United Wound Healing

United Wound Healing For the past decade we provide compassionate expertise and a team-approach to supporting skilled nursing wound care nationwide

For a decade, we’ve been healing, educating, protecting, and preventing—serving our community through advanced wound car...
03/10/2026

For a decade, we’ve been healing, educating, protecting, and preventing—serving our community through advanced wound care and compassionate patient support.

And we’re just getting started.

As our mission continues to grow, United Wound Healing is on the grow 🔥 and we’re looking for like-minded professionals who are passionate about making a real difference in patient care.

If you believe in education, prevention, and delivering exceptional wound care, we’d love to connect.

Join a team that is committed to healing our community—one patient at a time.

https://www.unitedwoundhealing.com/about/careers/

03/05/2026

Misidentifying skin conditions as pressure injuries is more common than we think.🤔

When we label something as a PU/PI without clear pressure-related cause, it can lead to:

• Inappropriate treatment plans

• Confusing documentation
• Avoidable F686 survey tags

For this month’s webinar, we’re focusing on Pressure Injury Imposters — including the often-
misdiagnosed Chronic Tissue Injury (CTI) of the buttocks.
Clarity in assessment supports better outcomes and stronger regulatory positioning.

If you’re a nurse or provider in LTC or post-acute care, join us!
March 26 | 12 PM PST

Register here:
https://zoom.us/webinar/register/8417692714748/WN_WI_PfmkJTROERjqNnr6SwA


Pamela Scarborough,PT,DPT,CWS,FAAWC

The United Wound Healing Fellowship is designed for Nurse Practitioners and Physician Assistants who are passionate abou...
03/05/2026

The United Wound Healing Fellowship is designed for Nurse Practitioners and Physician Assistants who are passionate about advancing their clinical skills and making a real impact in patient care.

This one-year, hands-on fellowship provides advanced training in wound management, dermatology, and limb preservation, equipping fellows with the knowledge, experience, and mentorship needed to become leaders in skin and wound care. 

During the program, fellows gain:
✔️ Hands-on clinical experience in post-acute care settings
✔️ Mentorship from experienced wound care specialists and physicians
✔️ Opportunities to pursue board certifications in wound care and dermatology
✔️ Participation in research and multidisciplinary collaboration
✔️ Advanced education through didactic training and clinical practice 

At United Wound Healing, our mission is simple: expand access to highly skilled specialists and improve outcomes for patients suffering from complex skin conditions and chronic wounds. 

If you’re a new or experienced NP or PA ready to grow, learn, and heal fearlessly, this fellowship could be the next step in your career.

🔗 Learn more and apply:
https://uwhfellowship.org/

🦠 BIOFILM vs. BACTERIA — Know the DifferenceMost chronic wounds aren’t stalled by free-floating (planktonic) bacteria… t...
03/04/2026

🦠 BIOFILM vs. BACTERIA — Know the Difference
Most chronic wounds aren’t stalled by free-floating (planktonic) bacteria… they’re stalled by biofilm.

🔑 Wound Hygiene is the foundation of biofilm management — and debridement is essential to that framework.

⚠️ Here’s what that means in practice:

✅ Debridement at every dressing change

✅ Vigorous therapeutic cleansing — consistently

✅ Topical antimicrobials & antimicrobial dressings to suppress biofilm re-formation between visits

❌ But remember — antimicrobials do not replace debridement. They work alongside it.

📚 We’ll be diving deeper into this topic over the next few weeks! Check out the attached resource for a detailed breakdown.

💬 What questions do you have? Drop them below! 👇


Pamela Scarborough,PT,DPT,CWS,FAAWC

Continuing in our series this week, let’s talk about when a heel wound is NOT a pressure injury. A heel wound may be cod...
02/25/2026

Continuing in our series this week, let’s talk about when a heel wound is NOT a pressure injury.
 
A heel wound may be coded outside Section M only when:
• Pressure has been clearly ruled out
• Documentation supports a primary alternate etiology (e.g., severe PAD)
• Objective vascular evidence is present (ABI/TBI)
• Appropriate pressure offloading was implemented and documented!!!
Even in cases of severe PAD or skin failure, pressure injury must first be considered and excluded. Also see F684-Other Wound Etiologies
 
So, what can we take from this series? Here’s a few survey-proof takeaways to keep in your back pocket:
 
You cannot code or document your way out of pressure!!
 
Mislabeling a heel pressure injury as a diabetic foot ulcer:
• Does not prevent an F686 citation
• Often leads to additional deficiencies (assessment, care planning, QAPI)
• Undermines clinical credibility during survey
Correct identification, documentation, and offloading of heels in mobility impaired patients/residents protect the resident, the facility, and the staff from survey and legal ramifications.
 
References:
1. Centers for Medicare & Medicaid Services. State Operations Manual (SOM), Appendix PP – Guidance to Surveyors for Long Term Care Facilities (Rev. 225, Issued August 8, 2024; effective updates April 28, 2025).
2. CMS, Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual, Version 1.20.1, Chapter 3 – Section M: Skin Conditions. Final version effective October 1, 2025

One in four American families has a loved one living with a chronic wound. However, access to specialized wound and skin...
02/20/2026

One in four American families has a loved one living with a chronic wound. However, access to specialized wound and skin care remains limited, particularly in post-acute and home-based settings. It’s high time we address this issue.

United Wound Healing is proud to introduce the nation’s first post-graduate fellowship exclusively dedicated to training advanced practice providers in wound management, dermatology, and limb preservation. This groundbreaking 12-month program equips Nurse Practitioners and Physician Associates with the clinical expertise, board certifications, and compassionate approach necessary to lead in this crucial specialty.

If you’re passionate about improving patient outcomes and serving medically complex and geriatric populations, this fellowship presents an exceptional opportunity to make a significant impact.

02/20/2026

🚨 We’re Hiring LPNs — Join United Wound Healing!

We are expanding our clinical team and looking for compassionate Licensed Practical Nurses (LPNs) to provide specialized skin & wound care in:

📍 Tacoma, WA
📍 Spokane, WA
📍 Medford, OR

At United Wound Healing, you’ll work alongside a multidisciplinary care team delivering advanced wound care in skilled nursing, assisted living, and in-home settings — helping patients heal where they live.

✔ Team-centered care model
✔ Professional development & training opportunities
✔ Supportive clinical environment
✔ Benefits & compensation details available in the job listing

👉 View full job details, compensation information, and apply here:
https://www.unitedwoundhealing.com/about/careers/

Help us bring healing to more communities. Share with an LPN who would love this role!

We’re excited to share the United Wound Healing Patient Guide — a helpful collection of trusted resources designed to su...
02/18/2026

We’re excited to share the United Wound Healing Patient Guide — a helpful collection of trusted resources designed to support patients and families through every step of the healing journey.

This guide provides practical, easy-to-understand information to help you feel confident and informed about your care.

Inside you’ll find:

📄 Simple care guidance
🩺 What to expect during treatment
🏠 Tips for healing at home
🧠 Education to prevent complications
❤️ Support for patients & caregivers

Our goal is to empower patients, caregivers, and care teams with clear knowledge so wounds can heal safely and effectively.

You can explore the guide here:
https://www.unitedwoundhealing.com/patients/patient-guide/

Because understanding your care helps you heal better.

Please join us in welcoming Karina O’Neill, PA-C!We’re excited to introduce Karina O’Neill, PA-C, the newest Skin & Woun...
02/18/2026

Please join us in welcoming Karina O’Neill, PA-C!

We’re excited to introduce Karina O’Neill, PA-C, the newest Skin & Wound Care Provider at United Wound Healing!

Karina brings a compassionate, patient-focused approach to every visit and is dedicated to helping patients heal comfortably and confidently in the environments they call home. We’re grateful to have her serving our patients, families, and facility partners as we continue our mission to deliver advanced wound care with excellence.

We’re proud to have you on the team, Karina! 💙

👉 Learn more:
https://www.unitedwoundhealing.com/specialist/karina-oneill-pa-c/

PatientCare

Heel 👣pressure injuries impact more than skin integrity—they affect pain, mobility, infection risk, quality measures, an...
02/16/2026

Heel 👣pressure injuries impact more than skin integrity—they affect pain, mobility, infection risk, quality measures, and survey outcomes.
 
Join us for The Endangered Heel, a practical, nurse-focused webinar designed to help your team reduce preventable heel pressure injuries and improve resident outcomes.
 
Session Info:
Date: February 26, 2026
Time: 12-1 PM PST
Audience: RNs, Treatment Nurses, CNAs
 
You’ll gain insight into:
• Common breakdown points in heel prevention programs
• Best practices for heel offloading and protection
• Early identification and intervention strategies
• Team-based approaches to reducing heel PU/PIs
Small changes in heel care can make a big difference in outcomes.
 
Register here! https://zoom.us/webinar/register/4417692709831/WN_IHujFRS2ReGBXLYH8qy9SQ #/registration
 
Looking forward to seeing you there! 😀Pamela Scarborough,PT,DPT,CWS,FAAWC

👣Heel pressure injuries (HPIs) are sometimes misclassified as diabetic foot ulcers in long-term care settings in an atte...
02/11/2026

👣Heel pressure injuries (HPIs) are sometimes misclassified as diabetic foot ulcers in long-term care settings in an attempt to avoid an F686 citation, or due to misunderstanding the regulations. This practice is clinically incorrect, noncompliant with MDS Section M, and F686/F684 guidance, increasing survey risk and MDS reporting errors. 
 
Over the next 3 weeks, we are going to clarify this further in our Heel PI vs. DFU Pearl Series.
 
Week 1: The Regulatory Bottom Line
 
Etiology—not diagnosis—determines classification.
If pressure contributed to tissue damage on the heel, the wound must be:
• Classified as a pressure injury
• Staged using NPIAP definitions
• Coded in MDS Section M (M0300–M0305)
• Managed under F686 requirements
Diabetes, PAD, advanced age, and neuropathy are risk factors, not etiologies.
Next week, we’ll discuss what CMS and MDS Section M requirements. More to come!
 
References for further study:
1. Centers for Medicare & Medicaid Services. State Operations Manual (SOM), Appendix PP –  Guidance to Surveyors for Long Term Care Facilities (Rev. 225, Issued August 8, 2024; effective updates April 28, 2025).
2. CMS, Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual, Version 1.20.1, Chapter 3 – Section M: Skin Conditions. Final version effective October 1, 2025

Pamela Scarborough,PT,DPT,CWS,FAAWC

🗣️Learn more: https://uwhfellowship.org/

Please join us in welcoming Tim Holmstrom, PA-C to the United Wound Healing family! Tim brings passion, expertise, and c...
02/09/2026

Please join us in welcoming Tim Holmstrom, PA-C to the United Wound Healing family! Tim brings passion, expertise, and compassionate care to our skin and wound healing team — and we couldn’t be more excited for what he’ll bring to our patients and community.

Tim is dedicated to helping patients achieve optimal healing outcomes with personalized, evidence-based care grounded in empathy and excellence.

Learn more about Tim and his approach here ➡️ https://www.unitedwoundhealing.com/specialist/tim-holmstrom-pa-c/

Please help us give Tim a warm welcome in the comments! 👏👇

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98372

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Team Centered Wound Care

We are a leadership company that also heals skin and wound needs. We heal, educate and protect with teams across the country at our patient’s bedside. We care and treat our patients as if they were our own family members.