Quick answer: We provide on-site podiatry inside assisted living communities across Livingston County, so residents are seen in familiar surroundings rather than arranging transport. Visits cover nail and callus care, diabetic foot checks and wound care, and Medicare is billed directly. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
In This Article
- Foot Care That Comes to Your Assisted Living Community
- Services We Provide On-Site
- Medicare and Insurance Billing
- Coordinated with Local Medical Practices
- Assisted Living Foot Care in Livingston County: On-Site Podiatry for Howell and Brighton Facilities
- Your Board-Certified Podiatrists
- Pros & Cons of Conservative Care for foot care
- Dr. Tom’s Recommended Products for foot care
In assisted living the foot problem that ends independence is rarely dramatic — it is a nail left too long, a callus that became a pressure sore, or shoes nobody rechecked after a weight change. Catching those on a schedule is the whole job. We visit Livingston County communities and see residents at our Howell office. Book online for a same-week evaluation, or call (810) 206-1402.
Related Conditions
Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle
Last reviewed: May 2026
Assisted Living Foot Care in Livingston County — On-Site Podiatry Services
Foot Care That Comes to Your Assisted Living Community
Assisted living residents in Livingston County — in Howell, Brighton, Hartland, and surrounding communities — deserve professional podiatric care without the difficulty of transportation to an office. Balance Foot & Ankle provides scheduled on-site podiatric visits to assisted living facilities throughout Livingston County.
Services We Provide On-Site
Professional nail care (including thick nail management with powered instruments), callus and corn removal, diabetic foot assessments, wound evaluation, fungal nail treatment, fall risk assessment, diabetic shoe fitting, and MLS laser therapy for pain and healing using our portable treatment unit.
Medicare and Insurance Billing
We handle all Medicare and insurance billing directly, so facilities and families don’t need to navigate the paperwork. Most assisted living residents have Medicare coverage for qualifying podiatric services — nail care for high-risk patients, diabetic foot exams, and diabetic shoe fitting are all covered benefits.
Coordinated with Local Medical Practices
We coordinate with Vassallo Medical Group and other Livingston County physicians whose patients reside in assisted living facilities. When we identify new foot problems, we communicate directly with the resident’s medical team.
Our Howell office coordinates with Vassallo Medical Group (same road — Grand River Ave) for patients with diabetes, vascular disease, and systemic conditions. Coordinated care for Livingston County patients.
📞 (810) 206-1402 | Howell, MI
✅ MLS Dual-Wavelength Laser — FDA-cleared
✅ EPAT Shockwave Therapy — 80%+ success rate
✅ Magnetotransduction (EMTT) — Deep electromagnetic healing
✅ 3D-Scanned Custom Orthotics
✅ Toenail Fungus Laser
✅ In-Office X-Ray & Ultrasound
✅ Diabetic Shoe Program — Medicare-covered
📞 (810) 206-1402 | Howell & Bloomfield Township
Call (810) 206-1402 to arrange on-site services for your Livingston County assisted living community.
Assisted Living Foot Care in Livingston County: On-Site Podiatry for Howell and Brighton Facilities
Assisted living facilities throughout Livingston County — including Howell, Brighton, Hartland, and Hamburg Township — serve a growing population of older adults who benefit from on-site podiatric services rather than navigating transportation logistics for routine foot care appointments. Balance Foot & Ankle‘s Howell office at 4330 E Grand River serves as the hub for our Livingston County assisted living podiatry program, with our visiting podiatrist scheduling regular facility visits that allow residents to receive clinical-quality foot care in the comfort of their residence.
Livingston County assisted living residents commonly experience: thickened, fungal toenails that are difficult to trim safely at home and require professional debridement; painful ingrown toenails that limit ambulation and participation in facility activities; callus buildup on the heels and metatarsal heads that becomes painful during the walking activities that support residents’ independence and fall prevention; and diabetic foot conditions requiring annual comprehensive examinations for Medicare documentation purposes. For Livingston County facilities where residents prefer office-based care, our Howell location is centrally accessible from Howell, Brighton, Pinckney, Hamburg, and Hartland. The initial facility partnership conversation covers: resident eligibility and insurance, visit scheduling logistics, documentation and care plan coordination, and the urgent-access protocol for residents who develop acute foot problems between scheduled visits. Assisted living operators in Livingston County can reach Balance Foot & Ankle at (810) 206-1402 to begin this conversation.
Livingston County assisted living facilities with a Balance Foot & Ankle on-site podiatry program receive a dedicated facility services coordinator as their single point of contact — handling scheduling, insurance verification for each resident visit, and urgent access when a resident develops an acute foot problem between regular visits. For Livingston County facilities transitioning from a previous podiatry provider, we coordinate a seamless handoff that reviews each current resident’s foot health history and establishes a care plan at the first visit cycle. Facilities in Howell, Brighton, Hartland, Hamburg, and surrounding Livingston County communities can call (810) 206-1402 to arrange an introductory visit and resident intake assessment that begins the on-site program.
Related Treatment Guides
- Diabetic Foot Care
- Corn & Callus Treatment
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
Livingston County assisted living facilities that contract with Balance Foot & Ankle for on-site podiatry services can include podiatry as a documented health benefit in their facility marketing materials — a meaningful differentiator when families are choosing between comparable facilities for a parent with diabetes, vascular disease, or significant foot health needs. The health and wellness programming that modern Livingston County assisted living facilities offer increasingly includes regular specialist services beyond primary care, and podiatry is among the highest-used specialist services for the 65+ population. Call (810) 206-1402 to begin the conversation about an on-site podiatry program for your Livingston County facility.
Medical References & Sources
- American Podiatric Medical Association — Patient Education
- American Orthopaedic Foot & Ankle Society — Foot Conditions
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Book Your AppointmentPros & Cons of Conservative Care for foot care
Advantages
- ✓ Conservative care first
- ✓ Same-week appointments
- ✓ Multiple insurance accepted
Considerations
- ✗ Self-treatment can mask issues
- ✗ See a podiatrist if pain >2 weeks
Dr. Tom’s Recommended Products for foot care
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About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Township, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your foot and ankle conditions, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Same-day appointments available. (810) 206-1402
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Clinical foot and ankle services at our Howell and Bloomfield Township offices.
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For residents who need more than routine nail care, we also handle wound care and diabetic foot checks in skilled nursing settings and private homes. See all home and facility foot care services, or call (810) 206-1402.
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.
More questions patients ask
Do assisted living facilities in Livingston County have podiatry services?
Yes — Balance Foot & Ankle provides podiatric services to assisted living facilities throughout Livingston County, Michigan. Our team visits facilities in Howell, Brighton, Hartland, Fowlerville, Pinckney, and surrounding areas. We provide comprehensive foot care including nail trimming, wound care, diabetic foot exams, callus and corn management, and prescription of appropriate footwear and orthotics. Call (810) 206-1402 to arrange services.
How often should assisted living residents have their feet checked?
At minimum, twice yearly for residents without significant foot problems. For residents with diabetes, neuropathy, poor circulation, history of foot ulcers, or significant nail pathology: every 6-8 weeks. Regular podiatric care in assisted living settings has been shown to reduce foot pain, improve mobility, decrease fall risk, and prevent serious complications that require hospitalization.
What foot conditions in assisted living residents need immediate podiatry?
Conditions requiring urgent podiatric care in assisted living residents: any open wound on foot or ankle (especially in diabetics), rapidly spreading redness or warmth, wound with discharge or odor, sudden unexplained swelling of foot/ankle, reports of new foot pain from a resident who normally has limited communication, any change in ability to walk or bear weight, and visible nail infection with signs of spreading cellulitis.
Can family members arrange podiatry visits for their loved one in assisted living?
Absolutely — family members can contact Balance Foot & Ankle directly at (810) 206-1402 to arrange podiatric care for a loved one in assisted living. We coordinate with facility staff and can communicate findings to family and the resident's physicians with appropriate authorization. We accept Medicare, Medicaid, and most commercial insurance. Ensuring regular podiatric care is one of the most impactful ways family members can support a loved one's health.
Does Balance Foot & Ankle provide assisted living foot care in Livingston County?
Yes, Balance Foot & Ankle provides professional on-site podiatry to assisted living facilities throughout Livingston County including Howell, Brighton, Hartland, Pinckney, and surrounding communities. Dr. Tom Biernacki DPM, Dr. Carl Jay DPM, and Dr. Daria Gutkin DPM serve Livingston County facilities. Call (810) 206-1402.
What Livingston County assisted living communities does Balance Foot & Ankle serve?
Balance Foot & Ankle serves assisted living facilities throughout Livingston County. Our Howell clinic at 4330 E Grand River provides a convenient base for Livingston County facility visits. We work with facilities in Howell, Brighton, Hartland, Hamburg, Fowlerville, and surrounding areas. Call (810) 206-1402.
What services does Balance Foot & Ankle provide at Livingston County assisted living facilities?
At Livingston County assisted living facilities, Balance Foot & Ankle provides comprehensive nail care, diabetic foot exams, callus and corn management, wound assessment, infection evaluation, orthotic review, footwear recommendations, and complete Medicare/Medicaid billing for all covered services.
How frequently does Balance Foot & Ankle visit Livingston County assisted living facilities?
Balance Foot & Ankle typically schedules Livingston County assisted living visits every 6–8 weeks. Facilities can arrange more frequent visits based on their resident population's medical complexity. We work with facility administrators to create the most effective visit schedule. Call (810) 206-1402.
Does Medicare cover assisted living foot care from Balance Foot & Ankle in Livingston County?
Medicare Part B covers medically necessary podiatry for Livingston County assisted living residents with qualifying conditions. Balance Foot & Ankle has extensive experience with Michigan Medicare billing for assisted living facility residents. Call (810) 206-1402 to learn more.
Still have a question about coverage or cost? Book online and we will check your benefits before your visit: Book in Howell · Book in Bloomfield Township. Prefer to talk it through first? Call (810) 206-1402.