A wound that does not heal can be more than frustrating – it can increase the risk of infection, tissue damage, and serious complications if left untreated. If you or a loved one has been living with an open wound for weeks or months, it may be a sign that the body needs advanced wound care support to help move healing forward.
At Kentuckiana Integrative Medicine- Kentuckiana Medicine, wound care is led by Dr. Rafael F. Cruz, MD, and is focused on providing a structured, medically guided approach for patients with chronic, non-healing wounds.
If you have been treating the same wound repeatedly without results, contact us to explore alternative treatment options. This is our specialty.
We accept Traditional Medicare for wound care services. Patients with other insurance plans are welcome to contact us and may choose self-pay options. Health Savings Accounts (HSA) can be used for wound care when a physician documents medical necessity.

When appropriate and medically indicated, we use a step-by-step wound care strategy that addresses not only the wound itself, but also the factors that commonly delay healing, including:
Patients with foot or lower-extremity wounds may undergo a simple Ankle-Brachial Index (ABI) test to assess blood flow to the legs and feet as part of their evaluation.
Watch Dr. Rafael Cruz, MD introduces the wound care services offered at Kentuckiana Integrative Medicine, focusing on accelerated treatment for chronic, non-healing wounds, especially diabetic ulcers and venous stasis
We provide advanced wound care support for a wide range of chronic, non-healing wounds. Among the most common wound types we treat in assisted living and extended care settings are venous stasis ulcers, pressure ulcers, burns, and diabetic foot ulcers. These wounds can worsen quickly without proper intervention and often require advanced care to prevent infection, reduce complications, and support long-term healing.
Diabetic Foot Ulcers
Diabetic wounds often heal slowly due to impaired circulation, reduced sensation, and immune dysfunction. These wounds frequently require more than standard dressings. Our focus is on both wound closure and recurrence prevention when possible.
Venous Stasis Ulcers
Venous ulcers are often associated with chronic leg swelling and poor venous return. Advanced wound coverings and swelling management strategies may be used to support tissue repair.
Pressure Ulcers
Pressure ulcers are common in residents with limited mobility or prolonged bed or chair use. These wounds may worsen rapidly if pressure relief and advanced wound strategies are not implemented early. Our approach supports healing while working with facility staff to reduce recurrence risk.
Non-Healing Surgical Wounds
Surgical wounds may fail to close properly in patients with diabetes, swelling, or compromised tissue health. Advanced wound care options may help support closure and protect fragile tissue edges.
Burns Requiring Advanced Wound Support
Certain burns may benefit from specialized wound coverings to protect healing tissue, especially when healing is delayed or the wound is located in a functionally sensitive area.
If you are unsure how your wound should be classified, we can evaluate it and outline the most appropriate care plan.
Residents in assisted living and extended care communities often face chronic or complex wounds, including venous stasis ulcers, pressure ulcers, burns, and diabetic foot ulcers. These conditions can affect comfort, mobility, and overall quality of life—and they frequently require a level of care beyond basic wound management.
Among the most common wound types we treat in assisted living and extended care settings are venous stasis ulcers, pressure ulcers, burns, and diabetic foot ulcers. These wounds can worsen quickly without proper intervention and often require advanced care to prevent infection, reduce complications, and support long-term healing.
At Kentuckiana Integrative Medicine, we provide mobile advanced wound care services, bringing experienced clinicians directly to assisted living and extended care communities.
Our on-site approach allows residents to receive specialized wound treatment without leaving their residence, reducing stress, transportation challenges, and unnecessary hospital visits.
Our mobile wound care services include:
Comprehensive on-site wound assessments to identify contributing factors to delayed healing and develop individualized treatment plans.
Advanced wound therapies and specialized dressings to promote tissue repair and minimize infection risk
Direct, on-site clinical care delivered in coordination with facility staff, ensuring seamless integration into existing care routines
Ongoing collaboration with physicians and caregivers to support continuity of care, accurate documentation, and consistent monitoring of healing progress
Insurance Note: We currently accept only Traditional Medicare. We are actively working toward Medicare Advantage acceptance.
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FDA-Cleared & Medicare-Approved Wound Coverings
When eligibility criteria are met, we use FDA-cleared and Traditional Medicare-approved wound covering products derived from legally donated amniotic, placental, or umbilical tissues. These tissues are donated from healthy mothers and their babies.
These products are used as protective wound coverings and are designed to:
Important note: Every wound is different. Healing timelines depend on wound size, depth, circulation, pressure management, infection risk, and overall health. While some patients experience improvement within weeks, outcomes vary and cannot be guaranteed.
In select cases—particularly when insurance-covered options are not available or have been exhausted—some patients may consider self-pay integrative therapies intended to support the wound healing environment.
These therapies are off-label, not FDA-approved, and not covered by insurance, and may include:
These services are offered on a cash-pay basis only. If they are relevant to your case, we will explain what they are intended to support, potential limitations, and what a realistic care plan may involve.
Cost is a major concern for many patients. Whenever possible, we prioritize insurance-covered wound care.
Certain advanced wound covering products may be covered by Traditional Medicare when medical necessity and eligibility criteria are met. Coverage depends on factors such as:
Our team can help you understand:
If coverage is not available, we will clearly explain self-pay alternatives.
Step 1: Comprehensive Wound Evaluation
We assess wound location, size, depth, drainage, tissue quality, and signs of infection. Wound cleaning, cultures (when indicated), and dressing application may be performed.
Step 2: Identify Healing Barriers
We evaluate factors that commonly prevent closure, such as swelling, pressure, circulation concerns, diabetes-related changes, or repeated irritation.
Step 3: Develop a Practical Care Plan
Your plan may include wound-bed preparation, appropriate dressings, advanced wound coverings (when indicated), and follow-up scheduling.
Step 4: Monitor Progress and Adjust
Chronic wounds require consistency. We track healing progress with photographs -measurements and adjust care to keep the wound moving toward closure.
In select cases—particularly when insurance-covered options are not available or have been exhausted—some patients may consider self-pay integrative therapies intended to support the wound healing environment.
These therapies are off-label, not FDA-approved, and not covered by insurance, and may include:
These services are offered on a cash-pay basis only. If they are relevant to your case, we will explain what they are intended to support, potential limitations, and what a realistic care plan may involve.
Seek immediate medical attention if you experience:
Schedule a Wound Care Evaluation
If you’ve been living with a wound that will not close. Do not wait for it to “eventually heal.” Chronic wounds often become harder to treat the longer they remain open.
Do you treat diabetic foot ulcers?
Yes. Diabetic foot ulcers are a common reason patients seek advanced wound care when standard treatment has not been successful.
Is wound care covered by Medicare or insurance?
Some advanced wound care products may be covered when eligibility and medical necessity requirements
are met. We help patients understand their options.
How fast can a wound heal?
Healing timelines vary. Some wounds improve in weeks, others take longer. No outcomes can be guaranteed.
Some services offered by Kentuckiana Integrative Medicine are considered off-label or investigational and are not FDA-approved or covered by insurance. FDA-cleared and Traditional Medicare-covered services are limited to specific wound covering products and select procedures offered through Kentuckiana Medicine.
All content, including text and video, is for general informational purposes only and does not constitute medical advice. Individual results vary. No guarantees of outcomes are made or implied.