On-Site Podiatry for Michigan Nursing Homes — What Administrators Need to Know

There’s a Better Way to Get Your Residents Foot Care

You know the challenge. Mrs. Johnson in Room 204 has diabetic neuropathy and hasn’t had her nails trimmed in three months. Mr. Williams in 108 has a heel wound that isn’t improving. Transporting them to a podiatrist means scheduling medical transport, pulling staff, and disrupting their entire day. Balance Foot & Ankle solves this — we come to your residents.

The Case for On-Site Podiatry

On-site podiatric services eliminate transport logistics and liability, reduce resident stress and anxiety (especially for dementia patients who struggle with transitions), catch problems early before they escalate, support CMS quality metrics and survey readiness, reduce fall-related incidents, and improve resident satisfaction scores.

What We Bring That Other Mobile Podiatrists Don’t

Most mobile podiatrists bring clippers and a file. We bring board-certified podiatric surgeons with technology that rivals any office: a portable MLS laser for bedside wound healing and pain treatment, mobile ultrasound for soft tissue imaging on-site, diabetic shoe fitting and delivery on-site, 3D orthotic scanning, and direct coordination with residents’ PCPs including Vassallo Medical Group.

Our Facility Partnership Model

Regularly scheduled visits based on your census, a maintained roster of residents with individual care plans, progress notes sent to facility and PCP after every visit, all insurance billing handled by our office (zero administrative burden on your staff), and emergency visits available between scheduled dates.

The Wellbridge Model

We already coordinate with Wellbridge Rehabilitation Centers across Livingston County, where Dr. Vassallo serves as medical director. This established coordination model is exactly what we bring to every facility partnership.

Cost to Your Facility: $0

We bill Medicare, Medicaid, and private insurance directly. Your facility incurs no cost and no billing burden — only better care for your residents.

Call Balance Foot & Ankle to discuss a facility partnership: (810) 206-1402

Professional Podiatric Care in Michigan: Balance Foot & Ankle’s Comprehensive Services

At Balance Foot & Ankle, Michigan patients receive comprehensive podiatric care across the full spectrum of foot and ankle conditions. Our fellowship-trained podiatrists provide conservative and surgical treatment for all foot and ankle pathology — from plantar fasciitis, bunions, and nail disorders to complex reconstructive surgery, diabetic foot care, and sports injuries. Our clinical approach prioritizes accurate diagnosis, evidence-based treatment selection, and honest communication with patients about realistic outcomes.

We serve patients in Livingston and Oakland counties from two convenient Michigan locations: our Howell office at 4330 E Grand River (serving Brighton, Hartland, Pinckney, Howell, and all of Livingston County) and our Bloomfield Hills office at 43494 Woodward Ave #208 (serving Troy, Birmingham, West Bloomfield, Farmington Hills, and all of Oakland County). Both offices offer in-office X-ray, same-week new patient appointments, and a full range of diagnostic and treatment services. We accept Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Medicare, and most Michigan insurance plans. Call Balance Foot & Ankle at (810) 206-1402 to schedule your appointment.

Michigan patients from throughout the region — Livingston County communities including Howell, Brighton, Hartland, Pinckney, and Fowlerville, and Oakland County communities including Bloomfield Hills, Troy, Birmingham, West Bloomfield, Farmington Hills, Pontiac, and Rochester — can access expert podiatric care at Balance Foot & Ankle. Our clinical team is committed to providing the highest standard of foot and ankle care available in Southeast Michigan, from routine preventive care to complex surgical intervention. Call (810) 206-1402 to schedule — we look forward to serving you at our Howell or Bloomfield Hills location.

Related Treatment Guides

• Diabetic Foot Care & Neuropathy
• Plantar Fasciitis & Heel Pain Treatment
• Custom 3D Orthotics
• Sports Foot & Ankle Injury Treatment

Scheduling with Balance Foot & Ankle is straightforward — call (810) 206-1402 during business hours and our front desk team will find an appointment time that works for your schedule, verify your insurance coverage before the visit, and answer any preliminary questions you have about what to expect. Our Howell office at 4330 E Grand River has convenient parking and is easily accessible from I-96, M-59, and Grand River Avenue. Our Bloomfield Hills office at 43494 Woodward Ave #208 is located on Woodward Avenue with parking adjacent to the building. Both locations are accessible by patients throughout Southeast Michigan, and our team looks forward to providing you with the professional, evidence-based podiatric care that you and your feet deserve.

Medical References & Sources

• American Podiatric Medical Association — Patient Education
• American Orthopaedic Foot & Ankle Society — Foot Conditions

Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon 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 reached over one million views.