Conservative care is the foundation.
Dressings, offloading, compression, nutrition, pressure relief, and treatment of underlying conditions remain the right first line for most wounds.
Most wounds heal hereDr. Wounds Wound Care · Virtual Care. Healing Results.
A complex wound needs a different decision.
CWS specializes in complex, stalled, and surgically appropriate wounds. We meet patients virtually or in person, then deliver advanced surgical care in our own ambulatory surgical center when it is appropriate. A virtual consultation, and surgery when the wound needs it, without starting over.
Our mission
Expert care. Connected to home.
Our mission is to advance the healing of complex wounds through early virtual or in-person specialty evaluation, appropriate surgical intervention, and coordinated care that keeps patients connected to the people and places they call home.
CWS by the numbers
A decade of complex wounds, measured.
- 10+yearsClinical wound-care experience
- ~10,322Patient encounters and surgical wounds treated
- MultipleFacility partners
- ~18,521*Wounds improved or healed
- <21daysAverage time to healing*
*Practice-reported figures. Individual results vary with wound type, health history and care plan.
Wound care expertise
What sits behind every evaluation.
- 01Wound-certified leadership
- 02Surgical expertise
- 03Published research
- 04Consensus work
- 05Advanced wound technologies
- 06Years treating complex wounds
- 07Clinical education
- 08Facility experience
The CWS decision line
Care should change when the signal changes.
Scroll to follow the moment a sound wound-care plan needs another level of judgment.
Progress stops. The question changes.
When the wound is not measurably smaller, deeper tissue remains involved, or setbacks keep repeating, more of the same may not be enough.
The plateau is a clinical signalA virtual consultation brings surgical judgment in early.
CWS reviews the history, wound, imaging, and treatment response virtually, then a surgical wound care nurse validates the wound in person to confirm what we saw.
Evaluation does not mean surgeryIntervene when appropriate. Protect quality of life.
When a procedure is appropriate, transportation is arranged and the patient moves straight to the surgical center. Follow-up and recommendations return to their existing care team.
Continuity through closureHow CWS works
A virtual consultation first. Surgery when the wound needs it.
When a wound is complex from the start, or stops responding to appropriate conservative care, early specialty evaluation can help determine the next step. There is no required waiting period before asking CWS for an evaluation. Surgery is considered only when appropriate.
Dr. Wounds Direct Wound Care
Virtual Access. Surgical Expertise. A Better Path to Healing.
Get Wound Care Now
Why CWS
Not every wound needs surgery. But every wound that stops healing deserves another look.
CWS doesn’t replace the care team. We extend it: with surgical decision-making, virtual access, and an ambulatory setting built for same-day recovery when intervention is appropriate.
01 · Advanced expertise
Surgical wound specialists.
Board-certified, wound-certified surgical specialists who evaluate complex wounds and determine whether intervention may be appropriate. Evaluation first, always.
02 · Virtual surgical access
Expertise without the hospital visit.
Patients, providers, and families can request surgical wound expertise virtually. Wound history, imaging, and photos reviewed before anyone travels anywhere.
03 · ASC-based intervention
Same-day recovery, when appropriate.
Our own ambulatory surgical center sits sixty feet from the clinic. When surgery is the right call, it happens without an unnecessary hospital stay.
When to consider an evaluation
Has the wound stalled at healing?
These indicators suggest a wound may deserve surgical evaluation. Any one of them is reason enough to ask the question.
- 01No measurable size reduction
- 02Necrotic or dead tissue
- 03Persistent undermining
- 04Infected tissue or recurrent cellulitis
- 05Exposed tendon or bone
- 06Persistent slough tissue
- 07Recurrent wound breakdown
- 08Minimal improvement despite appropriate evidence-based care
The wound is not progressing to closure and healing? Consult an advanced provider.
Request a Virtual Consultation →Why an ASC
Advanced wound care without an unnecessary hospital stay.
When intervention is appropriate, it happens at Capital Surgical Center, the CWS ambulatory surgical center sixty feet from the clinic. The purpose-built operating room provides a sterile surgical environment, anesthesia support, imaging, and specialized equipment.
Patients arrive in the morning and recover at home the same day when clinically appropriate. An integrated wound-care practice in Washington, DC, with an on-site ambulatory surgical center, and it exists to make the pathway shorter.
Inside the surgical center →
For providers
We don’t replace the care team. We extend it.
CWS works alongside the providers already caring for the patient, and the patient goes back to them.
Another look, earlier
Don’t keep treating wounds that have stopped healing. A virtual evaluation answers the question in days.
Care that stays in place
Keep patients in place whenever appropriate. Evaluation, intervention, and return, with notes after every encounter.
Continuity by design
Earlier evaluation. Appropriate intervention. Continuity of care, back in the resident’s own environment.
The right level of care
Help reduce avoidable admissions when clinically appropriate, with an ambulatory surgical pathway for stalled wounds.
Our approach for referring partners: intake prioritized by clinical need, a structured note after every encounter, and same-day recovery without a hospital stay when a procedure is appropriate.
How we work with providers →Same patient, two paths
The old pathway, and the CWS way.
Earlier evaluation can help patients access the right level of care before complications become more severe.
The old pathway
Wait, worsen, escalate.
- Conservative care continues, visit after visit, without measurable progress.
- The wound stays open. Weeks become months.
- A complication forces the decision: an ED visit or a hospital admission.
- Surgery happens urgently, with a team meeting the patient for the first time.
- Recovery starts in a hospital bed, away from the original care team.
Where it ends
Later intervention, more disruption, and a harder road back to the patient’s own environment.
The CWS way
Evaluate earlier. Intervene when appropriate.
- Conservative care with the existing provider. The foundation stays.
- Healing stalls, and the plateau is recognized early.
- Virtual surgical evaluation, usually within days. History and imaging reviewed.
- When appropriate: ASC intervention with same-day recovery.
- Return to home, SNF, or assisted living. The original team continues care.
- Virtual follow-up tracks the wound to closure.
Where it loops back
The right care, at the right time, in the right setting, with the existing care team kept in the loop, and the patient’s quality of life protected throughout.
The healing journey
From an open wound to closure.
Evaluation, surgical care when appropriate, and follow-up track a stalled wound through each stage back to healed skin.
CWS Case Library
The care behind the progress.
Explore real clinical reports, from presentation and prior treatment to CWS intervention and documented outcomes.
Clinical context comes first
Real reports, reviewed case by case.
Our case library includes a pressure-injury series and reports of advanced wound management. Individual results vary, and improvement does not always mean complete closure.
Explore the case library →Trusted across the continuum of care
Trusted across the continuum of care.
Serving skilled nursing, assisted living, home health, hospitals and community providers.
- Skilled nursing
- Assisted living
- Home health
- Hospitals
- Community providers
“Dr. Johnson is great. He is extremely knowledgeable and dedicated. His team at Comprehensive Woundcare Services are courteous. I like his philosophy of medicine and wound care healing. He is also great with patients and our staff, he brings a team approach.”
“Dr. Johnson is always available, he has personalized service and goes out of his way to problem solve using all of his contacts and knowledge to offer multiple solutions. I would highly recommend Dr. Johnson and Comprehensive Woundcare Services to anyone!”
“My first contact was with Dr. Johnson when the facility told our family my mother had a bedsore. I was completely blown away by how helpful and kind he was explaining all aspects of care to our family. A lot of doctors don’t realize how important this personal interaction is.”
Continuity of care
The surgeon who evaluates the wound is the surgeon who operates when intervention is appropriate, and who follows the healing after.
Jonathan Johnson, MD, MBA, CWSP, FAPWCA
Board-certified wound-care surgeon · Surgical Director, CWS
Meet Dr. Johnson →
For patients & families
The wound is not progressing to closure and healing? Consult an advanced provider.
In plain language: it isn’t getting smaller. It keeps reopening. Bone or tendon is visible. It keeps getting infected. A wound may need specialty care from the start. It stops you walking or sitting. It’s getting worse even though you’re following the treatment plan.
One question is enough to start: “Should I have this evaluated by a surgical wound specialist?”
Information for patients →Dr. Wounds — Virtual First. Surgical When Needed.
When healing stalls, don’t just wait.
Request a virtual consultation to understand the next step, including surgical care when appropriate. Whether you’re a patient, a family member, or the provider already managing the wound, protecting quality of life starts with one conversation.