept Bencosme, DPM, MBS
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. 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 our doctors hold 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."
Eyes on the wound between visits.
Rounds are weekly — but wounds don't wait. MYB Wound Watch is being built to let 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.
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.