Christy, you are exactly right! I just wanted to hear it from another nurse. There is one particular hospital that refers to us, these patients become our residents and we are supposed to fix their mistakes. I figured it was a reimbursment issue, much like if a patient develops a UTI in the hospital stay, Medicare will not reimburse. Must work the same way with wounds, the paperwork and H&P always states that skin is intact. I assess them as soon as they are brought in the door to find stg 4 to the coccyx, or unstagable heels with black eschar covering the entire heel. Frustration!!!!! Our facilty has to fix these wounds and a lot of the time are sent to the WCC where first visit is 1800. - 2000.00 visit. Wow, now we know where the Medicare money is going to.