Free Download · 2026 Edition · Fillable PDF

Mobile Wound Group Checklist

A standardized framework for evaluating, aligning, and optimizing mobile wound care practices across post-acute care settings. Use it to build a program, select a wound provider group, or guide an existing partnership.

4 Fillable PDFs
Core Standards + 3 Setting Add-Ons
Free for PAWSIC Members
Cover of the PAWSIC Mobile Wound Group Checklist 2026, Section I: Core Standards
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Four Fillable PDFs, One Checklist

Complete Section I in full, then only the add-on for your care setting. Each one is its own fillable PDF.

Document 1 · Section I · All Settings

Core Standards

Fillable PDF · 16 pages

Thirteen parts in four clusters, followed by a summary of findings and recommendations with a score tally, strengths, gaps, risk areas, and next steps.

  • Operational Foundation Parts 1 to 2
  • Clinical Practice Parts 3 to 6
  • Compliance & Risk Parts 7 to 9
  • Performance & Partnerships Parts 10 to 13
  • Summary of Findings & Recommendations Part 14
Documents 2 to 4 · Choose Your Setting

Setting-Specific Add-Ons

Skilled Nursing Facility (SNF)Section II · Fillable PDF · 7 pages

Regulatory alignment, survey and QAPI integration, MDS and facility alignment, facility workflow, and rules of engagement.

Home Health Agency (HHA)Section III · Fillable PDF · 5 pages

PDGM and OASIS alignment, visit utilization and cost management, field-based care, physician order workflow, and the home environment.

Assisted Living / Independent Living (ALF/IL)Section IV · Fillable PDF · 5 pages

Limited clinical infrastructure, coordination with external providers, medication and treatment oversight, risk management, and family communication.

Built for Both Sides of the Partnership

Wound Providers and Wound Provider Groups

A tool to support program development or process improvement.

Healthcare Leaders

A tool for any post-acute site of service to aid in the selection of a wound provider or wound provider group.

Patients and Responsible Parties

A reference guide when selecting a wound provider or wound provider group.

A Simple 0 to 3 Scale

Every criterion has room for a score, comments and findings, and the evidence reviewed.

0Absent
1Emerging
2Established
3Best-in-Class

★ Critical items are flagged throughout the document to signal elevated regulatory or clinical risk requiring priority follow-up.

Written and Reviewed by Post-Acute Clinicians

Authors

  • Pamela Scarborough, PT, DPT, CWS, FAAWC
  • Jeanine Maguire, PhD, MS, MPT, CWS, FCPP
  • Dr. Ziad Mirza, MD
  • Therese Laub, LPN, CWS
  • Julie Rhodovi, MBA, CWCA, LBBH
  • Cathy Milne, APRN, WOCN
  • Dr. Ronald Rosen, MD, CMD, CWSP
  • Nicole Brandt, PhD, PharmD
  • Dr. Cassandre Voltaire, DO, ABWMS
  • Shawn Naqvi, MD, CEO/CMO

Reviewers

  • Ashley Amaireh, CNP-CWS
  • Melissa Ramdas, DNP, MS APN-C CCM CWCN-AP
  • Carl Tabor, RN, BSN, LNHA
  • Marc Krakow, MD, FAAEM, CWSP
  • Elisha N. Fridley, P.C.

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1

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2

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The download page opens right away with all four fillable PDFs. A welcome email follows with your PAWSIC login.

3

Complete and Save

Fill in Section I, then the add-on for your care setting. Type on screen and save, or print and write.

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Please note: This checklist is solely a guide. It is not intended to replace your facility or organization's policies and procedures nor any local, state, or federal requirements. Regulations, reimbursement structures, and policies that direct practice and care differ from state to state, payer to payer, and by site of service. Use of this form is at your discretion.

Frequently Asked Questions

What is the PAWSIC Mobile Wound Group Checklist?

The PAWSIC Mobile Wound Group (MWG) Checklist 2026 is a standardized framework for evaluating, aligning, and optimizing mobile wound care practices across post-acute care settings. It covers competencies for both employed wound providers and contracted wound provider groups.

Who is the checklist for?

It supports three groups: wound providers and wound provider groups building or improving a program, healthcare leaders at any post-acute site of service who are selecting a wound provider or group, and patients or responsible parties who want a reference guide when choosing one.

Which sections do I complete?

Complete Section I, Core Standards, in full. Then complete only the setting-specific add-on for your care setting: Skilled Nursing Facility (SNF), Home Health Agency (HHA), or Assisted Living / Independent Living (ALF/IL).

How is the checklist scored?

Each criterion is scored from 0 to 3: 0 is Absent, 1 is Emerging, 2 is Established, and 3 is Best-in-Class. Critical items are flagged with a star to signal elevated regulatory or clinical risk that needs priority follow-up.

Can I type directly into the PDF?

Yes. All four PDFs are fillable, so you can type scores, comments, and evidence notes on screen and save your copy, or print them and complete them by hand.

Is the checklist free?

Yes. The checklist is free with a free PAWSIC membership. Signing up takes about a minute, needs no credit card, and opens the download page right away.

Does the checklist replace our policies or regulations?

No. The checklist is solely a guide. It is not intended to replace your facility or organization's policies and procedures or any local, state, or federal requirements.

Questions? We're here.

For questions about the checklist or how to use it with your team, reach PAWSIC at [email protected].

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